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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002751001</ndc>
    <ndc_label_name>Humalog U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002751101</ndc>
    <ndc_label_name>Humalog Mix 75-25 (U-100) Insulin 100 unit/mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002751601</ndc>
    <ndc_label_name>Humalog U-100 Insulin 100 unit/mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002751659</ndc>
    <ndc_label_name>Humalog U-100 Insulin 100 unit/mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002752901</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002753301</ndc>
    <ndc_label_name>Humalog U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002757501</ndc>
    <ndc_label_name>Omvoh 300 mg/15 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002762301</ndc>
    <ndc_label_name>Alimta 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002764001</ndc>
    <ndc_label_name>Alimta 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002766901</ndc>
    <ndc_label_name>Cyramza 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002767801</ndc>
    <ndc_label_name>Cyramza 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771201</ndc>
    <ndc_label_name>Humalog KwikPen U-200 Insulin 200 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771227</ndc>
    <ndc_label_name>Humalog KwikPen U-200 Insulin 200 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771401</ndc>
    <ndc_label_name>Humalog Junior KwikPen (U-100) 100 unit/mL subcutaneous half-unit pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771459</ndc>
    <ndc_label_name>Humalog Junior KwikPen (U-100) 100 unit/mL subcutaneous half-unit pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771501</ndc>
    <ndc_label_name>Basaglar KwikPen U-100 Insulin 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771559</ndc>
    <ndc_label_name>Basaglar KwikPen U-100 Insulin 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771601</ndc>
    <ndc_label_name>PORTRAZZA 800 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002771711</ndc>
    <ndc_label_name>Omvoh Pen 300mg/3mL(100mg/mL-200mg/2mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002772211</ndc>
    <ndc_label_name>Omvoh 300mg/3mL(100mg/mL-200mg/2mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002772401</ndc>
    <ndc_label_name>Taltz Syringe 80 mg/mL subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002772411</ndc>
    <ndc_label_name>Taltz Syringe 80 mg/mL subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002772801</ndc>
    <ndc_label_name>Lyumjev U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002773701</ndc>
    <ndc_label_name>INSULIN LISPRO 100 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002775201</ndc>
    <ndc_label_name>INSULIN LISPRO JR 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002775205</ndc>
    <ndc_label_name>INSULIN LISPRO JR 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002777201</ndc>
    <ndc_label_name>Ebglyss Pen 250 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002777211</ndc>
    <ndc_label_name>Ebglyss Pen 250 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002779701</ndc>
    <ndc_label_name>Ebglyss Syringe 250 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002779711</ndc>
    <ndc_label_name>Ebglyss Syringe 250 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002801101</ndc>
    <ndc_label_name>Omvoh Pen 100 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002801127</ndc>
    <ndc_label_name>Omvoh Pen 200 mg/2 mL (100 mg/mL x 2) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002803101</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002814701</ndc>
    <ndc_label_name>Humatrope 6 mg (18 unit) injection cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002814801</ndc>
    <ndc_label_name>Humatrope 12 mg (36 unit) injection cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002814901</ndc>
    <ndc_label_name>Humatrope 24 mg (72 unit) injection cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002820701</ndc>
    <ndc_label_name>Lyumjev KwikPen U-100 Insulin 100 unit/mL subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002820705</ndc>
    <ndc_label_name>Lyumjev KwikPen U-100 Insulin 100 unit/mL subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002821301</ndc>
    <ndc_label_name>Humalog Tempo Pen (U-100) Insulin 100 unit/mL subcutaneous pen, sensor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002821305</ndc>
    <ndc_label_name>Humalog Tempo Pen (U-100) Insulin 100 unit/mL subcutaneous pen, sensor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002821401</ndc>
    <ndc_label_name>BASAGLAR TEMPO PEN 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002821405</ndc>
    <ndc_label_name>BASAGLAR TEMPO PEN 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002821501</ndc>
    <ndc_label_name>Humulin R Regular U-100 Insulin 100 unit/mL injection solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002822201</ndc>
    <ndc_label_name>INSULIN LISPRO 100 UNIT/ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002822259</ndc>
    <ndc_label_name>INSULIN LISPRO 100 UNIT/ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002822801</ndc>
    <ndc_label_name>Lyumjev KwikPen U-200 Insulin 200 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002822827</ndc>
    <ndc_label_name>Lyumjev KwikPen U-200 Insulin 200 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002823301</ndc>
    <ndc_label_name>INSULIN LISPRO MIX 75-25 KWKPN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002823305</ndc>
    <ndc_label_name>INSULIN LISPRO MIX 75-25 KWKPN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002823501</ndc>
    <ndc_label_name>Lyumjev Tempo Pen (U-100) Insulin 100 unit/mL subcutaneous pen, sensor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002823505</ndc>
    <ndc_label_name>Lyumjev Tempo Pen (U-100) Insulin 100 unit/mL subcutaneous pen, sensor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002831501</ndc>
    <ndc_label_name>Humulin N NPH U-100 Insulin (isophane susp) 100 unit/mL subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002840001</ndc>
    <ndc_label_name>Forteo 20 mcg/dose (560 mcg/2.24 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002850101</ndc>
    <ndc_label_name>HUMULIN R 500 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002871501</ndc>
    <ndc_label_name>Humulin 70/30 U-100 Insulin 100 unit/mL subcutaneous suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002871517</ndc>
    <ndc_label_name>Humulin 70/30 U-100 Insulin 100 unit/mL subcutaneous suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879701</ndc>
    <ndc_label_name>Humalog Mix 75-25 KwikPen U-100 insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879759</ndc>
    <ndc_label_name>Humalog Mix 75-25 KwikPen U-100 insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879859</ndc>
    <ndc_label_name>Humalog Mix 50-50 KwikPen U-100 Insulin 100 unit/mL subcutaneous pen</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879901</ndc>
    <ndc_label_name>Humalog KwikPen (U-100) Insulin 100 unit/mL subcutaneous</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002879959</ndc>
    <ndc_label_name>Humalog KwikPen (U-100) Insulin 100 unit/mL subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002880301</ndc>
    <ndc_label_name>Humulin 70/30 U-100 Insulin KwikPen 100 unit/mL subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002880359</ndc>
    <ndc_label_name>Humulin 70/30 U-100 Insulin KwikPen 100 unit/mL subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002880501</ndc>
    <ndc_label_name>Humulin N NPH U-100 Insulin KwikPen 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002880559</ndc>
    <ndc_label_name>Humulin N NPH U-100 Insulin KwikPen 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002882401</ndc>
    <ndc_label_name>Humulin R U-500 (Conc) Insulin Kwikpen 500 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00002882427</ndc>
    <ndc_label_name>Humulin R U-500 (Conc) Insulin Kwikpen 500 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002887001</ndc>
    <ndc_label_name>Omvoh 100 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002887027</ndc>
    <ndc_label_name>Omvoh 200 mg/2 mL (100 mg/mL x 2) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002890011</ndc>
    <ndc_label_name>Taltz Syringe 20 mg/0.25 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002890501</ndc>
    <ndc_label_name>Taltz Syringe 40 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002890511</ndc>
    <ndc_label_name>Taltz Syringe 40 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002898001</ndc>
    <ndc_label_name>Rezvoglar KwikPen 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002898005</ndc>
    <ndc_label_name>Rezvoglar KwikPen 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002940101</ndc>
    <ndc_label_name>Kisunla 17.5 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002956001</ndc>
    <ndc_label_name>HumatroPen 6 subcutaneous pen injector device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002956101</ndc>
    <ndc_label_name>HumatroPen 12 subcutaneous pen injector device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002956201</ndc>
    <ndc_label_name>HumatroPen 24 subcutaneous pen injector device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00002967801</ndc>
    <ndc_label_name>Forteo 20 mcg/dose (560 mcg/2.24 mL) subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003005060</ndc>
    <ndc_label_name>Cobenfy 50 mg-20 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003010060</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003012560</ndc>
    <ndc_label_name>Cobenfy 125 mg-30 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003029305</ndc>
    <ndc_label_name>Kenalog 40 mg/mL suspension for injection</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003029320</ndc>
    <ndc_label_name>Kenalog 40 mg/mL suspension for injection</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003029328</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003031520</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003037113</ndc>
    <ndc_label_name>Nulojix 250 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003052411</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Hydrea 500 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00003089331</ndc>
    <ndc_label_name>Eliquis 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00003089421</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003218713</ndc>
    <ndc_label_name>Orencia (with maltose) 250 mg intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003218851</ndc>
    <ndc_label_name>Orencia ClickJect 125 mg/mL subcutaneous auto-injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003218890</ndc>
    <ndc_label_name>Orencia ClickJect 125 mg/mL subcutaneous auto-injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003218891</ndc>
    <ndc_label_name>Orencia 125 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00003229111</ndc>
    <ndc_label_name>Empliciti 300 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <ndc>00005250023</ndc>
    <ndc_label_name>FiberCon 625 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005250033</ndc>
    <ndc_label_name>FiberCon 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005417990</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005423720</ndc>
    <ndc_label_name>Centrum Kids (with vit D3, vit K) 8 mg iron-10 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005434462</ndc>
    <ndc_label_name>Centrum 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005445174</ndc>
    <ndc_label_name>Centrum Complete 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005446119</ndc>
    <ndc_label_name>Centrum Silver 400 mcg-250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005446381</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005446391</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005447060</ndc>
    <ndc_label_name>Centrum Specialist Energy 18 mg iron-400 mcg-25mcg-75mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005449860</ndc>
    <ndc_label_name>Centrum Specialist Heart 3 mg-200 mcg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005452835</ndc>
    <ndc_label_name>Centrum Chewables 8 mg iron-400 mcg-10 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005452890</ndc>
    <ndc_label_name>Centrum Chewables 8 mg iron-400 mcg-80 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475557</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475592</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475652</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475671</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475756</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00005475770</ndc>
    <ndc_label_name>Centrum Ultra Men's 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005475850</ndc>
    <ndc_label_name>Centrum Silver Ultra Men's 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005475865</ndc>
    <ndc_label_name>Centrum Silver Men 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005475870</ndc>
    <ndc_label_name>Centrum Silver Ultra Men's 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005487460</ndc>
    <ndc_label_name>Centrum Adult 50 Plus Fresh-Fruity 120 mcg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005550919</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005550924</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005550925</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005551210</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 300 mg-20 mcg-25 mg-0.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005551750</ndc>
    <ndc_label_name>Caltrate Gummy Bites 250 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Caltrate Gummy Bites 250 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00005555619</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Caltrate plus D  600 mg (carbonate)-20 mcg (800 unit) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006003220</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006003299</ndc>
    <ndc_label_name>Stromectol 3 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Janumet XR 50 mg-500 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006007862</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Janumet XR 100 mg-1,000 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006022101</ndc>
    <ndc_label_name>Januvia 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006022128</ndc>
    <ndc_label_name>Januvia 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Isentress 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Januvia 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Januvia 100 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Belsomra 15 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <ndc_label_name>Zolinza 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Janumet 50 mg-500 mg tablet</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Recombivax HB (PF) 5 mcg/0.5 mL intramuscular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006409402</ndc>
    <ndc_label_name>Recombivax HB (PF) 10 mcg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006409501</ndc>
    <ndc_label_name>Vaqta (PF) 25 unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006409502</ndc>
    <ndc_label_name>Vaqta (PF) 25 unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006409601</ndc>
    <ndc_label_name>Vaqta (PF) 50 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006409602</ndc>
    <ndc_label_name>Vaqta (PF) 50 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006411901</ndc>
    <ndc_label_name>Gardasil 9 (PF) 0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006411903</ndc>
    <ndc_label_name>Gardasil 9 (PF) 0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006412101</ndc>
    <ndc_label_name>Gardasil 9 (PF) 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006412102</ndc>
    <ndc_label_name>Gardasil 9 (PF) 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006417100</ndc>
    <ndc_label_name>ProQuad (PF) 10exp3-4.3-3-3.99TCID50/0.5mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006417101</ndc>
    <ndc_label_name>ProQuad (PF) 10exp3-4.3-3-3.99TCID50/0.5mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006417588</ndc>
    <ndc_label_name>Diluent for Merck Live Virus Vaccine syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006417589</ndc>
    <ndc_label_name>Diluent for Merck Live Virus Vaccine syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006429301</ndc>
    <ndc_label_name>Ervebo (PF)(National Stockpile) 1 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006429302</ndc>
    <ndc_label_name>Ervebo (PF)(National Stockpile) 1 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006430501</ndc>
    <ndc_label_name>Renflexis 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006430502</ndc>
    <ndc_label_name>Renflexis 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006430900</ndc>
    <ndc_label_name>Diluent for Merck Live Virus Vaccine</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006430901</ndc>
    <ndc_label_name>Diluent for Merck Live Virus Vaccine</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006432901</ndc>
    <ndc_label_name>Vaxneuvance (PF) 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006432902</ndc>
    <ndc_label_name>Vaxneuvance (PF) 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006432903</ndc>
    <ndc_label_name>Vaxneuvance (PF) 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006434702</ndc>
    <ndc_label_name>Capvaxive 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006434799</ndc>
    <ndc_label_name>Capvaxive 0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006468100</ndc>
    <ndc_label_name>M-M-R II (PF) 1,000-12,500 TCID50/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006468101</ndc>
    <ndc_label_name>M-M-R II (PF) 1,000-12,500 TCID50/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006482700</ndc>
    <ndc_label_name>Varivax (PF) 1,350 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006482701</ndc>
    <ndc_label_name>Varivax (PF) 1,350 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006483101</ndc>
    <ndc_label_name>Vaqta (PF) 25 unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006483141</ndc>
    <ndc_label_name>Vaqta (PF) 25 unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006483701</ndc>
    <ndc_label_name>Pneumovax-23 25 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006483703</ndc>
    <ndc_label_name>Pneumovax-23 25 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006484100</ndc>
    <ndc_label_name>Vaqta (PF) 50 unit/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Vaqta (PF) 50 unit/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Vaqta (PF) 50 unit/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006489700</ndc>
    <ndc_label_name>Pedvax HIB (PF) 7.5 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006489701</ndc>
    <ndc_label_name>Pedvax HIB (PF) 7.5 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006494300</ndc>
    <ndc_label_name>PNEUMOVAX 23 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006494301</ndc>
    <ndc_label_name>PNEUMOVAX 23 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006498100</ndc>
    <ndc_label_name>Recombivax HB (PF) 5 mcg/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006498101</ndc>
    <ndc_label_name>Recombivax HB (PF) 5 mcg/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006499200</ndc>
    <ndc_label_name>Recombivax HB (PF) 40 mcg/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006499201</ndc>
    <ndc_label_name>Recombivax HB (PF) 40 mcg/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006499501</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00006499541</ndc>
    <ndc_label_name>Recombivax HB (PF) 10 mcg/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006500301</ndc>
    <ndc_label_name>Prevymis 240 mg/12 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006500302</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006500401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006500402</ndc>
    <ndc_label_name>Prevymis 480 mg/24 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Delstrigo 100 mg-300 mg-300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502801</ndc>
    <ndc_label_name>Verquvo 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502802</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502803</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502804</ndc>
    <ndc_label_name>Verquvo 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502901</ndc>
    <ndc_label_name>Verquvo 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502902</ndc>
    <ndc_label_name>Verquvo 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502903</ndc>
    <ndc_label_name>Verquvo 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006502904</ndc>
    <ndc_label_name>Verquvo 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006503001</ndc>
    <ndc_label_name>Verquvo 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006503002</ndc>
    <ndc_label_name>Verquvo 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006503003</ndc>
    <ndc_label_name>Verquvo 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006503004</ndc>
    <ndc_label_name>Verquvo 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006505506</ndc>
    <ndc_label_name>Lagevrio 200 mg capsule (EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006505509</ndc>
    <ndc_label_name>Lagevrio 200 mg capsule (EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006506899</ndc>
    <ndc_label_name>Winrevair 45 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006506999</ndc>
    <ndc_label_name>Winrevair 60 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006507301</ndc>
    <ndc_label_name>Enflonsia 105 mg/0.7 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006507302</ndc>
    <ndc_label_name>Enflonsia 105 mg/0.7 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Enflonsia 105 mg/0.7 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006507989</ndc>
    <ndc_label_name>Sterile Water 100 % Diluent for Winrevair injection syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508089</ndc>
    <ndc_label_name>Sterile Water 100 % Diluent for Winrevair injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508301</ndc>
    <ndc_label_name>Keytruda Qlex 790 mg-9,600 unit/4.8 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508399</ndc>
    <ndc_label_name>Keytruda Qlex 790 mg-9,600 unit/4.8 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508501</ndc>
    <ndc_label_name>Prevymis 120 mg oral pellets in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508599</ndc>
    <ndc_label_name>Prevymis 120 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508601</ndc>
    <ndc_label_name>Prevymis 20 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Prevymis 20 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006508701</ndc>
    <ndc_label_name>Winrevair 90 mg (45 mg x 2) subcutaneous kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Winrevair 45 mg subcutaneous kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006533101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006536303</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006536306</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006536406</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006536703</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00006536903</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Protonix 40 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lumigan 0.01 % eye drops</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023324015</ndc>
    <ndc_label_name>Refresh Optive 0.5 %-0.9 % eye drops</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023334807</ndc>
    <ndc_label_name>Ozurdex 0.7 mg intravitreal implant</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Refresh Optive Sensitive (PF) 0.5 %-0.9 % eye drops in a dropperette</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023350731</ndc>
    <ndc_label_name>Acuvail (PF) 0.45 % eye drops in a dropperette</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023361605</ndc>
    <ndc_label_name>Latisse 0.03 % eyelash drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023361670</ndc>
    <ndc_label_name>Latisse 0.03 % eyelash drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023391950</ndc>
    <ndc_label_name>Botox Cosmetic 50 unit intramuscular solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023392102</ndc>
    <ndc_label_name>Botox 200 unit injection</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Botox 200 unit injection</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023398810</ndc>
    <ndc_label_name>Refresh Optive Mega-3 (PF) 0.5 %-1 %-0.5 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023429105</ndc>
    <ndc_label_name>Lastacaft Once Daily Relief 0.25 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lastacaft Once Daily Relief 0.25 % eye drops</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023430710</ndc>
    <ndc_label_name>Refresh Optive Advanced 0.5 %-1 %-0.5 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023430720</ndc>
    <ndc_label_name>Refresh Optive Advanced 0.5 %-1 %-0.5 % eye drops</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023449130</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023451530</ndc>
    <ndc_label_name>Refresh Relieva PF 0.5 %-1 % eye drops in a dropperette</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023455430</ndc>
    <ndc_label_name>Refresh Celluvisc 1 % eye gel in a dropperette</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023530101</ndc>
    <ndc_label_name>Restasis MultiDose 0.05 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023545910</ndc>
    <ndc_label_name>Refresh Optive 1 %-0.9 % eye gel drops</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023577330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023585318</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Liletta 20.4 mcg/24 hr (up to 8 years) 52 mg intrauterine device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Refresh Digital 0.5 %-1 %-0.5 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023715160</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Restasis 0.05 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023916360</ndc>
    <ndc_label_name>Restasis 0.05 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023917705</ndc>
    <ndc_label_name>Alphagan P 0.15 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023917710</ndc>
    <ndc_label_name>Alphagan P 0.15 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023917715</ndc>
    <ndc_label_name>Alphagan P 0.15 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023920515</ndc>
    <ndc_label_name>Refresh Liquigel 1 % eye liquid gel drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023921105</ndc>
    <ndc_label_name>Combigan 0.2 %-0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023921110</ndc>
    <ndc_label_name>Combigan 0.2 %-0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023921115</ndc>
    <ndc_label_name>Combigan 0.2 %-0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023923201</ndc>
    <ndc_label_name>Botox Cosmetic 100 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023927705</ndc>
    <ndc_label_name>Acular LS 0.4 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023932105</ndc>
    <ndc_label_name>Alphagan P 0.1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023932110</ndc>
    <ndc_label_name>Alphagan P 0.1 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00023932115</ndc>
    <ndc_label_name>Alphagan P 0.1 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023963701</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023963704</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023963708</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00023965201</ndc>
    <ndc_label_name>Durysta 10 mcg intracameral implant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024065401</ndc>
    <ndc_label_name>Sarclisa 20 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024065601</ndc>
    <ndc_label_name>Sarclisa 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024101510</ndc>
    <ndc_label_name>FERGON 27 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024117190</ndc>
    <ndc_label_name>Plavix 75 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024135202</ndc>
    <ndc_label_name>Neo-Synephrine (phenylephrine) 1 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024159601</ndc>
    <ndc_label_name>PRIMAQUINE 26.3 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024279201</ndc>
    <ndc_label_name>Ferrlecit 62.5 mg/5 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024279210</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024279401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024279410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024414206</ndc>
    <ndc_label_name>Multaq 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024414260</ndc>
    <ndc_label_name>Multaq 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00024515006</ndc>
    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515010</ndc>
    <ndc_label_name>Elitek 1.5 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515011</ndc>
    <ndc_label_name>Elitek 1.5 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515174</ndc>
    <ndc_label_name>Elitek 7.5 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515175</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515211</ndc>
    <ndc_label_name>Diluent For Elitek 1 mL (1.5 mg) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024515374</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ambien 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ambien 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024550131</ndc>
    <ndc_label_name>Ambien CR 6.25 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ambien CR 12.5 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00024576105</ndc>
    <ndc_label_name>Soliqua 100/33  100 unit-33 mcg/mL subcutaneous insulin pen</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Diluent For Jevtana 5.7 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLOMAX 0.4 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zaltrap 100 mg/4 mL (25 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AVAPRO 75 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLOLAR 20 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mozobil 24 mg/1.2 mL (20 mg/mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Toujeo SoloStar U-300 Insulin 300 unit/mL (1.5 mL) subcutaneous pen</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Toujeo SoloStar U-300 Insulin 300 unit/mL (1.5 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Toujeo SoloStar U-300 Insulin 300 unit/mL (1.5 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024587100</ndc>
    <ndc_label_name>Toujeo Max U-300 SoloStar 300 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024587101</ndc>
    <ndc_label_name>Toujeo Max U-300 SoloStar 300 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024587102</ndc>
    <ndc_label_name>Toujeo Max U-300 SoloStar 300 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024590801</ndc>
    <ndc_label_name>KEVZARA 150 MG/1.14 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024591001</ndc>
    <ndc_label_name>Kevzara 200 mg/1.14 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591400</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591401</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591402</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591500</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591501</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591502</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591520</ndc>
    <ndc_label_name>Dupixent 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591800</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591801</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591802</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591900</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591901</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591902</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00024591920</ndc>
    <ndc_label_name>Dupixent 200 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592001</ndc>
    <ndc_label_name>Kevzara 150 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592201</ndc>
    <ndc_label_name>Kevzara 200 mg/1.14 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592410</ndc>
    <ndc_label_name>Admelog U-100 Insulin lispro 100 unit/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592500</ndc>
    <ndc_label_name>Admelog SoloStar U-100 Insulin lispro 100 unit/mL subcutaneous pen</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592501</ndc>
    <ndc_label_name>Admelog SoloStar U-100 Insulin lispro 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592505</ndc>
    <ndc_label_name>Admelog SoloStar U-100 Insulin lispro 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592605</ndc>
    <ndc_label_name>Admelog U-100 Insulin lispro 100 unit/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592700</ndc>
    <ndc_label_name>Merilog 100 unit/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592800</ndc>
    <ndc_label_name>Merilog Solostar 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00024592805</ndc>
    <ndc_label_name>Merilog Solostar 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025006131</ndc>
    <ndc_label_name>Lomotil 2.5 mg-0.025 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025016608</ndc>
    <ndc_label_name>Synarel 2 mg/mL nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025032501</ndc>
    <ndc_label_name>Abrilada(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025032502</ndc>
    <ndc_label_name>Abrilada(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025032802</ndc>
    <ndc_label_name>Abrilada(CF) 40 mg/0.8 mL subcutaneous syringe kit</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025033302</ndc>
    <ndc_label_name>Abrilada(CF) 20 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aldactone 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DAYPRO 600 MG CAPLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025141190</ndc>
    <ndc_label_name>Arthrotec 50 mg-200 mcg tablet,film-coated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025142160</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025145134</ndc>
    <ndc_label_name>Cytotec 100 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025145160</ndc>
    <ndc_label_name>Cytotec 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cytotec 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Celebrex 50 mg capsule</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00025152034</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00026378555</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026378775</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026382125</ndc>
    <ndc_label_name>Kovaltry 250 (+/-) unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026382650</ndc>
    <ndc_label_name>Kovaltry 2,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026382850</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Jivi 500 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026394425</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026394625</ndc>
    <ndc_label_name>Jivi 2,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026394825</ndc>
    <ndc_label_name>Jivi 3,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026395050</ndc>
    <ndc_label_name>Jivi 4,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026395099</ndc>
    <ndc_label_name>Jivi 4,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026478201</ndc>
    <ndc_label_name>Kogenate FS 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026478301</ndc>
    <ndc_label_name>Kogenate FS 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00026478501</ndc>
    <ndc_label_name>Kogenate FS 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00026478601</ndc>
    <ndc_label_name>Kogenate FS 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026478701</ndc>
    <ndc_label_name>Kogenate FS 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026482101</ndc>
    <ndc_label_name>Kovaltry 250 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026482201</ndc>
    <ndc_label_name>Kovaltry 500 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026482401</ndc>
    <ndc_label_name>Kovaltry 1,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026482601</ndc>
    <ndc_label_name>Kovaltry 2,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026482801</ndc>
    <ndc_label_name>Kovaltry 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026494201</ndc>
    <ndc_label_name>Jivi 500 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026494401</ndc>
    <ndc_label_name>Jivi 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026494601</ndc>
    <ndc_label_name>Jivi 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026494801</ndc>
    <ndc_label_name>Jivi 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026495001</ndc>
    <ndc_label_name>Jivi 4,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00026495099</ndc>
    <ndc_label_name>Jivi 4,000 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034003</ndc>
    <ndc_label_name>Robitussin Medi-Soothers 5 mg-5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034006</ndc>
    <ndc_label_name>Robitussin Medi-Soothers 5 mg-5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034009</ndc>
    <ndc_label_name>Robitussin Medi-Soothers 5 mg-5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034068</ndc>
    <ndc_label_name>Robitussin Cough 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034074</ndc>
    <ndc_label_name>Robitussin Nighttime Cough DM 6.25 mg-15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031034077</ndc>
    <ndc_label_name>Robitussin Cough 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209448</ndc>
    <ndc_label_name>Robitussin Max Dm Day-Night 12.5 mg-30 mg/20 mL (night) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209466</ndc>
    <ndc_label_name>Robitussin Severe Multi-Symptom 20 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209467</ndc>
    <ndc_label_name>Robitussin Severe Multi-Symptom 20 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209469</ndc>
    <ndc_label_name>Robitussin Multi-Symptom Night 25 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209499</ndc>
    <ndc_label_name>Child Robitussin Day-Night 2 mg-15 mg/10 mL(night) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209554</ndc>
    <ndc_label_name>Child Robitussin Honey Day-Nt 6.25 mg-15 mg/10 mL (night) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031209581</ndc>
    <ndc_label_name>Robitussin Honey Max DM Day-Nt 12.5 mg-30 mg/20 mL (night) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031223413</ndc>
    <ndc_label_name>Dimetapp DM Cold-Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031223419</ndc>
    <ndc_label_name>Dimetapp DM Cold-Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031223513</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brom-PE) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031223519</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brom-PE) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031224904</ndc>
    <ndc_label_name>Children Dimetapp M-S Cold-Flu 6.25 mg-2.5 mg-160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031301850</ndc>
    <ndc_label_name>Robitussin Elderberry Max DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031301860</ndc>
    <ndc_label_name>Robitussin Elderberry Max DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031301870</ndc>
    <ndc_label_name>Child Robitussin Elderberry DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031865510</ndc>
    <ndc_label_name>Robitussin ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031869312</ndc>
    <ndc_label_name>Robitussin Long-Acting 1 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031871510</ndc>
    <ndc_label_name>Child Robitussin Cough-Chest DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871513</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871612</ndc>
    <ndc_label_name>Robitussin Cough and Cold CF 2.5 mg-5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871813</ndc>
    <ndc_label_name>Robitussin Nighttime Cough DM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871818</ndc>
    <ndc_label_name>Robitussin Nighttime Cough DM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871910</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031871920</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031873912</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031873918</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031873942</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031874220</ndc>
    <ndc_label_name>Adult Robitussin Peak Cold M-S 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031874320</ndc>
    <ndc_label_name>Robitussin CoughGel 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875012</ndc>
    <ndc_label_name>Robitussin Cough-Sore Throat 325 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875018</ndc>
    <ndc_label_name>Robitussin Cough-Sore Throat 325 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875112</ndc>
    <ndc_label_name>Robitussin Severe Cough-Cold-Flu 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875118</ndc>
    <ndc_label_name>Robitussin Severe Cough-Cold-Flu 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875212</ndc>
    <ndc_label_name>Robitussin Cold-Flu Night (PE) 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875218</ndc>
    <ndc_label_name>Robitussin Cold-Flu Night (PE) 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875303</ndc>
    <ndc_label_name>Robitussin ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875515</ndc>
    <ndc_label_name>Robitussin ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031875612</ndc>
    <ndc_label_name>Robitussin Honey Max DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00031875618</ndc>
    <ndc_label_name>Robitussin Honey Max DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875712</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875718</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875812</ndc>
    <ndc_label_name>Robitussin Honey Night Cough DM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875818</ndc>
    <ndc_label_name>Robitussin Honey Night Cough DM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031875912</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031876012</ndc>
    <ndc_label_name>Robitussin Cough-Chest Congestion DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031876212</ndc>
    <ndc_label_name>Robitussin Honey Night Cough DM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031876508</ndc>
    <ndc_label_name>Robitussin Max 12H Cough-Mucus 60 mg-1,200 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031876516</ndc>
    <ndc_label_name>Robitussin Max 12H Cough-Mucus 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031877012</ndc>
    <ndc_label_name>Robitussin Honey CF Nighttime 25 mg-650 mg/20 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031877018</ndc>
    <ndc_label_name>Robitussin Honey CF Nighttime 25 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031877112</ndc>
    <ndc_label_name>Robitussin Honey Cgh-Flu-Sore 325 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00031877118</ndc>
    <ndc_label_name>Robitussin Honey Cgh-Flu-Sore 325 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00032004570</ndc>
    <ndc_label_name>Creon 3,000 unit-9,500 unit-15,000 unit capsule,delayed release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00032004670</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00032120370</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
    <ndc>00037002207</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037480170</ndc>
    <ndc_label_name>Elestrin 0.87 gram/actuation (0.06%) transdermal gel pump</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037601035</ndc>
    <ndc_label_name>Edluar 10 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037601093</ndc>
    <ndc_label_name>Edluar 10 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037605035</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037605093</ndc>
    <ndc_label_name>Edluar 5 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037632190</ndc>
    <ndc_label_name>Urelle 81 mg-10.8 mg-40.8 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037682210</ndc>
    <ndc_label_name>Proctofoam HC 1 %-1 %</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Proctofoam 1 % topical</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Epifoam 1 %-1 % topical</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037683015</ndc>
    <ndc_label_name>Cortifoam 10 % (80 mg) rectal</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037686010</ndc>
    <ndc_label_name>Dipentum 250 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00037812001</ndc>
    <ndc_label_name>MUSE 250 MCG URETHRAL SUPPOS</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MUSE 250 MCG URETHRAL SUPPOS</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MUSE 500 MCG URETHRAL SUPPOS</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MUSE 1,000 MCG URETHRAL SUPP</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLAFORAN 2 GM VIAL</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gas-X 62.5 mg oral strips</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001225</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001720</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001729</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001820</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001825</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001829</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001920</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054001925</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054002025</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054002125</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054002129</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054002511</ndc>
    <ndc_label_name>MEFLOQUINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054004544</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054004641</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054005746</ndc>
    <ndc_label_name>DIGOXIN 0.05 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054006258</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054006344</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054006447</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054007725</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054007729</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054007928</ndc>
    <ndc_label_name>BALSALAZIDE DISODIUM 750 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054008013</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054008425</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054008525</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054008813</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054008826</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054011025</ndc>
    <ndc_label_name>PERINDOPRIL ERBUMINE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054011125</ndc>
    <ndc_label_name>PERINDOPRIL ERBUMINE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054013749</ndc>
    <ndc_label_name>GALANTAMINE 4 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054014025</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054014125</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054014225</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054016325</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054016329</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054016625</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054016629</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054017613</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054017713</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054018813</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054018913</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054019959</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054021025</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054021125</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023025</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023524</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023525</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023624</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023625</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023749</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023763</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023849</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054023863</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024324</ndc>
    <ndc_label_name>CODEINE SULFATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024424</ndc>
    <ndc_label_name>CODEINE SULFATE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024425</ndc>
    <ndc_label_name>CODEINE SULFATE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024525</ndc>
    <ndc_label_name>CODEINE SULFATE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024822</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054024913</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054025413</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054025422</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054025513</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054025522</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054026424</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054026425</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054026525</ndc>
    <ndc_label_name>HYDROMORPHONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054027121</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054027223</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054027313</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054027413</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054027513</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 125 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054027613</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054027803</ndc>
    <ndc_label_name>NARATRIPTAN HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054027903</ndc>
    <ndc_label_name>NARATRIPTAN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054028259</ndc>
    <ndc_label_name>ALENDRONATE SOD 70 MG/75 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054028325</ndc>
    <ndc_label_name>OXYMORPHONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054028425</ndc>
    <ndc_label_name>OXYMORPHONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054029399</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054029513</ndc>
    <ndc_label_name>ALOSETRON HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054029613</ndc>
    <ndc_label_name>ALOSETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054031950</ndc>
    <ndc_label_name>LINEZOLID 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054032656</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 100-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054032756</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 250-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054032856</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 500-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054033425</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054034925</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054035625</ndc>
    <ndc_label_name>DISULFIRAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037025</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037125</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037225</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037325</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037425</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054037525</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054038225</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054038325</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054038663</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054038925</ndc>
    <ndc_label_name>METHAMPHETAMINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054039041</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054039063</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054039168</ndc>
    <ndc_label_name>METHADONE 10 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054039268</ndc>
    <ndc_label_name>METHADONE 10 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054039925</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054040013</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054040022</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054040113</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054040122</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054040713</ndc>
    <ndc_label_name>RITONAVIR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054041313</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054041413</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054041525</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054042523</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054042623</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054042725</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054042825</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054043825</ndc>
    <ndc_label_name>LEVORPHANOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054044949</ndc>
    <ndc_label_name>POSACONAZOLE 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054045160</ndc>
    <ndc_label_name>Centrum 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054045171</ndc>
    <ndc_label_name>Centrum 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054047021</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054047121</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054047221</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054048013</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054048113</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054048114</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054048213</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054049713</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054049714</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054050823</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054051741</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054051744</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054051750</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054052863</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054053222</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054053322</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054053422</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054056150</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054057625</ndc>
    <ndc_label_name>DEFERIPRONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054060313</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054060421</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054062127</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 0.5 GM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054062263</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054063905</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054063913</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054065025</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAF-COD 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054065225</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054066025</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054066882</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054070920</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054070925</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054071020</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054071025</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054071119</ndc>
    <ndc_label_name>DEFERIPRONE 1,000 MG TB(3X/DY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054074287</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054074825</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054074831</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054074913</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054075013</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054075664</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054081221</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054081222</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054081225</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054081229</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054082925</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054083025</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054084363</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054087949</ndc>
    <ndc_label_name>MERCAPTOPURINE 20 MG/ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054090623</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00054093621</ndc>
    <ndc_label_name>TAPENTADOL ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054093621</ndc>
    <ndc_label_name>TAPENTADOL ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00054093721</ndc>
    <ndc_label_name>TAPENTADOL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054093721</ndc>
    <ndc_label_name>TAPENTADOL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00054093821</ndc>
    <ndc_label_name>TAPENTADOL ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054093821</ndc>
    <ndc_label_name>TAPENTADOL ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00054093921</ndc>
    <ndc_label_name>TAPENTADOL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054093921</ndc>
    <ndc_label_name>TAPENTADOL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00054094021</ndc>
    <ndc_label_name>TAPENTADOL ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054094021</ndc>
    <ndc_label_name>TAPENTADOL ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054094225</ndc>
    <ndc_label_name>TAPENTADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054094325</ndc>
    <ndc_label_name>TAPENTADOL HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054094525</ndc>
    <ndc_label_name>TAPENTADOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054110058</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054111013</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 1,000 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054195030</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054252625</ndc>
    <ndc_label_name>LITHIUM CARBONATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054252725</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054252731</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054253125</ndc>
    <ndc_label_name>LITHIUM CARBONATE 600 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054300001</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAF-COD 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054306844</ndc>
    <ndc_label_name>Alprazolam Intensol 1 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054309036</ndc>
    <ndc_label_name>BUTORPHANOL 10 MG/ML SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054311763</ndc>
    <ndc_label_name>CALCIUM CARB 1,250 MG/5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054312041</ndc>
    <ndc_label_name>CALCITRIOL 1 MCG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054317644</ndc>
    <ndc_label_name>Dexamethasone Intensol 1 mg/mL Drops (concentrate)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054317757</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML LIQ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054317763</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML LIQ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054318544</ndc>
    <ndc_label_name>Diazepam Intensol 5 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054318863</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054319446</ndc>
    <ndc_label_name>DIPHENOXYLAT-ATROP 2.5-0.025/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054327099</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054329446</ndc>
    <ndc_label_name>FUROSEMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054329450</ndc>
    <ndc_label_name>FUROSEMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054329863</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054350049</ndc>
    <ndc_label_name>Lidocaine Viscous 2 % mucosal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054350547</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054353244</ndc>
    <ndc_label_name>Lorazepam Intensol 2 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054354563</ndc>
    <ndc_label_name>MEPERIDINE 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054355344</ndc>
    <ndc_label_name>Methadone Intensol 10 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054355563</ndc>
    <ndc_label_name>METHADONE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054355663</ndc>
    <ndc_label_name>METHADONE 10 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054356699</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054363063</ndc>
    <ndc_label_name>NAPROXEN 125 MG/5 ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054372144</ndc>
    <ndc_label_name>Prednisone Intensol 5 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054372250</ndc>
    <ndc_label_name>PREDNISONE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054372263</ndc>
    <ndc_label_name>PREDNISONE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054372763</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054373063</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054414622</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054414623</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054417925</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418025</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418125</ndc>
    <ndc_label_name>DEXAMETHASONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418225</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418325</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418425</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054418625</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054429725</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054429731</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054429925</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054429931</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054430125</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054430129</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449613</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449625</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449705</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449710</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449810</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054449911</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054452725</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054452731</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054453825</ndc>
    <ndc_label_name>Diskets 40 mg soluble tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054455015</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054455025</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054458111</ndc>
    <ndc_label_name>MERCAPTOPURINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054458127</ndc>
    <ndc_label_name>MERCAPTOPURINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054458249</ndc>
    <ndc_label_name>MERCAPTOPURINE 20 MG/ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054472825</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054472831</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054474125</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054474131</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054474225</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054485825</ndc>
    <ndc_label_name>TRIAZOLAM 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054485925</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054485929</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054814622</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054817425</ndc>
    <ndc_label_name>DEXAMETHASONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054817525</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054817625</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054817925</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054818025</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054818125</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054818325</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054829725</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054829925</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054830125</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054849619</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054852625</ndc>
    <ndc_label_name>LITHIUM CARBONATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054852725</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054852825</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054855025</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054872425</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054873925</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054874025</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00054962857</ndc>
    <ndc_label_name>SODIUM OXYBATE 0.5 G/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054981725</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054981729</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054982825</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00054982831</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00064015008</ndc>
    <ndc_label_name>Proshield Foam/Spray Cleanser topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00064022002</ndc>
    <ndc_label_name>FreshNet topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065002315</ndc>
    <ndc_label_name>Miostat 0.01 % intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065008515</ndc>
    <ndc_label_name>Naphcon-A 0.025 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065008542</ndc>
    <ndc_label_name>Naphcon-A 0.025 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065009265</ndc>
    <ndc_label_name>Fluorescite 500 mg/5 mL (10 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065019093</ndc>
    <ndc_label_name>Systane Contacts eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065019231</ndc>
    <ndc_label_name>Opti-Free PureMoist Rewetting eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065034302</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065034904</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065034905</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065035604</ndc>
    <ndc_label_name>Opti-Free Replenish solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065035902</ndc>
    <ndc_label_name>Cyclomydril 0.2 %-1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065035905</ndc>
    <ndc_label_name>Cyclomydril 0.2 %-1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039515</ndc>
    <ndc_label_name>Cyclogyl 0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039602</ndc>
    <ndc_label_name>Cyclogyl 1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039605</ndc>
    <ndc_label_name>Cyclogyl 1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039702</ndc>
    <ndc_label_name>Cyclogyl 2 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039705</ndc>
    <ndc_label_name>Cyclogyl 2 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065039715</ndc>
    <ndc_label_name>Cyclogyl 2 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065040872</ndc>
    <ndc_label_name>Tears Lubricant 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065041130</ndc>
    <ndc_label_name>Betadine Ophthalmic Prep 5 % solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065041881</ndc>
    <ndc_label_name>GENTEAL TEARS 0.1%-0.3% DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065042636</ndc>
    <ndc_label_name>GenTeal Tears Moderate 0.1 %-0.3 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065042637</ndc>
    <ndc_label_name>GenTeal Tears Moderate 0.1 %-0.3 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065042915</ndc>
    <ndc_label_name>Systane (propylene glycol) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065042930</ndc>
    <ndc_label_name>Systane (propylene glycol) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065043133</ndc>
    <ndc_label_name>Systane (PF) 0.4 %-0.3 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065045407</ndc>
    <ndc_label_name>Systane Gel 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065047401</ndc>
    <ndc_label_name>Systane Gel 0.3 % eye gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065048101</ndc>
    <ndc_label_name>Systane Complete 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065048110</ndc>
    <ndc_label_name>Systane Complete 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065048111</ndc>
    <ndc_label_name>Systane Complete 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065048155</ndc>
    <ndc_label_name>Systane Complete 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065050935</ndc>
    <ndc_label_name>Systane Nighttime 94 %-3 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065051801</ndc>
    <ndc_label_name>GenTeal Tears Severe (petrolatum-mineral oil) 94 %-3 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065054301</ndc>
    <ndc_label_name>Triesence (PF) 40 mg/mL intraocular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065074114</ndc>
    <ndc_label_name>TETRACAINE 0.5% STERI-UNIT SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065079515</ndc>
    <ndc_label_name>BSS intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065079550</ndc>
    <ndc_label_name>BSS intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065080050</ndc>
    <ndc_label_name>BSS Plus intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065080094</ndc>
    <ndc_label_name>BSS Plus intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065081601</ndc>
    <ndc_label_name>Pataday Once Daily Relief 0.7 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065081604</ndc>
    <ndc_label_name>Pataday Once Daily Relief 0.7 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065081612</ndc>
    <ndc_label_name>Pataday Once Daily Relief 0.7 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065081701</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065081702</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065143105</ndc>
    <ndc_label_name>Systane Ultra 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065143121</ndc>
    <ndc_label_name>Systane Ultra 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065143128</ndc>
    <ndc_label_name>Systane Ultra 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065143131</ndc>
    <ndc_label_name>Systane Ultra 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00065143141</ndc>
    <ndc_label_name>Systane Ultra 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065143205</ndc>
    <ndc_label_name>Systane Ultra (PF) 0.4 %-0.3 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065143206</ndc>
    <ndc_label_name>Systane Ultra (PF) 0.4 %-0.3 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065143302</ndc>
    <ndc_label_name>Systane Balance 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065143307</ndc>
    <ndc_label_name>Systane Balance 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065143704</ndc>
    <ndc_label_name>Systane Hydration (PF) 0.4 %-0.3 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065150782</ndc>
    <ndc_label_name>Systane Ultra (PF) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065150792</ndc>
    <ndc_label_name>Systane Ultra (PF) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065150928</ndc>
    <ndc_label_name>Systane Complete PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065150929</ndc>
    <ndc_label_name>Systane Complete PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065150977</ndc>
    <ndc_label_name>Systane Complete PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065151000</ndc>
    <ndc_label_name>Systane Hydration (PF) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065151006</ndc>
    <ndc_label_name>Systane Hydration (PF) 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065153001</ndc>
    <ndc_label_name>Systane Complete PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065153004</ndc>
    <ndc_label_name>Systane Complete PF 0.6 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065179504</ndc>
    <ndc_label_name>BSS intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065329003</ndc>
    <ndc_label_name>Systane PRO PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065329005</ndc>
    <ndc_label_name>Systane PRO PF 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065401105</ndc>
    <ndc_label_name>Zaditor 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065401106</ndc>
    <ndc_label_name>Zaditor 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065414727</ndc>
    <ndc_label_name>Simbrinza 1 %-0.2 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065427401</ndc>
    <ndc_label_name>Pataday Twice Daily Relief 0.1 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065805202</ndc>
    <ndc_label_name>SYSTANE LID WIPES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065806301</ndc>
    <ndc_label_name>GenTeal Tears Moderate (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065806401</ndc>
    <ndc_label_name>GenTeal Tears Severe 0.3 % eye gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065806701</ndc>
    <ndc_label_name>GenTeal Tears Severe Gel Drops 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065815001</ndc>
    <ndc_label_name>Pataday Once Daily Relief 0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065815003</ndc>
    <ndc_label_name>Pataday Once Daily Relief 0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065859502</ndc>
    <ndc_label_name>Tryptyr 0.003 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00065930501</ndc>
    <ndc_label_name>Bion Tears (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067000548</ndc>
    <ndc_label_name>Ex-Lax (sennosides) 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000709</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Night 25 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000710</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Day (DM) 650 mg-20 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000711</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Day (DM) 500 mg-20 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000712</ndc>
    <ndc_label_name>Theraflu Severe Cold-Cong Day 10 mg-325 mg-200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000713</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Night 25 mg-650 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000714</ndc>
    <ndc_label_name>Theraflu Severe Cold Day-Night 25 mg-650 mg/30 mL (night) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000715</ndc>
    <ndc_label_name>Theraflu Cold Relief Day-Night 25 mg-650 mg (night) powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067000720</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Day (DM) 650 mg-20 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067001624</ndc>
    <ndc_label_name>Ex-Lax Maximum Strength 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067001648</ndc>
    <ndc_label_name>Ex-Lax Maximum Strength 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067003028</ndc>
    <ndc_label_name>Benefiber Clear Sugar Free(dextrin) 3 gram/3.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067011701</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067011718</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067011748</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067011801</ndc>
    <ndc_label_name>Gas-X Total Relief 750 mg-250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067011803</ndc>
    <ndc_label_name>Gas-X Total Relief 750 mg-250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067012918</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067067430</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067120176</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067120282</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200020</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200024</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200030</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200033</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200050</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200077</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067200091</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203520</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203524</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203550</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203924</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203950</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203991</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067203992</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067204002</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067204003</ndc>
    <ndc_label_name>Excedrin Migraine 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067204591</ndc>
    <ndc_label_name>Excedrin Tension Headache 500 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067205624</ndc>
    <ndc_label_name>Excedrin PM Headache 250 mg-250 mg-38 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067205691</ndc>
    <ndc_label_name>Excedrin PM Headache 250 mg-250 mg-38 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067208601</ndc>
    <ndc_label_name>4 Way 1 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067293340</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067298180</ndc>
    <ndc_label_name>Theraflu Flu Relief Day-Night 2 mg-15 mg-500 mg (night) tablets</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu Flu Relief Daytime 1,000 mg-30 mg/30 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067327240</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu Severe Cold Relief Day(pe-dm) 10 mg-20 mg-650 mg oral pwd pkt</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067399830</ndc>
    <ndc_label_name>Lamisil AT 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067434889</ndc>
    <ndc_label_name>Joint Comfort and Movement 100 mg-500 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067434892</ndc>
    <ndc_label_name>Joint Health-Bone Strength 600 mg-25 mcg-50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu Severe Cold Relief Night 12.5 mg-325 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067434942</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief 325 mg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu Congestion Relief 0.05 % nasal mist</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu Congestion Relief 0.05 % nasal mist</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Theraflu-D Flu Relief Night 4 mg-60 mg-30 mg-1000 mg/30 mL oral soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067435014</ndc>
    <ndc_label_name>Theraflu-D Flu Relief Day 60 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067435023</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief 325 mg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067435035</ndc>
    <ndc_label_name>Theraflu-D Severe Cold-Decong 60 mg-20 mg-500 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067435113</ndc>
    <ndc_label_name>Gas-X 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067489014</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067490014</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067609501</ndc>
    <ndc_label_name>Theraflu Nighttime PowerPod 25 mg-10 mg-650 mg oral powdr in container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067611730</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627418</ndc>
    <ndc_label_name>Gas-X Ultra-Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627450</ndc>
    <ndc_label_name>Gas-X Ultra-Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627510</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627520</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627550</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627572</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627582</ndc>
    <ndc_label_name>Gas-X Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627935</ndc>
    <ndc_label_name>Maalox Advanced 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627965</ndc>
    <ndc_label_name>Maalox Advanced 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067627990</ndc>
    <ndc_label_name>Maalox Advanced 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067628171</ndc>
    <ndc_label_name>Maalox Advanced 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067628212</ndc>
    <ndc_label_name>Maalox Maximum Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067628301</ndc>
    <ndc_label_name>Gas-X 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067628302</ndc>
    <ndc_label_name>Gas-X 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067628614</ndc>
    <ndc_label_name>Prevacid 24Hr 15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067628642</ndc>
    <ndc_label_name>Prevacid 24Hr 15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067629165</ndc>
    <ndc_label_name>Maalox Advanced 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067642606</ndc>
    <ndc_label_name>Theraflu Multi-Symptom Cold 10 mg-20 mg-500 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067680002</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Day(pe-dm) 10 mg-20 mg-650 mg oral pwd pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067791606</ndc>
    <ndc_label_name>Theraflu Flu-Sore Throat 20 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067791706</ndc>
    <ndc_label_name>Theraflu Severe Cold Relief Day(pe-dm) 10 mg-20 mg-650 mg oral pwd pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067791806</ndc>
    <ndc_label_name>THERAFLU NT SEVERE CLD-CGH PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067810492</ndc>
    <ndc_label_name>Excedrin Extra Strength 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067811924</ndc>
    <ndc_label_name>Excedrin Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067812708</ndc>
    <ndc_label_name>Theraflu ExpressMax Cold-Cough Day 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067812808</ndc>
    <ndc_label_name>Theraflu ExpressMax Cold-Cough Night 25 mg-10 mg-650 mg/30 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067812908</ndc>
    <ndc_label_name>Theraflu ExpressMax Cold-Cough Night 25 mg-10 mg-650 mg/30 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067813208</ndc>
    <ndc_label_name>Theraflu ExpressMax Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg/15 mL liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067813620</ndc>
    <ndc_label_name>Theraflu ExpressMax Cold-Cough Day 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067813720</ndc>
    <ndc_label_name>Theraflu ExpressMax Cold-Cough Night 12.5 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067813901</ndc>
    <ndc_label_name>Excedrin Tension Headache 500 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067813902</ndc>
    <ndc_label_name>Excedrin Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067814001</ndc>
    <ndc_label_name>Ex-Lax (sennosides) 15 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067814002</ndc>
    <ndc_label_name>Ex-Lax (sennosides) 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00067814301</ndc>
    <ndc_label_name>Perdiem Overnight Relief 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815201</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815202</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815203</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815204</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815205</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815208</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067815301</ndc>
    <ndc_label_name>Voltaren Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00067820601</ndc>
    <ndc_label_name>Theraflu Flu Relief Day-Night 4 mg-30 mg-1,000 mg/30 mL (nt) oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00068041830</ndc>
    <ndc_label_name>Citrucel (sucrose) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00068042017</ndc>
    <ndc_label_name>Citrucel Sugar Free oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00068059701</ndc>
    <ndc_label_name>Rifadin 600 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00068059901</ndc>
    <ndc_label_name>Rifadin 600 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069004301</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069004302</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005801</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005802</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005901</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005902</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005903</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069005904</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069010601</ndc>
    <ndc_label_name>Elelyso 200 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069013501</ndc>
    <ndc_label_name>Bosulif 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069013601</ndc>
    <ndc_label_name>Bosulif 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069013701</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069013703</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069014501</ndc>
    <ndc_label_name>Inlyta 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069015111</ndc>
    <ndc_label_name>Inlyta 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069018721</ndc>
    <ndc_label_name>Ibrance 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069018821</ndc>
    <ndc_label_name>Ibrance 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069018921</ndc>
    <ndc_label_name>Ibrance 125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019301</ndc>
    <ndc_label_name>Bosulif 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019501</ndc>
    <ndc_label_name>Fragmin 2,500 anti-Xa unit/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019502</ndc>
    <ndc_label_name>Fragmin 2,500 anti-Xa unit/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019601</ndc>
    <ndc_label_name>Fragmin 5,000 anti-Xa unit/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019602</ndc>
    <ndc_label_name>Fragmin 5,000 anti-Xa unit/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069019730</ndc>
    <ndc_label_name>Vizimpro 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069020601</ndc>
    <ndc_label_name>Fragmin 7,500 anti-Xa unit/0.3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069020602</ndc>
    <ndc_label_name>Fragmin 7,500 anti-Xa unit/0.3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069020701</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069020901</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069020910</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069021701</ndc>
    <ndc_label_name>Fragmin 10,000 anti-Xa unit/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069021702</ndc>
    <ndc_label_name>Fragmin 10,000 anti-Xa unit/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022001</ndc>
    <ndc_label_name>Fragmin 12,500 anti-Xa unit/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022002</ndc>
    <ndc_label_name>Fragmin 12,500 anti-Xa unit/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022301</ndc>
    <ndc_label_name>Fragmin 15,000 anti-Xa unit/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022302</ndc>
    <ndc_label_name>Fragmin 15,000 anti-Xa unit/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022701</ndc>
    <ndc_label_name>Lorbrena 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022703</ndc>
    <ndc_label_name>Lorbrena 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022801</ndc>
    <ndc_label_name>Fragmin 18,000 anti-Xa unit/0.72 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069022802</ndc>
    <ndc_label_name>Fragmin 18,000 anti-Xa unit/0.72 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023101</ndc>
    <ndc_label_name>Lorbrena 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023201</ndc>
    <ndc_label_name>Fragmin 25,000 anti-Xa unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023401</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023420</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023530</ndc>
    <ndc_label_name>Cibinqo 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069023801</ndc>
    <ndc_label_name>Ruxience 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069024230</ndc>
    <ndc_label_name>Toviaz 4 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069024430</ndc>
    <ndc_label_name>Toviaz 8 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069024801</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069024810</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069024901</ndc>
    <ndc_label_name>Ruxience 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025001</ndc>
    <ndc_label_name>Sterile Water 100 % Diluent Component for Abrysvo injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025160</ndc>
    <ndc_label_name>Xalkori 20 mg oral pellets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025230</ndc>
    <ndc_label_name>Talzenna 0.1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025301</ndc>
    <ndc_label_name>Fragmin 2,500 anti-Xa unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025310</ndc>
    <ndc_label_name>Fragmin 2,500 anti-Xa unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069025510</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069027101</ndc>
    <ndc_label_name>Penbraya MenACWY Component (PF) 5 mcg/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069027430</ndc>
    <ndc_label_name>Velsipity 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069027702</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069028403</ndc>
    <ndc_label_name>Ibrance 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069028407</ndc>
    <ndc_label_name>Ibrance 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029101</ndc>
    <ndc_label_name>Nivestym 300 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029110</ndc>
    <ndc_label_name>Nivestym 300 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029201</ndc>
    <ndc_label_name>Nivestym 480 mcg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029210</ndc>
    <ndc_label_name>Nivestym 480 mcg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029301</ndc>
    <ndc_label_name>Nivestym 300 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029310</ndc>
    <ndc_label_name>Nivestym 300 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029401</ndc>
    <ndc_label_name>Nivestym 480 mcg/1.6 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029410</ndc>
    <ndc_label_name>Nivestym 480 mcg/1.6 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029630</ndc>
    <ndc_label_name>Talzenna 0.25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069029701</ndc>
    <ndc_label_name>Ticovac 1.2 mcg/0.25 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069029702</ndc>
    <ndc_label_name>Ticovac 1.2 mcg/0.25 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069029860</ndc>
    <ndc_label_name>Daurismo 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069030501</ndc>
    <ndc_label_name>Trazimera 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069030601</ndc>
    <ndc_label_name>Trazimera 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069030701</ndc>
    <ndc_label_name>Bacteriostatic Water for Trazimera injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069030801</ndc>
    <ndc_label_name>Trazimera 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069031501</ndc>
    <ndc_label_name>Zirabev 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069032401</ndc>
    <ndc_label_name>Nyvepria 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069032501</ndc>
    <ndc_label_name>Abrilada(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069032502</ndc>
    <ndc_label_name>Abrilada(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069032802</ndc>
    <ndc_label_name>Abrilada(CF) 40 mg/0.8 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033201</ndc>
    <ndc_label_name>Penbraya MenB Component (PF) 120 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033302</ndc>
    <ndc_label_name>Abrilada(CF) 20 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033428</ndc>
    <ndc_label_name>Litfulo 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033530</ndc>
    <ndc_label_name>Cibinqo 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033621</ndc>
    <ndc_label_name>REVATIO 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069033801</ndc>
    <ndc_label_name>Revatio 10 mg/12.5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069034201</ndc>
    <ndc_label_name>Zirabev 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069034302</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069034401</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069034405</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069035330</ndc>
    <ndc_label_name>Talzenna 0.25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069035820</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069041101</ndc>
    <ndc_label_name>Ticovac 2.4 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069041102</ndc>
    <ndc_label_name>Ticovac 2.4 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069041110</ndc>
    <ndc_label_name>Ticovac 2.4 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069042201</ndc>
    <ndc_label_name>BEQVEZ VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069043530</ndc>
    <ndc_label_name>Cibinqo 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069045430</ndc>
    <ndc_label_name>Talzenna 0.35 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069046856</ndc>
    <ndc_label_name>Chantix 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069046903</ndc>
    <ndc_label_name>Chantix Continuing Month Box 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069046928</ndc>
    <ndc_label_name>Chantix Continuing Month Box 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069046956</ndc>
    <ndc_label_name>Chantix 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069047103</ndc>
    <ndc_label_name>Chantix Starting Month Box 0.5 mg (11)-1 mg (42) tablets in dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069047128</ndc>
    <ndc_label_name>Chantix Starting Month Box 0.5 mg (11)-1 mg (42) tablets in dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069048603</ndc>
    <ndc_label_name>Ibrance 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069048607</ndc>
    <ndc_label_name>Ibrance 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050130</ndc>
    <ndc_label_name>Xeljanz XR 11 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050230</ndc>
    <ndc_label_name>Xeljanz XR 22 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050430</ndc>
    <ndc_label_name>Bosulif 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050501</ndc>
    <ndc_label_name>Ngenla 24 mg/1.2 mL (20 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050502</ndc>
    <ndc_label_name>Ngenla 24 mg/1.2 mL (20 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069050760</ndc>
    <ndc_label_name>Xalkori 50 mg oral pellets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069052001</ndc>
    <ndc_label_name>Ngenla 60 mg/1.2 mL (50 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069052002</ndc>
    <ndc_label_name>Ngenla 60 mg/1.2 mL (50 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069052111</ndc>
    <ndc_label_name>Paxlovid 150 mg(6)-100 mg(5) tablets in a dose pack(Severe Renal Dose)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069054630</ndc>
    <ndc_label_name>Talzenna 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069055038</ndc>
    <ndc_label_name>Sutent 12.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069060001</ndc>
    <ndc_label_name>Penbraya (PF) 5 mcg-120 mcg/0.5 mL intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069060005</ndc>
    <ndc_label_name>Penbraya (PF) 5 mcg-120 mcg/0.5 mL intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069060010</ndc>
    <ndc_label_name>Penbraya (PF) 5 mcg-120 mcg/0.5 mL intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069065530</ndc>
    <ndc_label_name>Talzenna 0.75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069068803</ndc>
    <ndc_label_name>Ibrance 125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069068807</ndc>
    <ndc_label_name>Ibrance 125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069075730</ndc>
    <ndc_label_name>Talzenna 1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069077038</ndc>
    <ndc_label_name>Sutent 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069080901</ndc>
    <ndc_label_name>Inflectra 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069083038</ndc>
    <ndc_label_name>Sutent 37.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069095050</ndc>
    <ndc_label_name>VIBRAMYCIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069098038</ndc>
    <ndc_label_name>Sutent 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069100101</ndc>
    <ndc_label_name>Xeljanz 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069100201</ndc>
    <ndc_label_name>Xeljanz 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069101101</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069101102</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069101415</ndc>
    <ndc_label_name>Bosulif 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069102901</ndc>
    <ndc_label_name>Xeljanz 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069102902</ndc>
    <ndc_label_name>Xeljanz 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069103130</ndc>
    <ndc_label_name>Talzenna 0.1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069106101</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069106102</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069110901</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069110902</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069119530</ndc>
    <ndc_label_name>Talzenna 1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069119830</ndc>
    <ndc_label_name>Vizimpro 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069122401</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069122402</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069123530</ndc>
    <ndc_label_name>Talzenna 0.35 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130501</ndc>
    <ndc_label_name>Retacrit 2,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130510</ndc>
    <ndc_label_name>Retacrit 2,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130601</ndc>
    <ndc_label_name>Retacrit 3,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130610</ndc>
    <ndc_label_name>Retacrit 3,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130701</ndc>
    <ndc_label_name>Retacrit 4,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130710</ndc>
    <ndc_label_name>Retacrit 4,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130801</ndc>
    <ndc_label_name>Retacrit 10,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130810</ndc>
    <ndc_label_name>Retacrit 10,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130901</ndc>
    <ndc_label_name>Retacrit 40,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069130904</ndc>
    <ndc_label_name>Retacrit 40,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069131101</ndc>
    <ndc_label_name>Retacrit 20,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069131110</ndc>
    <ndc_label_name>Retacrit 20,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069131201</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069131202</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069131801</ndc>
    <ndc_label_name>Retacrit 20,000 unit/2 mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069131810</ndc>
    <ndc_label_name>Retacrit 20,000 unit/2 mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069141501</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069141502</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069144204</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069147601</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069147602</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069150060</ndc>
    <ndc_label_name>Xalkori 150 mg oral pellets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069150130</ndc>
    <ndc_label_name>Talzenna 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069150901</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069150902</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069152068</ndc>
    <ndc_label_name>Norvasc 2.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069153041</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069153068</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069153072</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069153130</ndc>
    <ndc_label_name>Daurismo 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069154041</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Norvasc 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069154220</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069155801</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069155802</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069175130</ndc>
    <ndc_label_name>Talzenna 0.75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069196501</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069196502</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069197512</ndc>
    <ndc_label_name>Vyndaqel 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069197540</ndc>
    <ndc_label_name>Vyndaqel 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069200404</ndc>
    <ndc_label_name>BEQVEZ 4 VIAL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069200505</ndc>
    <ndc_label_name>BEQVEZ 5 VIAL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069200606</ndc>
    <ndc_label_name>BEQVEZ 6 VIAL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069200707</ndc>
    <ndc_label_name>BEQVEZ 7 VIAL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069215101</ndc>
    <ndc_label_name>Hympavzi Pen 150 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069229930</ndc>
    <ndc_label_name>Vizimpro 45 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069236201</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069236210</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069237701</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069237710</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069239201</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069239210</ndc>
    <ndc_label_name>COMIRNATY 2023-24(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069243201</ndc>
    <ndc_label_name>COMIRNATY 2024-25(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069243210</ndc>
    <ndc_label_name>COMIRNATY 2024-25(12Y UP) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069246501</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069246510</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069246519</ndc>
    <ndc_label_name>Abrysvo (PF) 120 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069250101</ndc>
    <ndc_label_name>Comirnaty 2025-2026(5-11Y)(PF) 10 mcg/0.3 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069250110</ndc>
    <ndc_label_name>Comirnaty 2025-2026(5-11Y)(PF) 10 mcg/0.3 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069252201</ndc>
    <ndc_label_name>Elrexfio 40 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069252202</ndc>
    <ndc_label_name>Elrexfio 40 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069252801</ndc>
    <ndc_label_name>Comirnaty 2025-26 (12y up)(PF) 30 mcg/0.3 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069252810</ndc>
    <ndc_label_name>Comirnaty 2025-26 (12y up)(PF) 30 mcg/0.3 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069265066</ndc>
    <ndc_label_name>Procardia XL 30 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069265072</ndc>
    <ndc_label_name>Procardia XL 30 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069266066</ndc>
    <ndc_label_name>Procardia XL 60 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069266072</ndc>
    <ndc_label_name>Procardia XL 60 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069267066</ndc>
    <ndc_label_name>PROCARDIA XL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069303020</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069303120</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069303220</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069303420</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069305101</ndc>
    <ndc_label_name>ZITHROMAX 1 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069305107</ndc>
    <ndc_label_name>ZITHROMAX 1 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069305175</ndc>
    <ndc_label_name>ZITHROMAX 1 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069306075</ndc>
    <ndc_label_name>Zithromax Z-Pak 250 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069307030</ndc>
    <ndc_label_name>Zithromax 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069307075</ndc>
    <ndc_label_name>Zithromax TRI-PAK 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069311019</ndc>
    <ndc_label_name>ZITHROMAX 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069312019</ndc>
    <ndc_label_name>Zithromax 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069313019</ndc>
    <ndc_label_name>Zithromax 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069314019</ndc>
    <ndc_label_name>Zithromax 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069315083</ndc>
    <ndc_label_name>Zithromax 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069315084</ndc>
    <ndc_label_name>Zithromax 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069322066</ndc>
    <ndc_label_name>FELDENE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069323066</ndc>
    <ndc_label_name>Feldene 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069335825</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069350001</ndc>
    <ndc_label_name>Zavzpret 10 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069350002</ndc>
    <ndc_label_name>Zavzpret 10 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069400405</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069401510</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069402625</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069403112</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069403701</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069406101</ndc>
    <ndc_label_name>Zithromax 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069406189</ndc>
    <ndc_label_name>Zithromax 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069419068</ndc>
    <ndc_label_name>Revatio 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069420030</ndc>
    <ndc_label_name>Viagra 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069420505</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069421030</ndc>
    <ndc_label_name>Viagra 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069421066</ndc>
    <ndc_label_name>Viagra 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069422030</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069422066</ndc>
    <ndc_label_name>Viagra 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069449401</ndc>
    <ndc_label_name>Elrexfio 40 mg/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069449402</ndc>
    <ndc_label_name>Elrexfio 40 mg/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069504506</ndc>
    <ndc_label_name>Paxlovid 300 mg (150 mg x 2)-100 mg tablets in a dose pack</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 300 mg (150 mg x 2)-100 mg tablets in a dose pack</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00069531702</ndc>
    <ndc_label_name>Paxlovid 150 mg-100 mg tablets in a dose pack (Moderate Renal Dose)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 150 mg-100 mg tablets in a dose pack (Moderate Renal Dose)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 300 mg (150 mg x 2)-100 mg tablets in a dose pack</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 300 mg (150 mg x 2)-100 mg tablets in a dose pack</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069541066</ndc>
    <ndc_label_name>VISTARIL 25 MG CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 150 mg-100 mg tablets in a dose pack (Moderate Renal Dose)</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 150 mg-100 mg tablets in a dose pack (Moderate Renal Dose)</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Paxlovid 150 mg(6)-100 mg(5) tablets in a dose pack(Severe Renal Dose)</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00069655002</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074052260</ndc>
    <ndc_label_name>Kaletra 100 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074055402</ndc>
    <ndc_label_name>Humira(CF) Pen 40 mg/0.4 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074055471</ndc>
    <ndc_label_name>Humira(CF) Pen 40 mg/0.4 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074056111</ndc>
    <ndc_label_name>Venclexta 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074056114</ndc>
    <ndc_label_name>Venclexta 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074056607</ndc>
    <ndc_label_name>Venclexta 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074056611</ndc>
    <ndc_label_name>Venclexta 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074057611</ndc>
    <ndc_label_name>Venclexta 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074057622</ndc>
    <ndc_label_name>Venclexta 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074057630</ndc>
    <ndc_label_name>Venclexta 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074057928</ndc>
    <ndc_label_name>Venclexta Starting Pack 10 mg-50 mg-100 mg tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074061602</ndc>
    <ndc_label_name>Humira(CF) 20 mg/0.2 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074081702</ndc>
    <ndc_label_name>Humira(CF) 10 mg/0.1 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074101756</ndc>
    <ndc_label_name>Oriahnn 300-1-0.5 mg(AM)/300 mg(PM) capsules</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074104004</ndc>
    <ndc_label_name>Survanta 25 mg/mL intratracheal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074104008</ndc>
    <ndc_label_name>Survanta 25 mg/mL intratracheal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074104328</ndc>
    <ndc_label_name>Rinvoq 45 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074104401</ndc>
    <ndc_label_name>Emrelis 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074105001</ndc>
    <ndc_label_name>Skyrizi 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074105501</ndc>
    <ndc_label_name>Emrelis 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074106501</ndc>
    <ndc_label_name>Skyrizi 180 mg/1.2 mL (150 mg/mL) subcutaneous wearable injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074106601</ndc>
    <ndc_label_name>Skyrizi 180 mg/1.2 mL (150 mg/mL) subcutaneous wearable injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074106901</ndc>
    <ndc_label_name>Skyrizi 360 mg/2.4 mL (150 mg/mL) subcutaneous wearable injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074107001</ndc>
    <ndc_label_name>Skyrizi 360 mg/2.4 mL (150 mg/mL) subcutaneous wearable injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074153903</ndc>
    <ndc_label_name>Humira(CF) Pen Ps-Uv-Adol HS 80 mg/0.8 mL(1)-40 mg/0.4 mL(2)subcut kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074157521</ndc>
    <ndc_label_name>Kaletra 100 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074165801</ndc>
    <ndc_label_name>Zemplar 5 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074165805</ndc>
    <ndc_label_name>Zemplar 5 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074210001</ndc>
    <ndc_label_name>Skyrizi 150 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074210803</ndc>
    <ndc_label_name>Lupron Depot-Ped 7.5 mg (Ped) intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074228203</ndc>
    <ndc_label_name>Lupron Depot-Ped 11.25 mg intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074230630</ndc>
    <ndc_label_name>Rinvoq 15 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074230670</ndc>
    <ndc_label_name>Rinvoq 15 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074231030</ndc>
    <ndc_label_name>Rinvoq 30 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074232001</ndc>
    <ndc_label_name>Rinvoq LQ 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074234030</ndc>
    <ndc_label_name>Norvir 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074244003</ndc>
    <ndc_label_name>Lupron Depot-Ped 15 mg intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074260028</ndc>
    <ndc_label_name>Mavyret 50 mg-20 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074260521</ndc>
    <ndc_label_name>Kaletra 200 mg-50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074262501</ndc>
    <ndc_label_name>Mavyret 100 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074262504</ndc>
    <ndc_label_name>Mavyret 100 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074262528</ndc>
    <ndc_label_name>Mavyret 100 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074262584</ndc>
    <ndc_label_name>Mavyret 100 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074300860</ndc>
    <ndc_label_name>Kaletra 100 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074301207</ndc>
    <ndc_label_name>Duopa 4.63 mg-20 mg/mL suspension in j-tube pump</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074310832</ndc>
    <ndc_label_name>Gengraf 25 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074310932</ndc>
    <ndc_label_name>Gengraf 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074316190</ndc>
    <ndc_label_name>TRILIPIX DR 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074316290</ndc>
    <ndc_label_name>TRILIPIX DR 135 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074317390</ndc>
    <ndc_label_name>TRICOR 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074318990</ndc>
    <ndc_label_name>Tricor 145 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074334603</ndc>
    <ndc_label_name>Lupron Depot 22.5 mg (3 month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Norvir 100 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074347303</ndc>
    <ndc_label_name>Lupron Depot 45 mg (6 Month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074357501</ndc>
    <ndc_label_name>Lupron Depot-Ped 45 mg intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074364103</ndc>
    <ndc_label_name>Lupron Depot 3.75 mg intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074364171</ndc>
    <ndc_label_name>Lupron Depot 3.75 mg intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074364203</ndc>
    <ndc_label_name>Lupron Depot 7.5 mg intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074366303</ndc>
    <ndc_label_name>Lupron Depot 11.25 mg (3 month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074368303</ndc>
    <ndc_label_name>Lupron Depot 30 mg (4 month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074372719</ndc>
    <ndc_label_name>Synthroid 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074372772</ndc>
    <ndc_label_name>Synthroid 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074372790</ndc>
    <ndc_label_name>Synthroid 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074377903</ndc>
    <ndc_label_name>Lupron Depot-Ped 11.25 mg (3 month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074379902</ndc>
    <ndc_label_name>Humira 40 mg/0.8 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074387801</ndc>
    <ndc_label_name>Emblaveo 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074387810</ndc>
    <ndc_label_name>Emblaveo 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074395646</ndc>
    <ndc_label_name>Kaletra 400 mg-100 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074401412</ndc>
    <ndc_label_name>Kaletra 200 mg-50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074433901</ndc>
    <ndc_label_name>Humira Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074433902</ndc>
    <ndc_label_name>Humira Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074433974</ndc>
    <ndc_label_name>Humira Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074434119</ndc>
    <ndc_label_name>Synthroid 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074434172</ndc>
    <ndc_label_name>Synthroid 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074434190</ndc>
    <ndc_label_name>Synthroid 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074437805</ndc>
    <ndc_label_name>Nimbex 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074438010</ndc>
    <ndc_label_name>Nimbex 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074438220</ndc>
    <ndc_label_name>Nimbex concentrate 10 mg/mL (ICU USE ONLY) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074445604</ndc>
    <ndc_label_name>Ultane 99.97 % inhalation liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074445651</ndc>
    <ndc_label_name>Ultane 99.97 % inhalation liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074455211</ndc>
    <ndc_label_name>Synthroid 50 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074455219</ndc>
    <ndc_label_name>Synthroid 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074455272</ndc>
    <ndc_label_name>Synthroid 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074455290</ndc>
    <ndc_label_name>Synthroid 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074463701</ndc>
    <ndc_label_name>Zemplar 2 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074501501</ndc>
    <ndc_label_name>Skyrizi 60 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074517530</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074518211</ndc>
    <ndc_label_name>Synthroid 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074518219</ndc>
    <ndc_label_name>Synthroid 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074518272</ndc>
    <ndc_label_name>Synthroid 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074518290</ndc>
    <ndc_label_name>Synthroid 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074549820</ndc>
    <ndc_label_name>Pedialyte Singles oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074611413</ndc>
    <ndc_label_name>Depakote Sprinkles 125 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074647032</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00074647132</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074659419</ndc>
    <ndc_label_name>Synthroid 88 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074659472</ndc>
    <ndc_label_name>Synthroid 88 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074659490</ndc>
    <ndc_label_name>Synthroid 88 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074662411</ndc>
    <ndc_label_name>Synthroid 100 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074662419</ndc>
    <ndc_label_name>Synthroid 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074662472</ndc>
    <ndc_label_name>Synthroid 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074662490</ndc>
    <ndc_label_name>Synthroid 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074663330</ndc>
    <ndc_label_name>Norvir 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074679922</ndc>
    <ndc_label_name>Kaletra 200 mg-50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706811</ndc>
    <ndc_label_name>Synthroid 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706819</ndc>
    <ndc_label_name>Synthroid 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706872</ndc>
    <ndc_label_name>Synthroid 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706890</ndc>
    <ndc_label_name>Synthroid 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706911</ndc>
    <ndc_label_name>Synthroid 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706919</ndc>
    <ndc_label_name>Synthroid 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706972</ndc>
    <ndc_label_name>Synthroid 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074706990</ndc>
    <ndc_label_name>Synthroid 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074707019</ndc>
    <ndc_label_name>Synthroid 175 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074707090</ndc>
    <ndc_label_name>Synthroid 175 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Qulipta 60 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074709802</ndc>
    <ndc_label_name>Vuity 1.25 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074709804</ndc>
    <ndc_label_name>Vuity 1.25 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074709806</ndc>
    <ndc_label_name>Vuity 1.25 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074712611</ndc>
    <ndc_label_name>Depakote ER 500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074714811</ndc>
    <ndc_label_name>Synthroid 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074714819</ndc>
    <ndc_label_name>Synthroid 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074714890</ndc>
    <ndc_label_name>Synthroid 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074714919</ndc>
    <ndc_label_name>Synthroid 300 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074714990</ndc>
    <ndc_label_name>Synthroid 300 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074726950</ndc>
    <ndc_label_name>GENGRAF 100 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074732513</ndc>
    <ndc_label_name>Depakote 125 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074732613</ndc>
    <ndc_label_name>Depakote 250 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074732713</ndc>
    <ndc_label_name>Depakote 500 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074740113</ndc>
    <ndc_label_name>Depakote ER 250 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074740213</ndc>
    <ndc_label_name>Depakote ER 500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074903630</ndc>
    <ndc_label_name>Zemplar 1 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074903730</ndc>
    <ndc_label_name>Zemplar 2 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074929619</ndc>
    <ndc_label_name>Synthroid 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074929672</ndc>
    <ndc_label_name>Synthroid 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074929690</ndc>
    <ndc_label_name>Synthroid 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00074969403</ndc>
    <ndc_label_name>Lupron Depot-Ped 30 mg (3 month) intramuscular syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062001</ndc>
    <ndc_label_name>Lovenox 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062040</ndc>
    <ndc_label_name>Lovenox 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062101</ndc>
    <ndc_label_name>Lovenox 60 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062160</ndc>
    <ndc_label_name>Lovenox 60 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062201</ndc>
    <ndc_label_name>Lovenox 80 mg/0.8 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062280</ndc>
    <ndc_label_name>Lovenox 80 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062300</ndc>
    <ndc_label_name>Lovenox 100 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062303</ndc>
    <ndc_label_name>Lovenox 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062401</ndc>
    <ndc_label_name>Lovenox 30 mg/0.3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062430</ndc>
    <ndc_label_name>Lovenox 30 mg/0.3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075062603</ndc>
    <ndc_label_name>Lovenox 300 mg/3 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075291200</ndc>
    <ndc_label_name>Lovenox 120 mg/0.8 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075291201</ndc>
    <ndc_label_name>Lovenox 120 mg/0.8 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075291500</ndc>
    <ndc_label_name>Lovenox 150 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075291501</ndc>
    <ndc_label_name>Lovenox 150 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801301</ndc>
    <ndc_label_name>Lovenox 30 mg/0.3 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801310</ndc>
    <ndc_label_name>Lovenox 30 mg/0.3 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801401</ndc>
    <ndc_label_name>Lovenox 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801410</ndc>
    <ndc_label_name>Lovenox 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801601</ndc>
    <ndc_label_name>Lovenox 60 mg/0.6 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801610</ndc>
    <ndc_label_name>Lovenox 60 mg/0.6 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801801</ndc>
    <ndc_label_name>Lovenox 80 mg/0.8 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075801810</ndc>
    <ndc_label_name>Lovenox 80 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802001</ndc>
    <ndc_label_name>Lovenox 100 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802010</ndc>
    <ndc_label_name>Lovenox 100 mg/mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802201</ndc>
    <ndc_label_name>Lovenox 120 mg/0.8 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802210</ndc>
    <ndc_label_name>Lovenox 120 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802501</ndc>
    <ndc_label_name>Lovenox 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075802510</ndc>
    <ndc_label_name>Lovenox 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00075803001</ndc>
    <ndc_label_name>Lovenox 300 mg/3 mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078010901</ndc>
    <ndc_label_name>Sandimmune 250 mg/5 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078010961</ndc>
    <ndc_label_name>Sandimmune 250 mg/5 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078011022</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078018001</ndc>
    <ndc_label_name>Sandostatin 50 mcg/mL injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078018101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078018161</ndc>
    <ndc_label_name>Sandostatin 100 mcg/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078018201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sandostatin 500 mcg/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024015</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sandimmune 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024115</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024161</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024615</ndc>
    <ndc_label_name>Neoral 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024661</ndc>
    <ndc_label_name>Neoral 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024815</ndc>
    <ndc_label_name>Neoral 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024861</ndc>
    <ndc_label_name>Neoral 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078024915</ndc>
    <ndc_label_name>Femara 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078027422</ndc>
    <ndc_label_name>Neoral 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078031434</ndc>
    <ndc_label_name>Diovan HCT 80 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078031534</ndc>
    <ndc_label_name>Diovan HCT 160 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078033184</ndc>
    <ndc_label_name>Simulect 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078033705</ndc>
    <ndc_label_name>Trileptal 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078034342</ndc>
    <ndc_label_name>Vivelle-Dot 0.0375 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078034442</ndc>
    <ndc_label_name>Vivelle-Dot 0.05 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078034542</ndc>
    <ndc_label_name>Vivelle-Dot 0.075 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078034642</ndc>
    <ndc_label_name>Vivelle-Dot 0.1 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078035415</ndc>
    <ndc_label_name>Lescol XL 80 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078035752</ndc>
    <ndc_label_name>Trileptal 300 mg/5 mL (60 mg/mL) oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078035834</ndc>
    <ndc_label_name>Diovan 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078035934</ndc>
    <ndc_label_name>Diovan 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078036034</ndc>
    <ndc_label_name>Diovan 320 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078036405</ndc>
    <ndc_label_name>Lotrel 10 mg-20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078036542</ndc>
    <ndc_label_name>Vivelle-Dot 0.025 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078036562</ndc>
    <ndc_label_name>Vivelle-Dot 0.025 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078037005</ndc>
    <ndc_label_name>RITALIN LA 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078037105</ndc>
    <ndc_label_name>RITALIN LA 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078037205</ndc>
    <ndc_label_name>RITALIN LA 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078037905</ndc>
    <ndc_label_name>Lotrel 10 mg-40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038005</ndc>
    <ndc_label_name>Focalin 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038105</ndc>
    <ndc_label_name>Focalin 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038205</ndc>
    <ndc_label_name>Focalin 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038334</ndc>
    <ndc_label_name>Diovan HCT 160 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038566</ndc>
    <ndc_label_name>Myfortic 180 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078038666</ndc>
    <ndc_label_name>Myfortic 360 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078039361</ndc>
    <ndc_label_name>Simulect 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078040134</ndc>
    <ndc_label_name>Gleevec 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078040505</ndc>
    <ndc_label_name>Lotrel 5 mg-10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078040605</ndc>
    <ndc_label_name>Lotrel 5 mg-20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041420</ndc>
    <ndc_label_name>Zortress 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041461</ndc>
    <ndc_label_name>Zortress 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041520</ndc>
    <ndc_label_name>Zortress 0.75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041561</ndc>
    <ndc_label_name>Zortress 0.75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041720</ndc>
    <ndc_label_name>Zortress 0.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078041761</ndc>
    <ndc_label_name>Zortress 0.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078042220</ndc>
    <ndc_label_name>Zortress 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078042261</ndc>
    <ndc_label_name>Zortress 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078042315</ndc>
    <ndc_label_name>Diovan 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078042405</ndc>
    <ndc_label_name>RITALIN LA 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043005</ndc>
    <ndc_label_name>Focalin XR 5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043105</ndc>
    <ndc_label_name>Focalin XR 10 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043205</ndc>
    <ndc_label_name>Focalin XR 20 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043305</ndc>
    <ndc_label_name>Focalin XR 30 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043405</ndc>
    <ndc_label_name>Focalin XR 40 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043561</ndc>
    <ndc_label_name>Reclast 5 mg/100 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078043905</ndc>
    <ndc_label_name>Ritalin 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078044005</ndc>
    <ndc_label_name>Ritalin 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078044105</ndc>
    <ndc_label_name>Ritalin 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078045605</ndc>
    <ndc_label_name>Trileptal 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078045705</ndc>
    <ndc_label_name>Trileptal 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078046761</ndc>
    <ndc_label_name>Desferal 500 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078046791</ndc>
    <ndc_label_name>Desferal 500 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078046815</ndc>
    <ndc_label_name>Exjade 125 mg dispersible tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078046915</ndc>
    <ndc_label_name>Exjade 250 mg dispersible tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078047015</ndc>
    <ndc_label_name>Exjade 500 mg dispersible tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078047134</ndc>
    <ndc_label_name>Diovan HCT 320 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078047234</ndc>
    <ndc_label_name>Diovan HCT 320 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078048815</ndc>
    <ndc_label_name>Exforge 5 mg-160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078048915</ndc>
    <ndc_label_name>Exforge 10 mg-160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078049015</ndc>
    <ndc_label_name>Exforge 5 mg-320 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078049115</ndc>
    <ndc_label_name>Exforge 10 mg-320 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078049305</ndc>
    <ndc_label_name>Focalin XR 15 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050115</ndc>
    <ndc_label_name>Exelon Patch 4.6 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050161</ndc>
    <ndc_label_name>Exelon Patch 4.6 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050215</ndc>
    <ndc_label_name>Exelon Patch 9.5 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050261</ndc>
    <ndc_label_name>Exelon Patch 9.5 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050315</ndc>
    <ndc_label_name>Exelon Patch 13.3 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050361</ndc>
    <ndc_label_name>Exelon Patch 13.3 mg/24 hour transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050883</ndc>
    <ndc_label_name>Tegretol 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078050905</ndc>
    <ndc_label_name>Tegretol 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078051005</ndc>
    <ndc_label_name>Tegretol XR 100 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078051105</ndc>
    <ndc_label_name>Tegretol XR 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078051205</ndc>
    <ndc_label_name>Tegretol XR 400 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078052651</ndc>
    <ndc_label_name>Tasigna 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078052687</ndc>
    <ndc_label_name>Tasigna 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078055915</ndc>
    <ndc_label_name>Exforge HCT 5 mg-160 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056015</ndc>
    <ndc_label_name>Exforge HCT 5 mg-160 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056115</ndc>
    <ndc_label_name>Exforge HCT 10 mg-160 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056215</ndc>
    <ndc_label_name>Exforge HCT 10 mg-160 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056315</ndc>
    <ndc_label_name>Exforge HCT 10 mg-320 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056651</ndc>
    <ndc_label_name>Afinitor 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056661</ndc>
    <ndc_label_name>Afinitor 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056751</ndc>
    <ndc_label_name>Afinitor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056761</ndc>
    <ndc_label_name>Afinitor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078056845</ndc>
    <ndc_label_name>Coartem 20 mg-120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078059251</ndc>
    <ndc_label_name>Tasigna 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078059287</ndc>
    <ndc_label_name>Tasigna 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078059451</ndc>
    <ndc_label_name>Afinitor 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078059461</ndc>
    <ndc_label_name>Afinitor 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078060715</ndc>
    <ndc_label_name>Gilenya 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078060789</ndc>
    <ndc_label_name>Gilenya 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078060805</ndc>
    <ndc_label_name>Focalin XR 25 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078060905</ndc>
    <ndc_label_name>Focalin XR 35 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062051</ndc>
    <ndc_label_name>Afinitor 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062061</ndc>
    <ndc_label_name>Afinitor 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062651</ndc>
    <ndc_label_name>Afinitor Disperz 2 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062661</ndc>
    <ndc_label_name>Afinitor Disperz 2 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062751</ndc>
    <ndc_label_name>Afinitor Disperz 3 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062761</ndc>
    <ndc_label_name>Afinitor Disperz 3 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062851</ndc>
    <ndc_label_name>Afinitor Disperz 5 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078062861</ndc>
    <ndc_label_name>Afinitor Disperz 5 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078063019</ndc>
    <ndc_label_name>Tobi Podhaler 28 mg capsule with inhalation device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078063941</ndc>
    <ndc_label_name>Cosentyx Pen 300 mg/2 pens (150 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078063968</ndc>
    <ndc_label_name>Cosentyx Pen 150 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078063997</ndc>
    <ndc_label_name>Cosentyx 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078063998</ndc>
    <ndc_label_name>Cosentyx 300 mg/2 Syringes (150 mg/mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078064515</ndc>
    <ndc_label_name>Odomzo 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078064913</ndc>
    <ndc_label_name>Gleevec 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078064926</ndc>
    <ndc_label_name>Gleevec 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078064930</ndc>
    <ndc_label_name>Gleevec 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065006</ndc>
    <ndc_label_name>Farydak 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065106</ndc>
    <ndc_label_name>Farydak 15 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065206</ndc>
    <ndc_label_name>Farydak 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065415</ndc>
    <ndc_label_name>Jadenu 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065515</ndc>
    <ndc_label_name>Jadenu 180 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078065615</ndc>
    <ndc_label_name>Jadenu 360 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078065920</ndc>
    <ndc_label_name>Entresto 24 mg-26 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078065967</ndc>
    <ndc_label_name>Entresto 24 mg-26 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078066913</ndc>
    <ndc_label_name>Arzerra 100 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078066961</ndc>
    <ndc_label_name>Arzerra 100 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078067119</ndc>
    <ndc_label_name>Tykerb 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078067201</ndc>
    <ndc_label_name>Hycamtin 0.25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078067301</ndc>
    <ndc_label_name>Hycamtin 1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068166</ndc>
    <ndc_label_name>Tafinlar 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068266</ndc>
    <ndc_label_name>Tafinlar 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068361</ndc>
    <ndc_label_name>Arranon 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068415</ndc>
    <ndc_label_name>Promacta 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068515</ndc>
    <ndc_label_name>Promacta 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068615</ndc>
    <ndc_label_name>Promacta 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068655</ndc>
    <ndc_label_name>Promacta 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078068715</ndc>
    <ndc_label_name>Promacta 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069061</ndc>
    <ndc_label_name>Arzerra 1,000 mg/50 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069484</ndc>
    <ndc_label_name>Zykadia 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078069620</ndc>
    <ndc_label_name>Entresto 97 mg-103 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078069667</ndc>
    <ndc_label_name>Entresto 97 mg-103 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069719</ndc>
    <ndc_label_name>Promacta 25 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069723</ndc>
    <ndc_label_name>Promacta 25 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069761</ndc>
    <ndc_label_name>Promacta 25 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069802</ndc>
    <ndc_label_name>Rydapt 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069819</ndc>
    <ndc_label_name>Rydapt 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069851</ndc>
    <ndc_label_name>Rydapt 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078069899</ndc>
    <ndc_label_name>Rydapt 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070151</ndc>
    <ndc_label_name>Piqray 200 mg/day (200 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070184</ndc>
    <ndc_label_name>Piqray 200 mg/day (200 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070802</ndc>
    <ndc_label_name>Piqray 300 mg/day (150 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070851</ndc>
    <ndc_label_name>Piqray 300 mg/day (150 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070890</ndc>
    <ndc_label_name>Piqray 300 mg/day (150 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070891</ndc>
    <ndc_label_name>Piqray 300 mg/day (150 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078070956</ndc>
    <ndc_label_name>Tabrecta 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071315</ndc>
    <ndc_label_name>Jadenu Sprinkle 180 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071319</ndc>
    <ndc_label_name>Jadenu Sprinkle 180 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071502</ndc>
    <ndc_label_name>Piqray 250 mg/day (200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071561</ndc>
    <ndc_label_name>Piqray 250 mg/day (200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071591</ndc>
    <ndc_label_name>Piqray 250 mg/day (200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071594</ndc>
    <ndc_label_name>Piqray 250 mg/day (200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078071656</ndc>
    <ndc_label_name>Tabrecta 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072015</ndc>
    <ndc_label_name>Jadenu Sprinkle 360 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072019</ndc>
    <ndc_label_name>Jadenu Sprinkle 360 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078072210</ndc>
    <ndc_label_name>Azopt 1 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078072215</ndc>
    <ndc_label_name>Azopt 1 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072715</ndc>
    <ndc_label_name>Jadenu Sprinkle 90 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072719</ndc>
    <ndc_label_name>Jadenu Sprinkle 90 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072910</ndc>
    <ndc_label_name>Betoptic S 0.25 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078072915</ndc>
    <ndc_label_name>Betoptic S 0.25 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078073461</ndc>
    <ndc_label_name>Ilaris (PF) 150 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078073610</ndc>
    <ndc_label_name>ALOMIDE 0.1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078074303</ndc>
    <ndc_label_name>Ilevro 0.3 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078077101</ndc>
    <ndc_label_name>MAXITROL EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078077720</ndc>
    <ndc_label_name>Entresto 49 mg-51 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078077767</ndc>
    <ndc_label_name>Entresto 49 mg-51 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078077803</ndc>
    <ndc_label_name>Nevanac 0.1 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078079061</ndc>
    <ndc_label_name>Sandostatin LAR Depot 10 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078079205</ndc>
    <ndc_label_name>Maxitrol 3.5 mg/mL-10,000 unit/mL-0.1% eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078079761</ndc>
    <ndc_label_name>Sandostatin LAR Depot 20 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078080461</ndc>
    <ndc_label_name>Sandostatin LAR Depot 30 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078081181</ndc>
    <ndc_label_name>Sandostatin LAR Depot 10 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078081301</ndc>
    <ndc_label_name>Tobrex 0.3 % eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078081881</ndc>
    <ndc_label_name>Sandostatin LAR Depot 20 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078082581</ndc>
    <ndc_label_name>Sandostatin LAR Depot 30 mg intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078082760</ndc>
    <ndc_label_name>Beovu 6 mg/0.05 mL intravitreal syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078084101</ndc>
    <ndc_label_name>Ciloxan 0.3 % eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078084619</ndc>
    <ndc_label_name>Kymriah 0.2 x 10exp6 to 2.5 x 10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078085526</ndc>
    <ndc_label_name>Cipro HC 0.2 %-1 % ear drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078086001</ndc>
    <ndc_label_name>Kisqali 200 mg/day (200 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078086225</ndc>
    <ndc_label_name>Durezol 0.05 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078086714</ndc>
    <ndc_label_name>Kisqali 400 mg/day (200 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078086742</ndc>
    <ndc_label_name>Kisqali 400 mg/day (200 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078087421</ndc>
    <ndc_label_name>Kisqali 600 mg/day (200 mg x 3) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078087463</ndc>
    <ndc_label_name>Kisqali 600 mg/day (200 mg x 3) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078087601</ndc>
    <ndc_label_name>TobraDex 0.3 %-0.1 % eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078088361</ndc>
    <ndc_label_name>Adakveo 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078088821</ndc>
    <ndc_label_name>Kisqali 200 mg/day (200 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078089514</ndc>
    <ndc_label_name>Kisqali 400 mg/day (200 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078089778</ndc>
    <ndc_label_name>Triesence (PF) 40 mg/mL intraocular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078090221</ndc>
    <ndc_label_name>Kisqali 600 mg/day (200 mg x 3) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078090961</ndc>
    <ndc_label_name>KISQALI FEMARA 200 MG CO-PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078091105</ndc>
    <ndc_label_name>Xiidra 5 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078091112</ndc>
    <ndc_label_name>Xiidra 5 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078091661</ndc>
    <ndc_label_name>KISQALI FEMARA 400 MG CO-PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078092361</ndc>
    <ndc_label_name>KISQALI FEMARA 600 MG CO-PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078092525</ndc>
    <ndc_label_name>Maxidex 0.1 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078093791</ndc>
    <ndc_label_name>Egaten 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078093926</ndc>
    <ndc_label_name>Vigamox 0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078094625</ndc>
    <ndc_label_name>Travatan Z 0.004 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078094640</ndc>
    <ndc_label_name>Travatan Z 0.004 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078095166</ndc>
    <ndc_label_name>Tasigna 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078095819</ndc>
    <ndc_label_name>Kymriah 0.6 x 10exp8 to 6 x10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078096589</ndc>
    <ndc_label_name>Gilenya 0.25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097219</ndc>
    <ndc_label_name>Promacta 12.5 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097223</ndc>
    <ndc_label_name>Promacta 12.5 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097261</ndc>
    <ndc_label_name>Promacta 12.5 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097912</ndc>
    <ndc_label_name>Mayzent Starter Pack (for 2 mg maint dose) 0.25 mg (12 tabs) tablets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097950</ndc>
    <ndc_label_name>Mayzent 0.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078097989</ndc>
    <ndc_label_name>Mayzent Starter Pack (for 1 mg maint dose) 0.25 mg (7 tabs) tablets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078098615</ndc>
    <ndc_label_name>Mayzent 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078098645</ndc>
    <ndc_label_name>Mayzent 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078100060</ndc>
    <ndc_label_name>Leqvio 284 mg/1.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078100098</ndc>
    <ndc_label_name>Leqvio 284 mg/1.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078100768</ndc>
    <ndc_label_name>Kesimpta Pen 20 mg/0.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00078100798</ndc>
    <ndc_label_name>Kesimpta Pen 20 mg/0.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078101415</ndc>
    <ndc_label_name>Mayzent 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078102151</ndc>
    <ndc_label_name>Vijoice 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078102184</ndc>
    <ndc_label_name>Vijoice 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078102884</ndc>
    <ndc_label_name>Vijoice 125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078103502</ndc>
    <ndc_label_name>Vijoice 250 mg/day(200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078103561</ndc>
    <ndc_label_name>Vijoice 250 mg/day(200 mg x 1 and 50 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078105697</ndc>
    <ndc_label_name>Cosentyx 75 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078107068</ndc>
    <ndc_label_name>Cosentyx UnoReady Pen 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078107096</ndc>
    <ndc_label_name>Cosentyx UnoReady Pen 300 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078107766</ndc>
    <ndc_label_name>Votrient 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078109120</ndc>
    <ndc_label_name>Scemblix 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078109820</ndc>
    <ndc_label_name>Scemblix 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078110515</ndc>
    <ndc_label_name>Mekinist 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078111215</ndc>
    <ndc_label_name>Mekinist 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078115421</ndc>
    <ndc_label_name>Tafinlar 10 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078116147</ndc>
    <ndc_label_name>Mekinist 0.05 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078116861</ndc>
    <ndc_label_name>Cosentyx 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078117519</ndc>
    <ndc_label_name>Vijoice 50 mg oral granules in packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078117551</ndc>
    <ndc_label_name>Vijoice 50 mg oral granules in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078118920</ndc>
    <ndc_label_name>Fabhalta 200 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078119620</ndc>
    <ndc_label_name>Scemblix 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078121761</ndc>
    <ndc_label_name>Pluvicto 27 mCi/mL (1,000 MBq/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078122461</ndc>
    <ndc_label_name>Locametz 25 mcg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078123120</ndc>
    <ndc_label_name>Entresto Sprinkle 6 mg-6 mg oral pellet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078123820</ndc>
    <ndc_label_name>Entresto Sprinkle 15 mg-16 mg oral pellet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078142015</ndc>
    <ndc_label_name>Vanrafia 0.75 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00078148320</ndc>
    <ndc_label_name>Rhapsido 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00081073794</ndc>
    <ndc_label_name>Neosporin Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00081079888</ndc>
    <ndc_label_name>Polysporin 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085052201</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085052202</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085096315</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085126001</ndc>
    <ndc_label_name>Gyne-Lotrimin 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085132801</ndc>
    <ndc_label_name>NOXAFIL 40 MG/ML SUSPENSION</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085138101</ndc>
    <ndc_label_name>Temodar 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085222401</ndc>
    <ndc_label_name>Noxafil 300 mg oral suspension,delayed release in a packet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085222402</ndc>
    <ndc_label_name>Noxafil 300 mg oral suspension,delayed release in a packet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085410025</ndc>
    <ndc_label_name>Complex 15 topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085411508</ndc>
    <ndc_label_name>Complex 15 lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085432402</ndc>
    <ndc_label_name>NOXAFIL DR 100 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00085433101</ndc>
    <ndc_label_name>Noxafil 300 mg/16.7 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087020125</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087020142</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087020165</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087036701</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087036721</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00087040203</ndc>
    <ndc_label_name>Poly-Vi-Sol 250 mcg-50 mg-10 mcg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00087040303</ndc>
    <ndc_label_name>Tri-Vi-Sol 250 mcg-50 mg-10 mcg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00087040501</ndc>
    <ndc_label_name>Poly-Vi-Sol with Iron 11 mg iron/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087042541</ndc>
    <ndc_label_name>Product 3232A 22 g-33 g-14.8 mg/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087049801</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8 gram-5.3 gram-10.3 gram/100 kcal oral conc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087049811</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8 gram-5.3 gram-10.3 gram/100 kcal oral conc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087074002</ndc>
    <ndc_label_name>Fer-In-Sol 15 mg iron (75 mg)/mL oral drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00087086644</ndc>
    <ndc_label_name>D-Vi-Sol 10 mcg/mL (400 unit/mL) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087119541</ndc>
    <ndc_label_name>Enfamil ProSobee LIPIL oral concentrate</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087121401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087121441</ndc>
    <ndc_label_name>Enfamil Prosobee 2.5 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087121442</ndc>
    <ndc_label_name>Enfamil Prosobee 2.5 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087121447</ndc>
    <ndc_label_name>Enfamil Prosobee 2.5 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087123901</ndc>
    <ndc_label_name>Nutramigen with Enflora LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087123905</ndc>
    <ndc_label_name>Nutramigen with Enflora LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087123941</ndc>
    <ndc_label_name>Nutramigen with Enflora LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087123945</ndc>
    <ndc_label_name>Nutramigen with Enflora LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087134541</ndc>
    <ndc_label_name>Enfamil Water oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087134641</ndc>
    <ndc_label_name>Enfamil Glucose 5 % oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136542</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136560</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136561</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136567</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136641</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087136741</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087143301</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6 gram/100 kcal (5 oz) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087143341</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6 gram/100 kcal (5 oz) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087143401</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6 gram/100 kcal (4.2oz) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087143441</ndc>
    <ndc_label_name>Pregestimil 2.8-5.6 gram/100 kcal (4.2oz) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087143741</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087144941</ndc>
    <ndc_label_name>Enfamil ProSobee LIPIL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087145341</ndc>
    <ndc_label_name>Enfamil A.R. 2.5 gram-5.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087146341</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.55 gram-7.5 kcal/5 mL oral liquid pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087146441</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087146701</ndc>
    <ndc_label_name>Enfagrow Toddler Next Step Non-GMO 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087146741</ndc>
    <ndc_label_name>Enfagrow Toddler Next Step Non-GMO 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087201448</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.275 gram-3.5 kcal/0.71 gram oral pwd pk</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510003</ndc>
    <ndc_label_name>Phenyl-Free 2 PKU 22 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510010</ndc>
    <ndc_label_name>Phenyl-Free 2HP PKU 40 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510015</ndc>
    <ndc_label_name>BCAD 2  24 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510018</ndc>
    <ndc_label_name>PFD 2 400 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510022</ndc>
    <ndc_label_name>OA2 Powder 21 gram-410 kcal/100 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510024</ndc>
    <ndc_label_name>Tyros 2, 22 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510027</ndc>
    <ndc_label_name>HCY 2  22 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510029</ndc>
    <ndc_label_name>WND 2 8.2 g-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510069</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510096</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510107</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510172</ndc>
    <ndc_label_name>Phenyl-Free 1 16.2 gram-500 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510178</ndc>
    <ndc_label_name>PFD Toddler 530 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510179</ndc>
    <ndc_label_name>PFD Toddler 530 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510184</ndc>
    <ndc_label_name>BCAD 1 16.2 g-500 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510188</ndc>
    <ndc_label_name>GA Powder 15.1 g-500 kcal/100 g oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510191</ndc>
    <ndc_label_name>TYROS 1 16.7 g-500 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510196</ndc>
    <ndc_label_name>LMD Powder 16.2 gram-500 kcal/100 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510199</ndc>
    <ndc_label_name>OA 1 Powder 15.7 g-500 kcal/100 g oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510202</ndc>
    <ndc_label_name>HCY 1 Powder 16.2 g-500 kcal/100 g oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510205</ndc>
    <ndc_label_name>WND 1 6.5 g-500 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510242</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510341</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510480</ndc>
    <ndc_label_name>PurAmino DHA-ARA 2.8-5.3-10.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510517</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510523</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510524</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510525</ndc>
    <ndc_label_name>Enfaport 3.5-5.5-10 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510734</ndc>
    <ndc_label_name>Nutramigen Toddler Enflora-LGG 2.5 gram-4.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087510735</ndc>
    <ndc_label_name>Nutramigen Toddler Enflora-LGG 2.5 gram-4.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511132</ndc>
    <ndc_label_name>Enfamil Reguline 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511133</ndc>
    <ndc_label_name>Enfamil Reguline 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511157</ndc>
    <ndc_label_name>Enfamil Reguline 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511158</ndc>
    <ndc_label_name>Enfamil Reguline 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511413</ndc>
    <ndc_label_name>Enfagrow Toddler Non-Gmo 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00087511503</ndc>
    <ndc_label_name>Enfamil Enfalyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511562</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511563</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511564</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511565</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511568</ndc>
    <ndc_label_name>Enfamil Premature 24 3.3 gram-5 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511570</ndc>
    <ndc_label_name>Enfamil Premature 20 3.3 gram-5 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511572</ndc>
    <ndc_label_name>Enfamil Premature 30 3.3 gram-5 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511574</ndc>
    <ndc_label_name>Enfamil Premature 24 3.6 gram-5 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511728</ndc>
    <ndc_label_name>Portagen 16.5 gram-470 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511748</ndc>
    <ndc_label_name>Enfamil Enspire Infant Formula 2.1 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511751</ndc>
    <ndc_label_name>Enfagrow NeuroPro Toddler Non-GMO 0.03 gram-0.7 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511752</ndc>
    <ndc_label_name>Enfagrow NeuroPro Toddler Non-GMO 0.03 gram-0.7 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511961</ndc>
    <ndc_label_name>Enfagrow NeuroPro Toddler Non-GMO 0.03 gram-0.7 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511963</ndc>
    <ndc_label_name>Enfagrow NeuroPro Toddler Non-GMO 0.03 gram-0.7 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511976</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511977</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511978</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087511979</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512105</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512106</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512107</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512108</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512109</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512110</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512111</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512112</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512113</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3-5.3 gram/100 kcal oral pwdr pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512114</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3-5.3 gram/100 kcal oral pwdr pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512117</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512118</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512119</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512120</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512121</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512122</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512125</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512126</ndc>
    <ndc_label_name>Enfamil Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512127</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512128</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512129</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512131</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512133</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512134</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512141</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512143</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512154</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512155</ndc>
    <ndc_label_name>Enfamil Infant 2 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512203</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512205</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512206</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512207</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512208</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512209</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512222</ndc>
    <ndc_label_name>Nutramigen with probiotic LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512223</ndc>
    <ndc_label_name>Nutramigen with probiotic LGG 2.8 g-5.3 g-10.3 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512244</ndc>
    <ndc_label_name>PurAmino Jr 13.7 gram-490 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512245</ndc>
    <ndc_label_name>PurAmino Jr 13.7 gram-490 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512246</ndc>
    <ndc_label_name>PurAmino Jr 13.7 gram-490 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512247</ndc>
    <ndc_label_name>PurAmino Jr 13.7 gram-490 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512353</ndc>
    <ndc_label_name>Enfamil Enspire Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512354</ndc>
    <ndc_label_name>Enfamil Enspire Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512355</ndc>
    <ndc_label_name>Enfamil Enspire Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512356</ndc>
    <ndc_label_name>Enfamil Enspire Gentlease 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512364</ndc>
    <ndc_label_name>Enfamil Prosobee 2.5 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512365</ndc>
    <ndc_label_name>Enfamil Prosobee 2.5 gram-5.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512452</ndc>
    <ndc_label_name>Enfamil NeuroPro Sensitive Non-GMO 2.2-5.3-10.9 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512453</ndc>
    <ndc_label_name>Enfamil NeuroPro Sensitive Non-GMO 2.2-5.3-10.9 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512454</ndc>
    <ndc_label_name>Enfamil NeuroPro Sensitive Non-GMO 2.2-5.3-10.9 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512455</ndc>
    <ndc_label_name>Enfamil NeuroPro Sensitive Non-GMO 2.2-5.3-10.9 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512529</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512530</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512531</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512532</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512542</ndc>
    <ndc_label_name>Enfagrow Premium Toddler 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512611</ndc>
    <ndc_label_name>Enfamil DHA-ARA Supplement 20 mg-40 mg/0.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512612</ndc>
    <ndc_label_name>Enfamil DHA-ARA Supplement 20 mg-40 mg/0.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512622</ndc>
    <ndc_label_name>Enfamil Dual Probiotics-Vit D 2.5 billion cell-10 mcg/6 drops oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512642</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512643</ndc>
    <ndc_label_name>Enfamil A.R. 2.5-5.1-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512682</ndc>
    <ndc_label_name>Enfamil Enspire Optimum Non-GMO 2.1 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512683</ndc>
    <ndc_label_name>Enfamil Enspire Optimum Non-GMO 2.1 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512731</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512740</ndc>
    <ndc_label_name>D-Vi-Sol 10 mcg/mL (400 unit/mL) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512748</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512749</ndc>
    <ndc_label_name>Enfamil NeuroPro Non-GMO 2.1-5.3-11.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512750</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512751</ndc>
    <ndc_label_name>Enfamil NeuroPro Gentlease Non-GMO 2.3 gram-5.3 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512879</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512880</ndc>
    <ndc_label_name>Enfamil NeuroPro EnfaCare Non-GMO 2.8 gram-5.3 gram/100 kcal oral pwdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512903</ndc>
    <ndc_label_name>Enfagrow Toddler Gentlease Non-GMO 5 gram-180 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512904</ndc>
    <ndc_label_name>Enfagrow Toddler Gentlease Non-GMO 5 gram-180 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512988</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512989</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512990</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087512991</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513147</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513148</ndc>
    <ndc_label_name>Nutramigen DHA-ARA 2.8-5.3-10.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513167</ndc>
    <ndc_label_name>Enfagrow Toddler Non-Gmo 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513168</ndc>
    <ndc_label_name>Enfagrow Premium Toddler 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513478</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513479</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.56 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513480</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087513481</ndc>
    <ndc_label_name>Enfamil Human Milk Fortifier 0.42 gram-7.5 kcal/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00087869247</ndc>
    <ndc_label_name>Enfagrow Toddler Next Step 6 gram-160 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088117112</ndc>
    <ndc_label_name>GAVISCON LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088117312</ndc>
    <ndc_label_name>Gaviscon Extra Strength 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088117447</ndc>
    <ndc_label_name>Gaviscon Extra Strength 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088210201</ndc>
    <ndc_label_name>Priftin 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088210224</ndc>
    <ndc_label_name>Priftin 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088216030</ndc>
    <ndc_label_name>Arava 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088216130</ndc>
    <ndc_label_name>Arava 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088221900</ndc>
    <ndc_label_name>Lantus Solostar U-100 Insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088221901</ndc>
    <ndc_label_name>Lantus Solostar U-100 Insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088221905</ndc>
    <ndc_label_name>Lantus Solostar U-100 Insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088222033</ndc>
    <ndc_label_name>Lantus U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00088222034</ndc>
    <ndc_label_name>Lantus U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088250033</ndc>
    <ndc_label_name>Apidra U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088250200</ndc>
    <ndc_label_name>Apidra SoloStar U-100 Insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00088250205</ndc>
    <ndc_label_name>Apidra SoloStar U-100 Insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093001006</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093001701</ndc>
    <ndc_label_name>MOEXIPRIL HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093001805</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093001806</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005101</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005105</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005301</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005305</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005401</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005405</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005801</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093005805</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093007301</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093007401</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093009001</ndc>
    <ndc_label_name>EPITOL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093010901</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093010910</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093013501</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093013505</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026215</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026230</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026292</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026315</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026330</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026392</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026415</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026430</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093026492</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093030801</ndc>
    <ndc_label_name>CLEMASTINE FUM 2.68 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031101</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031105</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093031401</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031801</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031805</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031901</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093031905</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093032001</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093032101</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093057606</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093057610</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093071101</ndc>
    <ndc_label_name>FLURBIPROFEN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093071105</ndc>
    <ndc_label_name>FLURBIPROFEN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093075201</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093075210</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093075301</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093075305</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093075601</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093075701</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093075705</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093077110</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093077198</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093077801</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093078701</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093078710</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081001</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081005</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081101</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081105</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081201</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081205</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081301</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093081305</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093083201</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093083205</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093092606</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093092610</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093092806</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093092810</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093094801</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093094805</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093098301</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT ORAL TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100301</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100305</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100501</ndc>
    <ndc_label_name>NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100505</ndc>
    <ndc_label_name>NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100601</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093100605</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093101042</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093102406</ndc>
    <ndc_label_name>NEFAZODONE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093102506</ndc>
    <ndc_label_name>NEFAZODONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093102606</ndc>
    <ndc_label_name>NEFAZODONE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093106001</ndc>
    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093106101</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093106201</ndc>
    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093106301</ndc>
    <ndc_label_name>SOTALOL 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093107701</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093107853</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093108701</ndc>
    <ndc_label_name>CEFACLOR ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093110616</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093111801</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093112201</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093112589</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093113556</ndc>
    <ndc_label_name>ACITRETIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093113656</ndc>
    <ndc_label_name>ACITRETIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093113856</ndc>
    <ndc_label_name>ACITRETIN 17.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093117201</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093117210</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093117401</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093117410</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093117701</ndc>
    <ndc_label_name>NEOMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171201</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171210</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171301</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171310</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171401</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171410</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171501</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171601</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171610</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093171801</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093172001</ndc>
    <ndc_label_name>WARFARIN SODIUM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093172101</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093172110</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093172301</ndc>
    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093192006</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093192106</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093201312</ndc>
    <ndc_label_name>SUMATRIPTAN 4 MG/0.5 ML INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093201334</ndc>
    <ndc_label_name>SUMATRIPTAN 4 MG/0.5 ML INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093201412</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093201434</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093202623</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093202631</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093202694</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093202723</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206301</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206406</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206450</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206506</ndc>
    <ndc_label_name>CILOSTAZOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206701</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206801</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093206901</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093207001</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093214028</ndc>
    <ndc_label_name>Tri-Lo-Sprintec 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093214062</ndc>
    <ndc_label_name>Tri-Lo-Sprintec 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093216519</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093216568</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093217801</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093217901</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093218001</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093220301</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093220305</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093220310</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093220401</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093220405</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093221001</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093221005</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093221098</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093223801</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093224001</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093226301</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093226401</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093226701</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093226801</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093227034</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093227234</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093227434</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093227534</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093227773</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093227973</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093240101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093300256</ndc>
    <ndc_label_name>QUININE SULFATE 324 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093300819</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093300893</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093300919</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093300993</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093301630</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093301665</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093301730</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093301765</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093306056</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093306156</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093306619</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093306634</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093306693</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093309056</ndc>
    <ndc_label_name>ARMODAFINIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093309256</ndc>
    <ndc_label_name>ARMODAFINIL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093309356</ndc>
    <ndc_label_name>ARMODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093309456</ndc>
    <ndc_label_name>ARMODAFINIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093309819</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093309829</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093309844</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093309956</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093310056</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310701</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310705</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310901</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310905</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310906</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093310953</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093312228</ndc>
    <ndc_label_name>Jinteli 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093312242</ndc>
    <ndc_label_name>Jinteli 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093312298</ndc>
    <ndc_label_name>Jinteli 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093312301</ndc>
    <ndc_label_name>DICLOXACILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093312501</ndc>
    <ndc_label_name>DICLOXACILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093312701</ndc>
    <ndc_label_name>DISOPYRAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093312901</ndc>
    <ndc_label_name>DISOPYRAMIDE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093313331</ndc>
    <ndc_label_name>IMIQUIMOD 3.75% CREAM PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093313482</ndc>
    <ndc_label_name>Camrese 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093313491</ndc>
    <ndc_label_name>Camrese 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093314501</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093314505</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093314701</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093314705</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093316006</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093317431</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093318620</ndc>
    <ndc_label_name>PENCICLOVIR 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093319601</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093319653</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321201</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321205</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321301</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321305</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321915</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321930</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093321992</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093322308</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093322319</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093322397</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093323401</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093323405</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093323410</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093323921</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093323940</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093324101</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093324201</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093324356</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093330101</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093330105</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093330416</ndc>
    <ndc_label_name>Reclipsen (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093330428</ndc>
    <ndc_label_name>Reclipsen (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342001</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342101</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342201</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342205</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342210</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342501</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342505</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342510</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342601</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342605</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342610</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342701</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342705</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342710</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342810</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342830</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342892</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342910</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342930</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093342992</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093354143</ndc>
    <ndc_label_name>ESTRADIOL 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354256</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354356</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354456</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354556</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354656</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354756</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093354856</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093356026</ndc>
    <ndc_label_name>PEG3350 100-7.5-2.691-1.01-5.9</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093360782</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 55-14</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093360882</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 113-14</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093360982</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 232-14</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093363020</ndc>
    <ndc_label_name>ACYCLOVIR 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365522</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365528</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365621</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365640</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365721</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365740</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365821</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365840</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365921</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093365940</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093372750</ndc>
    <ndc_label_name>DICLOFENAC EPOLAMINE 1.3% PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093372755</ndc>
    <ndc_label_name>DICLOFENAC EPOLAMINE 1.3% PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093375004</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093375028</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093375063</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093400028</ndc>
    <ndc_label_name>Vestura (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093400062</ndc>
    <ndc_label_name>Vestura (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093405953</ndc>
    <ndc_label_name>CEFADROXIL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093406106</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093406119</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093406130</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406701</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406710</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406801</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406810</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406901</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406905</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093406952</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093408563</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093412573</ndc>
    <ndc_label_name>PENICILLIN VK 125 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093412574</ndc>
    <ndc_label_name>PENICILLIN VK 125 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093412773</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093412774</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093413664</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093413673</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093413764</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093413773</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414545</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414556</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414645</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414656</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414719</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414756</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414845</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093414856</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093415573</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093415579</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093415580</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416073</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416076</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416078</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416173</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416176</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093416178</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093417573</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093417574</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093417773</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093417774</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093500256</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093500356</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093500456</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093500556</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093500656</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093503056</ndc>
    <ndc_label_name>TIAGABINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093503156</ndc>
    <ndc_label_name>TIAGABINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093504501</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093504601</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505610</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505698</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505705</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505798</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505810</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505898</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505910</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093505998</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506001</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506005</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506105</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506201</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093506205</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093515001</ndc>
    <ndc_label_name>MOEXIPRIL HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093520005</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093520006</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093523456</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524519</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524565</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524619</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524665</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524719</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524765</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524819</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093524865</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093526018</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093526019</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093526119</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093526129</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093529501</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093529601</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093529701</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093532828</ndc>
    <ndc_label_name>Junel Fe 24 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093532862</ndc>
    <ndc_label_name>Junel Fe 24 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534156</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534201</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534256</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534301</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534356</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534601</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 20MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534701</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 30MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093534801</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 40MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537601</ndc>
    <ndc_label_name>CLOZAPINE ODT 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537619</ndc>
    <ndc_label_name>CLOZAPINE ODT 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537684</ndc>
    <ndc_label_name>CLOZAPINE ODT 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537701</ndc>
    <ndc_label_name>CLOZAPINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537719</ndc>
    <ndc_label_name>CLOZAPINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093537784</ndc>
    <ndc_label_name>CLOZAPINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541601</ndc>
    <ndc_label_name>CLOZAPINE ODT 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541701</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541719</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541784</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541901</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541919</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093541984</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093542088</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093545528</ndc>
    <ndc_label_name>Mimvey 1 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093545542</ndc>
    <ndc_label_name>Mimvey 1 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093550356</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 3-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093550456</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 6-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093550556</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 6-50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093550656</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 12-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093550756</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 12-50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093551798</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093552606</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093552706</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093552856</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093553756</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093553801</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093553901</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093555001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093555101</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093555201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093555301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093555401</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093556201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093557101</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093557156</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093557201</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093557256</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093590786</ndc>
    <ndc_label_name>MESALAMINE DR 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093593854</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093593898</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093593985</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093593998</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093594040</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093594098</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093595506</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093595511</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093595519</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093595545</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093595556</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093598519</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093598527</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093598619</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093598627</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093603182</ndc>
    <ndc_label_name>Rivelsa 0.15 mg-20 mcg/0.15 mg-25 mcg tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093603191</ndc>
    <ndc_label_name>Rivelsa 0.15 mg-20 mcg/0.15 mg-25 mcg tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093614882</ndc>
    <ndc_label_name>Camrese Lo 0.1 mg-20 mcg (84)/10 mcg (7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093614891</ndc>
    <ndc_label_name>Camrese Lo 0.1 mg-20 mcg (84)/10 mcg (7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093645056</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093645098</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093645156</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093645198</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681519</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681545</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681555</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681573</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681619</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681645</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681655</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681673</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681719</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681745</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093681773</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093711306</ndc>
    <ndc_label_name>NEFAZODONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716305</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716356</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716398</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716405</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716456</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093716498</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093717201</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093717801</ndc>
    <ndc_label_name>NEFAZODONE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093719801</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093719805</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093719856</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093720110</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093720198</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093720210</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093720298</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727105</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727156</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727198</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727205</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727256</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727298</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727305</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727356</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093727398</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729001</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729056</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729501</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729505</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729601</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093729605</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093731405</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093731456</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093733401</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093733405</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093735056</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093735156</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093735201</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093735301</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093735505</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093735556</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093735598</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736710</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736756</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736798</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736810</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736856</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736898</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736910</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736956</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093736998</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738405</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738456</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738498</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738505</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738556</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738598</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738605</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738656</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093738698</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093738756</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093739286</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093739386</ndc>
    <ndc_label_name>NIACIN ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093739398</ndc>
    <ndc_label_name>NIACIN ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093739486</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093739498</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744201</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744256</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744301</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744356</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744601</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093744656</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093745501</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093745601</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093745701</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093747119</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093747143</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093747219</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093747243</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093747306</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093747489</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093751631</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 500-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093751731</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 100-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093751831</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 250-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093753656</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093762056</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093762998</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093763056</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093765256</ndc>
    <ndc_label_name>VARDENAFIL HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093765356</ndc>
    <ndc_label_name>VARDENAFIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093765456</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093765556</ndc>
    <ndc_label_name>VARDENAFIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093766256</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093766356</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093766456</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093767901</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093767902</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093770198</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093770456</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776619</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776624</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776719</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776724</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776819</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776824</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776919</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093776924</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093777113</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093777119</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093777179</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786519</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 200 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786565</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 200 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786619</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 400 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786665</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 400 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786719</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 600 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786765</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 600 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786819</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 800 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786865</ndc>
    <ndc_label_name>FENTANYL CITRATE OTFC 800 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786919</ndc>
    <ndc_label_name>FENTANYL CIT OTFC 1,200 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093786965</ndc>
    <ndc_label_name>FENTANYL CIT OTFC 1,200 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093787019</ndc>
    <ndc_label_name>FENTANYL CIT OTFC 1,600 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093787065</ndc>
    <ndc_label_name>FENTANYL CIT OTFC 1,600 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093790901</ndc>
    <ndc_label_name>TIOPRONIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093803401</ndc>
    <ndc_label_name>GLYBURIDE MICRO 1.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093803501</ndc>
    <ndc_label_name>GLYBURIDE MICRO 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093803505</ndc>
    <ndc_label_name>GLYBURIDE MICRO 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093803601</ndc>
    <ndc_label_name>GLYBURIDE MICRO 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093807256</ndc>
    <ndc_label_name>TIAGABINE HCL 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093807316</ndc>
    <ndc_label_name>KELNOR 1-50 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093807328</ndc>
    <ndc_label_name>KELNOR 1-50 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093807656</ndc>
    <ndc_label_name>TIAGABINE HCL 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093810798</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093811756</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093811856</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093811956</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093816201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093816301</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093816401</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093816501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093816601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093818064</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093819201</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093819205</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093819928</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093820401</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093820405</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093821028</ndc>
    <ndc_label_name>Finzala 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093821062</ndc>
    <ndc_label_name>Finzala 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093822428</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093822928</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093823128</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093823256</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093823298</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093823856</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093823898</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093830501</ndc>
    <ndc_label_name>CIMETIDINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093831018</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093831019</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093831118</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093831119</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834201</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834301</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834305</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834310</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834398</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834401</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834405</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834410</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093834498</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093867574</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093867575</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093867578</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093873901</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093874001</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093874101</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093901819</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093901865</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093901919</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093901965</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093902019</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093902065</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093914701</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093914801</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093914901</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093915701</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093916301</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093922201</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093922205</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093922206</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093922489</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929019</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929067</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929119</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929167</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929219</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929267</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929319</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929367</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929419</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093929467</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093936401</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093936405</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093936410</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093943301</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093943305</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093947753</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093960995</ndc>
    <ndc_label_name>DOXEPIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00093961413</ndc>
    <ndc_label_name>SILVER NITRATE 0.5% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970105</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970201</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970205</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970210</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970301</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970305</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00093970310</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00095300001</ndc>
    <ndc_label_name>BUPAP 50 MG-300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096070735</ndc>
    <ndc_label_name>Drysol Dab-O-Matic 20 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096070737</ndc>
    <ndc_label_name>Drysol 20 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096070760</ndc>
    <ndc_label_name>Drysol Dab-O-Matic 20 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096070935</ndc>
    <ndc_label_name>Xerac AC 6.25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096070960</ndc>
    <ndc_label_name>Xerac AC 6.25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096072004</ndc>
    <ndc_label_name>DML Forte topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096072145</ndc>
    <ndc_label_name>DML Facial Moisturizer topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00096072208</ndc>
    <ndc_label_name>DML lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00096072216</ndc>
    <ndc_label_name>DML lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096072408</ndc>
    <ndc_label_name>Aquanil Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096072416</ndc>
    <ndc_label_name>Aquanil Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00096073204</ndc>
    <ndc_label_name>Aquanil HC 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073508</ndc>
    <ndc_label_name>DHS Zinc 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073516</ndc>
    <ndc_label_name>DHS Zinc 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073608</ndc>
    <ndc_label_name>DHS Tar Gel 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073704</ndc>
    <ndc_label_name>DHS Tar 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073708</ndc>
    <ndc_label_name>DHS Tar 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00096073804</ndc>
    <ndc_label_name>DHS Sal 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00111070752</ndc>
    <ndc_label_name>COVID-19 At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00111070772</ndc>
    <ndc_label_name>COVID-19 At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113001940</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002026</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002562</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002571</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002578</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002802</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002808</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002809</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002925</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002960</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113002971</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113003263</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113005058</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113005060</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113005253</ndc>
    <ndc_label_name>GS SLEEP TIME 25 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113005267</ndc>
    <ndc_label_name>GS SLEEP TIME 25 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113005306</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113005452</ndc>
    <ndc_label_name>Suphedrine 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113005662</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113005673</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113005705</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113005803</ndc>
    <ndc_label_name>GS OMEPRAZOLE-BICARB 20-1,100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113006126</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113006134</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113007471</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113007478</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113008100</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113008458</ndc>
    <ndc_label_name>First Aid Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113008464</ndc>
    <ndc_label_name>First Aid Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113008753</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113008762</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113009423</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113009468</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113009489</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113009691</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Daytime 10 mg-20 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113010862</ndc>
    <ndc_label_name>Complete Lice Treatment 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113011655</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113011701</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113011702</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113011703</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113014165</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113014762</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113016110</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113017025</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113017060</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113017071</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113018630</ndc>
    <ndc_label_name>Sleep Time 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113018640</ndc>
    <ndc_label_name>Sleep Time 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113018816</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113018926</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113019402</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113019471</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113020625</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113021226</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113021429</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113022453</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113022462</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113022491</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113022771</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113027468</ndc>
    <ndc_label_name>GS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113027953</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113029827</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113029858</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113030410</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113030601</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113030602</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113030603</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113032365</ndc>
    <ndc_label_name>Lubricating Plus 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113033534</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113034405</ndc>
    <ndc_label_name>GS NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113035926</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113037462</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113037478</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113037926</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113038428</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113038810</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113040378</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113042225</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113042654</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113042865</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113043162</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113043262</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113043771</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113044164</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113044173</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113044301</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113045660</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113046708</ndc>
    <ndc_label_name>GS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113046768</ndc>
    <ndc_label_name>GS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113047962</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113047978</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113047979</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113048462</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113048471</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113048478</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113048485</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113048490</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113050326</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113051771</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113052055</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113052074</ndc>
    <ndc_label_name>GS OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113053260</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113053278</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113054164</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113054462</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113057826</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113059010</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113060334</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113060340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113060462</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113060471</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113060478</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113060490</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113060826</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061239</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061246</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061260</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061265</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061275</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113061288</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113062264</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113064762</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113064771</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113064778</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113064810</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113065634</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113065772</ndc>
    <ndc_label_name>Gas Relief Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113066026</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113066834</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113067126</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113070326</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113070334</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113073402</ndc>
    <ndc_label_name>GS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113079830</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113081266</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113081710</ndc>
    <ndc_label_name>Sinus Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113082529</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113083926</ndc>
    <ndc_label_name>GS CHILD MUCUS RELIEF M-S COLD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113084795</ndc>
    <ndc_label_name>Aller-Ease 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113086626</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113087305</ndc>
    <ndc_label_name>GS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113089734</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113089801</ndc>
    <ndc_label_name>GS ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113089802</ndc>
    <ndc_label_name>GS ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113089803</ndc>
    <ndc_label_name>GS ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113090162</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113090175</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113091530</ndc>
    <ndc_label_name>GS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113091555</ndc>
    <ndc_label_name>GS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113091574</ndc>
    <ndc_label_name>GS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113092726</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113092734</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113094610</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113095702</ndc>
    <ndc_label_name>GS NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113095760</ndc>
    <ndc_label_name>GS NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113095821</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113095828</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113097364</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113098726</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113111401</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113111402</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113111403</ndc>
    <ndc_label_name>GS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113118901</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113118903</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113121285</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113164526</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113172001</ndc>
    <ndc_label_name>Nasonex 24hr Allergy 50 mcg/actuation nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113172002</ndc>
    <ndc_label_name>Nasonex 24hr Allergy 50 mcg/actuation nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113172011</ndc>
    <ndc_label_name>Nasonex 24hr Allergy 50 mcg/actuation nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113172526</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113172534</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113191016</ndc>
    <ndc_label_name>Lice Killing (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113191978</ndc>
    <ndc_label_name>GS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113200268</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113200289</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113200312</ndc>
    <ndc_label_name>Option-2  1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113200760</ndc>
    <ndc_label_name>Allergy and Congestion Relief 5 mg-120 mg tablet,extend release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113201760</ndc>
    <ndc_label_name>Sinus 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113202358</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113202360</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113214762</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113221949</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113222462</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113246162</ndc>
    <ndc_label_name>GS IBUPROFEN 100 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113403262</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113403267</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113407774</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113436862</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113436875</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113436878</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113436879</ndc>
    <ndc_label_name>GS NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113530016</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113530068</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113600203</ndc>
    <ndc_label_name>Prevacid 24Hr 15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113601926</ndc>
    <ndc_label_name>Child Cough-Cold (bromphen-DM) 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113777760</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113810025</ndc>
    <ndc_label_name>GS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113810101</ndc>
    <ndc_label_name>Opill 0.075 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113810103</ndc>
    <ndc_label_name>Opill 0.075 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113810104</ndc>
    <ndc_label_name>Opill 0.075 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113810106</ndc>
    <ndc_label_name>Opill 0.075 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113817501</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113830768</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113860025</ndc>
    <ndc_label_name>GS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00113891162</ndc>
    <ndc_label_name>Mucus D 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113895926</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113900422</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113945813</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113945839</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00113945866</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115107001</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115107101</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115107201</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115124808</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115124908</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115125008</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115125108</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115132019</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115132510</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115136529</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115136530</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115136629</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115136630</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115140408</ndc>
    <ndc_label_name>PYRIDOSTIGMINE ER 180 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115140801</ndc>
    <ndc_label_name>METHYLTESTOSTERONE 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115143613</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115143713</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115148601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115148701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115148801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115148901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115149001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115149101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115152210</ndc>
    <ndc_label_name>FENOFIBRATE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115152310</ndc>
    <ndc_label_name>FENOFIBRATE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115155410</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115155510</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115164301</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115164501</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115165901</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115165903</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166001</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166003</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166101</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166103</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166201</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115166202</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115168774</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115168776</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115168974</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115168976</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115169301</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115169430</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115169449</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115169530</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115169549</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115169606</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115169701</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115170001</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115170901</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115171001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115172401</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115172501</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115173601</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 10MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115173701</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 20MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115173801</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 30MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115173901</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 40MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115174001</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 50MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115174101</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 60MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115174501</ndc>
    <ndc_label_name>METAXALONE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115175008</ndc>
    <ndc_label_name>ACITRETIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115175108</ndc>
    <ndc_label_name>ACITRETIN 17.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115175308</ndc>
    <ndc_label_name>ACITRETIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115175701</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180001</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180101</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180201</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180301</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180302</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180401</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115180402</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115186418</ndc>
    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115186430</ndc>
    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115191101</ndc>
    <ndc_label_name>RIMANTADINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115202310</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115261101</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115262201</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115279006</ndc>
    <ndc_label_name>CHLOROQUINE PH 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115351101</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115441101</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115442201</ndc>
    <ndc_label_name>DANTROLENE SODIUM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115443301</ndc>
    <ndc_label_name>DANTROLENE SODIUM 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115521116</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115521218</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115521229</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115521302</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115551110</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115552202</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115552210</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115592201</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115701009</ndc>
    <ndc_label_name>CHLOROQUINE PH 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115703301</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115703302</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115703701</ndc>
    <ndc_label_name>Methitest 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115991801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115991901</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115992001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115992101</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00115992201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993076</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993078</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993176</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993178</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993276</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993278</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115993901</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115994001</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115994101</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00115994201</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00116102104</ndc>
    <ndc_label_name>Dyna-Hex 2 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106032</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106101</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106104</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106108</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106116</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106118</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106132</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116106140</ndc>
    <ndc_label_name>Dyna-Hex 4 % topical liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116200115</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116200116</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00116299404</ndc>
    <ndc_label_name>Scrub Care Exidine 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400508</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400511</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400515</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400516</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400530</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400532</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400540</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116400541</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116401010</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116401016</ndc>
    <ndc_label_name>AMANTADINE 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116401041</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00116402316</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SYRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00116402416</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00116402550</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121043130</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121048900</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121048905</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121050405</ndc>
    <ndc_label_name>ACETAMINOP-CODEINE 120-12 MG/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121050440</ndc>
    <ndc_label_name>ACETAMINOP-CODEINE 120-12 MG/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121053005</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121057616</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121057708</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121057716</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121057732</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121058104</ndc>
    <ndc_label_name>HALOPERIDOL LAC 2 MG/ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121058105</ndc>
    <ndc_label_name>HALOPERIDOL LAC 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121058115</ndc>
    <ndc_label_name>HALOPERIDOL LAC 2 MG/ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121059500</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121059515</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121059516</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121059530</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121063800</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121063805</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121064610</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121064616</ndc>
    <ndc_label_name>AMANTADINE 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065304</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG/ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065402</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065416</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065700</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065705</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121065816</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121067016</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121067516</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121067585</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121067616</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121067716</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121067816</ndc>
    <ndc_label_name>NORTRIPTYLINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121072104</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121072208</ndc>
    <ndc_label_name>senna 176 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121075908</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121076616</ndc>
    <ndc_label_name>CALCIUM CARB 1,250 MG/5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121077001</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML ORAL CONCENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121077308</ndc>
    <ndc_label_name>PREDNISOLONE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121077504</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121077516</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121077708</ndc>
    <ndc_label_name>PREDNISOLONE 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121079916</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121082016</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121082515</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121082601</ndc>
    <ndc_label_name>OXYCODONE HCL 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121083300</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121083305</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121085320</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP 20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121085340</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP 20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121085416</ndc>
    <ndc_label_name>Sulfatrim 200 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086500</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086505</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086800</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086802</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086805</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086816</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121086850</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121087316</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121087332</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121087404</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121087416</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121088508</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121088516</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121089020</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121089105</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121089120</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121089300</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121089315</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121089340</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121090405</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121090494</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121091400</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121091405</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121092516</ndc>
    <ndc_label_name>PROMETHAZINE VC-CODEINE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121092616</ndc>
    <ndc_label_name>Promethazine VC 6.25 mg-5 mg/5 mL oral syrup</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121093304</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121093316</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121093505</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121093540</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121094000</ndc>
    <ndc_label_name>Milk Of Magnesia Concentrated 2,400 mg/10 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121094010</ndc>
    <ndc_label_name>Milk Of Magnesia Concentrated 2,400 mg/10 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121094205</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121094216</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121094250</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121094816</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121095003</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121095608</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121096501</ndc>
    <ndc_label_name>LACTULOSE 10 GM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121096530</ndc>
    <ndc_label_name>LACTULOSE 10 GM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121096600</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121096605</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097001</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097005</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097030</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121097251</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097400</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097410</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097440</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097450</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097494</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121097610</ndc>
    <ndc_label_name>Cefotan 1 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121097655</ndc>
    <ndc_label_name>Cefotan 1 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121097710</ndc>
    <ndc_label_name>Cefotan 2 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121097755</ndc>
    <ndc_label_name>Cefotan 2 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097800</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121097810</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121100230</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121100812</ndc>
    <ndc_label_name>ACETAMIN-CODEIN 300-30 MG/12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121100840</ndc>
    <ndc_label_name>ACETAMIN-CODEIN 300-30 MG/12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101205</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101295</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101605</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101618</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101642</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101830</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121101930</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121102200</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121102205</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121102508</ndc>
    <ndc_label_name>CIMETIDINE 300 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121103416</ndc>
    <ndc_label_name>HYDROXYZINE 10 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121103555</ndc>
    <ndc_label_name>LINCOMYCIN HCL 3 GM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121103800</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121103810</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121103840</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121104516</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121104700</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121104705</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121105355</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121106716</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107016</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121107255</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107410</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG/ML ORAL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107502</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107555</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121107601</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121107650</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107701</ndc>
    <ndc_label_name>BENZOCAINE 20% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121107725</ndc>
    <ndc_label_name>BENZOCAINE 20% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121115400</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121115406</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121115430</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121115440</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121119000</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121119030</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121127600</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121127610</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121131400</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121131411</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121135000</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121135010</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121148800</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121148810</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121154410</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-217/10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121154440</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-217/10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121155010</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 200-20 MG/10ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121155040</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 200-20 MG/10ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121157610</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121159810</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000MG/10ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121159820</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000MG/10ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121166600</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121166610</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121168015</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121169610</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121169640</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121173000</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121173010</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121174400</ndc>
    <ndc_label_name>GUAIFENESIN 100MG/5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121174405</ndc>
    <ndc_label_name>GUAIFENESIN 100MG/5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121174410</ndc>
    <ndc_label_name>GUAIFENESIN 100 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121174415</ndc>
    <ndc_label_name>GUAIFENESIN 100 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121176030</ndc>
    <ndc_label_name>MAG-AL 200 mg-200 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121176130</ndc>
    <ndc_label_name>Mag-Al Plus 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121176230</ndc>
    <ndc_label_name>Mag-Al Plus Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121177505</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121177540</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121178100</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121178105</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121182800</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121182810</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121185416</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121187000</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121187010</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121188200</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121188211</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121188294</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121188407</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121188450</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121189600</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121189630</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121189640</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121189650</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121193001</ndc>
    <ndc_label_name>LACTULOSE 20 GM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121193030</ndc>
    <ndc_label_name>LACTULOSE 20 GM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121197100</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121197121</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121202410</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121202495</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121203630</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121203830</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121204400</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121204410</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121209400</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121209411</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121210602</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121213406</ndc>
    <ndc_label_name>GABAPENTIN 300 MG/6ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121213440</ndc>
    <ndc_label_name>GABAPENTIN 300 MG/6ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121223200</ndc>
    <ndc_label_name>GUAIFENESIN 300 MG/15 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121223215</ndc>
    <ndc_label_name>GUAIFENESIN 300 MG/15 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121231615</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMN 7.5-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121231650</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMN 7.5-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121252030</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121282321</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121282394</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121282615</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121282650</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121284716</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121303615</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121303695</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121314100</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121314121</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121404874</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121404895</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121406705</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121406740</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121457706</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121457715</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121457740</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121467500</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121467505</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121467540</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121472105</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121472215</ndc>
    <ndc_label_name>senna 176 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121475905</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121475950</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121476605</ndc>
    <ndc_label_name>CALCIUM CARB 1,250 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121477205</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 2.5-108/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121477240</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 2.5-108/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121478505</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121478535</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121479905</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121479940</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121479950</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121482015</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00121482040</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121482225</ndc>
    <ndc_label_name>HYDROXYZINE 50 MG/25 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121482705</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121482740</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121482750</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121483905</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121483940</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494800</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494815</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494840</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494850</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494880</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121494894</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121495015</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121495040</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121495505</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121495594</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121496705</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00121496740</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126001661</ndc>
    <ndc_label_name>PreviDent 5000 Dry Mouth 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126002292</ndc>
    <ndc_label_name>PreviDent 5000 Enamel Protect 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126003316</ndc>
    <ndc_label_name>PreviDent 0.2 % dental solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00126003516</ndc>
    <ndc_label_name>Periogard 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126007061</ndc>
    <ndc_label_name>PreviDent 5000 Sensitive 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126007292</ndc>
    <ndc_label_name>PreviDent 5000 Booster Plus 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126007492</ndc>
    <ndc_label_name>PreviDent 5000 Booster Plus 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126008008</ndc>
    <ndc_label_name>Peroxyl 1.5 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126008802</ndc>
    <ndc_label_name>PreviDent 1.1 % gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126013516</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126013816</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126013916</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126016593</ndc>
    <ndc_label_name>Gel-Kam 0.4 % dental</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126017916</ndc>
    <ndc_label_name>PreviDent 0.2 % dental solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126019293</ndc>
    <ndc_label_name>Gel-Kam 0.4 % dental</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00126027216</ndc>
    <ndc_label_name>Periogard 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126028666</ndc>
    <ndc_label_name>PreviDent 5000 Plus 1.1 % cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126028733</ndc>
    <ndc_label_name>PreviDent 5000 Plus 1.1 % cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126028766</ndc>
    <ndc_label_name>PreviDent 5000 Plus 1.1 % cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126028802</ndc>
    <ndc_label_name>PreviDent 1.1 % gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126028992</ndc>
    <ndc_label_name>PreviDent 5000 Ortho Defense 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00126031192</ndc>
    <ndc_label_name>PreviDent Kids 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127136677</ndc>
    <ndc_label_name>Lobana Peri-Garde topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127136688</ndc>
    <ndc_label_name>Lobana Peri-Garde topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127154006</ndc>
    <ndc_label_name>Lobana Body lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127154012</ndc>
    <ndc_label_name>Lobana Body lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127154016</ndc>
    <ndc_label_name>Lobana Body lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127166016</ndc>
    <ndc_label_name>Pheneen topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127178606</ndc>
    <ndc_label_name>Surgel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127178612</ndc>
    <ndc_label_name>Surgel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127178616</ndc>
    <ndc_label_name>Surgel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127303612</ndc>
    <ndc_label_name>Lobana Bath oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00127330202</ndc>
    <ndc_label_name>Ta-Poff topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131181067</ndc>
    <ndc_label_name>Vimpat 200 mg/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247099</ndc>
    <ndc_label_name>Vimpat 50 mg (14)-100 mg (14) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247735</ndc>
    <ndc_label_name>Vimpat 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247760</ndc>
    <ndc_label_name>Vimpat 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247835</ndc>
    <ndc_label_name>Vimpat 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247860</ndc>
    <ndc_label_name>Vimpat 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247935</ndc>
    <ndc_label_name>Vimpat 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131247960</ndc>
    <ndc_label_name>Vimpat 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131248035</ndc>
    <ndc_label_name>Vimpat 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131248060</ndc>
    <ndc_label_name>Vimpat 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00131541072</ndc>
    <ndc_label_name>Vimpat 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132000036</ndc>
    <ndc_label_name>Phazyme 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000046</ndc>
    <ndc_label_name>Fleet Mineral Oil 50 % oral emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000047</ndc>
    <ndc_label_name>Fleet Bisacodyl 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000048</ndc>
    <ndc_label_name>Fleet Docusate 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000050</ndc>
    <ndc_label_name>Fleet Mini (bisacodyl) 10 mg/30 mL enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000106</ndc>
    <ndc_label_name>Pedia-Lax Stool Softener 50 mg/15 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000206</ndc>
    <ndc_label_name>Phazyme 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000211</ndc>
    <ndc_label_name>Phazyme 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000214</ndc>
    <ndc_label_name>Phazyme 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000215</ndc>
    <ndc_label_name>Phazyme 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132000507</ndc>
    <ndc_label_name>PHAZYME GAS AND ACID CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132000508</ndc>
    <ndc_label_name>Phazyme 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132000655</ndc>
    <ndc_label_name>Pedia-Lax (mag hydroxide) 400 mg (170 mg magnesium) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132002011</ndc>
    <ndc_label_name>Fleet Enema Extra 19 gram-7 gram/197 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132007900</ndc>
    <ndc_label_name>Fleet Glycerin (Adult) rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132007912</ndc>
    <ndc_label_name>Fleet Glycerin (Adult) rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132007924</ndc>
    <ndc_label_name>Fleet Glycerin (Adult) rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132007950</ndc>
    <ndc_label_name>Fleet Glycerin (Adult) rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132010624</ndc>
    <ndc_label_name>Pedia-Lax Stool Softener 50 mg/15 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132011946</ndc>
    <ndc_label_name>Fleet Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132018582</ndc>
    <ndc_label_name>Fleet Glycerin Laxative 5.4 gram/5.4 mL rectal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132019012</ndc>
    <ndc_label_name>Pedia-Lax 2.8 gram/2.7 mL rectal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132020140</ndc>
    <ndc_label_name>Fleet Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132020142</ndc>
    <ndc_label_name>Fleet Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132020145</ndc>
    <ndc_label_name>Fleet Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132020220</ndc>
    <ndc_label_name>Fleet Pediatric 9.5 gram-3.5 gram/59 mL enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132021112</ndc>
    <ndc_label_name>Phazyme 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132030140</ndc>
    <ndc_label_name>Fleet Mineral Oil enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132065501</ndc>
    <ndc_label_name>Pedia-Lax (mag hydroxide) 400 mg (170 mg magnesium) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00132070336</ndc>
    <ndc_label_name>Fleet Bisacodyl 10 mg/30 mL enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00132874302</ndc>
    <ndc_label_name>Summer's Eve Douche 0.3 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007003</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007027</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007048</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007127</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007148</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007401</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007406</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007407</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007422</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007424</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007425</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007446</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135007625</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135008969</ndc>
    <ndc_label_name>Citrucel (sucrose) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135008971</ndc>
    <ndc_label_name>Citrucel (sucrose) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135009070</ndc>
    <ndc_label_name>Citrucel Sugar Free oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135009074</ndc>
    <ndc_label_name>Citrucel Sugar Free oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135009075</ndc>
    <ndc_label_name>Citrucel Sugar Free oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135009441</ndc>
    <ndc_label_name>GAVISCON LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135009541</ndc>
    <ndc_label_name>Gaviscon Extra Strength 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135009826</ndc>
    <ndc_label_name>Gaviscon Extra Strength 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135011814</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135011883</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135014001</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135014003</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135014502</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135015405</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015501</ndc>
    <ndc_label_name>Tums 320 mg calcium (750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015707</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015710</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015711</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015807</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015810</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135015811</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135017802</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135017803</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135017808</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018002</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018014</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018102</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018105</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018107</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018114</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135018301</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019401</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019402</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019403</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019405</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019408</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019502</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019503</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019505</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019508</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019602</ndc>
    <ndc_label_name>Nicoderm CQ 7 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019605</ndc>
    <ndc_label_name>Nicoderm CQ 7 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019608</ndc>
    <ndc_label_name>Nicoderm CQ 7 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019901</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019902</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135019907</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135020001</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135020003</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135020005</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135020006</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135022503</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135022602</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135022603</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135022801</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135022905</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135023004</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135023005</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135023501</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135023502</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024102</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024105</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024106</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024108</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024202</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024205</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024206</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135024208</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135024302</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135024502</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135024601</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135024602</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135024605</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135030001</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135035503</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135043003</ndc>
    <ndc_label_name>Gaviscon Extra Strength 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135045601</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135045603</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135045605</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046101</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046102</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046105</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046106</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046601</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046602</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046605</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046608</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046702</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046705</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135046708</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135046901</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047401</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047402</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047403</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047405</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047408</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047418</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047501</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047502</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047503</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047505</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135047508</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050802</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050803</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050804</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050902</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050903</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135050904</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051001</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051002</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051003</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051005</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051006</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051007</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051101</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051102</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051105</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051106</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051107</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051201</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051205</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051301</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051305</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051403</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051404</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135051503</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135052202</ndc>
    <ndc_label_name>Tums Freshers 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135052203</ndc>
    <ndc_label_name>Tums Freshers 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135053202</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135053203</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135053302</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135054103</ndc>
    <ndc_label_name>Tums Freshers 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135056001</ndc>
    <ndc_label_name>Tums Ultra 470 mg (as calcium carbonate 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135056002</ndc>
    <ndc_label_name>Tums Ultra 470 mg (as calcium carbonate 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057401</ndc>
    <ndc_label_name>Gaviscon Extra Strength 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057602</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057603</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057604</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057614</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057615</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057616</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135057617</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135057801</ndc>
    <ndc_label_name>Flonase Headache-Allergy Relief 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135057802</ndc>
    <ndc_label_name>Flonase Headache-Allergy Relief 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135057803</ndc>
    <ndc_label_name>Flonase Headache-Allergy Relief 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135058201</ndc>
    <ndc_label_name>Children's Flonase Allergy Relief 50 mcg/actuation nasal spray,susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135058202</ndc>
    <ndc_label_name>Children's Flonase Allergy Relief 50 mcg/actuation nasal spray,susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135058204</ndc>
    <ndc_label_name>Children's Flonase Allergy Relief 50 mcg/actuation nasal spray,susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135060601</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135060602</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135060604</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061101</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061502</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061503</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061504</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061505</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061506</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135061601</ndc>
    <ndc_label_name>Children's Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135062501</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135062502</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135062601</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135062602</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135063501</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135063502</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135063601</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135063602</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135100001</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135100002</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135132601</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135132603</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00135132801</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135150001</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135150002</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135280001</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135280002</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135805081</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00135806081</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00140000401</ndc>
    <ndc_label_name>Valium 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00140000501</ndc>
    <ndc_label_name>Valium 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117101</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117110</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117201</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117210</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117301</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117310</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143117401</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143122701</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143122710</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143124001</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143124010</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143124101</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143124110</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143145501</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143145505</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143145801</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143145805</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143149501</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143149505</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143150001</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143150005</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143176901</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143176910</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143177101</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143177110</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143177201</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143177210</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143211205</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143211250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143301801</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143301810</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143301830</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143314150</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143314250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143900501</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143900601</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143902201</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143902202</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908401</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908501</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908601</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908701</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908801</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143908901</ndc>
    <ndc_label_name>DOXORUBICIN 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909001</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909101</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909201</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909301</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909401</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909405</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143909801</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143912801</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143912825</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143913501</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143913601</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143913901</ndc>
    <ndc_label_name>CEFAZOLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143913925</ndc>
    <ndc_label_name>CEFAZOLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914001</ndc>
    <ndc_label_name>CEFAZOLIN 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914025</ndc>
    <ndc_label_name>CEFAZOLIN 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914101</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914110</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914401</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914402</ndc>
    <ndc_label_name>LIRAGLUTIDE 2-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143914403</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915001</ndc>
    <ndc_label_name>Combogesic IV 300 mg-1,000 mg/100 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915010</ndc>
    <ndc_label_name>Combogesic IV 300 mg-1,000 mg/100 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915201</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915210</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915301</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915310</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915501</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915525</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915601</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915610</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915701</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915710</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915801</ndc>
    <ndc_label_name>FUROSEMIDE 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143915901</ndc>
    <ndc_label_name>FUROSEMIDE 1,000 MG/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916001</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916010</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916101</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916110</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916125</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916201</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916210</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916301</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916401</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916501</ndc>
    <ndc_label_name>Enoby 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916601</ndc>
    <ndc_label_name>Xtrenbo 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143916701</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143916801</ndc>
    <ndc_label_name>Starjemza 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143916901</ndc>
    <ndc_label_name>Starjemza 45 mg/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143917001</ndc>
    <ndc_label_name>Starjemza 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143917101</ndc>
    <ndc_label_name>Starjemza 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143917201</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143917210</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143917301</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 400 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143917310</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 400 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918001</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918025</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918301</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918310</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918401</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918425</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918501</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143918520</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919201</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BTTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919501</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919524</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919601</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919612</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919701</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919724</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919801</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 1000MCG/250-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143919810</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 1000MCG/250-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143919901</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143920401</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143920501</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143920901</ndc>
    <ndc_label_name>CHLOROPROCAINE 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143920910</ndc>
    <ndc_label_name>CHLOROPROCAINE 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143921001</ndc>
    <ndc_label_name>CHLOROPROCAINE 3% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143921010</ndc>
    <ndc_label_name>CHLOROPROCAINE 3% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143921701</ndc>
    <ndc_label_name>IDARUBICIN HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143921801</ndc>
    <ndc_label_name>IDARUBICIN HCL 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143921901</ndc>
    <ndc_label_name>IDARUBICIN HCL 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923201</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923210</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923301</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923305</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923401</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143923410</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924001</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 15 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924101</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 30 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924501</ndc>
    <ndc_label_name>DACARBAZINE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924510</ndc>
    <ndc_label_name>DACARBAZINE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924701</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143924801</ndc>
    <ndc_label_name>DEXRAZOXANE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143924920</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925001</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925010</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925101</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925110</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925201</ndc>
    <ndc_label_name>DOPAMINE 200 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925225</ndc>
    <ndc_label_name>DOPAMINE 200 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925401</ndc>
    <ndc_label_name>DOPAMINE 400 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143925425</ndc>
    <ndc_label_name>DOPAMINE 400 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926001</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926101</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926110</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926201</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926225</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926301</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926310</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926401</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926410</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926501</ndc>
    <ndc_label_name>ROPIVACAINE 0.75% 150 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926510</ndc>
    <ndc_label_name>ROPIVACAINE 0.75% 150 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926601</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926610</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926701</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926801</ndc>
    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143926901</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143927301</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143927310</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143927701</ndc>
    <ndc_label_name>Adriamycin 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143927901</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928001</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928101</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928110</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928201</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928210</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928301</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928310</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928401</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928410</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143928501</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143928520</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928801</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143928901</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 50 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929001</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929101</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929201</ndc>
    <ndc_label_name>THIOTEPA 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143929501</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143929601</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929701</ndc>
    <ndc_label_name>DANTROLENE SODIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929801</ndc>
    <ndc_label_name>SOD FER GLUC CPLX 62.5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929810</ndc>
    <ndc_label_name>SOD FER GLUC CPLX 62.5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929901</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143929910</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930001</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930010</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930601</ndc>
    <ndc_label_name>IDARUBICIN HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930701</ndc>
    <ndc_label_name>IDARUBICIN HCL 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930801</ndc>
    <ndc_label_name>IDARUBICIN HCL 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143930901</ndc>
    <ndc_label_name>THIOTEPA 15 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931001</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931010</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931101</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931110</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931501</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931524</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931601</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931624</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931701</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931724</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931801</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143931810</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932001</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932601</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932610</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932801</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932810</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932901</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143932910</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933001</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933010</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933101</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933110</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933201</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933210</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933301</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933310</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933401</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933410</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933501</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933510</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933801</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143933825</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143934001</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143934101</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143934201</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935501</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935510</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935701</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935710</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935801</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143935901</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936101</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936201</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936301</ndc>
    <ndc_label_name>LABETALOL 100 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936310</ndc>
    <ndc_label_name>LABETALOL 100 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936401</ndc>
    <ndc_label_name>LABETALOL 200 MG/200 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936410</ndc>
    <ndc_label_name>LABETALOL 200 MG/200 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936501</ndc>
    <ndc_label_name>LABETALOL 300 MG/300 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936510</ndc>
    <ndc_label_name>LABETALOL 300 MG/300 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936601</ndc>
    <ndc_label_name>LABETALOL 200MG/200ML-DEXTROSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936610</ndc>
    <ndc_label_name>LABETALOL 200MG/200ML-DEXTROSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143936701</ndc>
    <ndc_label_name>METHOTREXATE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143936801</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937301</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937310</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937401</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937410</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937501</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937510</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937601</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937701</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937801</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937901</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143937910</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938001</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938010</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143938101</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143938110</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938201</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938210</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938301</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938310</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938401</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938501</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938601</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938610</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938701</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143938725</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939101</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939110</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939201</ndc>
    <ndc_label_name>REMIFENTANIL 2 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939210</ndc>
    <ndc_label_name>REMIFENTANIL 2 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939301</ndc>
    <ndc_label_name>REMIFENTANIL 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939310</ndc>
    <ndc_label_name>REMIFENTANIL 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939401</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939601</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939701</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939710</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939801</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143939810</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143942801</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143942901</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143942910</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143943001</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143943010</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143943101</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143943110</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944201</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944210</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944301</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944312</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944401</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143944501</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143945501</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946101</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946110</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946501</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946601</ndc>
    <ndc_label_name>Tyzavan 1.25 gram/250 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946606</ndc>
    <ndc_label_name>Tyzavan 1.25 gram/250 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946701</ndc>
    <ndc_label_name>Tyzavan 1.75 gram/350 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946706</ndc>
    <ndc_label_name>Tyzavan 1.75 gram/350 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946801</ndc>
    <ndc_label_name>Tyzavan 750 mg/150 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946812</ndc>
    <ndc_label_name>Tyzavan 750 mg/150 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946901</ndc>
    <ndc_label_name>Tyzavan 1.5 gram/300 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143946906</ndc>
    <ndc_label_name>Tyzavan 1.5 gram/300 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947001</ndc>
    <ndc_label_name>Tyzavan 2 gram/400 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947006</ndc>
    <ndc_label_name>Tyzavan 2 gram/400 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947101</ndc>
    <ndc_label_name>Tyzavan 500 mg/100 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947112</ndc>
    <ndc_label_name>Tyzavan 500 mg/100 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947201</ndc>
    <ndc_label_name>Tyzavan 1 gram/200 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143947212</ndc>
    <ndc_label_name>Tyzavan 1 gram/200 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143950101</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143950125</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143950201</ndc>
    <ndc_label_name>HALOPERIDOL LAC 50 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950301</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950401</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950501</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950601</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950610</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950701</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950710</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950801</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950810</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950901</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143950910</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951001</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951101</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951201</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951301</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951401</ndc>
    <ndc_label_name>DROPERIDOL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951425</ndc>
    <ndc_label_name>DROPERIDOL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951501</ndc>
    <ndc_label_name>DROPERIDOL 2.5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143951525</ndc>
    <ndc_label_name>DROPERIDOL 2.5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143951901</ndc>
    <ndc_label_name>METHOTREXATE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143951910</ndc>
    <ndc_label_name>METHOTREXATE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143952501</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143952510</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143952601</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143952610</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143952901</ndc>
    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953001</ndc>
    <ndc_label_name>IFOSFAMIDE 3 GM/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953101</ndc>
    <ndc_label_name>IFOSFAMIDE 1 GM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953201</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953225</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953301</ndc>
    <ndc_label_name>ALLOPURINOL SODIUM 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953401</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143953410</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143954201</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143954210</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955001</ndc>
    <ndc_label_name>DAUNORUBICIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955101</ndc>
    <ndc_label_name>DAUNORUBICIN 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955110</ndc>
    <ndc_label_name>DAUNORUBICIN 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955201</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955301</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955401</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955501</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955801</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143955901</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956401</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956410</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956501</ndc>
    <ndc_label_name>THIOTEPA 15 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956601</ndc>
    <ndc_label_name>AZATHIOPRINE SOD 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956701</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956725</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956801</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956825</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143956901</ndc>
    <ndc_label_name>CEFUROXIME SOD 7.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957001</ndc>
    <ndc_label_name>SOD FER GLUC CPLX 62.5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957010</ndc>
    <ndc_label_name>SOD FER GLUC CPLX 62.5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957501</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957510</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957701</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143957710</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143958301</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959401</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959425</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959501</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959525</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959601</ndc>
    <ndc_label_name>PARICALCITOL 10 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143959721</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143960601</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143961901</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143961910</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962001</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962010</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962101</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962125</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962201</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143962301</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG/40 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963301</ndc>
    <ndc_label_name>NICARDIPIN 40MG/200ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963310</ndc>
    <ndc_label_name>NICARDIPIN 40MG/200ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963401</ndc>
    <ndc_label_name>NICARDIPIN 20MG/200ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963410</ndc>
    <ndc_label_name>NICARDIPIN 20MG/200ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963701</ndc>
    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143963710</ndc>
    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143963801</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143963805</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143965901</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143966001</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143966010</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967301</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967325</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967401</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967801</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967901</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143967910</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968001</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968025</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968101</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968125</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968201</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968225</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968301</ndc>
    <ndc_label_name>FLUMAZENIL 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968310</ndc>
    <ndc_label_name>FLUMAZENIL 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968401</ndc>
    <ndc_label_name>FLUMAZENIL 0.5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968410</ndc>
    <ndc_label_name>FLUMAZENIL 0.5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968901</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143968910</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143970101</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143970201</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143970801</ndc>
    <ndc_label_name>MILRINONE LACT 50 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143970901</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143970910</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971001</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971010</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971801</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971810</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971901</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143971910</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972001</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972024</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972101</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972124</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972201</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972224</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972301</ndc>
    <ndc_label_name>CLONIDINE 5,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972401</ndc>
    <ndc_label_name>CLONIDINE 1,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143972501</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972601</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972901</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143972905</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974401</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974410</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974501</ndc>
    <ndc_label_name>GRANISETRON HCL 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974505</ndc>
    <ndc_label_name>GRANISETRON HCL 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974601</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143974610</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143975001</ndc>
    <ndc_label_name>TESTOSTERON ENAN 1,000 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143975301</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143975325</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143975401</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143975425</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978301</ndc>
    <ndc_label_name>FLUMAZENIL 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978310</ndc>
    <ndc_label_name>FLUMAZENIL 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978401</ndc>
    <ndc_label_name>FLUMAZENIL 0.5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978410</ndc>
    <ndc_label_name>FLUMAZENIL 0.5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978501</ndc>
    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978510</ndc>
    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978601</ndc>
    <ndc_label_name>ENALAPRILAT 2.5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978610</ndc>
    <ndc_label_name>ENALAPRILAT 2.5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978701</ndc>
    <ndc_label_name>ENALAPRILAT 1.25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143978710</ndc>
    <ndc_label_name>ENALAPRILAT 1.25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143980250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143980305</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143980350</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143983001</ndc>
    <ndc_label_name>METHOTREXATE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143983601</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143983610</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143983701</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143983710</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985101</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 1 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985201</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985210</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143985316</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143985324</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143985375</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985601</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985625</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985701</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985725</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985801</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985825</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985901</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143985925</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987101</ndc>
    <ndc_label_name>CLADRIBINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987201</ndc>
    <ndc_label_name>PROPRANOLOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987210</ndc>
    <ndc_label_name>PROPRANOLOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987301</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987325</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987501</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987525</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987610</ndc>
    <ndc_label_name>CEFOXITIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987701</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987725</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987801</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143987825</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988601</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988650</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988675</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988701</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988750</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988775</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988801</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988815</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988880</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988901</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988915</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143988980</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143992390</ndc>
    <ndc_label_name>CEFAZOLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143992490</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143992701</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143992801</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143992950</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143993905</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143997722</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143997790</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143997922</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143997990</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998101</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998150</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998175</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998201</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998250</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00143998275</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143998303</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00143998391</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00145007160</ndc>
    <ndc_label_name>Veltin 1.2 %-0.025 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00149000128</ndc>
    <ndc_label_name>Pepto-Bismol Ultra 525 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000215</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000315</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000380</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000415</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000416</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000480</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000580</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000615</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000616</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168000680</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168001516</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168001531</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168002016</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168002031</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168003315</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.1% OINTM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168003346</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.1% OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168004015</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168004046</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168004160</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005515</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005546</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005615</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005646</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005760</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168005960</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168006415</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168006460</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168008016</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168008031</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168009915</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168012691</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168014616</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168014630</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168016315</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168016330</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168016346</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168016360</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168020130</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168020160</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168020230</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168020260</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168020360</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168020437</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168025846</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026315</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026345</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026360</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026515</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026730</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026760</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026815</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168026850</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168026950</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168027740</ndc>
    <ndc_label_name>CLINDAMYCIN 2% VAGINAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168029315</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168029330</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168029360</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168030115</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168030130</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168030160</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168032346</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168033215</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168033230</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168034646</ndc>
    <ndc_label_name>TERCONAZOLE 0.4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168034720</ndc>
    <ndc_label_name>TERCONAZOLE 0.8% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168035550</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168035705</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168035730</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168035755</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168035756</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168035830</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168035860</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168035890</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168038360</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168041060</ndc>
    <ndc_label_name>PREDNICARBATE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041630</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041660</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041699</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041730</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041760</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00168041799</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00168042446</ndc>
    <ndc_label_name>ADAPALENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183302</ndc>
    <ndc_label_name>Novolin R Regular U-100 Insulin 100 unit/mL injection solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183311</ndc>
    <ndc_label_name>Novolin R Regular U-100 Insulin 100 unit/mL injection solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183402</ndc>
    <ndc_label_name>Novolin N NPH U-100 Insulin isophane 100 unit/mL subcutaneous susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183411</ndc>
    <ndc_label_name>Novolin N NPH U-100 Insulin isophane 100 unit/mL subcutaneous susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183702</ndc>
    <ndc_label_name>Novolin 70/30 U-100 Insulin 100 unit/mL subcutaneous suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169183711</ndc>
    <ndc_label_name>Novolin 70/30 U-100 Insulin 100 unit/mL subcutaneous suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169185189</ndc>
    <ndc_label_name>Novofine 32 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169185275</ndc>
    <ndc_label_name>NOVOFINE AUTOCOVER 30G NEEDLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169185459</ndc>
    <ndc_label_name>Novopen Echo subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169185550</ndc>
    <ndc_label_name>NovoFine Plus 32 gauge x 1/6" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169191201</ndc>
    <ndc_label_name>ZEGALOGUE 0.6 MG/0.6ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169191202</ndc>
    <ndc_label_name>ZEGALOGUE 0.6 MG/0.6ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169191301</ndc>
    <ndc_label_name>ZEGALOGUE 0.6 MG/0.6 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169191302</ndc>
    <ndc_label_name>ZEGALOGUE 0.6 MG/0.6 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169200190</ndc>
    <ndc_label_name>Diluting Medium for Novolog injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169203011</ndc>
    <ndc_label_name>Sogroya 10 mg/1.5 mL (6.7 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169203511</ndc>
    <ndc_label_name>Sogroya 5 mg/1.5 mL (3.3 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169203711</ndc>
    <ndc_label_name>Sogroya 15 mg/1.5 mL (10 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169208015</ndc>
    <ndc_label_name>Alhemo Pen 150 mg/1.5 mL (100 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169208103</ndc>
    <ndc_label_name>Alhemo Pen 300 mg/3 mL (100 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169208415</ndc>
    <ndc_label_name>Alhemo Pen 60 mg/1.5 mL (40 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169210011</ndc>
    <ndc_label_name>Novolog U-100 Insulin aspart 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169210112</ndc>
    <ndc_label_name>Novolog FlexPen U-100 Insulin aspart 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169210125</ndc>
    <ndc_label_name>Novolog FlexPen U-100 Insulin aspart 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169220011</ndc>
    <ndc_label_name>Novolog Mix 70-30 U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169220125</ndc>
    <ndc_label_name>Novolog Mix 70-30 FlexPen U-100 Insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169255013</ndc>
    <ndc_label_name>Tresiba FlexTouch U-200 insulin 200 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169255097</ndc>
    <ndc_label_name>Tresiba FlexTouch U-200 insulin 200 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169266015</ndc>
    <ndc_label_name>Tresiba FlexTouch U-100 insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169266097</ndc>
    <ndc_label_name>Tresiba FlexTouch U-100 insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169266211</ndc>
    <ndc_label_name>Tresiba U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169280015</ndc>
    <ndc_label_name>Saxenda 3 mg/0.5 mL (18 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169291115</ndc>
    <ndc_label_name>Xultophy 100/3.6  100 unit-3.6 mg/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300301</ndc>
    <ndc_label_name>Novolin R FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300312</ndc>
    <ndc_label_name>Novolin R FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300315</ndc>
    <ndc_label_name>Novolin R FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300325</ndc>
    <ndc_label_name>Novolin R FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300415</ndc>
    <ndc_label_name>Novolin N FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300425</ndc>
    <ndc_label_name>Novolin N FlexPen 100 unit/mL (3 mL) subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300701</ndc>
    <ndc_label_name>Novolin 70-30 FlexPen U-100 Insulin 100 unit/mL (70-30) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300712</ndc>
    <ndc_label_name>Novolin 70-30 FlexPen U-100 Insulin 100 unit/mL (70-30) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300715</ndc>
    <ndc_label_name>Novolin 70-30 FlexPen U-100 Insulin 100 unit/mL (70-30) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169300725</ndc>
    <ndc_label_name>Novolin 70-30 FlexPen U-100 Insulin 100 unit/mL (70-30) subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320111</ndc>
    <ndc_label_name>Fiasp U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320415</ndc>
    <ndc_label_name>Fiasp FlexTouch U-100 Insulin 100 unit/mL (3 mL) subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320511</ndc>
    <ndc_label_name>Fiasp Penfill U-100 Insulin 100 unit/mL (3 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320515</ndc>
    <ndc_label_name>Fiasp Penfill U-100 Insulin 100 unit/mL (3 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320611</ndc>
    <ndc_label_name>Fiasp Pumpcart 100 unit/mL (1.6 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169320615</ndc>
    <ndc_label_name>Fiasp Pumpcart 100 unit/mL (1.6 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169330312</ndc>
    <ndc_label_name>Novolog PenFill U-100 Insulin aspart 100 unit/mL subcutaneous cartridg</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169368512</ndc>
    <ndc_label_name>Novolog Mix 70-30 U-100 Insulin 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169368712</ndc>
    <ndc_label_name>LEVEMIR 100 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169369619</ndc>
    <ndc_label_name>Novolog Mix 70-30 FlexPen U-100 Insulin 100 unit/mL subcutaneous pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169406012</ndc>
    <ndc_label_name>Victoza 2-Pak 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169406013</ndc>
    <ndc_label_name>Victoza 3-Pak 0.6 mg/0.1 mL (18 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169413001</ndc>
    <ndc_label_name>Ozempic 1 mg/dose (4 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169413013</ndc>
    <ndc_label_name>Ozempic 1 mg/dose (4 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169418103</ndc>
    <ndc_label_name>Ozempic 0.25 mg or 0.5 mg (2 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169418113</ndc>
    <ndc_label_name>Ozempic 0.25 mg or 0.5 mg (2 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169418197</ndc>
    <ndc_label_name>Ozempic 0.25 mg or 0.5 mg (2 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169430330</ndc>
    <ndc_label_name>Rybelsus 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169430399</ndc>
    <ndc_label_name>Rybelsus 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169430730</ndc>
    <ndc_label_name>Rybelsus 7 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169431430</ndc>
    <ndc_label_name>Rybelsus 14 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169440431</ndc>
    <ndc_label_name>Wegovy 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169440931</ndc>
    <ndc_label_name>Wegovy 9 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169441531</ndc>
    <ndc_label_name>Wegovy 1.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169442531</ndc>
    <ndc_label_name>Wegovy 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169450101</ndc>
    <ndc_label_name>Wegovy 1 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169450114</ndc>
    <ndc_label_name>Wegovy 1 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169450501</ndc>
    <ndc_label_name>Wegovy 0.5 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169450514</ndc>
    <ndc_label_name>Wegovy 0.5 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169451701</ndc>
    <ndc_label_name>Wegovy 1.7 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169451714</ndc>
    <ndc_label_name>Wegovy 1.7 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452401</ndc>
    <ndc_label_name>Wegovy 2.4 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452414</ndc>
    <ndc_label_name>Wegovy 2.4 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452501</ndc>
    <ndc_label_name>Wegovy 0.25 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452514</ndc>
    <ndc_label_name>Wegovy 0.25 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452590</ndc>
    <ndc_label_name>Wegovy 0.25 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169452594</ndc>
    <ndc_label_name>Wegovy 0.25 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00169457201</ndc>
    <ndc_label_name>Wegovy HD 7.2 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00169457214</ndc>
    <ndc_label_name>Wegovy HD 7.2 mg/0.75 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169477211</ndc>
    <ndc_label_name>Ozempic 2 mg/dose (8 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169477212</ndc>
    <ndc_label_name>Ozempic 2 mg/dose (8 mg/3 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169517603</ndc>
    <ndc_label_name>Vagifem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169517604</ndc>
    <ndc_label_name>Vagifem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169530610</ndc>
    <ndc_label_name>Rivfloza 160 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169530708</ndc>
    <ndc_label_name>Rivfloza 128 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169530801</ndc>
    <ndc_label_name>Rivfloza 80 mg/0.5 mL (160 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169633910</ndc>
    <ndc_label_name>Novolog FlexPen U-100 Insulin aspart 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169643210</ndc>
    <ndc_label_name>LEVEMIR FLEXPEN 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169643255</ndc>
    <ndc_label_name>LEVEMIR FLEXPEN 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169700093</ndc>
    <ndc_label_name>STERILE WATER FOR TRETTEN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169701198</ndc>
    <ndc_label_name>Diluent For Novoseven RT subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169701298</ndc>
    <ndc_label_name>Diluent For Novoseven RT subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169701301</ndc>
    <ndc_label_name>Tretten 2,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169701598</ndc>
    <ndc_label_name>Diluent For Novoseven RT subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169701898</ndc>
    <ndc_label_name>Diluent For Novoseven RT subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00169706515</ndc>
    <ndc_label_name>GLUCAGEN 1 MG HYPOKIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169711311</ndc>
    <ndc_label_name>Tretten 2,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169720101</ndc>
    <ndc_label_name>Novoseven RT 1 mg (1,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169720201</ndc>
    <ndc_label_name>Novoseven RT 2 mg (2,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169720501</ndc>
    <ndc_label_name>Novoseven RT 5 mg (5,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169720801</ndc>
    <ndc_label_name>Novoseven RT 8 mg (8,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169721111</ndc>
    <ndc_label_name>Novoseven RT 1 mg (1,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169721211</ndc>
    <ndc_label_name>Novoseven RT 2 mg (2,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169721511</ndc>
    <ndc_label_name>Novoseven RT 5 mg (5,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169721811</ndc>
    <ndc_label_name>Novoseven RT 8 mg (8,000 mcg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169750111</ndc>
    <ndc_label_name>Novolog U-100 Insulin aspart 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169770321</ndc>
    <ndc_label_name>NORDITROPIN FLEXPRO 30 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169770421</ndc>
    <ndc_label_name>Norditropin FlexPro 5 mg/1.5 mL (3.3 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169770521</ndc>
    <ndc_label_name>Norditropin FlexPro 10 mg/1.5 mL (6.7 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169770821</ndc>
    <ndc_label_name>Norditropin FlexPro 15 mg/1.5 mL (10 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169781001</ndc>
    <ndc_label_name>Novoeight 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169781501</ndc>
    <ndc_label_name>Novoeight 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169782001</ndc>
    <ndc_label_name>Novoeight 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169782501</ndc>
    <ndc_label_name>Novoeight 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169783001</ndc>
    <ndc_label_name>Novoeight 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169785001</ndc>
    <ndc_label_name>Novoeight 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169790101</ndc>
    <ndc_label_name>Rebinyn 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169790201</ndc>
    <ndc_label_name>Rebinyn 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169790301</ndc>
    <ndc_label_name>Rebinyn 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169790501</ndc>
    <ndc_label_name>Rebinyn 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169791111</ndc>
    <ndc_label_name>Rebinyn 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169792211</ndc>
    <ndc_label_name>Rebinyn 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169793311</ndc>
    <ndc_label_name>Rebinyn 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169795511</ndc>
    <ndc_label_name>Rebinyn 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169810001</ndc>
    <ndc_label_name>Esperoct 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169810111</ndc>
    <ndc_label_name>Esperoct 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169815001</ndc>
    <ndc_label_name>Esperoct 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169815111</ndc>
    <ndc_label_name>Esperoct 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169820001</ndc>
    <ndc_label_name>Esperoct 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169820111</ndc>
    <ndc_label_name>Esperoct 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169830001</ndc>
    <ndc_label_name>Esperoct 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169830111</ndc>
    <ndc_label_name>Esperoct 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169840001</ndc>
    <ndc_label_name>Esperoct 4,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169840111</ndc>
    <ndc_label_name>Esperoct 4,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169850001</ndc>
    <ndc_label_name>Esperoct 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00169850111</ndc>
    <ndc_label_name>Esperoct 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172208360</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172208380</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172208960</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172208980</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172344460</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172344480</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172376170</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172376260</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392560</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392570</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392660</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392670</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392680</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392760</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392770</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172392780</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172409660</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172409680</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172409760</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172409780</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172572860</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172572870</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172572880</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172572960</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172572970</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172640605</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172640649</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00172731320</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173013555</ndc>
    <ndc_label_name>Wellbutrin SR 150 mg tablet, 12 hr sustained-release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173047800</ndc>
    <ndc_label_name>Imitrex STATdose Refill 6 mg/0.5 mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173047900</ndc>
    <ndc_label_name>Imitrex STATdose Pen 6 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173051700</ndc>
    <ndc_label_name>Flolan 0.5 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173051900</ndc>
    <ndc_label_name>Flolan 1.5 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173052100</ndc>
    <ndc_label_name>Serevent Diskus 50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173052600</ndc>
    <ndc_label_name>Lamictal 5 mg chewable dispersible tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173052700</ndc>
    <ndc_label_name>Lamictal 25 mg chewable dispersible tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173054700</ndc>
    <ndc_label_name>Mepron 750 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173056504</ndc>
    <ndc_label_name>Valtrex 1 gram tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173056510</ndc>
    <ndc_label_name>Valtrex 1 gram tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173059402</ndc>
    <ndc_label_name>Lamictal Starter (Orange) Kit 25 mg (42)-100 mg (7) tablets, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173063302</ndc>
    <ndc_label_name>Lamictal 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173063310</ndc>
    <ndc_label_name>Lamictal Starter (Blue) Kit 25 mg (35) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173064255</ndc>
    <ndc_label_name>Lamictal 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173064360</ndc>
    <ndc_label_name>Lamictal 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173064460</ndc>
    <ndc_label_name>Lamictal 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173066518</ndc>
    <ndc_label_name>Mepron 750 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173067501</ndc>
    <ndc_label_name>Malarone 250 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173067502</ndc>
    <ndc_label_name>Malarone 250 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173067601</ndc>
    <ndc_label_name>Malarone Pediatric 62.5 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173068101</ndc>
    <ndc_label_name>Relenza Diskhaler 5 mg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173068122</ndc>
    <ndc_label_name>Relenza Diskhaler 5 mg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173068220</ndc>
    <ndc_label_name>Ventolin HFA 90 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173068224</ndc>
    <ndc_label_name>Ventolin HFA 90 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069500</ndc>
    <ndc_label_name>Advair Diskus 100 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069504</ndc>
    <ndc_label_name>Advair Diskus 100 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069600</ndc>
    <ndc_label_name>Advair Diskus 250 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069604</ndc>
    <ndc_label_name>Advair Diskus 250 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069700</ndc>
    <ndc_label_name>Advair Diskus 500 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173069704</ndc>
    <ndc_label_name>Advair Diskus 500 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071520</ndc>
    <ndc_label_name>Advair HFA 45 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071522</ndc>
    <ndc_label_name>Advair HFA 45 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071620</ndc>
    <ndc_label_name>Advair HFA 115 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071622</ndc>
    <ndc_label_name>Advair HFA 115 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071720</ndc>
    <ndc_label_name>Advair HFA 230 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173071722</ndc>
    <ndc_label_name>Advair HFA 230 mcg-21 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173072200</ndc>
    <ndc_label_name>Wellbutrin SR 200 mg tablet, 12 hr sustained-release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173073500</ndc>
    <ndc_label_name>Imitrex 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173073601</ndc>
    <ndc_label_name>Imitrex 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173073701</ndc>
    <ndc_label_name>Imitrex 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173073900</ndc>
    <ndc_label_name>Imitrex STATdose Pen 4 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173073902</ndc>
    <ndc_label_name>Imitrex STATdose Refill 4 mg/0.5 mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075400</ndc>
    <ndc_label_name>Lamictal XR 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075500</ndc>
    <ndc_label_name>Lamictal XR 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075600</ndc>
    <ndc_label_name>Lamictal XR 100 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075700</ndc>
    <ndc_label_name>Lamictal XR 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075800</ndc>
    <ndc_label_name>Lamictal XR Starter (Blue) 25 mg (21)-50 mg (7) tablet,extend release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173075900</ndc>
    <ndc_label_name>Lamictal XR Starter (Green) 50 mg(14)-100 mg(14)-200 mg(7) tab,ext.rel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173076000</ndc>
    <ndc_label_name>Lamictal XR Starter (Orange) 25 mg(14)-50 mg(14)-100 mg(7) tab,ext.rel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173076100</ndc>
    <ndc_label_name>Lamictal XR 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077202</ndc>
    <ndc_label_name>Lamictal ODT 25 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077402</ndc>
    <ndc_label_name>Lamictal ODT 50 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077602</ndc>
    <ndc_label_name>Lamictal ODT 100 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077702</ndc>
    <ndc_label_name>Lamictal ODT 200 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077800</ndc>
    <ndc_label_name>Lamictal ODT Starter(Orange) 25 mg(14)-50 mg(14)-100 mg(7) tab,disint</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173077900</ndc>
    <ndc_label_name>Lamictal ODT Starter (Blue) 25 mg (21)-50 mg (7) tablet,disintegrating</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173078000</ndc>
    <ndc_label_name>Lamictal ODT Starter (Green) 50 mg (42)-100 mg (14) tablet,disintegrat</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173078100</ndc>
    <ndc_label_name>Lamictal XR 250 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173080913</ndc>
    <ndc_label_name>Jalyn 0.5 mg-0.4 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173080959</ndc>
    <ndc_label_name>Jalyn 0.5 mg-0.4 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173081728</ndc>
    <ndc_label_name>Lamictal Starter (Green) Kit 25 mg (84)-100 mg (14) tablets, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173085701</ndc>
    <ndc_label_name>pH 12 Diluent for Flolan intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173085702</ndc>
    <ndc_label_name>pH 12 Diluent for Flolan intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173085910</ndc>
    <ndc_label_name>Breo Ellipta 100 mcg-25 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173085914</ndc>
    <ndc_label_name>Breo Ellipta 100 mcg-25 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173086906</ndc>
    <ndc_label_name>Anoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173086910</ndc>
    <ndc_label_name>Anoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173086961</ndc>
    <ndc_label_name>Anoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173087306</ndc>
    <ndc_label_name>Incruse Ellipta 62.5 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173087310</ndc>
    <ndc_label_name>Incruse Ellipta 62.5 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173087410</ndc>
    <ndc_label_name>Arnuity Ellipta 100 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173087414</ndc>
    <ndc_label_name>Arnuity Ellipta 100 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173087610</ndc>
    <ndc_label_name>Arnuity Ellipta 200 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173087614</ndc>
    <ndc_label_name>Arnuity Ellipta 200 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173088101</ndc>
    <ndc_label_name>Nucala 100 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173088161</ndc>
    <ndc_label_name>Nucala 100 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173088210</ndc>
    <ndc_label_name>Breo Ellipta 200 mcg-25 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173088214</ndc>
    <ndc_label_name>Breo Ellipta 200 mcg-25 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173088710</ndc>
    <ndc_label_name>Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173088714</ndc>
    <ndc_label_name>Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173088761</ndc>
    <ndc_label_name>Trelegy Ellipta 100 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173088810</ndc>
    <ndc_label_name>Arnuity Ellipta 50 mcg/actuation powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173088939</ndc>
    <ndc_label_name>Krintafel 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173089201</ndc>
    <ndc_label_name>Nucala 100 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173089242</ndc>
    <ndc_label_name>Nucala 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173089261</ndc>
    <ndc_label_name>Nucala 100 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173089310</ndc>
    <ndc_label_name>Trelegy Ellipta 200 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173089314</ndc>
    <ndc_label_name>Trelegy Ellipta 200 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00173089361</ndc>
    <ndc_label_name>Trelegy Ellipta 200 mcg-62.5 mcg-25 mcg powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173089713</ndc>
    <ndc_label_name>JESDUVROQ 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173089803</ndc>
    <ndc_label_name>Jemperli 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173090313</ndc>
    <ndc_label_name>JESDUVROQ 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173090442</ndc>
    <ndc_label_name>Nucala 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173090613</ndc>
    <ndc_label_name>JESDUVROQ 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173090913</ndc>
    <ndc_label_name>Zejula 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091113</ndc>
    <ndc_label_name>JESDUVROQ 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091213</ndc>
    <ndc_label_name>Zejula 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091261</ndc>
    <ndc_label_name>Zejula 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091301</ndc>
    <ndc_label_name>Blenrep 70 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091413</ndc>
    <ndc_label_name>JESDUVROQ 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091513</ndc>
    <ndc_label_name>Zejula 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091561</ndc>
    <ndc_label_name>Zejula 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173091610</ndc>
    <ndc_label_name>Breo Ellipta 50 mcg-25 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173092245</ndc>
    <ndc_label_name>Blujepa 750 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173092742</ndc>
    <ndc_label_name>Exdensur 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173093308</ndc>
    <ndc_label_name>Valtrex 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173093310</ndc>
    <ndc_label_name>Valtrex 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00173094755</ndc>
    <ndc_label_name>Wellbutrin SR 100 mg tablet, 12 hr sustained-release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178031430</ndc>
    <ndc_label_name>POTASSIUM IODIDE 65 MG/ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178032003</ndc>
    <ndc_label_name>Thera-Gesic 15 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00178033003</ndc>
    <ndc_label_name>Dr. Smith's Diaper 10 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178045501</ndc>
    <ndc_label_name>Texacort 2.5 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178046002</ndc>
    <ndc_label_name>AVAR-E GREEN EMOLLIENT CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178046502</ndc>
    <ndc_label_name>AVAR-E LS CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178047002</ndc>
    <ndc_label_name>Avar-E 10 %-5 % (w/w) topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178047508</ndc>
    <ndc_label_name>Avar LS 10 %-2 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178048008</ndc>
    <ndc_label_name>Avar 10 %-5 % (w/w) topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178048508</ndc>
    <ndc_label_name>OVACE PLUS 10% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178049012</ndc>
    <ndc_label_name>Ovace Plus Wash 10 % topical cleanser, gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178049502</ndc>
    <ndc_label_name>OVACE PLUS 10% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178049906</ndc>
    <ndc_label_name>Ovace 10 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178050001</ndc>
    <ndc_label_name>Lithostat 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178055001</ndc>
    <ndc_label_name>Oncovite tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178060001</ndc>
    <ndc_label_name>UROCIT-K SR 5 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178061001</ndc>
    <ndc_label_name>Urocit-K 10 10 mEq (1,080 mg) tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178061501</ndc>
    <ndc_label_name>Urocit-K 15 15 mEq (1,620 mg) tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178062002</ndc>
    <ndc_label_name>OVACE PLUS 9.8% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178063016</ndc>
    <ndc_label_name>Ovace Plus 10 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178074001</ndc>
    <ndc_label_name>URIBEL CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178074501</ndc>
    <ndc_label_name>Uribel Tabs 81.6 mg-0.12 mg-10.8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178083230</ndc>
    <ndc_label_name>CITRANATAL B-CALM COMBO PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178089630</ndc>
    <ndc_label_name>CITRANATAL MEDLEY SOFTGEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178090001</ndc>
    <ndc_label_name>Thiola 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178090190</ndc>
    <ndc_label_name>Thiola EC 300 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00178090201</ndc>
    <ndc_label_name>Thiola EC 100 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179801230</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179801430</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179801630</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179801730</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179801930</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179802902</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179803160</ndc>
    <ndc_label_name>Vision Formula (with lutein) 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179803212</ndc>
    <ndc_label_name>Vision Formula(A-C-E-Zn-Se-Cu) 1,000 unit-60 mg-30 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179803330</ndc>
    <ndc_label_name>Men's Pack 0.4 mg-250 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179803430</ndc>
    <ndc_label_name>Women's Daily Pack 400 mcg-800 mg-10 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179803501</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179803612</ndc>
    <ndc_label_name>MAG-OXIDE MAGNESIUM 200 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179804612</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179804712</ndc>
    <ndc_label_name>Men's Daily Formula 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179804912</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,200 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805002</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179805190</ndc>
    <ndc_label_name>LUTEIN 6 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805202</ndc>
    <ndc_label_name>VITAMIN E 100 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805301</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805401</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805602</ndc>
    <ndc_label_name>CALCIUM CIT 315-VIT D3 250 CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805802</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179805912</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806102</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806312</ndc>
    <ndc_label_name>Adults' Daily Formula 18 mg iron-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806490</ndc>
    <ndc_label_name>Prenatal Multivitamins 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806512</ndc>
    <ndc_label_name>Women's Daily Formula 18 mg iron-400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806612</ndc>
    <ndc_label_name>Women's 50 Plus Daily Formula 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179806712</ndc>
    <ndc_label_name>Men's 50 Plus Daily Formula 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179810442</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179815001</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179815601</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179830201</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179831301</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179831550</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179831701</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179831730</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179832530</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179840702</ndc>
    <ndc_label_name>B Complex w-Vit C 18 mg-10 mg-45 mg-5 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179840902</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179842118</ndc>
    <ndc_label_name>FISH OIL 1,200 MG FISH OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179842712</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179870260</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179870360</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179870405</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179870505</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179870730</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179871030</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179871130</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00179871530</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00179872402</ndc>
    <ndc_label_name>Silicone Scar Therapy Gel Strip 1.4" X 6" topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00185002201</ndc>
    <ndc_label_name>ORPHENADRINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185005501</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012201</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012210</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012801</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012805</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012901</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185012905</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185013001</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185013005</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185021101</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185023601</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185027701</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185032501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00185044801</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185067401</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185067405</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185067601</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185067605</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185084201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185085301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185209801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185209901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185505001</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00185560001</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186037020</ndc>
    <ndc_label_name>Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186037028</ndc>
    <ndc_label_name>Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186037060</ndc>
    <ndc_label_name>Symbicort 160 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186037220</ndc>
    <ndc_label_name>Symbicort 80 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186037228</ndc>
    <ndc_label_name>Symbicort 80 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186077660</ndc>
    <ndc_label_name>Brilinta 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Brilinta 90 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Brilinta 90 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00186091765</ndc>
    <ndc_label_name>Pulmicort Flexhaler 90 mcg/actuation breath activated</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00186198904</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00186199004</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00186401001</ndc>
    <ndc_label_name>Nexium Packet 10 mg granules delayed release for susp</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00186604001</ndc>
    <ndc_label_name>NEXIUM I.V. 40 MG VIAL</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Bryhali 0.01 % lotion</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Siliq 210 mg/1.5 mL subcutaneous syringe</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VIRAZOLE 6 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00187001050</ndc>
    <ndc_label_name>Ammonul 10 %-10 % intravenous solution</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <ndc_label_name>Isordil Titradose 5 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187077147</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079542</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079630</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079642</ndc>
    <ndc_label_name>Cardizem CD 180 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079730</ndc>
    <ndc_label_name>Cardizem CD 240 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079742</ndc>
    <ndc_label_name>Cardizem CD 240 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079830</ndc>
    <ndc_label_name>Cardizem CD 300 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079842</ndc>
    <ndc_label_name>Cardizem CD 300 mg capsule,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187079942</ndc>
    <ndc_label_name>Cardizem CD 360 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187093801</ndc>
    <ndc_label_name>Tasmar 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187099395</ndc>
    <ndc_label_name>Zovirax 5 % topical ointment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187099445</ndc>
    <ndc_label_name>Zovirax 5 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187141616</ndc>
    <ndc_label_name>Ionil T 1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187149825</ndc>
    <ndc_label_name>Timoptic Ocudose (PF) 0.25 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204530</ndc>
    <ndc_label_name>Cardizem LA 120 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204590</ndc>
    <ndc_label_name>Cardizem LA 120 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204630</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204690</ndc>
    <ndc_label_name>Cardizem LA 180 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204730</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204790</ndc>
    <ndc_label_name>Cardizem LA 240 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204830</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204890</ndc>
    <ndc_label_name>Cardizem LA 300 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00187204930</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187204990</ndc>
    <ndc_label_name>Cardizem LA 360 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>00187205030</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187205090</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187209845</ndc>
    <ndc_label_name>Arazlo 0.045 % lotion</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187212010</ndc>
    <ndc_label_name>Syprine 250 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261230</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261390</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261430</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261490</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261530</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261590</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187261630</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187301030</ndc>
    <ndc_label_name>Mestinon 60 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187301220</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187301330</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187305035</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187305050</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187511045</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187511090</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187511560</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514050</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514420</ndc>
    <ndc_label_name>RETIN-A MICRO 0.04% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514445</ndc>
    <ndc_label_name>RETIN-A MICRO 0.04% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514450</ndc>
    <ndc_label_name>RETIN-A MICRO PUMP 0.04% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514650</ndc>
    <ndc_label_name>Retin-A Micro Pump 0.06 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187514850</ndc>
    <ndc_label_name>Retin-A Micro Pump 0.08 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187515020</ndc>
    <ndc_label_name>Renova 0.02 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187515040</ndc>
    <ndc_label_name>Renova 0.02 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187515044</ndc>
    <ndc_label_name>Renova 0.02 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187515060</ndc>
    <ndc_label_name>Renova 0.02 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516020</ndc>
    <ndc_label_name>Retin-A 0.025 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516045</ndc>
    <ndc_label_name>Retin-A 0.025 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516220</ndc>
    <ndc_label_name>Retin-A 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516245</ndc>
    <ndc_label_name>Retin-A 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516420</ndc>
    <ndc_label_name>Retin-A 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187516445</ndc>
    <ndc_label_name>Retin-A 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187517015</ndc>
    <ndc_label_name>Retin-A 0.025 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187517045</ndc>
    <ndc_label_name>Retin-A 0.025 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187517215</ndc>
    <ndc_label_name>Retin-A 0.01 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187517245</ndc>
    <ndc_label_name>Retin-A 0.01 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187519804</ndc>
    <ndc_label_name>Klaron 10 % lotion (suspension)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187520030</ndc>
    <ndc_label_name>Carac 0.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187520260</ndc>
    <ndc_label_name>Noritate 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187520546</ndc>
    <ndc_label_name>Benzamycin 3 %-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187540004</ndc>
    <ndc_label_name>Jublia 10 % topical solution, applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187540008</ndc>
    <ndc_label_name>Jublia 10 % topical solution, applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187552560</ndc>
    <ndc_label_name>Targretin 1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187552675</ndc>
    <ndc_label_name>Targretin 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187560015</ndc>
    <ndc_label_name>Visudyne 15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581007</ndc>
    <ndc_label_name>Aplenzin 174 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581030</ndc>
    <ndc_label_name>Aplenzin 174 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581107</ndc>
    <ndc_label_name>Aplenzin 348 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581130</ndc>
    <ndc_label_name>Aplenzin 348 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581207</ndc>
    <ndc_label_name>Aplenzin 522 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00187581230</ndc>
    <ndc_label_name>Aplenzin 522 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193148901</ndc>
    <ndc_label_name>Breeze 2 Control Solution, Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193149001</ndc>
    <ndc_label_name>Breeze 2 Control Solution, Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193149101</ndc>
    <ndc_label_name>Breeze 2 Control Solution, High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193280221</ndc>
    <ndc_label_name>Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193280250</ndc>
    <ndc_label_name>Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193288021</ndc>
    <ndc_label_name>Ketostix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193288050</ndc>
    <ndc_label_name>Ketostix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193288221</ndc>
    <ndc_label_name>Keto-Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193288250</ndc>
    <ndc_label_name>Keto-Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193596531</ndc>
    <ndc_label_name>Fingerstix Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>00193602021</ndc>
    <ndc_label_name>Microlet Next Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193602021</ndc>
    <ndc_label_name>Microlet Next Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193620101</ndc>
    <ndc_label_name>Contour Next Link kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193620301</ndc>
    <ndc_label_name>Contour Next Link kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193626201</ndc>
    <ndc_label_name>Contour Next Link 2.4 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193654621</ndc>
    <ndc_label_name>Microlet Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193656801</ndc>
    <ndc_label_name>Single-Let misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193658621</ndc>
    <ndc_label_name>Microlet Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193660601</ndc>
    <ndc_label_name>Microlet 2 Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00193670201</ndc>
    <ndc_label_name>Microlet Next Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193703601</ndc>
    <ndc_label_name>Contour Plus Blue Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193707025</ndc>
    <ndc_label_name>Contour Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193708050</ndc>
    <ndc_label_name>Contour Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193709021</ndc>
    <ndc_label_name>Contour Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193710901</ndc>
    <ndc_label_name>Contour Control Solution, Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193711001</ndc>
    <ndc_label_name>Contour Control Solution, Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193711101</ndc>
    <ndc_label_name>Contour Control Solution, High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193718901</ndc>
    <ndc_label_name>Contour Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193727735</ndc>
    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Test Strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193731401</ndc>
    <ndc_label_name>Contour Next Level 2 Control Solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193731501</ndc>
    <ndc_label_name>Contour Next Level 1 Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193737701</ndc>
    <ndc_label_name>Contour Next Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193737901</ndc>
    <ndc_label_name>Contour Next Glucose Meter kit</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193738301</ndc>
    <ndc_label_name>Contour Next Gen Meter kit</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193755301</ndc>
    <ndc_label_name>Contour Next EZ Meter</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193758450</ndc>
    <ndc_label_name>Contour Plus Test Strip</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193781801</ndc>
    <ndc_label_name>Contour Next One Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193782501</ndc>
    <ndc_label_name>Contour Next One Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contour Next Gen Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193954501</ndc>
    <ndc_label_name>Contour Meter kit</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193955601</ndc>
    <ndc_label_name>Contour Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00193967430</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00220099962</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223004007</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allevyn Adhesive Dressing 5" X 5"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allevyn 2" X 2" bandage</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allevyn 4" X 4" bandage</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allevyn Tracheostomy Dressing 3.5" X 3.5"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223044165</ndc>
    <ndc_label_name>Cica-Care Adhesive Silicone 5" X 6" topical sheets</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045435</ndc>
    <ndc_label_name>Allevyn Plus Adhesive 5" X 9" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045637</ndc>
    <ndc_label_name>Cuticerin Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045658</ndc>
    <ndc_label_name>Cuticerin Dressing 3" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045659</ndc>
    <ndc_label_name>Acticoat Moisture Control 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045662</ndc>
    <ndc_label_name>Acticoat Moisture Control 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045665</ndc>
    <ndc_label_name>Acticoat Moisture Control 4" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045958</ndc>
    <ndc_label_name>Acticoat Surgical Dressing 4" X 4 3/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045959</ndc>
    <ndc_label_name>Acticoat Surgical Dressing 4" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045960</ndc>
    <ndc_label_name>Acticoat Surgical Dressing 4" X 10"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045979</ndc>
    <ndc_label_name>Allevyn Ag Adhesive 5 %-3" X 3" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045982</ndc>
    <ndc_label_name>Allevyn Ag Adhesive 5 %-5" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045985</ndc>
    <ndc_label_name>Allevyn Ag Adhesive 5 %-7" X 7" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045994</ndc>
    <ndc_label_name>Allevyn Ag 5 %-2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223045997</ndc>
    <ndc_label_name>Allevyn Ag 5 %-4" X 4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046000</ndc>
    <ndc_label_name>Allevyn Ag 5 %-6" X 6" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046003</ndc>
    <ndc_label_name>Allevyn Ag 5 %-8" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046392</ndc>
    <ndc_label_name>Allevyn Gentle Border 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046409</ndc>
    <ndc_label_name>Allevyn Gentle Border 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046415</ndc>
    <ndc_label_name>Allevyn Gentle Border 5" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046417</ndc>
    <ndc_label_name>Allevyn Gentle Border 7" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046525</ndc>
    <ndc_label_name>Allevyn Gentle Border Heel 9" X 9 1/8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046546</ndc>
    <ndc_label_name>Allevyn Ag Gentle Dressing 5 %-2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046549</ndc>
    <ndc_label_name>Allevyn Ag Gentle Dressing 5 %-4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046555</ndc>
    <ndc_label_name>Allevyn Ag Gentle Dressing 5 %-6" X 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046558</ndc>
    <ndc_label_name>Allevyn Ag Gentle Dressing 5 %-8" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046692</ndc>
    <ndc_label_name>Durafiber Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046695</ndc>
    <ndc_label_name>Durafiber Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046698</ndc>
    <ndc_label_name>Durafiber Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046704</ndc>
    <ndc_label_name>Durafiber Dressing 3/4" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223046819</ndc>
    <ndc_label_name>Acticoat Surgical Dressing 4" X 13 3/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047545</ndc>
    <ndc_label_name>Allevyn Gentle Border Lite 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047548</ndc>
    <ndc_label_name>Allevyn Gentle Border Lite 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047551</ndc>
    <ndc_label_name>Allevyn Gentle Border Lite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047554</ndc>
    <ndc_label_name>Allevyn Gentle Border Lite 2 1/8" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047560</ndc>
    <ndc_label_name>Allevyn Gentle Border Lite 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047614</ndc>
    <ndc_label_name>Allevyn Gentle Border Sacrum 6 5/8" X 6 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047652</ndc>
    <ndc_label_name>Allevyn Gentle Border Multisite 6 3/4" X 7 1/16" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047782</ndc>
    <ndc_label_name>Allevyn Gentle Border Sacrum 8 1/2" X 9" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047799</ndc>
    <ndc_label_name>Allevyn Life Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047803</ndc>
    <ndc_label_name>Allevyn Life Dressing 5 1/16" X 5 1/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047806</ndc>
    <ndc_label_name>Allevyn Life Dressing 6 1/16" X 6 1/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223047809</ndc>
    <ndc_label_name>Allevyn Life Dressing 8 1/4" X 8 1/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00223172001</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00223172101</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223176001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00223176002</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00224180180</ndc>
    <ndc_label_name>KONSYL ORIGINAL FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00224180180</ndc>
    <ndc_label_name>KONSYL ORIGINAL FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00224180181</ndc>
    <ndc_label_name>KONSYL ORIGINAL FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225029515</ndc>
    <ndc_label_name>Anaspaz 0.125 mg disintegrating tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225029520</ndc>
    <ndc_label_name>Anaspaz 0.125 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225036011</ndc>
    <ndc_label_name>Mobisyl 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225036035</ndc>
    <ndc_label_name>Mobisyl 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00225038080</ndc>
    <ndc_label_name>Ayr Saline 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225038180</ndc>
    <ndc_label_name>Ayr Allergy and Sinus 2.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00225038280</ndc>
    <ndc_label_name>Ayr Saline 0.65 % nasal drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225049533</ndc>
    <ndc_label_name>ITCH-X 1 %-10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225052053</ndc>
    <ndc_label_name>Pretty Feet Hands topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225052547</ndc>
    <ndc_label_name>Ayr Saline nasal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225052848</ndc>
    <ndc_label_name>Ayr Saline Gel nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00225055050</ndc>
    <ndc_label_name>Baby Ayr Saline 0.65 % nasal drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225061023</ndc>
    <ndc_label_name>Benzedrex nasal inhaler</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225070010</ndc>
    <ndc_label_name>Ayr Sinus Rinse with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225070015</ndc>
    <ndc_label_name>Ayr Sinus Rinse with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225070515</ndc>
    <ndc_label_name>Ayr Sinus Rinse Refill packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225070591</ndc>
    <ndc_label_name>Ayr Sinus Rinse Refill packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225071019</ndc>
    <ndc_label_name>Ayr Saline Nasal Neti Rinse with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225080047</ndc>
    <ndc_label_name>Neo-Synephrine (phenylephrine) 0.25 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225080547</ndc>
    <ndc_label_name>Neo-Synephrine (phenylephrine) 0.5 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00225081047</ndc>
    <ndc_label_name>Neo-Synephrine (phenylephrine) 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228141003</ndc>
    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228142203</ndc>
    <ndc_label_name>LAMOTRIGINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228143503</ndc>
    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228145303</ndc>
    <ndc_label_name>LAMOTRIGINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228158003</ndc>
    <ndc_label_name>LAMOTRIGINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228163803</ndc>
    <ndc_label_name>LAMOTRIGINE ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202710</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202750</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202796</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202910</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202950</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228202996</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228203110</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228203150</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228203196</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228203910</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228206710</ndc>
    <ndc_label_name>OXAZEPAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228206910</ndc>
    <ndc_label_name>OXAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228207310</ndc>
    <ndc_label_name>OXAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228207610</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228207650</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228207710</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228207750</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228212710</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228212750</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228212810</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228212850</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228212910</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228234810</ndc>
    <ndc_label_name>PROPYLTHIOURACIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228249710</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228253010</ndc>
    <ndc_label_name>NIFEDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255006</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255011</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255096</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255106</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255111</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228255196</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228257111</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228257196</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228259711</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228259796</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228262011</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228263111</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228263611</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228263650</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228263711</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228263750</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228277811</ndc>
    <ndc_label_name>PROPRANOLOL ER 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228277911</ndc>
    <ndc_label_name>PROPRANOLOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228278011</ndc>
    <ndc_label_name>PROPRANOLOL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228278111</ndc>
    <ndc_label_name>PROPRANOLOL ER 160 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228280111</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228282011</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228282096</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228283711</ndc>
    <ndc_label_name>PILOCARPINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228284803</ndc>
    <ndc_label_name>FLUVOXAMINE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228284903</ndc>
    <ndc_label_name>FLUVOXAMINE ER 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228285011</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228285111</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228285311</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228285511</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289006</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289103</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289150</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289203</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289296</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289506</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228289611</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228291809</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228299611</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228299650</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228305911</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228306011</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228306111</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228306211</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228306311</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228306411</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228308306</ndc>
    <ndc_label_name>ALPRAZOLAM ER 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228308406</ndc>
    <ndc_label_name>ALPRAZOLAM ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228308606</ndc>
    <ndc_label_name>ALPRAZOLAM ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228308706</ndc>
    <ndc_label_name>ALPRAZOLAM ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228309011</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228309111</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228309211</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228309311</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228311611</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228311711</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228315303</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228315403</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228315503</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228315603</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228331503</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228331603</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228364003</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228365803</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228365809</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228365903</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228365909</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228366003</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228366009</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228366103</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228401911</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228402211</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228402411</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00228402511</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228424106</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228427011</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228427111</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228431111</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228432311</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00228434711</ndc>
    <ndc_label_name>MORPHINE SULF ER 200 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057504</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057508</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057516</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057532</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057541</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00234057580</ndc>
    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Hibiclens 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical gel</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00240053785</ndc>
    <ndc_label_name>Bronkaid Dual Action 25 mg-400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00240053787</ndc>
    <ndc_label_name>Bronkaid Dual Action 25 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Prevalite 4 gram oral powder</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245003642</ndc>
    <ndc_label_name>Prevalite 4 gram powder for suspension in a packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Prevalite 4 gram powder for suspension in a packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Prevalite 4 gram powder for suspension in a packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245007011</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245007111</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245010810</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245010811</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245010889</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pacerone 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245014430</ndc>
    <ndc_label_name>Pacerone 100 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245021111</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245021201</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245021211</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245021289</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245057389</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082330</ndc>
    <ndc_label_name>Torpenz 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082389</ndc>
    <ndc_label_name>Torpenz 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082404</ndc>
    <ndc_label_name>Torpenz 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082430</ndc>
    <ndc_label_name>Torpenz 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082489</ndc>
    <ndc_label_name>Torpenz 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082504</ndc>
    <ndc_label_name>Torpenz 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082530</ndc>
    <ndc_label_name>Torpenz 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245082589</ndc>
    <ndc_label_name>Torpenz 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245083515</ndc>
    <ndc_label_name>Klor-Con 8 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245083601</ndc>
    <ndc_label_name>Klor-Con 10 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245083611</ndc>
    <ndc_label_name>Klor-Con 10 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245083615</ndc>
    <ndc_label_name>Klor-Con 10 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245083689</ndc>
    <ndc_label_name>Klor-Con 10 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245086070</ndc>
    <ndc_label_name>Vandazole 0.75 % (37.5 mg/5 gram) vaginal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245087105</ndc>
    <ndc_label_name>Vogelxo 50 mg/5 gram (1 %) transdermal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245087135</ndc>
    <ndc_label_name>Vogelxo 1 % (50 mg/5 gram) transdermal gel packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245087165</ndc>
    <ndc_label_name>Vogelxo 50 mg/5 gram (1 %) transdermal gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245087189</ndc>
    <ndc_label_name>Vogelxo 1 % (50 mg/5 gram) transdermal gel packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vogelxo 12.5 mg/1.25 gram per pump actuation (1 %) transdermal gel</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vogelxo 12.5 mg/1.25 gram per pump actuation (1 %) transdermal gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Divigel 0.25 mg/0.25 gram (0.1 %) transdermal gel packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245088230</ndc>
    <ndc_label_name>Divigel 1 mg/gram (0.1 %) transdermal gel packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245107130</ndc>
    <ndc_label_name>QUDEXY XR 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QUDEXY XR 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QUDEXY XR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QUDEXY XR 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QUDEXY XR 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PACERONE 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245164530</ndc>
    <ndc_label_name>PACERONE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245164589</ndc>
    <ndc_label_name>PACERONE 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531501</ndc>
    <ndc_label_name>Klor-Con 8 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con 8 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con 8 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con 8 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con 10 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con M10 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con M10 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531790</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531801</ndc>
    <ndc_label_name>Klor-Con M15 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con M15 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531889</ndc>
    <ndc_label_name>Klor-Con M15 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531901</ndc>
    <ndc_label_name>Klor-Con M20 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531910</ndc>
    <ndc_label_name>Klor-Con M20 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con M20 mEq tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Klor-Con M20 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531989</ndc>
    <ndc_label_name>Klor-Con M20 mEq tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00245531990</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00245532689</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254200001</ndc>
    <ndc_label_name>PENICILLAMINE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254200501</ndc>
    <ndc_label_name>CHLORZOXAZONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254204502</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254205301</ndc>
    <ndc_label_name>CHLORZOXAZONE 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254301255</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254301278</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254302002</ndc>
    <ndc_label_name>NITISINONE 2 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254302102</ndc>
    <ndc_label_name>NITISINONE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254302202</ndc>
    <ndc_label_name>NITISINONE 10 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00254302802</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254303430</ndc>
    <ndc_label_name>TIOPRONIN DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00254303509</ndc>
    <ndc_label_name>TIOPRONIN DR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259050116</ndc>
    <ndc_label_name>Cuvposa 1 mg/5 mL (0.2 mg/mL) oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259160501</ndc>
    <ndc_label_name>Xeomin 50 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259161001</ndc>
    <ndc_label_name>Xeomin 100 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259162001</ndc>
    <ndc_label_name>Xeomin 200 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259162010</ndc>
    <ndc_label_name>Xeomin 200 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259411001</ndc>
    <ndc_label_name>Xeomin 100 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259415001</ndc>
    <ndc_label_name>Xeomin 50 unit intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00259501060</ndc>
    <ndc_label_name>Ampyra 10 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264100990</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264151031</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264151032</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264180031</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264180032</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264180036</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264193310</ndc>
    <ndc_label_name>TrophAmine 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264194420</ndc>
    <ndc_label_name>POTASSIUM CL 2 MEQ/ML CONC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264196510</ndc>
    <ndc_label_name>HESPAN 6%-NS INFUSION BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264210100</ndc>
    <ndc_label_name>STERILE WATER FOR IRRIGATION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264210110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264220100</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264220110</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG.</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264220200</ndc>
    <ndc_label_name>RINGERS IRRIGATION SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264220300</ndc>
    <ndc_label_name>LACTATED RINGERS IRRIGATION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264220500</ndc>
    <ndc_label_name>Physiolyte 140 mEq-5 mEq-3 mEq-98 mEq/L irrigation solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264230410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264251410</ndc>
    <ndc_label_name>BALANCED SALT SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264310311</ndc>
    <ndc_label_name>CEFAZOLIN 1 G/50 ML-DEXTROSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264310511</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264318311</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264420552</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264420654</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264440054</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264446000</ndc>
    <ndc_label_name>Nutrilipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264446010</ndc>
    <ndc_label_name>Nutrilipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264446030</ndc>
    <ndc_label_name>Nutrilipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264450000</ndc>
    <ndc_label_name>Plenamine 15 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264450005</ndc>
    <ndc_label_name>Plenamine 15 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264500990</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264553532</ndc>
    <ndc_label_name>Metro I.V. 500 mg/100 mL intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264560052</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00264570505</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00264570510</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264580200</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264580210</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264580400</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264705505</ndc>
    <ndc_label_name>CLOROTEKAL 50 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264705510</ndc>
    <ndc_label_name>CLOROTEKAL 50 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738550</ndc>
    <ndc_label_name>STERILE WATER FOR INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738560</ndc>
    <ndc_label_name>STERILE WATER FOR INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738650</ndc>
    <ndc_label_name>STERILE WATER FOR IRRIGATION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738660</ndc>
    <ndc_label_name>STERILE WATER FOR IRRIGATION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738750</ndc>
    <ndc_label_name>DEXTROSE 70%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738850</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG.</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738860</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG.</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264738960</ndc>
    <ndc_label_name>LACTATED RINGERS IRRIGATION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264739060</ndc>
    <ndc_label_name>GLYCINE 1.5% IRRIGATION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264751000</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264751010</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264751020</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264752000</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264752010</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264752020</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264757810</ndc>
    <ndc_label_name>MANNITOL 20% (100 GM/500 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761000</ndc>
    <ndc_label_name>DEXTROSE 5%-0.9% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761010</ndc>
    <ndc_label_name>DEXTROSE 5%-0.9% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761200</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761210</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761410</ndc>
    <ndc_label_name>DEXTROSE 5%-0.33% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761600</ndc>
    <ndc_label_name>DEXTROSE 5%-0.2% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761610</ndc>
    <ndc_label_name>DEXTROSE 5%-0.2% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264761620</ndc>
    <ndc_label_name>DEXTROSE 5%-0.2% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264762200</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264762320</ndc>
    <ndc_label_name>DEXTROSE 10%-0.2% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264762500</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264763400</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264763500</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264763600</ndc>
    <ndc_label_name>KCL 30 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264763800</ndc>
    <ndc_label_name>KCL 40 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264764500</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264765200</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264770300</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264770700</ndc>
    <ndc_label_name>Isolyte S pH 7.4 intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264770710</ndc>
    <ndc_label_name>Isolyte S pH 7.4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264773010</ndc>
    <ndc_label_name>Isolyte-P in 5 % dextrose intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264775000</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264775007</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264775010</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264775020</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00264775100</ndc>
    <ndc_label_name>DEXTROSE 5%-LR IV SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00270131702</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <ndc_label_name>Cystografin-Dilute 18 % urethral solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00270141111</ndc>
    <ndc_label_name>Isovue-M 200  41 % intrathecal solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00270141125</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Isovue-M 300  61 % intrathecal solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Multihance 529 mg/mL (0.1 mmol/0.2 mL) intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Multihance 529 mg/mL (0.1 mmol/0.2 mL) intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Multihance 529 mg/mL (0.1 mmol/0.2 mL) intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Iomeron 350 mg iodine/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00273010410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00276050110</ndc>
    <ndc_label_name>FENOPROFEN 200 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00276050410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <ndc>00280210012</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280210020</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280210032</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280210040</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280211010</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280220060</ndc>
    <ndc_label_name>Women's Aspirin with Calcium 81 mg-300 mg calcium (777 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00280400004</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00280603002</ndc>
    <ndc_label_name>Aleve Cold and Sinus 220 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00280604010</ndc>
    <ndc_label_name>Aleve Sinus and Headache 220 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00280800540</ndc>
    <ndc_label_name>Midol Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00280803024</ndc>
    <ndc_label_name>Midol 500 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280900002</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280900008</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280902509</ndc>
    <ndc_label_name>RID Complete Lice Elimination Kit 4 %-0.33 %-0.5 % Topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00280903006</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020502</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020512</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020536</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020537</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020543</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020545</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281020555</ndc>
    <ndc_label_name>Surgilube topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281032608</ndc>
    <ndc_label_name>Nitro-Bid 2 % transdermal ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281032630</ndc>
    <ndc_label_name>Nitro-Bid 2 % transdermal ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00281032660</ndc>
    <ndc_label_name>Nitro-Bid 2 % transdermal ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283007497</ndc>
    <ndc_label_name>Beutlich pH Test Roll misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283007599</ndc>
    <ndc_label_name>Hurricaine Liquid Dispenser misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283022027</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283029331</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283029359</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052027</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052029</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052034</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052043</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052044</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283052227</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283056931</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283056972</ndc>
    <ndc_label_name>HURRICAINE 20% LIQUID SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283059701</ndc>
    <ndc_label_name>Peridin-C 200 mg-150 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283060943</ndc>
    <ndc_label_name>Hurricaine Luer-Lock Dispensing Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283061011</ndc>
    <ndc_label_name>Hurricaine One 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283061026</ndc>
    <ndc_label_name>Hurricaine One 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283061043</ndc>
    <ndc_label_name>Hurricaine One 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283062234</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283062243</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283067902</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283067960</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283080811</ndc>
    <ndc_label_name>Ceo-Two 0.9 gram-0.6 gram rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283080836</ndc>
    <ndc_label_name>Ceo-Two 0.9 gram-0.6 gram rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283087112</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283087131</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283087159</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283088631</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283088659</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283091401</ndc>
    <ndc_label_name>Hurricaine Spray Extension Tube</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283091402</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283091460</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283092027</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283092034</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283099831</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283099859</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283101631</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283101659</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283102302</ndc>
    <ndc_label_name>Ceo-Two 0.9 gram-0.6 gram rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283102336</ndc>
    <ndc_label_name>Ceo-Two 0.9 gram-0.6 gram rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283118520</ndc>
    <ndc_label_name>Hurricaine Spray Extension Tube</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283182027</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283182029</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283182034</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283182043</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283182044</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00283188631</ndc>
    <ndc_label_name>HurriCaine 20 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00295134796</ndc>
    <ndc_label_name>Hydrolatum topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00295134797</ndc>
    <ndc_label_name>Hydrolatum topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299011022</ndc>
    <ndc_label_name>Cetaphil Gentle Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299011024</ndc>
    <ndc_label_name>Cetaphil Gentle Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299011026</ndc>
    <ndc_label_name>Cetaphil Gentle Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299011504</ndc>
    <ndc_label_name>Cetaphil Eczema Restoraderm 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299024132</ndc>
    <ndc_label_name>Cetaphil Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299024133</ndc>
    <ndc_label_name>Cetaphil Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299145002</ndc>
    <ndc_label_name>DY-O-DERM LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299201210</ndc>
    <ndc_label_name>Vectical 3 mcg/gram topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299382060</ndc>
    <ndc_label_name>Metrogel 1 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299382230</ndc>
    <ndc_label_name>Oracea 40 mg capsule,immediate - delay release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299382345</ndc>
    <ndc_label_name>Soolantra 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299383645</ndc>
    <ndc_label_name>MetroCream 0.75 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299383802</ndc>
    <ndc_label_name>MetroLotion 0.75 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299384704</ndc>
    <ndc_label_name>Clobex 0.05 % shampoo</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299384802</ndc>
    <ndc_label_name>Clobex 0.05 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299384804</ndc>
    <ndc_label_name>Clobex 0.05 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299384902</ndc>
    <ndc_label_name>Clobex 0.05 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299384904</ndc>
    <ndc_label_name>Clobex 0.05 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391408</ndc>
    <ndc_label_name>Cetaphil DailyAdvance lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391416</ndc>
    <ndc_label_name>Cetaphil DailyAdvance lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391702</ndc>
    <ndc_label_name>Cetaphil Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391742</ndc>
    <ndc_label_name>Cetaphil Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391756</ndc>
    <ndc_label_name>Cetaphil Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391808</ndc>
    <ndc_label_name>Cetaphil Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299391816</ndc>
    <ndc_label_name>Cetaphil Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299392001</ndc>
    <ndc_label_name>Cetaphil topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299392304</ndc>
    <ndc_label_name>Cetaphil Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299392708</ndc>
    <ndc_label_name>Cetaphil topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299392734</ndc>
    <ndc_label_name>Cetaphil Daily Facial Cleanser topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299392804</ndc>
    <ndc_label_name>Cetaphil Daily Facial SPF 15 lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299412800</ndc>
    <ndc_label_name>Cetaphil Eczema Restoraderm 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299412810</ndc>
    <ndc_label_name>Cetaphil Eczema Restoraderm 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299492030</ndc>
    <ndc_label_name>Differin 0.1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299492045</ndc>
    <ndc_label_name>Differin 0.1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299550004</ndc>
    <ndc_label_name>Capex 0.01 % shampoo</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299589000</ndc>
    <ndc_label_name>Epsolay 5 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299589030</ndc>
    <ndc_label_name>Epsolay 5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299590645</ndc>
    <ndc_label_name>Epiduo Forte 0.3 %-2.5 % topical gel with pump</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299590660</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299590825</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299591202</ndc>
    <ndc_label_name>Differin 0.1 % lotion</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299591545</ndc>
    <ndc_label_name>Differin 0.1 % topical cream</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299593545</ndc>
    <ndc_label_name>Aklief 0.005 % topical cream</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299594530</ndc>
    <ndc_label_name>Twyneo 0.1 %-3 % topical cream</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299595030</ndc>
    <ndc_label_name>Tri-Luma 0.01 %-4 %-0.05 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299596230</ndc>
    <ndc_label_name>Dysport 300 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299598035</ndc>
    <ndc_label_name>Mirvaso 0.33 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299622010</ndc>
    <ndc_label_name>Nemluvio 30 mg subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00299622015</ndc>
    <ndc_label_name>Nemluvio 30 mg subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310008828</ndc>
    <ndc_label_name>Daliresp 250 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310008839</ndc>
    <ndc_label_name>Daliresp 250 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310009530</ndc>
    <ndc_label_name>Daliresp 500 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310009590</ndc>
    <ndc_label_name>Daliresp 500 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027110</ndc>
    <ndc_label_name>Seroquel 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027210</ndc>
    <ndc_label_name>Seroquel 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027460</ndc>
    <ndc_label_name>Seroquel 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027510</ndc>
    <ndc_label_name>Seroquel 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027810</ndc>
    <ndc_label_name>Seroquel 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310027910</ndc>
    <ndc_label_name>Seroquel 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310028060</ndc>
    <ndc_label_name>Seroquel XR 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310028160</ndc>
    <ndc_label_name>Seroquel XR 150 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310028260</ndc>
    <ndc_label_name>Seroquel XR 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310028360</ndc>
    <ndc_label_name>Seroquel XR 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310028460</ndc>
    <ndc_label_name>Seroquel XR 400 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310029792</ndc>
    <ndc_label_name>Seroquel XR 50 mg(3)-200 mg(1)-300 mg(11) tablet, ER 24 hr dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310048230</ndc>
    <ndc_label_name>Iressa 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310056912</ndc>
    <ndc_label_name>Lynparza 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310056960</ndc>
    <ndc_label_name>Lynparza 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310057812</ndc>
    <ndc_label_name>Lynparza 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310057860</ndc>
    <ndc_label_name>Lynparza 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310061028</ndc>
    <ndc_label_name>Koselugo 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310061060</ndc>
    <ndc_label_name>Koselugo 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310062528</ndc>
    <ndc_label_name>Koselugo 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310062560</ndc>
    <ndc_label_name>Koselugo 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310063560</ndc>
    <ndc_label_name>Koselugo 5 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310064060</ndc>
    <ndc_label_name>Koselugo 7.5 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310066812</ndc>
    <ndc_label_name>Lynparza 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310066860</ndc>
    <ndc_label_name>Lynparza 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310067912</ndc>
    <ndc_label_name>Lynparza 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310067960</ndc>
    <ndc_label_name>Lynparza 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310072010</ndc>
    <ndc_label_name>Faslodex 250 mg/5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310090060</ndc>
    <ndc_label_name>Duaklir Pressair 400 mcg-12 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310110501</ndc>
    <ndc_label_name>Lokelma 5 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310110530</ndc>
    <ndc_label_name>Lokelma 5 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310110539</ndc>
    <ndc_label_name>Lokelma 5 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310111001</ndc>
    <ndc_label_name>Lokelma 10 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310111030</ndc>
    <ndc_label_name>Lokelma 10 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310111039</ndc>
    <ndc_label_name>Lokelma 10 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310124830</ndc>
    <ndc_label_name>Tagrisso 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310125130</ndc>
    <ndc_label_name>Tagrisso 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310134930</ndc>
    <ndc_label_name>Tagrisso 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310135030</ndc>
    <ndc_label_name>Tagrisso 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310173030</ndc>
    <ndc_label_name>Fasenra 30 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310173085</ndc>
    <ndc_label_name>Fasenra 30 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310174501</ndc>
    <ndc_label_name>Fasenra 10 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310183030</ndc>
    <ndc_label_name>Fasenra Pen 30 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310183085</ndc>
    <ndc_label_name>Fasenra Pen 30 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310304000</ndc>
    <ndc_label_name>Saphnelo 300 mg/2 mL (150 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310320001</ndc>
    <ndc_label_name>ANDEXXA 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310320004</ndc>
    <ndc_label_name>ANDEXXA 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310320005</ndc>
    <ndc_label_name>ANDEXXA 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310351260</ndc>
    <ndc_label_name>Calquence (acalabrutinib maleate) 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310450012</ndc>
    <ndc_label_name>Imfinzi 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310450525</ndc>
    <ndc_label_name>Imjudo 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310451360</ndc>
    <ndc_label_name>Calquence (acalabrutinib maleate) 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310453530</ndc>
    <ndc_label_name>Imjudo 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310460012</ndc>
    <ndc_label_name>Bevespi Aerosphere 9 mcg-4.8 mcg HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310461150</ndc>
    <ndc_label_name>Imfinzi 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310461612</ndc>
    <ndc_label_name>Breztri Aerosphere 160 mcg-9mcg-4.8mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310461628</ndc>
    <ndc_label_name>Breztri Aerosphere 160 mcg-9mcg-4.8mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310461639</ndc>
    <ndc_label_name>Breztri Aerosphere 160 mcg-9mcg-4.8mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310620530</ndc>
    <ndc_label_name>Farxiga 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310620590</ndc>
    <ndc_label_name>Farxiga 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310620595</ndc>
    <ndc_label_name>Farxiga 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310621030</ndc>
    <ndc_label_name>Farxiga 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310621039</ndc>
    <ndc_label_name>Farxiga 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310621090</ndc>
    <ndc_label_name>Farxiga 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310621095</ndc>
    <ndc_label_name>Farxiga 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310622560</ndc>
    <ndc_label_name>Xigduo XR 2.5 mg-1,000 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310625030</ndc>
    <ndc_label_name>Xigduo XR 5 mg-500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310626060</ndc>
    <ndc_label_name>Xigduo XR 5 mg-1,000 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310627030</ndc>
    <ndc_label_name>Xigduo XR 10 mg-500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00310628030</ndc>
    <ndc_label_name>Xigduo XR 10 mg-1,000 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310651201</ndc>
    <ndc_label_name>BYETTA 5 MCG DOSE PEN INJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310652401</ndc>
    <ndc_label_name>BYETTA 10 MCG DOSE PEN INJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310654001</ndc>
    <ndc_label_name>Bydureon BCise 2 mg/0.85 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310654004</ndc>
    <ndc_label_name>Bydureon BCise 2 mg/0.85 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310654085</ndc>
    <ndc_label_name>Bydureon BCise 2 mg/0.85 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310661502</ndc>
    <ndc_label_name>SYMLINPEN 60 PEN INJECTOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310662702</ndc>
    <ndc_label_name>SYMLINPEN 120 PEN INJECTOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310677030</ndc>
    <ndc_label_name>QTERN 5 MG-5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310678030</ndc>
    <ndc_label_name>QTERN 10 MG-5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310737020</ndc>
    <ndc_label_name>BUDESONIDE-FORMOTEROL 160-4.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310737220</ndc>
    <ndc_label_name>BUDESONIDE-FORMOTEROL 80-4.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310756090</ndc>
    <ndc_label_name>Crestor 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310757090</ndc>
    <ndc_label_name>Crestor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310758090</ndc>
    <ndc_label_name>Crestor 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310759030</ndc>
    <ndc_label_name>Crestor 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310908012</ndc>
    <ndc_label_name>Airsupra 90 mcg-80 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310908028</ndc>
    <ndc_label_name>Airsupra 90 mcg-80 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310940001</ndc>
    <ndc_label_name>Wainua 45 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310950001</ndc>
    <ndc_label_name>Truqap 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310950002</ndc>
    <ndc_label_name>Truqap 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310950101</ndc>
    <ndc_label_name>Truqap 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00310950102</ndc>
    <ndc_label_name>Truqap 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316012601</ndc>
    <ndc_label_name>Ala-Cort 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316017001</ndc>
    <ndc_label_name>TRIDERM 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316017516</ndc>
    <ndc_label_name>Triderm 0.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316018601</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316018616</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316019316</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316019320</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316019330</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022315</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022330</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022360</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022515</ndc>
    <ndc_label_name>Desenex 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022530</ndc>
    <ndc_label_name>Desenex 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022608</ndc>
    <ndc_label_name>THERAPEUTIC MINERAL ICE 2% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022616</ndc>
    <ndc_label_name>THERAPEUTIC MINERAL ICE 2% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022706</ndc>
    <ndc_label_name>Panoxyl 4 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022803</ndc>
    <ndc_label_name>Panoxyl 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316022855</ndc>
    <ndc_label_name>Panoxyl 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316023075</ndc>
    <ndc_label_name>Sarna Sensitive 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316023125</ndc>
    <ndc_label_name>Zeasorb AF 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00316023225</ndc>
    <ndc_label_name>Zeasorb AF 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316023475</ndc>
    <ndc_label_name>Sarna Calm-Cool 1 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316025501</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00316025675</ndc>
    <ndc_label_name>Sarna Eczema Relief 2 % lotion</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338006301</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>00338006620</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338009606</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338101741</ndc>
    <ndc_label_name>NAFCILLIN 1 GM/ 50 ML INJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338101948</ndc>
    <ndc_label_name>NAFCILLIN 2 GM/ 100 ML INJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338102341</ndc>
    <ndc_label_name>PEN G K 2 MILLION UNIT/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338102541</ndc>
    <ndc_label_name>PEN G K 3 MILLION UNIT/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338104702</ndc>
    <ndc_label_name>NTG 25 MG/250 ML IN D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338104902</ndc>
    <ndc_label_name>NTG 0.2 MG/ML IN D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338105102</ndc>
    <ndc_label_name>NTG 100 MG/250 ML IN D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338105548</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338107302</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338107502</ndc>
    <ndc_label_name>DOBUTAMINE 500 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338107702</ndc>
    <ndc_label_name>DOBUTAMINE 1,000 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338108904</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338109104</ndc>
    <ndc_label_name>Clinimix 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338109904</ndc>
    <ndc_label_name>Clinimix 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338110104</ndc>
    <ndc_label_name>Clinimix 5 % in 20 % dextrose (sulfite-free) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338111304</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338111504</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338112304</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338112504</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113003</ndc>
    <ndc_label_name>Premasol 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113004</ndc>
    <ndc_label_name>Premasol 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113006</ndc>
    <ndc_label_name>Premasol 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113303</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113403</ndc>
    <ndc_label_name>Clinimix 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113703</ndc>
    <ndc_label_name>Clinimix 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338113803</ndc>
    <ndc_label_name>Clinimix 5 % in 20 % dextrose (sulfite-free) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338114203</ndc>
    <ndc_label_name>Clinimix E 2.75 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338114403</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338114503</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338114703</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338114803</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338130141</ndc>
    <ndc_label_name>CEFEPIME 1 GM INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338130148</ndc>
    <ndc_label_name>CEFEPIME 2 GM INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338130501</ndc>
    <ndc_label_name>Mesnex 100 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338170840</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338170940</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338171540</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338171940</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338341024</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338341050</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338350341</ndc>
    <ndc_label_name>CEFAZOLIN 1 G/50 ML-DEXTROSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338350841</ndc>
    <ndc_label_name>CEFAZOLIN 2 G/100 ML-DEXTROSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338355148</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338355248</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VANCOMYCIN 750 MG/150 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338358201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338358301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338361224</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338381424</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338399101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338399301</ndc>
    <ndc_label_name>Ifex 3 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338411424</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338411450</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338421002</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338421104</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 4 mL topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338421210</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 10 mL topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338430102</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 2 mL topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338430204</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 4 mL topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338430310</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 10 mL topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338500241</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM PIGGYBACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338500341</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM PIGGYBACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338519741</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG PIGGYBACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338601048</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338601137</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338604537</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338604648</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338635301</ndc>
    <ndc_label_name>MAGNESIUM SULF 3 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338635340</ndc>
    <ndc_label_name>MAGNESIUM SULF 3 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338700101</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338700106</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338700301</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338700304</ndc>
    <ndc_label_name>Clinimix 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338701101</ndc>
    <ndc_label_name>Clinimix 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338701104</ndc>
    <ndc_label_name>Clinimix 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338701501</ndc>
    <ndc_label_name>Clinimix 5 % in 20 % dextrose (sulfite-free) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338701504</ndc>
    <ndc_label_name>Clinimix 5 % in 20 % dextrose (sulfite-free) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702001</ndc>
    <ndc_label_name>Clinimix E 2.75 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702006</ndc>
    <ndc_label_name>Clinimix E 2.75 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702201</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702206</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702401</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702404</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 5 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702601</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702606</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702801</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338702804</ndc>
    <ndc_label_name>Clinimix E 4.25 % in 10 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703001</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703006</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703201</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703204</ndc>
    <ndc_label_name>Clinimix E 5 % in 15 % dextrose Sulfite Free intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703401</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703406</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703601</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338703604</ndc>
    <ndc_label_name>Clinimix E 5 % in 20 % dextrose Sulfite Free intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850301</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (2mL) topical syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850302</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (2mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850303</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (4mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850304</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (4mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850309</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL(10mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338850310</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL(10mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338870101</ndc>
    <ndc_label_name>TachoSil 9.5 cm X 4.8 cm topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338870202</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905101</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905112</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG/50ML-0.9%NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905312</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905501</ndc>
    <ndc_label_name>MICAFUNGIN 150 MG/150-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338905510</ndc>
    <ndc_label_name>MICAFUNGIN 150 MG/150-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338914330</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338914730</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338915130</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338915930</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338953096</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338953196</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338953396</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338953572</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338953972</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954001</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954002</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954003</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954004</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954005</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954006</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954007</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954008</ndc>
    <ndc_label_name>Clinolipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954124</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954301</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954302</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954303</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954304</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954305</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954306</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954524</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954550</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954924</ndc>
    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338954950</ndc>
    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338955324</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338955350</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338955524</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338955712</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338955810</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338956001</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 2 mL topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338956401</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 4 mL topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338956760</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338956801</ndc>
    <ndc_label_name>Tisseel VHSD (with aprotinin, synthetic) 10 mL topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338956948</ndc>
    <ndc_label_name>GLUCOSE 5%-WATER 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338957360</ndc>
    <ndc_label_name>GLUCOSE 5%-WATER 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338957996</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338958101</ndc>
    <ndc_label_name>Caelyx 2 mg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338958102</ndc>
    <ndc_label_name>Caelyx 2 mg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338958801</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338958812</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338959101</ndc>
    <ndc_label_name>Plasma-Lyte A intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338959112</ndc>
    <ndc_label_name>Plasma-Lyte A intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338959301</ndc>
    <ndc_label_name>Plasma-Lyte 148 pH 7.4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338959310</ndc>
    <ndc_label_name>Plasma-Lyte 148 pH 7.4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960001</ndc>
    <ndc_label_name>LACTATED RINGERS 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960012</ndc>
    <ndc_label_name>LACTATED RINGERS 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960401</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 250 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960430</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 250 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960801</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 500 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338960824</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 500 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338961201</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338961212</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963201</ndc>
    <ndc_label_name>Zosyn 2.25 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963224</ndc>
    <ndc_label_name>Zosyn 2.25 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963601</ndc>
    <ndc_label_name>Zosyn 3.375 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963624</ndc>
    <ndc_label_name>Zosyn 3.375 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963701</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (2mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963801</ndc>
    <ndc_label_name>Zosyn 4.5 gram/100 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963812</ndc>
    <ndc_label_name>Zosyn 4.5 gram/100 mL in dextrose (iso-osmotic) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338963901</ndc>
    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL (4mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338964012</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Artiss 2.5 unit to 6.5 unit/mL(10mL) topical syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338964401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338964412</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD 40MG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338964624</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD 40 MG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VASOPRESSIN 40 UNIT/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338964975</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338965360</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338966160</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00338966235</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000501</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000511</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000520</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000536</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000540</ndc>
    <ndc_label_name>Pediatric Enema 9.5 gram-3.5 gram/59 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000611</ndc>
    <ndc_label_name>MINERAL OIL ENEMA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000703</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000905</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363000920</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363001339</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363001607</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363001608</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363002271</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363002272</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363002401</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363002402</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363002405</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363002508</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363003102</ndc>
    <ndc_label_name>Daytime-Nighttime Cough 15mg/15 mL(d)/12.5-30mg(nt)/30 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363003216</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363003626</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363003650</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363003683</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363004138</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363004143</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363004227</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363004915</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 180 mg-240 mg tablet,ext.release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363005002</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363005294</ndc>
    <ndc_label_name>Children's Wal-Fex 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363005460</ndc>
    <ndc_label_name>Wal-phed 12 hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363005705</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363005710</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363006048</ndc>
    <ndc_label_name>Wal-Sleep Z 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363006160</ndc>
    <ndc_label_name>Wal-Phed D 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363006330</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363006510</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363006907</ndc>
    <ndc_label_name>Lip Treatment topical jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007120</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007302</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007318</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007326</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007336</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007428</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363007564</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363007826</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363008100</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363008360</ndc>
    <ndc_label_name>Wal-Profen Cold-Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363008501</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363008808</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363008816</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363009208</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363009827</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010104</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010162</ndc>
    <ndc_label_name>Complete Lice Treatment 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010301</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010302</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010412</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010526</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010540</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010612</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010706</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010708</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010714</ndc>
    <ndc_label_name>Antacid Extra Strength (calcium-mag hyd) 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010722</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363010908</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011018</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011122</ndc>
    <ndc_label_name>Wal-phed 4 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011208</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011222</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011246</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011312</ndc>
    <ndc_label_name>Urinary Pain Relief 97.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011701</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011702</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011703</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011916</ndc>
    <ndc_label_name>Wal-Mucil Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363011932</ndc>
    <ndc_label_name>Wal-Mucil Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012010</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012014</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012020</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012140</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012201</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012280</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012318</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012405</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012406</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012410</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363012460</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012550</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363012612</ndc>
    <ndc_label_name>Oral Saline Laxative 7.2 gram-2.7 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363012824</ndc>
    <ndc_label_name>Wal-Mucil with Calcium 1 gram-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013026</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013318</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013326</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013338</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013607</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013608</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013810</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013830</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363013850</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363014082</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363014101</ndc>
    <ndc_label_name>Infants' Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363014175</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363014178</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363014460</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363014468</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363014489</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363014730</ndc>
    <ndc_label_name>Cool Heat (methyl salicylate-menthol) 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363014940</ndc>
    <ndc_label_name>Pain Relieving (camphor-m.salicyl-menth) topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363015601</ndc>
    <ndc_label_name>Mucus Relief Severe Sinus Congestion 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015712</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015714</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015717</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015798</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363015904</ndc>
    <ndc_label_name>Wal-Tussin Cough 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015912</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363015915</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016004</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016012</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016060</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016110</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016115</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016116</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016150</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016204</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016406</ndc>
    <ndc_label_name>Oral Relief Sore Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363016513</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363016522</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363016532</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363016552</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016640</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363016704</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017001</ndc>
    <ndc_label_name>Stool Softener (docusate calcium) 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017508</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017512</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017514</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017515</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017520</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017526</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017529</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017534</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017537</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017653</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017804</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363017822</ndc>
    <ndc_label_name>Wal-Act D Cold and Allergy 2.5 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363018001</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363018005</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363018330</ndc>
    <ndc_label_name>Tri-Buffered Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363018422</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363018601</ndc>
    <ndc_label_name>Non-Aspirin 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363018762</ndc>
    <ndc_label_name>Wal-Flu Night Time 20 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363018908</ndc>
    <ndc_label_name>Sleep II 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363018921</ndc>
    <ndc_label_name>Sleep II 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019005</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019007</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019008</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019010</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019012</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019051</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363019326</ndc>
    <ndc_label_name>Cough-Sore Throat Night 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019401</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019404</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019415</ndc>
    <ndc_label_name>Wal-Finate 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019471</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019502</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019602</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019716</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019720</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019730</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019740</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019780</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019808</ndc>
    <ndc_label_name>Wal-Dram 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019816</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363019900</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020105</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020176</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363020401</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363020403</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363020421</ndc>
    <ndc_label_name>Wal-phed 12 hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363020469</ndc>
    <ndc_label_name>Wal-Phed D 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020765</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020775</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020801</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020807</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020901</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363020907</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021108</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021116</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363021125</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021234</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021324</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021807</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021830</ndc>
    <ndc_label_name>Calahist 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021874</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021879</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363021899</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363022430</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363022434</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363022608</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363022612</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363022714</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363022757</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363023064</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023108</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023116</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023206</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023208</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023408</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363023508</ndc>
    <ndc_label_name>Wal-Nadol PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023512</ndc>
    <ndc_label_name>Acetaminophen PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023515</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363023632</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363023660</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363023664</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023806</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023820</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363023840</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363024108</ndc>
    <ndc_label_name>Cold MultiSymptom NighTime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363024610</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363024615</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363024625</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363024650</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363025402</ndc>
    <ndc_label_name>Child Wal-Tussin Cough Relief 7.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363025510</ndc>
    <ndc_label_name>INFANT IBUPROFEN 50 MG/1.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363025514</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363025517</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363025527</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363025532</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363025602</ndc>
    <ndc_label_name>Wal-Sleep Z 25 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363027808</ndc>
    <ndc_label_name>Pain Relief Adult 500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363027962</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363028404</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363028826</ndc>
    <ndc_label_name>Children's Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029108</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029112</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029115</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029116</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029137</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029214</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029215</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029237</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363029908</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363030026</ndc>
    <ndc_label_name>Wal-Tussin Max Strength Cough 15 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030410</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030602</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030603</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030604</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030652</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030702</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363030801</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363030901</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031026</ndc>
    <ndc_label_name>Adult Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031034</ndc>
    <ndc_label_name>Adult Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363031301</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031603</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031734</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031801</ndc>
    <ndc_label_name>Non-Aspirin 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363031901</ndc>
    <ndc_label_name>Soothe (bismuth subsalicylate) 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032003</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363032163</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363032171</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032601</ndc>
    <ndc_label_name>Woman's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032652</ndc>
    <ndc_label_name>Woman's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032706</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032712</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032756</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032830</ndc>
    <ndc_label_name>Ora Relief 1.4 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032907</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032908</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032912</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032922</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363032978</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033016</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033082</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033144</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033235</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033240</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033304</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033350</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033355</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033412</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033422</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033444</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363033534</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033550</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033601</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363033630</ndc>
    <ndc_label_name>Calahist with Pramoxine 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033706</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363033808</ndc>
    <ndc_label_name>Backache Relief Extra Strength 580 mg (467 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363033950</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034040</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034044</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034050</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034080</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034190</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363034208</ndc>
    <ndc_label_name>Allergy Sinus-D 2 mg-30 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034330</ndc>
    <ndc_label_name>Ora Relief 1.4 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034356</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363034411</ndc>
    <ndc_label_name>Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034423</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034544</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034610</ndc>
    <ndc_label_name>Soothe (bismuth subsalicylate) 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034701</ndc>
    <ndc_label_name>Laxative Pills Regular 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034808</ndc>
    <ndc_label_name>Laxative Pills 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363034822</ndc>
    <ndc_label_name>Laxative Pills 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363035278</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363035926</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363035934</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363035940</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036010</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036050</ndc>
    <ndc_label_name>Acetaminophen PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036506</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036578</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363036707</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363036708</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363036712</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036852</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036861</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036862</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036871</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036878</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036879</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036882</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363036964</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037312</ndc>
    <ndc_label_name>Headache Relief PM 38 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037478</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037502</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037506</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037507</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037508</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037522</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037545</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037546</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037606</ndc>
    <ndc_label_name>Oral Relief Sore Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037926</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363037934</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363038016</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363038030</ndc>
    <ndc_label_name>MINOXIDIL 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363038222</ndc>
    <ndc_label_name>Wal-Finate-D 4 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363038421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363038428</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363039010</ndc>
    <ndc_label_name>Ephrine 1 % nasal drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039208</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039212</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039214</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039215</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039216</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039237</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039308</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039312</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039314</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039315</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039337</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363039504</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363039707</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363039733</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363039752</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363040321</ndc>
    <ndc_label_name>Wal-Dram 2 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363040421</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363040702</ndc>
    <ndc_label_name>Cold Sore Treatment (benzalkonium-camphor) 0.13 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363041006</ndc>
    <ndc_label_name>Mucus Relief Severe Cold 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041105</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041106</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041110</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041112</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363041208</ndc>
    <ndc_label_name>Wal-Phed PE Triple Relief 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041315</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041327</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041407</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041412</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041414</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041460</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041474</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363041701</ndc>
    <ndc_label_name>All Day Pain Relief Sinus and Cold 220 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041706</ndc>
    <ndc_label_name>Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041804</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363041926</ndc>
    <ndc_label_name>Children's Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042013</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042020</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042062</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042098</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042113</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042162</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042198</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363042208</ndc>
    <ndc_label_name>Child Cold-Cough Day-Night 6.25 mg-2.5 mg-5 mg/5 mL oral solutions</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363042321</ndc>
    <ndc_label_name>Wal-Profen D Cold and Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363042341</ndc>
    <ndc_label_name>Wal-Profen Cold-Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042405</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042476</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042553</ndc>
    <ndc_label_name>Wal-Fex Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042654</ndc>
    <ndc_label_name>TIOCONAZOLE-1 6.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042816</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042844</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042849</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042944</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363042949</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043212</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043226</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043812</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043815</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043837</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043925</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043929</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363043982</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363044101</ndc>
    <ndc_label_name>Wal-Som (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363044167</ndc>
    <ndc_label_name>Wal-Som (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363044209</ndc>
    <ndc_label_name>Wal-Tussin Cough 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363044308</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363044602</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363044603</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363044701</ndc>
    <ndc_label_name>ACETAMINOPHEN 80 MG RAPID TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363044814</ndc>
    <ndc_label_name>Wal-Fex D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363044908</ndc>
    <ndc_label_name>Jr. Strength Pain Reliever 160 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045008</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045201</ndc>
    <ndc_label_name>ACETAMINOPHEN 80 MG RAPID TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045307</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045312</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045344</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045658</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045660</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045678</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045774</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045802</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045813</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045839</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045847</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045865</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045866</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045872</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045875</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045887</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363045895</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045934</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045940</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045943</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363045950</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363046109</ndc>
    <ndc_label_name>Flu HBP 2 mg-15 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363046207</ndc>
    <ndc_label_name>Wal-Phed PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363046208</ndc>
    <ndc_label_name>Wal-Phed PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363046510</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363047008</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363047340</ndc>
    <ndc_label_name>Day-Time Cough 5 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363047526</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048044</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048144</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048316</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048344</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048349</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048452</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363048508</ndc>
    <ndc_label_name>Wal-Dryl-D Allergy and Sinus 25 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363048630</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049062</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049071</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049078</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049082</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049115</ndc>
    <ndc_label_name>Wal-Finate 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049539</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049547</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049575</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049587</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049595</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049860</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363049878</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363050208</ndc>
    <ndc_label_name>Wal-Phed PE Sinus Headache 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363050304</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363050307</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363050308</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363050322</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051111</ndc>
    <ndc_label_name>Wal-Mucil Fiber (sugar) 3.4 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051311</ndc>
    <ndc_label_name>Wal-Mucil Natural Fiber Laxative 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051511</ndc>
    <ndc_label_name>Wal-Mucil Fiber (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051518</ndc>
    <ndc_label_name>Wal-Mucil Fiber (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363051626</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363051634</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363051808</ndc>
    <ndc_label_name>Severe Allergy 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051908</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051912</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051915</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051919</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051920</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051929</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051937</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363051954</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052024</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052048</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052243</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052278</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052556</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363052608</ndc>
    <ndc_label_name>Wal-phed PE Severe Cold 12.5 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052611</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052613</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052621</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052631</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052660</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052690</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363052708</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363052808</ndc>
    <ndc_label_name>Head Congestion Day-Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363052812</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363052907</ndc>
    <ndc_label_name>Cold Multi-Symptom Day/Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363052908</ndc>
    <ndc_label_name>Cold Multi-Symptom Day/Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053060</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053112</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053115</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053129</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053137</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053201</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053211</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053225</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053232</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053260</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363053278</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053301</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053311</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053325</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363053332</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054201</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054211</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054225</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054309</ndc>
    <ndc_label_name>Wal-Dryl Severe Allergy-Sinus 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054409</ndc>
    <ndc_label_name>Wal-Phed PE Nighttime Cold 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363054447</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363054462</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363054471</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363054485</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054609</ndc>
    <ndc_label_name>Wal-Phed PE Cold-Cough 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054663</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054671</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363054772</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 40 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055020</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055050</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055072</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363055522</ndc>
    <ndc_label_name>Sinus Daytime-Nightime 5-325 mg(dy)/6.25-5-325mg(nt) capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055601</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055609</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055654</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055657</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055707</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055729</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363055735</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363055807</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363055808</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363056007</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363056314</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363056317</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363056322</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363056329</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363056332</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363056450</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363056702</ndc>
    <ndc_label_name>Daytime-Nighttime Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057113</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057122</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057133</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057139</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057175</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057195</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057501</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057708</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057826</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057834</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363057953</ndc>
    <ndc_label_name>Children's Pain Reliever and Fever Reducer 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363058572</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363058714</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363058732</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363059016</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363059108</ndc>
    <ndc_label_name>Cold Multi-Symptom (chlorpheniramine) 2 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363059608</ndc>
    <ndc_label_name>Children's Soothe 160 mg (as calcium carbonate 400 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363059944</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363059972</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060022</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060075</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060099</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363060106</ndc>
    <ndc_label_name>Wal-Flu Cold and Sore Throat 20 mg-10 mg-325 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363060206</ndc>
    <ndc_label_name>Wal-Flu Severe Cold and Cough 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363060340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060452</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060822</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060839</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060862</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060962</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363060998</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363061121</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061212</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061239</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061246</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061247</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061260</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061265</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061272</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061275</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061287</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061501</ndc>
    <ndc_label_name>Wal-Zyr (ketotifen) 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363061739</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363061752</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363061760</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363061801</ndc>
    <ndc_label_name>Pinworm Treatment 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363062712</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363062809</ndc>
    <ndc_label_name>Mucus Relief Sinus Pressure and Pain 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363064008</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363064526</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363064534</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363064810</ndc>
    <ndc_label_name>Wal-Four 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065301</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065302</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065303</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065304</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065634</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065638</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363065640</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363065772</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363066026</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363066703</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363066738</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363066834</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363066838</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363066840</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363067364</ndc>
    <ndc_label_name>Anti-Itch Vaginal (benzocaine-resorcinol) 5 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363067560</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363067660</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069031</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069112</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069338</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069590</ndc>
    <ndc_label_name>Jock Itch 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363069834</ndc>
    <ndc_label_name>Daytime Cold and Cough 1,000 mg-30 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069904</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069960</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069965</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069987</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363069995</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363070008</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363070102</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363070530</ndc>
    <ndc_label_name>Children's Saline Nasal Spray 0.65 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363070578</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363070653</ndc>
    <ndc_label_name>Children's Pain Reliever and Fever Reducer 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363070804</ndc>
    <ndc_label_name>Nausea Control oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363070906</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363071008</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363071010</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL prefilled spoon</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363071312</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072415</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072456</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072469</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072515</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072556</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363072569</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363073203</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363073306</ndc>
    <ndc_label_name>Cold and Flu Relief (diphen-pe) 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363073402</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363073530</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363073745</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363073927</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363073933</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363074227</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363074258</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363074260</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363075208</ndc>
    <ndc_label_name>Children's Cough and Cold Relief 2 mg-15 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363075312</ndc>
    <ndc_label_name>Wal-Sleep Z 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363075926</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363075934</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363076340</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363076616</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363077332</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078407</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078415</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078429</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078430</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078443</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078445</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078475</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363078490</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363079926</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363079934</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363080026</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363080443</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363080626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363080930</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363081043</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363081045</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363081101</ndc>
    <ndc_label_name>24 Hour Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363081930</ndc>
    <ndc_label_name>MINOXIDIL 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363083143</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363083962</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363084301</ndc>
    <ndc_label_name>Hemorrhoidal Cooling 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363085140</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363085406</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363085460</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363086626</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363086634</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087143</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087145</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087240</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087250</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087305</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087306</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087308</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087310</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087323</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087520</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363087643</ndc>
    <ndc_label_name>ETHYL RUBBING ALCOHOL 70% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363087825</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363088078</ndc>
    <ndc_label_name>Heartburn Antacid 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363088210</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363088426</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089488</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089588</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089653</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089688</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089726</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363089921</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363090362</ndc>
    <ndc_label_name>Wal-Fex Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363090626</ndc>
    <ndc_label_name>Children's Wal-Tap Cold-Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363090838</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363091208</ndc>
    <ndc_label_name>Wal-Phed PE Day-Night 5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363091209</ndc>
    <ndc_label_name>Wal-Phed PE Day-Night 5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091503</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091530</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091555</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091574</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091600</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363091906</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363092301</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363092311</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363092962</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363093426</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363093604</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363094610</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363094616</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363094935</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363094940</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095235</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095526</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095702</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095704</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095828</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363095926</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363097426</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363098200</ndc>
    <ndc_label_name>MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363098726</ndc>
    <ndc_label_name>Wal-tap DM 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363099526</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363100101</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363100504</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363103102</ndc>
    <ndc_label_name>Cold and Flu Relief Plus(Day/Night) 6.25 mg-5 mg-10 mg-325 mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363106108</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363110006</ndc>
    <ndc_label_name>Wal-Flu Severe Cold-Cough 10 mg-20 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363110106</ndc>
    <ndc_label_name>Wal-Flu Severe Cold and Cough 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363110212</ndc>
    <ndc_label_name>Wal-Flu Day-Night Sev. Cold-Cough 25 mg-10 mg-20 mg-650mg powder packs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363110510</ndc>
    <ndc_label_name>Heartburn Antacid 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363112112</ndc>
    <ndc_label_name>Antacid Liquid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363113256</ndc>
    <ndc_label_name>COD LIVER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363124001</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363124101</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363124502</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363125224</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363125594</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363126294</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363135260</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363173012</ndc>
    <ndc_label_name>Wal-Sleep Z 50 mg/30 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363189802</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363201022</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363206002</ndc>
    <ndc_label_name>Allergy Nasal (mometasone) 50 mcg/actuation spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363206302</ndc>
    <ndc_label_name>Hydrocortisone Plus 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363208001</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363208002</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363209208</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363210017</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363210204</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363210316</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363210372</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363210808</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363214002</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363217107</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363217108</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363217109</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363217207</ndc>
    <ndc_label_name>Pain Relieving (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363224220</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363224272</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363233630</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363237001</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363237102</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363237203</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363239012</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363307312</ndc>
    <ndc_label_name>Antacid M 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363326702</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363335006</ndc>
    <ndc_label_name>Mucus Relief Cold and Sinus 10 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363336006</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363338006</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363345056</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363368004</ndc>
    <ndc_label_name>Moisture Barrier Ointment 0.44 %-20.6 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363402576</ndc>
    <ndc_label_name>Children's Wal-Zyr 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363405004</ndc>
    <ndc_label_name>Children's Cold-Cough-Sore Throat 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363410040</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363412213</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363412262</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363412298</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363414913</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363414962</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363414998</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363419005</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363419010</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363419340</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363420008</ndc>
    <ndc_label_name>Children Mult-Sympt Cold Day-Nite 325 mg-12.5 mg-5 mg/10 mL(nt) liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363436010</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363450108</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363492353</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363500024</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363510118</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363527007</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363546001</ndc>
    <ndc_label_name>Wal-Phed PE Cold-Cough 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363546008</ndc>
    <ndc_label_name>Wal-Phed PE Pressure+Pain+Cold 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363552980</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363578022</ndc>
    <ndc_label_name>Children's Wal-Zyr 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363645007</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363645012</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363645014</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363645060</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363668008</ndc>
    <ndc_label_name>Nighttime Allergy Relief 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363677157</ndc>
    <ndc_label_name>ZINC OXIDE 40% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363689825</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363702056</ndc>
    <ndc_label_name>Alcohol, Rubbing 70 % solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363710004</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363713005</ndc>
    <ndc_label_name>Eye Allergy Itch-Redness Relief 0.1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363713125</ndc>
    <ndc_label_name>Eye Allergy Itch Relief 0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363714201</ndc>
    <ndc_label_name>ZINC OXIDE 40% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363721601</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363722025</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363726978</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363727412</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363816638</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363822034</ndc>
    <ndc_label_name>Double Antibiotic-Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363848001</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363853020</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363876020</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363899310</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363904000</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00363905000</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363906000</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363911005</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363917002</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363917102</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363918001</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363918002</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363920003</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363933010</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363951161</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363965002</ndc>
    <ndc_label_name>Allergy Eye (naphazoline-pheniramine) 0.025 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363965101</ndc>
    <ndc_label_name>Moisturizing Lubricant 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00363983926</ndc>
    <ndc_label_name>Children's Multi-Symptom Cold 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00372000604</ndc>
    <ndc_label_name>Scot-Tussin Expectorant 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00372003604</ndc>
    <ndc_label_name>Scot-Tussin DM 2 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00372004304</ndc>
    <ndc_label_name>Scot-Tussin Diabetes CF 10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00372004416</ndc>
    <ndc_label_name>Scot-Tussin DM Cough Chasers 2.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00372005004</ndc>
    <ndc_label_name>Scot-Tussin Senior 15 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00374508001</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000532</ndc>
    <ndc_label_name>EVEROLIMUS 2 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000585</ndc>
    <ndc_label_name>EVEROLIMUS 2 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000632</ndc>
    <ndc_label_name>EVEROLIMUS 3 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000685</ndc>
    <ndc_label_name>EVEROLIMUS 3 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000732</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378000785</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378001401</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378001801</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378001805</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378002301</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378002305</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378002801</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378003201</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378003210</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378004201</ndc>
    <ndc_label_name>PERPHEN-AMITRIP 4 MG-10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378004701</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378004710</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378005201</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378005301</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378005501</ndc>
    <ndc_label_name>TIMOLOL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378006905</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378007301</ndc>
    <ndc_label_name>PERPHEN-AMITRIP 4 MG-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378007801</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378008010</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378008077</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378008101</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 25-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378008301</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 25-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378008401</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 50-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378008501</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378008601</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 50-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378008801</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378009401</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378012701</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378013501</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378013505</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378013701</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378013710</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378014491</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378015601</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378016702</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378016713</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378016789</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018101</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018105</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018201</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018210</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018301</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018310</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018401</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018410</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018501</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018505</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378018701</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378020810</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378021101</ndc>
    <ndc_label_name>CHLORDIAZEPO-AMITRIPTYL 5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378021105</ndc>
    <ndc_label_name>CHLORDIAZEPO-AMITRIPTYL 5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021301</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021310</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021401</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021410</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021610</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021801</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378021810</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378022101</ndc>
    <ndc_label_name>TIMOLOL MALEATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378022201</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378022210</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378023101</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378023110</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378023201</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378023205</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378024301</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378024305</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378025701</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378025710</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378026591</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378026691</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378027101</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378027105</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378027493</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378027701</ndc>
    <ndc_label_name>CHLORDIAZEPOX-AMITRIPTYL 10-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378027705</ndc>
    <ndc_label_name>CHLORDIAZEPOX-AMITRIPTYL 10-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378031701</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378032701</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378032710</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378033001</ndc>
    <ndc_label_name>PERPHEN-AMITRIP 2 MG-10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378033401</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378033501</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378034501</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378034505</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378034701</ndc>
    <ndc_label_name>PROPRANOLOL-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378035101</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378035110</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378037201</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378039614</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378039918</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378039991</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378040301</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378040305</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378041501</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378041510</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378041577</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378042101</ndc>
    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378042401</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 50-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378042701</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378043305</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378043401</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378043501</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378043505</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378043701</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378044201</ndc>
    <ndc_label_name>PERPHEN-AMITRIP 2 MG-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378044501</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378046001</ndc>
    <ndc_label_name>MAXZIDE 75 MG-50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047201</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047205</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047301</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047305</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047701</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378047705</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378048601</ndc>
    <ndc_label_name>THEOPHYLLINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378050101</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378050301</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378050501</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378050701</ndc>
    <ndc_label_name>METHYLDOPA-HCTZ 250-15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378052501</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378053101</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378054101</ndc>
    <ndc_label_name>CIMETIDINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378057201</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378057401</ndc>
    <ndc_label_name>PERPHEN-AMITRIP 4 MG-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378057701</ndc>
    <ndc_label_name>AMILORIDE HCL-HCTZ 5-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378057705</ndc>
    <ndc_label_name>AMILORIDE HCL-HCTZ 5-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378061101</ndc>
    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378061201</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378061401</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378061601</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378061801</ndc>
    <ndc_label_name>THIORIDAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064001</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064010</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064101</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064110</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064201</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064205</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378064210</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378070901</ndc>
    <ndc_label_name>D-Penamine 125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378071101</ndc>
    <ndc_label_name>METHYLDOPA-HCTZ 250-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378071501</ndc>
    <ndc_label_name>TIMOLOL MALEATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378072301</ndc>
    <ndc_label_name>ENALAPRIL-HCTZ 10-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378073101</ndc>
    <ndc_label_name>PROPRANOLOL-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378073401</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378073493</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378073501</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378073593</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378075701</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378075710</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378076101</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378082501</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378082502</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378086001</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378086005</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087116</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087199</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087216</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087299</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087316</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378087399</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378089655</ndc>
    <ndc_label_name>PENCICLOVIR 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378097201</ndc>
    <ndc_label_name>CLOZAPINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378097301</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378102005</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378102077</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378102577</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378102593</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378104901</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378104910</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378107593</ndc>
    <ndc_label_name>TELMISARTAN-AMLODIPINE 40-5 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378107693</ndc>
    <ndc_label_name>TELMISARTAN-AMLODIPINE 40-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378107793</ndc>
    <ndc_label_name>TELMISARTAN-AMLODIPINE 80-5 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378107893</ndc>
    <ndc_label_name>TELMISARTAN-AMLODIPINE 80-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378108601</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378108693</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378110101</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378110110</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378111001</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378111005</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378113201</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378113210</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378113301</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378113401</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378114001</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378114005</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378114501</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378115001</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378115005</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378116505</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378116580</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378116591</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378117101</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378117110</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378117591</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378119001</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378120178</ndc>
    <ndc_label_name>SORAFENIB 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378125891</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378125991</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378126191</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378127193</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378130001</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378130005</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378135201</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378135205</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378135501</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378137578</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378140396</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378140496</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378141877</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378141893</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378141977</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378141993</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378142077</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378142093</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378143005</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378143077</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378145001</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378145205</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378145401</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378145405</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378145877</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378156001</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378156010</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378157001</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378162693</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378163132</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378163191</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378163193</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378164093</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378165893</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378165993</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378166093</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378166519</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378166619</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378166719</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170405</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170477</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170505</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170577</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170705</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378170777</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378171105</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378171177</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378171205</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378171277</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378171377</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378172193</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378172293</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378172393</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378172493</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180010</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180077</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180310</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180377</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180510</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180577</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180710</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180777</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180910</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378180977</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181110</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181177</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181310</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181377</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181510</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181577</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181710</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181777</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181910</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378181977</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378182177</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378182310</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378182377</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378190101</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378190201</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378190301</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378190577</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378190593</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378193093</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193501</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193528</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193601</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193628</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193701</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378193728</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194001</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194021</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194101</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194121</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194201</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378194221</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378200201</ndc>
    <ndc_label_name>THIOTHIXENE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378204501</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378204601</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378204605</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378204701</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378206301</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378206401</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378208593</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378208677</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378208693</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378209601</ndc>
    <ndc_label_name>NISOLDIPINE ER 8.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378209701</ndc>
    <ndc_label_name>NISOLDIPINE ER 17 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378209801</ndc>
    <ndc_label_name>NISOLDIPINE ER 25.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378209901</ndc>
    <ndc_label_name>NISOLDIPINE ER 34 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378210001</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378210005</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378214601</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378214605</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378215001</ndc>
    <ndc_label_name>MECLOFENAMATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378221491</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378221591</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378222201</ndc>
    <ndc_label_name>NISOLDIPINE ER 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378222301</ndc>
    <ndc_label_name>NISOLDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378222401</ndc>
    <ndc_label_name>NISOLDIPINE ER 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378224577</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378224693</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378225001</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378225005</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378226401</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378226801</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378230201</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378230210</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378233078</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378233178</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378235077</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378235093</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378235177</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378235193</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378240101</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378240201</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378240501</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378241001</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378251693</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378267001</ndc>
    <ndc_label_name>Phenytek 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378267093</ndc>
    <ndc_label_name>Phenytek 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378280026</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378289520</ndc>
    <ndc_label_name>FERRIC CITRATE 210 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292077</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292093</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292177</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292193</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292277</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378292293</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378300001</ndc>
    <ndc_label_name>MECLOFENAMATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378300105</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378300177</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378300277</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378300377</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378300501</ndc>
    <ndc_label_name>THIOTHIXENE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378301201</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378301210</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378302201</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378302301</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378302401</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378302405</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378302501</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378303001</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378303377</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378303477</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378305001</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378306577</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378306605</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378306677</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378307501</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309632</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309685</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309732</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309785</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309832</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309885</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309932</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378309985</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378311001</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378312093</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378312501</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378312510</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378320501</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378320525</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378322477</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378322493</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378322577</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378322593</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378323177</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378323193</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378323277</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378323293</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378326632</ndc>
    <ndc_label_name>ETOPOSIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378326694</ndc>
    <ndc_label_name>ETOPOSIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378334016</ndc>
    <ndc_label_name>Xulane 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378334032</ndc>
    <ndc_label_name>Xulane 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378334053</ndc>
    <ndc_label_name>Xulane 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378334916</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378334999</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335016</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335099</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335116</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335199</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335216</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378335299</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378336016</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378336099</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378336116</ndc>
    <ndc_label_name>ESTRADIOL 0.06 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378336199</ndc>
    <ndc_label_name>ESTRADIOL 0.06 MG PATCH (1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378343193</ndc>
    <ndc_label_name>ARMODAFINIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378343293</ndc>
    <ndc_label_name>ARMODAFINIL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378343393</ndc>
    <ndc_label_name>ARMODAFINIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378345823</ndc>
    <ndc_label_name>AZELASTIN-FLUTIC 137-50MCG SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378351501</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378351510</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378351593</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378352091</ndc>
    <ndc_label_name>FOSAMPRENAVIR 700 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378353001</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378353005</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378353093</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378354501</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378354505</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378354593</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378354725</ndc>
    <ndc_label_name>MERCAPTOPURINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378354752</ndc>
    <ndc_label_name>MERCAPTOPURINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378362793</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363101</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363105</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363201</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363205</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363305</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363401</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363405</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363501</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363701</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378363705</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378375001</ndc>
    <ndc_label_name>Phenytek 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378375093</ndc>
    <ndc_label_name>Phenytek 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378381301</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378381501</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378381601</ndc>
    <ndc_label_name>CLOZAPINE ODT 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378381701</ndc>
    <ndc_label_name>CLOZAPINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378385005</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378385777</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395005</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395077</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395105</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395177</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395205</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395277</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395305</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378395377</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378400105</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378400305</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378400505</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378400701</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378401001</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378401005</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378401077</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378404177</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378404277</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378404293</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378404393</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378405091</ndc>
    <ndc_label_name>NEVIRAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378407001</ndc>
    <ndc_label_name>KETOPROFEN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408101</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408401</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378408501</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378410591</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378412201</ndc>
    <ndc_label_name>ALBUTEROL SULFATE ER 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378412401</ndc>
    <ndc_label_name>ALBUTEROL SULFATE ER 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378414591</ndc>
    <ndc_label_name>RILUZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378415101</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378415105</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378415293</ndc>
    <ndc_label_name>TRAMADOL HCL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378416001</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 62.5-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378416201</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425001</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425010</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425201</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425205</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425305</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425391</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425405</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378425491</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427093</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427193</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427577</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427593</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427677</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378427693</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378428732</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378428785</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378428808</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378428832</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378428885</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378438591</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 375-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378438691</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 500-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378439077</ndc>
    <ndc_label_name>FENOFIBRATE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378439177</ndc>
    <ndc_label_name>FENOFIBRATE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378447201</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378447205</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378449093</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378449193</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378449293</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378450093</ndc>
    <ndc_label_name>BUDESONIDE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451093</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451193</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451293</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451393</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451493</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451593</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451693</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451793</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451893</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378451993</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378452093</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378452593</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378454701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378456005</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378456077</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378456105</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378456177</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459301</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 37.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459401</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459510</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459577</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459610</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459677</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459710</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459777</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459805</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378459877</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378461501</ndc>
    <ndc_label_name>DOXYLAMINE-PYRIDOXINE 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378461916</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378461926</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462016</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462026</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462116</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462126</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462216</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462226</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462316</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378462326</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464016</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464026</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464116</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464126</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464216</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464226</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464316</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464326</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464416</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378464426</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378470577</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378470593</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378470677</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378470693</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378472501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378473501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378477501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378479106</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378483060</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378483090</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378489093</ndc>
    <ndc_label_name>NEVIRAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378501001</ndc>
    <ndc_label_name>THIOTHIXENE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378505001</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378505005</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378505077</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505101</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 10-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505201</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505301</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-250 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505577</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505677</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378505777</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378508973</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378509073</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378509185</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378512301</ndc>
    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378512401</ndc>
    <ndc_label_name>Sotalol AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378512501</ndc>
    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514405</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514477</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514493</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514505</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514577</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378514593</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378518593</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378518693</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378524532</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378524585</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378524632</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378524685</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378527001</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378527101</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378527201</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378535301</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378537501</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378537510</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378542601</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378542605</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378542805</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378543035</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378543135</ndc>
    <ndc_label_name>GATIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378543593</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378543677</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378543693</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378544093</ndc>
    <ndc_label_name>EMTRICIT-RILP-TENOF 200-25-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378544591</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378544605</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378544691</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378551093</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378551193</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378551293</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378551393</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378557305</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378557393</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378557505</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378557593</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561305</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561378</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561505</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561578</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561705</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561778</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378561991</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378563059</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378563159</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378563259</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378580793</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378581377</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378581477</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378581577</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378600191</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378600291</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378603405</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378603477</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378606001</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378609001</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378612001</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378614144</ndc>
    <ndc_label_name>Avita 0.025 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378614145</ndc>
    <ndc_label_name>Avita 0.025 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378615601</ndc>
    <ndc_label_name>Digitek 250 mcg (0.25 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378615610</ndc>
    <ndc_label_name>Digitek 250 mcg (0.25 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378617201</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378617301</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378617401</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378619593</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378619693</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378619793</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623101</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623105</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623201</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623205</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623301</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378623305</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378632001</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632105</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632177</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632277</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632305</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632377</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632477</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632505</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378632577</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378633380</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378638001</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378641001</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378641010</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378644001</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378647016</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378647044</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378647097</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378647099</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378655053</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378655085</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661185</ndc>
    <ndc_label_name>Amnesteem 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661193</ndc>
    <ndc_label_name>Amnesteem 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661285</ndc>
    <ndc_label_name>Amnesteem 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661293</ndc>
    <ndc_label_name>Amnesteem 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661385</ndc>
    <ndc_label_name>Amnesteem 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661393</ndc>
    <ndc_label_name>Amnesteem 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661485</ndc>
    <ndc_label_name>Amnesteem 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378661493</ndc>
    <ndc_label_name>Amnesteem 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378662993</ndc>
    <ndc_label_name>EPROSARTAN MESYLATE 600 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378667828</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378667928</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378668028</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378668128</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378668877</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378668910</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378668977</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378675082</ndc>
    <ndc_label_name>BALSALAZIDE DISODIUM 750 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685477</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685577</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685677</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685777</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685877</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378685977</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378686077</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378692078</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378692191</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378695501</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378696032</ndc>
    <ndc_label_name>GLATIRAMER 20 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378696093</ndc>
    <ndc_label_name>GLATIRAMER 20 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378696112</ndc>
    <ndc_label_name>GLATIRAMER 40 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378696132</ndc>
    <ndc_label_name>GLATIRAMER 40 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378697032</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378697085</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378697293</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378697393</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698132</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698185</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698188</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698232</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698285</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698288</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698501</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698601</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378698789</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378699331</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378699393</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378699789</ndc>
    <ndc_label_name>SODIUM CHLORIDE 3% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378699889</ndc>
    <ndc_label_name>SODIUM CHLORIDE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700110</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700193</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700210</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700293</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700310</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700393</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700410</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700493</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378700501</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378700701</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378700750</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378701001</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378701705</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378701793</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378702093</ndc>
    <ndc_label_name>ACITRETIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378702393</ndc>
    <ndc_label_name>ACITRETIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378702501</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378705001</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378705535</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378705567</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378705752</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378705798</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378705852</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378705898</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378709601</ndc>
    <ndc_label_name>BROMOCRIPTINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378709693</ndc>
    <ndc_label_name>BROMOCRIPTINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378710077</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378710177</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378712477</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378712493</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378715501</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378715505</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378716001</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378716005</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378718505</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378718605</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378718705</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378727253</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378727285</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378727453</ndc>
    <ndc_label_name>NORETHIN-EE 1.5-0.03 MG(21) TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378727485</ndc>
    <ndc_label_name>NORETHIN-EE 1.5-0.03 MG(21) TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728053</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728085</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728153</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728353</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(21)-75 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728385</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(21)-75 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728485</ndc>
    <ndc_label_name>LEVONOR-E ESTRAD 0.1-0.02-0.01</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728490</ndc>
    <ndc_label_name>LEVONOR-E ESTRAD 0.1-0.02-0.01</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728590</ndc>
    <ndc_label_name>LEVONO-E ESTRAD 0.15-0.03-0.01</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728653</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728685</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728753</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728785</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728853</ndc>
    <ndc_label_name>NORETH-EE-FE 1.5-0.03MG(21)-75</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378728885</ndc>
    <ndc_label_name>NORETH-EE-FE 1.5-0.03MG(21)-75</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729189</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729253</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729285</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729353</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729385</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729453</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 0.5-0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729485</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 0.5-0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729553</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 1-0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729585</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 1-0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729653</ndc>
    <ndc_label_name>DESOGESTR-ETH ESTRAD ETH ESTRA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729753</ndc>
    <ndc_label_name>NORET-ESTR-FE 0.4-0.035(21)-75</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729785</ndc>
    <ndc_label_name>NORET-ESTR-FE 0.4-0.035(21)-75</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729953</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378729985</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730053</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730353</ndc>
    <ndc_label_name>NORETH-EE-FE 1 MG/20-30-35 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730385</ndc>
    <ndc_label_name>NORETH-EE-FE 1 MG/20-30-35 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730653</ndc>
    <ndc_label_name>ETHYNODIOL-ETH ESTRA 1MG-50MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730685</ndc>
    <ndc_label_name>ETHYNODIOL-ETH ESTRA 1MG-50MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730753</ndc>
    <ndc_label_name>ETHYNODIOL-ETH ESTRA 1MG-35MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730785</ndc>
    <ndc_label_name>ETHYNODIOL-ETH ESTRA 1MG-35MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730853</ndc>
    <ndc_label_name>NORETHIN-ESTRA-FE 0.8-0.025 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378730885</ndc>
    <ndc_label_name>NORETHIN-ESTRA-FE 0.8-0.025 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378731685</ndc>
    <ndc_label_name>LEVONORG 0.15MG-EE 20-25-30MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378750232</ndc>
    <ndc_label_name>Breyna 80 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378750332</ndc>
    <ndc_label_name>Breyna 160 mcg-4.5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378751835</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378773293</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378773493</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378773497</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797031</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797052</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797055</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797062</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797064</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797091</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378797093</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378800801</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378800805</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378801593</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378802077</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378802093</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378802177</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378802193</ndc>
    <ndc_label_name>FLUVASTATIN SODIUM 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378803005</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378803077</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378803093</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378804321</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378805501</ndc>
    <ndc_label_name>CLOBETASOL EMULSION 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378805550</ndc>
    <ndc_label_name>CLOBETASOL EMULSION 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378805649</ndc>
    <ndc_label_name>HALCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378805660</ndc>
    <ndc_label_name>HALCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378806532</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378806790</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378807560</ndc>
    <ndc_label_name>ERYGEL 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378807593</ndc>
    <ndc_label_name>ERYGEL 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378807849</ndc>
    <ndc_label_name>FLUOROURACIL 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808220</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808245</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808320</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808345</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808420</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378808445</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378808515</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378808545</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378808615</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378808645</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809045</ndc>
    <ndc_label_name>TRETINOIN 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809220</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.04% TUBE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809245</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.04% TUBE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809250</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.04% PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809320</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.1% TUBE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809345</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.1% TUBE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378809350</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.1% PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378810593</ndc>
    <ndc_label_name>GALANTAMINE ER 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378810693</ndc>
    <ndc_label_name>GALANTAMINE ER 16 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378810793</ndc>
    <ndc_label_name>GALANTAMINE ER 24 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378811745</ndc>
    <ndc_label_name>DOXEPIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378812330</ndc>
    <ndc_label_name>Zonalon 5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378812345</ndc>
    <ndc_label_name>Zonalon 5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378813045</ndc>
    <ndc_label_name>Prudoxin 5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378813401</ndc>
    <ndc_label_name>Evoclin 1 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378813450</ndc>
    <ndc_label_name>Evoclin 1 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378813601</ndc>
    <ndc_label_name>Extina 2 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378813650</ndc>
    <ndc_label_name>Extina 2 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378814701</ndc>
    <ndc_label_name>Olux-E 0.05 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378814750</ndc>
    <ndc_label_name>Olux-E 0.05 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378816701</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378816750</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378817593</ndc>
    <ndc_label_name>SAXAGLIPTIN-METFORMIN ER 5-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378817691</ndc>
    <ndc_label_name>SAXAGLIPTN-METFORM ER 2.5-1000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378817793</ndc>
    <ndc_label_name>SAXAGLIPTIN-METFORMN ER 5-1000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818050</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818099</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818201</ndc>
    <ndc_label_name>Olux 0.05 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818250</ndc>
    <ndc_label_name>Olux 0.05 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818701</ndc>
    <ndc_label_name>Luxiq 0.12 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378818750</ndc>
    <ndc_label_name>Luxiq 0.12 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378819015</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378819030</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378819045</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378819060</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378820001</ndc>
    <ndc_label_name>KETOPROFEN ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378821260</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378821293</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378822250</ndc>
    <ndc_label_name>MICONAZOLE-ZINC-PETRO 0.25-15%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826016</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826093</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826116</ndc>
    <ndc_label_name>METHYLPHENIDATE 15 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826193</ndc>
    <ndc_label_name>METHYLPHENIDATE 15 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826216</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826293</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826316</ndc>
    <ndc_label_name>METHYLPHENIDATE 30 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378826393</ndc>
    <ndc_label_name>METHYLPHENIDATE 30 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827031</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827052</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827055</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827062</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827064</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827091</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378827093</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378830001</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 50 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378830101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 75 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378830401</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 150 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378868835</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378868854</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378870006</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378870049</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378871273</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876058</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876091</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876098</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876516</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876593</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876616</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 4-1MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876693</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 4-1MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876716</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876793</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876816</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 12-3MG FLM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378876893</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 12-3MG FLM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378877035</ndc>
    <ndc_label_name>ESTRADIOL 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378904001</ndc>
    <ndc_label_name>Cystagon 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378904005</ndc>
    <ndc_label_name>Cystagon 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378904501</ndc>
    <ndc_label_name>Cystagon 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378904505</ndc>
    <ndc_label_name>Cystagon 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378905516</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378905593</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907016</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907093</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907116</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907193</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907216</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378907293</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378908001</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378910216</ndc>
    <ndc_label_name>NITROGLYCERIN 0.1 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378910293</ndc>
    <ndc_label_name>NITROGLYCERIN 0.1 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378910416</ndc>
    <ndc_label_name>NITROGLYCERIN 0.2 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378910493</ndc>
    <ndc_label_name>NITROGLYCERIN 0.2 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911216</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911293</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911616</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911693</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911916</ndc>
    <ndc_label_name>FENTANYL 12 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378911998</ndc>
    <ndc_label_name>FENTANYL 12 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912116</ndc>
    <ndc_label_name>FENTANYL 25 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912198</ndc>
    <ndc_label_name>FENTANYL 25 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912216</ndc>
    <ndc_label_name>FENTANYL 50 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912298</ndc>
    <ndc_label_name>FENTANYL 50 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912316</ndc>
    <ndc_label_name>FENTANYL 75 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912398</ndc>
    <ndc_label_name>FENTANYL 75 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912416</ndc>
    <ndc_label_name>FENTANYL 100 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378912498</ndc>
    <ndc_label_name>FENTANYL 100 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912516</ndc>
    <ndc_label_name>FENTANYL 37.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912598</ndc>
    <ndc_label_name>FENTANYL 37.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912616</ndc>
    <ndc_label_name>FENTANYL 62.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912698</ndc>
    <ndc_label_name>FENTANYL 62.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912716</ndc>
    <ndc_label_name>FENTANYL 87.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378912798</ndc>
    <ndc_label_name>FENTANYL 87.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378920535</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378923093</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378932032</ndc>
    <ndc_label_name>Wixela Inhub 100 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378932132</ndc>
    <ndc_label_name>Wixela Inhub 250 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378932232</ndc>
    <ndc_label_name>Wixela Inhub 500 mcg-50 mcg/dose powder for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378965132</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378965150</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378967130</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378967131</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378967160</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378967164</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00378967193</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969052</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969062</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969152</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969162</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969252</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378969262</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378972055</ndc>
    <ndc_label_name>Denavir 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378973050</ndc>
    <ndc_label_name>Vusion 0.25 %-15 %-81.35 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00378973573</ndc>
    <ndc_label_name>Zovirax 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000102</ndc>
    <ndc_label_name>ETHYL CHLORIDE SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000103</ndc>
    <ndc_label_name>ETHYL CHLORIDE SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000104</ndc>
    <ndc_label_name>ETHYL CHLORIDE SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000111</ndc>
    <ndc_label_name>ETHYL CHLORIDE SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000113</ndc>
    <ndc_label_name>ETHYL CHLORIDE SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000404</ndc>
    <ndc_label_name>Spray And Stretch topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000801</ndc>
    <ndc_label_name>Pain Ease Mist Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000802</ndc>
    <ndc_label_name>Pain Ease Mist Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000803</ndc>
    <ndc_label_name>Pain Ease Medium Stream Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00386000804</ndc>
    <ndc_label_name>Pain Ease Medium Stream Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394002553</ndc>
    <ndc_label_name>Nomlands lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394010002</ndc>
    <ndc_label_name>Florical 3.75 mg (8.25)-145 mg (364) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394010005</ndc>
    <ndc_label_name>Florical 3.75 mg (8.25)-145 mg (364) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394010202</ndc>
    <ndc_label_name>Florical 3.75 mg (8.25)-145 mg (364) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394010205</ndc>
    <ndc_label_name>Florical 3.75 mg (8.25)-145 mg (364) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394010502</ndc>
    <ndc_label_name>Monocal 22.75 mg-625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394012202</ndc>
    <ndc_label_name>Zinc-15 66 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394012402</ndc>
    <ndc_label_name>Orazinc 25 mg zinc (110 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00394013012</ndc>
    <ndc_label_name>Meribin 5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394013142</ndc>
    <ndc_label_name>Hard Nails 2,500 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394021760</ndc>
    <ndc_label_name>GINKGO 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00394025009</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00394049902</ndc>
    <ndc_label_name>Orazinc 50 mg zinc (220 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00394085932</ndc>
    <ndc_label_name>HYDROCORTISONE 1% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395001916</ndc>
    <ndc_label_name>ACETONE CP LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395001928</ndc>
    <ndc_label_name>ACETONE CP LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395001994</ndc>
    <ndc_label_name>ACETONE CP LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395003594</ndc>
    <ndc_label_name>COLA SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395003716</ndc>
    <ndc_label_name>Alcohol, Denatured 95 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395003728</ndc>
    <ndc_label_name>Alcohol, Denatured 95 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395004016</ndc>
    <ndc_label_name>RUBBING ALCOHOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395004912</ndc>
    <ndc_label_name>ALUM AMMONIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395004996</ndc>
    <ndc_label_name>AMMONIUM ALUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395008916</ndc>
    <ndc_label_name>Flavor Blend 2 in 1 oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395008928</ndc>
    <ndc_label_name>Flavor Blend 2 in 1 oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395008985</ndc>
    <ndc_label_name>Flavor Blend 2 in 1 oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009016</ndc>
    <ndc_label_name>Flavor Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009028</ndc>
    <ndc_label_name>Flavor Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009085</ndc>
    <ndc_label_name>Flavor Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009116</ndc>
    <ndc_label_name>Flavor Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009128</ndc>
    <ndc_label_name>Flavor Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395009185</ndc>
    <ndc_label_name>Flavor Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395009416</ndc>
    <ndc_label_name>Flavor Sweet-SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395009428</ndc>
    <ndc_label_name>Flavor Sweet-SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395009485</ndc>
    <ndc_label_name>Flavor Sweet-SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395009891</ndc>
    <ndc_label_name>Ear Drops For Swimmers 95 %-5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395011231</ndc>
    <ndc_label_name>SANARE ADV SCAR THERAPY BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395011256</ndc>
    <ndc_label_name>SANARE ADV SCAR THERAPY BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395011259</ndc>
    <ndc_label_name>SANARE ADV SCAR THERAPY BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395011594</ndc>
    <ndc_label_name>ARNICA TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012394</ndc>
    <ndc_label_name>ASCORBIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012516</ndc>
    <ndc_label_name>Versa Free oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012528</ndc>
    <ndc_label_name>Versa Free oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012585</ndc>
    <ndc_label_name>Versa Free oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012616</ndc>
    <ndc_label_name>Versa Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012628</ndc>
    <ndc_label_name>Versa Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012685</ndc>
    <ndc_label_name>Versa Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012791</ndc>
    <ndc_label_name>ASAFETIDA TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395012994</ndc>
    <ndc_label_name>CASTIVA COOLING LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395013094</ndc>
    <ndc_label_name>CASTIVA WARMING 0.035% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395013501</ndc>
    <ndc_label_name>PLO20 FLOWABLE BASE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395013554</ndc>
    <ndc_label_name>PLO20 FLOWABLE BASE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395020001</ndc>
    <ndc_label_name>BARIUM SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395020116</ndc>
    <ndc_label_name>BAY RUM ELIXIR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395024316</ndc>
    <ndc_label_name>benzoin compound 10 %-2 %-8 %-4 % topical tincture</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395024392</ndc>
    <ndc_label_name>benzoin compound 10 %-2 %-8 %-4 % topical tincture</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395024792</ndc>
    <ndc_label_name>BENZOIN TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395030001</ndc>
    <ndc_label_name>BORIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395030094</ndc>
    <ndc_label_name>BORIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395030312</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395030396</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395040096</ndc>
    <ndc_label_name>Calaclear lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395040796</ndc>
    <ndc_label_name>CALAMINE PHENOLATED LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395041396</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395042096</ndc>
    <ndc_label_name>Calagesic 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395043101</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395045591</ndc>
    <ndc_label_name>CAMPHOR GUM BLOCKS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395046716</ndc>
    <ndc_label_name>CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395046792</ndc>
    <ndc_label_name>CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395051394</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395051516</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395051592</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395051596</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395052791</ndc>
    <ndc_label_name>ACTIVATED CHARCOAL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395052798</ndc>
    <ndc_label_name>ACTIVATED CHARCOAL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395060501</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395060594</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395061716</ndc>
    <ndc_label_name>COAL TAR SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395063516</ndc>
    <ndc_label_name>COD LIVER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395063594</ndc>
    <ndc_label_name>COD LIVER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395067716</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395071392</ndc>
    <ndc_label_name>DEWEE'S CARMINATIVE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395080716</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395096712</ndc>
    <ndc_label_name>FULLER'S EARTH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395100392</ndc>
    <ndc_label_name>GENTIAN VIOLET 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395100592</ndc>
    <ndc_label_name>GENTIAN VIOLET 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395103116</ndc>
    <ndc_label_name>GLYCERIN SKIN PROTECTANT LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395103128</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395103175</ndc>
    <ndc_label_name>GLYCERIN 99.5% SKIN PROTECT LQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395103185</ndc>
    <ndc_label_name>GLYCERIN 99.5% SKIN PROTECT LQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395103196</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395103796</ndc>
    <ndc_label_name>GLYCERIN AND ROSE WATER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395104916</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395104928</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395104994</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395111328</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395120716</ndc>
    <ndc_label_name>IODINE MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395120792</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395121116</ndc>
    <ndc_label_name>Iodine Tincture 1 %-70 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395121316</ndc>
    <ndc_label_name>IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395121391</ndc>
    <ndc_label_name>IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395121916</ndc>
    <ndc_label_name>IODINE STRONG TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395124316</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395124328</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395124904</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395124928</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395125928</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395140194</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395150101</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395161994</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395166716</ndc>
    <ndc_label_name>METHYL SALICYLATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395166792</ndc>
    <ndc_label_name>METHYL SALICYLATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395167016</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395167328</ndc>
    <ndc_label_name>Mineral Oil Light topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395168528</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395191391</ndc>
    <ndc_label_name>ANISE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395193116</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395193191</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395193791</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395194391</ndc>
    <ndc_label_name>CITRONELLA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395194988</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395194991</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395196194</ndc>
    <ndc_label_name>COCONUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395197316</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395197394</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395197991</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395199728</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395199794</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395200391</ndc>
    <ndc_label_name>ORANGE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395201591</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395206311</ndc>
    <ndc_label_name>Sweet Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395206394</ndc>
    <ndc_label_name>Sweet Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395207592</ndc>
    <ndc_label_name>TURPENTINE OIL, RECTIFIED</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395211794</ndc>
    <ndc_label_name>OXALIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395224391</ndc>
    <ndc_label_name>PEPPERMINT SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395225594</ndc>
    <ndc_label_name>PERUVIAN BALSAM LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395232516</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395232598</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395232728</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395233575</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395251394</ndc>
    <ndc_label_name>ROSE WATER LIQ ARTIFICIAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395253198</ndc>
    <ndc_label_name>ROSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395262501</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395262594</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395263701</ndc>
    <ndc_label_name>POTASSIUM NITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395263794</ndc>
    <ndc_label_name>POTASSIUM NITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395266116</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395266128</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395266175</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395266185</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395266216</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395266228</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395266285</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395266416</ndc>
    <ndc_label_name>RASPBERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395268501</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395268594</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395270901</ndc>
    <ndc_label_name>SODIUM PERBORATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395272730</ndc>
    <ndc_label_name>SODIUM SILICATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395277516</ndc>
    <ndc_label_name>Strong Iodine 5 % oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395279912</ndc>
    <ndc_label_name>SULFUR SUBLIMED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395279994</ndc>
    <ndc_label_name>SULFUR SUBLIMED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395294316</ndc>
    <ndc_label_name>TURPENTINE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395294394</ndc>
    <ndc_label_name>TURPENTINE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395350101</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395391385</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395392016</ndc>
    <ndc_label_name>SyrPalta Vehicle oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395392085</ndc>
    <ndc_label_name>SyrPalta Vehicle oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395420228</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395481791</ndc>
    <ndc_label_name>AUSTRALIAN TEA TREE 100% OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395571694</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600154</ndc>
    <ndc_label_name>HRT BASE BOTANICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600156</ndc>
    <ndc_label_name>HRT BASE BOTANICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600254</ndc>
    <ndc_label_name>HRT BASE HEAVY OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600256</ndc>
    <ndc_label_name>HRT Heavy Cream Base transdermal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600257</ndc>
    <ndc_label_name>BHRT BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600258</ndc>
    <ndc_label_name>BHRT BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600354</ndc>
    <ndc_label_name>LIPOBASE REGULAR CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600457</ndc>
    <ndc_label_name>LIPOSOMAL HEAVY CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600458</ndc>
    <ndc_label_name>LIPOSOMAL HEAVY CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600801</ndc>
    <ndc_label_name>PLO20 BASE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600854</ndc>
    <ndc_label_name>PLO20 BASE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600879</ndc>
    <ndc_label_name>PLO20 BASE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600954</ndc>
    <ndc_label_name>SaltStable LO cream base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600956</ndc>
    <ndc_label_name>SaltStable LO cream base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600957</ndc>
    <ndc_label_name>SaltStable LO cream base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395600958</ndc>
    <ndc_label_name>SaltStable LO cream base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601054</ndc>
    <ndc_label_name>PENCREAM COMPOUNDING AGENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601056</ndc>
    <ndc_label_name>PENCREAM COMPOUNDING AGENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601057</ndc>
    <ndc_label_name>PENCREAM COMPOUNDING AGENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601058</ndc>
    <ndc_label_name>PENCREAM COMPOUNDING AGENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601354</ndc>
    <ndc_label_name>Anhydrous Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601356</ndc>
    <ndc_label_name>Anhydrous Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601554</ndc>
    <ndc_label_name>MULTIBASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601557</ndc>
    <ndc_label_name>MULTIUSE BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601754</ndc>
    <ndc_label_name>UNIVERSAL WATER GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601954</ndc>
    <ndc_label_name>WILEY BASIC ELEMENTS BHRT BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601970</ndc>
    <ndc_label_name>WILEY BASIC ELEMENTS BHRT BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601973</ndc>
    <ndc_label_name>WILEY BASIC ELEMENTS BHRT BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395601977</ndc>
    <ndc_label_name>WILEY BASIC ELEMENTS BHRT BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602056</ndc>
    <ndc_label_name>RECURA CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602059</ndc>
    <ndc_label_name>RECURA CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602156</ndc>
    <ndc_label_name>SaltStable LS cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602157</ndc>
    <ndc_label_name>SaltStable LS cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602158</ndc>
    <ndc_label_name>SaltStable LS cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602257</ndc>
    <ndc_label_name>BHRT BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395602258</ndc>
    <ndc_label_name>BHRT BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395801092</ndc>
    <ndc_label_name>Merthiolate (benzalkonium) 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395916702</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395916801</ndc>
    <ndc_label_name>Flavor Sweet-SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00395916802</ndc>
    <ndc_label_name>Flavor Sweet-SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395916901</ndc>
    <ndc_label_name>Flavor Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00395916902</ndc>
    <ndc_label_name>Flavor Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396391000</ndc>
    <ndc_label_name>Pro-Ception vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401060</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 60MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401065</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 65MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401070</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 70MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401075</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 75MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401080</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 80MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401085</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 85MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401090</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 90MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00396401095</ndc>
    <ndc_label_name>WIDE SEAL DIAPHRAGM 95MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404001713</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404071413</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404071499</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404071613</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404071699</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00404100003</ndc>
    <ndc_label_name>SILVER NITRATE APPLICATOR 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404407501</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00404650015</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:50,000 CART</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00404651205</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00404662505</ndc>
    <ndc_label_name>ARTICAINE 4%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00404673005</ndc>
    <ndc_label_name>MEPIVACAINE 3% CARTRIDGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00404719901</ndc>
    <ndc_label_name>PROPARACAINE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012301</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012305</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012310</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012312</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012323</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012362</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012401</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012405</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012410</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012412</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012423</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012462</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012501</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012505</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012510</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012512</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012523</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012560</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012562</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406012701</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406013601</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406015401</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037601</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037605</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037701</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037705</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037801</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406037805</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048301</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #2 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048401</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048403</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048410</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048423</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048462</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048501</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406048505</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406051201</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406051205</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406051223</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406051262</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052201</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052205</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052223</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052262</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052301</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052305</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052323</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406052362</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406052710</ndc>
    <ndc_label_name>Methadose 10 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406054034</ndc>
    <ndc_label_name>Methadose 40 mg soluble tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406055201</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406055223</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406055262</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406067252</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406080301</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406080401</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406080701</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 37.5MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406113052</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406114201</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406114401</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406114601</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406117001</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406117003</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406121901</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406122001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406144501</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406149252</ndc>
    <ndc_label_name>NALOXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406151056</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406152053</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406152055</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406154832</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406154835</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406155953</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHYLPHENIDATE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406158253</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE CRYSTAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406181001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406182001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406183001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406184001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406185001</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 50MG CP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406186001</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(CD) 60MG CP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406192303</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406222401</ndc>
    <ndc_label_name>LEVORPHANOL 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406254001</ndc>
    <ndc_label_name>METHADONE 40 MG TABLET DISPR</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406322257</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>HYDROMORPHONE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406412310</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511501</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406511701</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406511823</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406511862</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406511901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406511962</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406512401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406512701</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LISDEXAMFETAMINE 50 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406512901</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406575501</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406575523</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406575562</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406577101</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406577123</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406577162</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406622105</ndc>
    <ndc_label_name>METHADONE 10 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406622505</ndc>
    <ndc_label_name>METHADONE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406630103</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406630203</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406701203</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406701803</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406771160</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406800312</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406800315</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406800324</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406800330</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406800503</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406802003</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406831501</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406831523</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406831562</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406832001</ndc>
    <ndc_label_name>MORPHINE SULF ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406833001</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406833023</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406833062</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406838001</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406838023</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406838062</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406839001</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406839023</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406839062</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851001</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851023</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851062</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851501</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851523</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406851562</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406852001</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406853001</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406853023</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406853062</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406855605</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406855730</ndc>
    <ndc_label_name>OXYCODONE HCL 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406872510</ndc>
    <ndc_label_name>Methadose 10 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406880601</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406880701</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406880801</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406887353</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406887357</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406888401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406888501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406889101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406889201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406889301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406889401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895801</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406895901</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406896001</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00406896201</ndc>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00406995903</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141208</ndc>
    <ndc_label_name>Omnipaque 240 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 240 mg iodine/mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 240 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141358</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 300 mg iodine/mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 300 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141489</ndc>
    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141491</ndc>
    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141493</ndc>
    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141494</ndc>
    <ndc_label_name>Omnipaque 350 mg iodine/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141509</ndc>
    <ndc_label_name>Omnipaque 9 mg iodine/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407141612</ndc>
    <ndc_label_name>Omnipaque 12  mg iodine/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222216</ndc>
    <ndc_label_name>Visipaque 270 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222217</ndc>
    <ndc_label_name>Visipaque 270 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222219</ndc>
    <ndc_label_name>Visipaque 270 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222221</ndc>
    <ndc_label_name>Visipaque 270 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222316</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222317</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222319</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222321</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222323</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222361</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407222365</ndc>
    <ndc_label_name>Visipaque 320 mg iodine/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407270703</ndc>
    <ndc_label_name>Optison 0.22 mg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407270718</ndc>
    <ndc_label_name>Optison 0.22 mg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294301</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL (376.9 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294302</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL (376.9 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294305</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL (376.9 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294306</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL (376.9 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294312</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294317</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294322</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407294370</ndc>
    <ndc_label_name>Clariscan 0.5 mmol/mL (376.9 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00407878701</ndc>
    <ndc_label_name>Flyrcado 190 MBq/mL to 2,050 MBq/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000101</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000125</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000404</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000701</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000710</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000902</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409000925</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409001202</ndc>
    <ndc_label_name>HEPARIN 12,500 UNIT/250-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409001230</ndc>
    <ndc_label_name>HEPARIN 12,500 UNIT/250-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409001601</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002002</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG/4ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002103</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500MG/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002401</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002410</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002501</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409002510</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409003201</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409003210</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409004005</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409004010</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409004201</ndc>
    <ndc_label_name>DOPAMINE 400 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409004212</ndc>
    <ndc_label_name>DOPAMINE 400 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409005101</ndc>
    <ndc_label_name>ADD-Vantage ADDaptor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409006401</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409006410</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409012001</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409012201</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409012501</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409012525</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409014411</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG ADD-VAN VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409014421</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG ADD-VAN VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409014701</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409014710</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015101</ndc>
    <ndc_label_name>DOBUTAMINE 500 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015110</ndc>
    <ndc_label_name>DOBUTAMINE 500 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015201</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015224</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015501</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409015502</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409016101</ndc>
    <ndc_label_name>Levophed 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409016110</ndc>
    <ndc_label_name>Levophed 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018101</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018125</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018201</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018225</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018301</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018325</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018501</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018601</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409018701</ndc>
    <ndc_label_name>GEMCITABINE HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409020102</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409020110</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409020120</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409021201</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409021202</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409021203</ndc>
    <ndc_label_name>MILRINONE LACT 50 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409021210</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409021211</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409022201</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409022210</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409030201</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409032320</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 30 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409033220</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 15 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409036501</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409036601</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409036701</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409036801</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052501</ndc>
    <ndc_label_name>Marcaine 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052525</ndc>
    <ndc_label_name>Marcaine 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052813</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052815</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052823</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052825</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052831</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409052835</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409080101</ndc>
    <ndc_label_name>Nipent 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409082901</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409082911</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409083001</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409083011</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409100501</ndc>
    <ndc_label_name>HEPARIN 1,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409100520</ndc>
    <ndc_label_name>HEPARIN 1,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409104501</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG/4ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409106001</ndc>
    <ndc_label_name>PEMETREXED 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409106101</ndc>
    <ndc_label_name>PEMETREXED 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409109802</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409109812</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110001</ndc>
    <ndc_label_name>DOBUTAMINE 1,000 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110010</ndc>
    <ndc_label_name>DOBUTAMINE 1,000 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110301</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110311</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110502</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110522</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110901</ndc>
    <ndc_label_name>ATRACURIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409110911</ndc>
    <ndc_label_name>ATRACURIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409111201</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409111210</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409113405</ndc>
    <ndc_label_name>MORPHINE SULFATE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114001</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114102</ndc>
    <ndc_label_name>SODIUM CHLORIDE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114112</ndc>
    <ndc_label_name>SODIUM CHLORIDE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114402</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114405</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114410</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114411</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114462</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409114465</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115901</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115902</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115909</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115910</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115918</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409115919</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116001</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116018</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116201</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116202</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116209</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116210</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116218</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116219</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116301</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116318</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116501</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116502</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116518</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409116519</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117401</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117410</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117603</ndc>
    <ndc_label_name>Demerol (PF) 25 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117630</ndc>
    <ndc_label_name>Demerol (PF) 25 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117803</ndc>
    <ndc_label_name>Demerol (PF) 50 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117830</ndc>
    <ndc_label_name>Demerol (PF) 50 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117903</ndc>
    <ndc_label_name>Demerol (PF) 75 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409117930</ndc>
    <ndc_label_name>Demerol (PF) 75 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409118059</ndc>
    <ndc_label_name>DEMEROL 100 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409118069</ndc>
    <ndc_label_name>DEMEROL 100 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409118130</ndc>
    <ndc_label_name>Demerol 50 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120703</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120713</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120801</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120811</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120901</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120910</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120965</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409120970</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409121501</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409121521</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409121901</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409121941</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409127303</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409127332</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409128303</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409128317</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409128331</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409128337</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409130403</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409130431</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409131203</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409131216</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409131230</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409131236</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409131611</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409131632</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409131901</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409132305</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409132315</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409136201</ndc>
    <ndc_label_name>Demerol (PF) 25 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409136211</ndc>
    <ndc_label_name>Demerol (PF) 25 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409139021</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409139051</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409139121</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409139122</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140101</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140105</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140212</ndc>
    <ndc_label_name>HEPARIN 5,000 UNIT/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140227</ndc>
    <ndc_label_name>HEPARIN 5,000 UNIT/ML CARPUJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140305</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409140310</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409141001</ndc>
    <ndc_label_name>ISUPREL 0.2 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409141801</ndc>
    <ndc_label_name>Demerol (PF) 50 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409141811</ndc>
    <ndc_label_name>Demerol (PF) 50 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409143401</ndc>
    <ndc_label_name>Precedex 1,000 mcg/250 mL (4 mcg/mL) in 0.9% sodium chloride IV soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409145401</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409145420</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146301</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146349</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146369</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146371</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146401</ndc>
    <ndc_label_name>NALBUPHINE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146461</ndc>
    <ndc_label_name>NALBUPHINE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146501</ndc>
    <ndc_label_name>NALBUPHINE 20 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146571</ndc>
    <ndc_label_name>NALBUPHINE 20 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146701</ndc>
    <ndc_label_name>NALBUPHINE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409146761</ndc>
    <ndc_label_name>NALBUPHINE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409153001</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409153025</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409154101</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409154110</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155554</ndc>
    <ndc_label_name>Hextend 6 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155564</ndc>
    <ndc_label_name>Hextend 6 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155910</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155918</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155919</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409155930</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409156010</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409156018</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409156019</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409156029</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409158210</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409158218</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409158219</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409158229</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409158750</ndc>
    <ndc_label_name>Marcaine 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409159304</ndc>
    <ndc_label_name>Tham 36 mg/mL (0.3 M) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409159314</ndc>
    <ndc_label_name>Tham 36 mg/mL (0.3 M) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409159601</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409159610</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409161050</ndc>
    <ndc_label_name>Marcaine 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162301</ndc>
    <ndc_label_name>BUTORPHANOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162321</ndc>
    <ndc_label_name>BUTORPHANOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162601</ndc>
    <ndc_label_name>BUTORPHANOL 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162602</ndc>
    <ndc_label_name>BUTORPHANOL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162621</ndc>
    <ndc_label_name>BUTORPHANOL 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409162642</ndc>
    <ndc_label_name>BUTORPHANOL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163010</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163015</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163110</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163140</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163201</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163221</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163802</ndc>
    <ndc_label_name>Precedex 100 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409163832</ndc>
    <ndc_label_name>Precedex 100 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409166020</ndc>
    <ndc_label_name>Precedex 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409166022</ndc>
    <ndc_label_name>Precedex 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409166050</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409166055</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409170001</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409170301</ndc>
    <ndc_label_name>BORTEZOMIB 2.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409170401</ndc>
    <ndc_label_name>BORTEZOMIB 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409173201</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174610</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174630</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174670</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174671</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174910</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174929</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174970</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409174971</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409175250</ndc>
    <ndc_label_name>Marcaine-Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409175410</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409175415</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409175550</ndc>
    <ndc_label_name>Marcaine-Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409176105</ndc>
    <ndc_label_name>Marcaine Spinal (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409176110</ndc>
    <ndc_label_name>Marcaine Spinal (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409176118</ndc>
    <ndc_label_name>Marcaine Spinal (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409176162</ndc>
    <ndc_label_name>Marcaine Spinal (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409177510</ndc>
    <ndc_label_name>DEXTROSE 25%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409177540</ndc>
    <ndc_label_name>DEXTROSE 25%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409177805</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409177815</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409178203</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409178269</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409180501</ndc>
    <ndc_label_name>HYDROMORPHONE 0.25 MG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409180510</ndc>
    <ndc_label_name>HYDROMORPHONE 0.25 MG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409184432</ndc>
    <ndc_label_name>PHENYTOIN 50 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409185801</ndc>
    <ndc_label_name>DOPAMINE 800 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409185812</ndc>
    <ndc_label_name>DOPAMINE 800 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409188602</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409188622</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189001</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189003</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189013</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189023</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189101</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189103</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189113</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189123</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189201</ndc>
    <ndc_label_name>MORPHINE 8 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189203</ndc>
    <ndc_label_name>MORPHINE 8 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189301</ndc>
    <ndc_label_name>MORPHINE 10 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189303</ndc>
    <ndc_label_name>MORPHINE 10 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189313</ndc>
    <ndc_label_name>MORPHINE 10 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189323</ndc>
    <ndc_label_name>MORPHINE 10 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409189620</ndc>
    <ndc_label_name>MORPHINE SULF 1,000 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409190201</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409190211</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196601</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196602</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196605</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196606</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196607</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196612</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409196703</ndc>
    <ndc_label_name>CITRATE PHOS DEXTROSE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409198301</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409198310</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409198503</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409198530</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML CARPUJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201105</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201125</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201203</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML CRPJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201232</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML CRPJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201605</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409201610</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409202201</ndc>
    <ndc_label_name>MORPHINE SULF 2,500 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409202601</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409204501</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409204510</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205001</ndc>
    <ndc_label_name>MAGNESIUM SULF 20 G/500 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205020</ndc>
    <ndc_label_name>MAGNESIUM SULF 20 G/500 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205105</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205115</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205310</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409205320</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409206605</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409206610</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409216817</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 10G/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409216877</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 10G/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409218801</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500MG/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409222001</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409222024</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409222201</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409222212</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409225301</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409225325</ndc>
    <ndc_label_name>Marcaine (PF) 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409226720</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409226754</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG/40 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409227102</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409227125</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230001</ndc>
    <ndc_label_name>CIPROFLOXACIN 200 MG/100ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230024</ndc>
    <ndc_label_name>CIPROFLOXACIN 200 MG/100ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230504</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230505</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230516</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230517</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230550</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230555</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230801</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230802</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230821</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230822</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230849</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230850</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230869</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409230870</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409233715</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409233725</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409233924</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML CRPJT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409233934</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML CRPJT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234401</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234402</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234462</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234468</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234488</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234631</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234632</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409234732</ndc>
    <ndc_label_name>DOBUTAMINE 500 MG/250 ML D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409251001</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409251025</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409255201</ndc>
    <ndc_label_name>HYDROMORPHONE HCL 1 MG/ML AMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409255211</ndc>
    <ndc_label_name>HYDROMORPHONE HCL 1 MG/ML AMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409258501</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM ADD-VAN VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409258511</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM ADD-VAN VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409258705</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409259603</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409259613</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409259615</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE 50 MG/5 ML VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409272301</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409298703</ndc>
    <ndc_label_name>AMPICILLIN-SULB 3 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409298723</ndc>
    <ndc_label_name>AMPICILLIN-SULB 3 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409299914</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 13.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409315005</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/500-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409315020</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/500-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409316401</ndc>
    <ndc_label_name>MAGNESIUM SULF 40 G/1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409316412</ndc>
    <ndc_label_name>MAGNESIUM SULF 40 G/1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317701</ndc>
    <ndc_label_name>LIDOCAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317716</ndc>
    <ndc_label_name>LIDOCAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317801</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317802</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317803</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317816</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317817</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409317818</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318101</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318111</ndc>
    <ndc_label_name>LIDOCAINE 1.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318201</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318202</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318203</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318211</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318221</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318231</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318301</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318311</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318905</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409318910</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409321311</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409321312</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329415</ndc>
    <ndc_label_name>POTASSIUM ACET 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329425</ndc>
    <ndc_label_name>POTASSIUM ACET 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329451</ndc>
    <ndc_label_name>POTASSIUM ACET 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329461</ndc>
    <ndc_label_name>POTASSIUM ACET 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329905</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329906</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329915</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329916</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329925</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329926</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329945</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409329946</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409330001</ndc>
    <ndc_label_name>CIPROFLOXACIN 400 MG/200ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409330024</ndc>
    <ndc_label_name>CIPROFLOXACIN 400 MG/200ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409330101</ndc>
    <ndc_label_name>Precedex 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409330110</ndc>
    <ndc_label_name>Precedex 80 mcg/20 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409330703</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409330711</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409330803</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409330811</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409333001</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409333024</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409336510</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409336511</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337402</ndc>
    <ndc_label_name>PIPERACIL-TAZO 2.25 GM ADD VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337411</ndc>
    <ndc_label_name>PIPERACIL-TAZO 2.25 GM ADD VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337504</ndc>
    <ndc_label_name>Levophed 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337514</ndc>
    <ndc_label_name>Levophed 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337811</ndc>
    <ndc_label_name>PIPERACIL-TAZO 3.375 GM ADD VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337813</ndc>
    <ndc_label_name>PIPERACIL-TAZO 3.375 GM ADD VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337904</ndc>
    <ndc_label_name>PIPERACIL-TAZO 4.5 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409337911</ndc>
    <ndc_label_name>PIPERACIL-TAZO 4.5 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338211</ndc>
    <ndc_label_name>SUFENTANIL 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338221</ndc>
    <ndc_label_name>SUFENTANIL 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338302</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338310</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338311</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338511</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338513</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409338515</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409339004</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409339010</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409339011</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409341201</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409341210</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409341401</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409341411</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409341418</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409341421</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409343501</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409343524</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409351021</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409351022</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409351501</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409351511</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409353201</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409357801</ndc>
    <ndc_label_name>TOBRAMYCIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409357811</ndc>
    <ndc_label_name>TOBRAMYCIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409359501</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409359511</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409361301</ndc>
    <ndc_label_name>BUPIVACAIN 0.75%-DEXTROS 8.25%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409361311</ndc>
    <ndc_label_name>BUPIVACAIN 0.75%-DEXTROS 8.25%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409367001</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409367010</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409372411</ndc>
    <ndc_label_name>DOBUTAMINE 1,000 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409372432</ndc>
    <ndc_label_name>DOBUTAMINE 1,000 MG/250 ML D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379301</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379319</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379325</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379501</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379519</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379525</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379601</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379619</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409379625</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409381201</ndc>
    <ndc_label_name>Marcaine-Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409381411</ndc>
    <ndc_label_name>MORPHINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409381412</ndc>
    <ndc_label_name>MORPHINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409381511</ndc>
    <ndc_label_name>MORPHINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409381512</ndc>
    <ndc_label_name>MORPHINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409397701</ndc>
    <ndc_label_name>BACTERIOSTATIC WATER VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409397703</ndc>
    <ndc_label_name>BACTERIOSTATIC WATER VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409401101</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409401161</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409403101</ndc>
    <ndc_label_name>MANNITOL 25% (12.5 GM/50 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409403116</ndc>
    <ndc_label_name>MANNITOL 25% (12.5 GM/50 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409001</ndc>
    <ndc_label_name>ZINC CHLORIDE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409011</ndc>
    <ndc_label_name>ZINC CHLORIDE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409101</ndc>
    <ndc_label_name>MANGANESE 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409111</ndc>
    <ndc_label_name>MANGANESE 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409201</ndc>
    <ndc_label_name>Copper Chloride 0.4 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409211</ndc>
    <ndc_label_name>Copper Chloride 0.4 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409301</ndc>
    <ndc_label_name>CHROMIUM CL 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409309</ndc>
    <ndc_label_name>CHROMIUM CL 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409310</ndc>
    <ndc_label_name>CHROMIUM CL 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409409311</ndc>
    <ndc_label_name>CHROMIUM CL 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409412101</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409412150</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409420801</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409420810</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409423501</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409426401</ndc>
    <ndc_label_name>HYDROMORPHONE 0.5 MG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409426411</ndc>
    <ndc_label_name>HYDROMORPHONE 0.5 MG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427501</ndc>
    <ndc_label_name>LIDOCAINE HCL 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427516</ndc>
    <ndc_label_name>LIDOCAINE HCL 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427601</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427602</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427616</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427617</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427701</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427702</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427716</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427717</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427801</ndc>
    <ndc_label_name>LIDOCAINE HCL 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427816</ndc>
    <ndc_label_name>LIDOCAINE HCL 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427902</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409427916</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428201</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428202</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428211</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428212</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428301</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428311</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409428325</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409432101</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409432124</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409433201</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409433211</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409434616</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409434673</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409435003</ndc>
    <ndc_label_name>DILTIAZEM 100 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409435013</ndc>
    <ndc_label_name>DILTIAZEM 100 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409444401</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409444424</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409452002</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409452030</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409459601</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409459620</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409468812</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409468816</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409468818</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409468822</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409469924</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409469933</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409469953</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409469954</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471302</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471312</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471325</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471332</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471342</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409471362</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409475503</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409475518</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409475901</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409477601</ndc>
    <ndc_label_name>LIDOCAINE HCL 1.5% AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409477610</ndc>
    <ndc_label_name>LIDOCAINE HCL 1.5% AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409485749</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409485750</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488301</ndc>
    <ndc_label_name>LINEZOLID 600MG/300ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488303</ndc>
    <ndc_label_name>LINEZOLID 600MG/300ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488310</ndc>
    <ndc_label_name>LINEZOLID 600MG/300ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488710</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488717</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488720</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488723</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488724</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488725</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488750</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488799</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488801</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488802</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488803</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488806</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488810</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488812</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488820</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409488850</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490014</ndc>
    <ndc_label_name>SODIUM BICARB 8.4% ABBOJECT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490024</ndc>
    <ndc_label_name>SODIUM BICARB 8.4% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490234</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490264</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490311</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490334</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490411</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409490434</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491011</ndc>
    <ndc_label_name>ATROPINE 0.5 MG/5 ML ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491034</ndc>
    <ndc_label_name>ATROPINE 0.5 MG/5 ML ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491111</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491134</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491614</ndc>
    <ndc_label_name>SODIUM BICARB 7.5% ABBOJECT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409491624</ndc>
    <ndc_label_name>SODIUM BICARB 7.5% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409492811</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409492834</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409493301</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML ABBOJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409493305</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML ABBOJCT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409493310</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML ABBOJCT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409493311</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML ABBOJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409501001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409501025</ndc>
    <ndc_label_name>Marcaine (PF) 0.5 % (5 mg/mL) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409501701</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409506801</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409508211</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409508216</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409508611</ndc>
    <ndc_label_name>Tazicef 6 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409508613</ndc>
    <ndc_label_name>Tazicef 6 gram solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409509211</ndc>
    <ndc_label_name>Tazicef 1 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409509216</ndc>
    <ndc_label_name>Tazicef 1 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409509311</ndc>
    <ndc_label_name>Tazicef 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409509314</ndc>
    <ndc_label_name>Tazicef 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409516001</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409516010</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409523901</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409523960</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409525502</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409525510</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409525515</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00409525525</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409553414</ndc>
    <ndc_label_name>SODIUM BICARB 4.2% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409553424</ndc>
    <ndc_label_name>SODIUM BICARB 4.2% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409554701</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409554710</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409555501</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409555502</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409555511</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409555512</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409573801</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409573810</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409577901</ndc>
    <ndc_label_name>TPN Electrolytes 35 mEq-20 mEq-5 mEq/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409577911</ndc>
    <ndc_label_name>TPN Electrolytes 35 mEq-20 mEq-5 mEq/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409581610</ndc>
    <ndc_label_name>Sterile Empty 10ml Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409581611</ndc>
    <ndc_label_name>Sterile Empty 10ml Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409581631</ndc>
    <ndc_label_name>Sterile Empty 30 mL Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409582001</ndc>
    <ndc_label_name>DOPAMINE 200 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409582011</ndc>
    <ndc_label_name>DOPAMINE 200 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409592101</ndc>
    <ndc_label_name>AMINOPHYLLINE 250 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409592116</ndc>
    <ndc_label_name>AMINOPHYLLINE 250 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409592201</ndc>
    <ndc_label_name>AMINOPHYLLINE 500 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409592216</ndc>
    <ndc_label_name>AMINOPHYLLINE 500 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409601002</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409601025</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610202</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610204</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610210</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610218</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610219</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610220</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610225</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610226</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610227</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610235</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610236</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409610237</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409647644</ndc>
    <ndc_label_name>Erythrocin 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409647654</ndc>
    <ndc_label_name>Erythrocin 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409648201</ndc>
    <ndc_label_name>Erythrocin 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409648211</ndc>
    <ndc_label_name>Erythrocin 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409650901</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409650949</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653101</ndc>
    <ndc_label_name>VANCOMYCIN 750 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653102</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653111</ndc>
    <ndc_label_name>VANCOMYCIN 750 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653112</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653311</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653321</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653331</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653359</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653401</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653411</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653501</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409653511</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM ADD-VAN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409655701</ndc>
    <ndc_label_name>TESTOSTERONE CYP 1,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409656201</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409656202</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409656220</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409656222</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409658101</ndc>
    <ndc_label_name>Marcaine-Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662514</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662522</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662530</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662535</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662902</ndc>
    <ndc_label_name>Quelicin 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409662912</ndc>
    <ndc_label_name>Quelicin 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409663501</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409663518</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409663714</ndc>
    <ndc_label_name>SODIUM BICARB 8.4% ABBOJECT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409663724</ndc>
    <ndc_label_name>SODIUM BICARB 8.4% ABBOJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409664802</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409664816</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409665106</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/10 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409665119</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/10 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409665305</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/20 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409665318</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/20 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409666001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 100 MEQ/40 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409666075</ndc>
    <ndc_label_name>SODIUM CHLORIDE 100 MEQ/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409669501</ndc>
    <ndc_label_name>Amidate 2 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409669502</ndc>
    <ndc_label_name>Amidate 2 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409669511</ndc>
    <ndc_label_name>Amidate 2 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409669512</ndc>
    <ndc_label_name>Amidate 2 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672711</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672723</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672750</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672755</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672909</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672911</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672923</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672924</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672931</ndc>
    <ndc_label_name>MAGNESIUM SULF 40 G/1,000 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409672941</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409701205</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409703701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409708301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409710066</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409710167</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409710168</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409710169</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409724803</ndc>
    <ndc_label_name>HETASTARCH 6%-0.9% NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409724813</ndc>
    <ndc_label_name>HETASTARCH 6%-0.9% NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729501</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729511</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729925</ndc>
    <ndc_label_name>SODIUM ACETATE 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729945</ndc>
    <ndc_label_name>SODIUM ACETATE 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729973</ndc>
    <ndc_label_name>SODIUM ACETATE 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409729983</ndc>
    <ndc_label_name>SODIUM ACETATE 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733201</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733211</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733220</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733221</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733304</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM ADD-VANT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733311</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM ADD-VANT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733331</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM ADD-VANT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733349</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM ADD-VANT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733410</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733420</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733503</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733513</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733520</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733521</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733604</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733611</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM ADD VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733701</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733711</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733720</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733721</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733801</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733811</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733820</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409733821</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409739172</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409739182</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409741803</ndc>
    <ndc_label_name>LMD (dextran 40) 10 % in 5 % dextrose intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409741813</ndc>
    <ndc_label_name>LMD (dextran 40) 10 % in 5 % dextrose intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409741903</ndc>
    <ndc_label_name>LMD (dextran 40) 10 % in 0.9 % sodium chloride intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409741914</ndc>
    <ndc_label_name>LMD (dextran 40) 10 % in 0.9 % sodium chloride intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409751716</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409751766</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409753501</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409753525</ndc>
    <ndc_label_name>Marcaine (PF) 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409762003</ndc>
    <ndc_label_name>HEPARIN 1,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409762013</ndc>
    <ndc_label_name>HEPARIN 1,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409762049</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409762059</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409765005</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/250-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409765030</ndc>
    <ndc_label_name>HEPARIN 25,000 UNIT/250-1/2 NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409780911</ndc>
    <ndc_label_name>DOPAMINE 400 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409780922</ndc>
    <ndc_label_name>DOPAMINE 400 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409780924</ndc>
    <ndc_label_name>DOPAMINE 800 MG/500 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409780931</ndc>
    <ndc_label_name>DOPAMINE 800 MG/500 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409781011</ndc>
    <ndc_label_name>DOPAMINE 800 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409781022</ndc>
    <ndc_label_name>DOPAMINE 800 MG/250 ML-D5W BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409783801</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409783824</ndc>
    <ndc_label_name>Precedex 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409785301</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409785324</ndc>
    <ndc_label_name>Precedex 400 mcg/100 mL (4 mcg/mL) in 0.9% sodium chloride IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409787001</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409787501</ndc>
    <ndc_label_name>Precedex 1,000 mcg/250 mL (4 mcg/mL) in 0.9% sodium chloride IV soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409787512</ndc>
    <ndc_label_name>Precedex 1,000 mcg/250 mL (4 mcg/mL) in 0.9% sodium chloride IV soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409796905</ndc>
    <ndc_label_name>Plegisol 16 mEq/L (potassium) perfusion solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409796911</ndc>
    <ndc_label_name>Plegisol 16 mEq/L (potassium) perfusion solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409798353</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409812601</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409812610</ndc>
    <ndc_label_name>Marcaine-Epinephrine (PF) 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409818301</ndc>
    <ndc_label_name>POTASSIUM ACET 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409818311</ndc>
    <ndc_label_name>POTASSIUM ACET 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409818315</ndc>
    <ndc_label_name>POTASSIUM ACET 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409818325</ndc>
    <ndc_label_name>POTASSIUM ACET 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904201</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904211</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904216</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904217</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904301</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904311</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904501</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904511</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904516</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904517</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904601</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409904611</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909309</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909311</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909332</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909335</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909337</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909345</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909412</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909416</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909417</ndc>
    <ndc_label_name>FENTANYL 500 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909418</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909422</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909425</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909428</ndc>
    <ndc_label_name>FENTANYL 500 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909431</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909441</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409909461</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409910420</ndc>
    <ndc_label_name>DOPAMINE 400 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409910421</ndc>
    <ndc_label_name>DOPAMINE 400 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409913705</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409913711</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915731</ndc>
    <ndc_label_name>vitamin K 1 mg/0.5 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915750</ndc>
    <ndc_label_name>vitamin K 1 mg/0.5 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915801</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915811</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915825</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915831</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915850</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409915855</ndc>
    <ndc_label_name>Vitamin K1 10 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955805</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955810</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955811</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955831</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955849</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955850</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955869</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409955870</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409956601</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409956610</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409963005</ndc>
    <ndc_label_name>ATROPINE 0.25 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409963015</ndc>
    <ndc_label_name>ATROPINE 0.25 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409963305</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409963365</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409973501</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00409973510</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430042014</ndc>
    <ndc_label_name>Lo Loestrin Fe 1 mg-10 mcg (24)/10 mcg (2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430042095</ndc>
    <ndc_label_name>Lo Loestrin Fe 1 mg-10 mcg (24)/10 mcg (2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430047203</ndc>
    <ndc_label_name>Actonel 35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430047207</ndc>
    <ndc_label_name>Actonel 35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430047801</ndc>
    <ndc_label_name>Actonel 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430047802</ndc>
    <ndc_label_name>Actonel 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430072024</ndc>
    <ndc_label_name>ESTRACE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430072124</ndc>
    <ndc_label_name>ESTRACE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430072224</ndc>
    <ndc_label_name>ESTRACE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430097903</ndc>
    <ndc_label_name>Atelvia 35 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00430375414</ndc>
    <ndc_label_name>Estrace 0.01% (0.1 mg/gram) vaginal cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436066916</ndc>
    <ndc_label_name>Di-Dak-Sol 0.0125 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436067216</ndc>
    <ndc_label_name>Dakin's Solution 0.125 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436093616</ndc>
    <ndc_label_name>Dakin's Solution 0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436094616</ndc>
    <ndc_label_name>Dakin's Solution 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436096416</ndc>
    <ndc_label_name>LIQUA SPEN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436096428</ndc>
    <ndc_label_name>LIQUA SPEN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00436960042</ndc>
    <ndc_label_name>Moi-Stir mucosal spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00441925110</ndc>
    <ndc_label_name>SULFANILAMIDE CRYSTAL POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00441925150</ndc>
    <ndc_label_name>SULFANILAMIDE CRYSTAL POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450008002</ndc>
    <ndc_label_name>Lactaid 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450012230</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450012260</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450013404</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450013408</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450013444</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450016764</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450017005</ndc>
    <ndc_label_name>Child Benadryl Plus Congestion 12.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450018660</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450019201</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450019801</ndc>
    <ndc_label_name>Infant's Motrin 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020424</ndc>
    <ndc_label_name>Zyrtec-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020425</ndc>
    <ndc_label_name>Zyrtec 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020427</ndc>
    <ndc_label_name>Zyrtec-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020431</ndc>
    <ndc_label_name>Zyrtec 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020504</ndc>
    <ndc_label_name>Children's Zyrtec Allergy 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450020911</ndc>
    <ndc_label_name>Children's Zyrtec Allergy 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450021212</ndc>
    <ndc_label_name>Imodium Multi-Symptom Relief 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450021218</ndc>
    <ndc_label_name>Imodium Multi-Symptom Relief 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450026125</ndc>
    <ndc_label_name>Tylenol Cold Head Congestion Severe 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450029532</ndc>
    <ndc_label_name>Imodium A-D 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450040704</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450044406</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450044905</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450044910</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450048102</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450048152</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450048830</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450049304</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450049660</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450051824</ndc>
    <ndc_label_name>Children's Tylenol 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450051924</ndc>
    <ndc_label_name>Children's Tylenol 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450052415</ndc>
    <ndc_label_name>Infant's Motrin 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450052508</ndc>
    <ndc_label_name>Tylenol Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450053704</ndc>
    <ndc_label_name>Children's Sudafed PE Nasal Decongestant 2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450053804</ndc>
    <ndc_label_name>Children's Sudafed PE Cough and Cold 2.5 mg-5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450054724</ndc>
    <ndc_label_name>Sudafed PE Pressure-Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00450055320</ndc>
    <ndc_label_name>Children's Benadryl Allergy 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450056320</ndc>
    <ndc_label_name>Motrin PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450056380</ndc>
    <ndc_label_name>Motrin PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450058118</ndc>
    <ndc_label_name>Sudafed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450058136</ndc>
    <ndc_label_name>Sudafed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450060340</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450083840</ndc>
    <ndc_label_name>Tylenol 8 Hour 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450084310</ndc>
    <ndc_label_name>Simply Sleep 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450089504</ndc>
    <ndc_label_name>Nizoral A-D 1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450091012</ndc>
    <ndc_label_name>Lactaid Fast Act 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450091032</ndc>
    <ndc_label_name>Lactaid Fast Act 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450091060</ndc>
    <ndc_label_name>Lactaid Fast Act 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450093032</ndc>
    <ndc_label_name>Lactaid Fast Act 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00450093060</ndc>
    <ndc_label_name>Lactaid Fast Act 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456040001</ndc>
    <ndc_label_name>Teflaro 400 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456040010</ndc>
    <ndc_label_name>Teflaro 400 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456045701</ndc>
    <ndc_label_name>Armour Thyroid 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456045801</ndc>
    <ndc_label_name>Armour Thyroid 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456045901</ndc>
    <ndc_label_name>Armour Thyroid 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456046001</ndc>
    <ndc_label_name>Armour Thyroid 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456046101</ndc>
    <ndc_label_name>Armour Thyroid 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456046201</ndc>
    <ndc_label_name>Armour Thyroid 180 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456046301</ndc>
    <ndc_label_name>Armour Thyroid 240 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456046401</ndc>
    <ndc_label_name>Armour Thyroid 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456052101</ndc>
    <ndc_label_name>Flumadine 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456060001</ndc>
    <ndc_label_name>Teflaro 600 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456060010</ndc>
    <ndc_label_name>Teflaro 600 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456104501</ndc>
    <ndc_label_name>Armour Thyroid 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456111030</ndc>
    <ndc_label_name>Viibryd 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456112030</ndc>
    <ndc_label_name>Viibryd 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456114030</ndc>
    <ndc_label_name>Viibryd 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120104</ndc>
    <ndc_label_name>Linzess 145 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120130</ndc>
    <ndc_label_name>Linzess 145 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120204</ndc>
    <ndc_label_name>Linzess 290 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120230</ndc>
    <ndc_label_name>Linzess 290 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120304</ndc>
    <ndc_label_name>Linzess 72 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00456120330</ndc>
    <ndc_label_name>Linzess 72 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456120730</ndc>
    <ndc_label_name>Namzaric 7 mg-10 mg capsule sprinkle,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456121430</ndc>
    <ndc_label_name>Namzaric 14 mg-10 mg capsule sprinkle,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456122130</ndc>
    <ndc_label_name>Namzaric 21 mg-10 mg capsule sprinkle,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456122830</ndc>
    <ndc_label_name>Namzaric 28 mg-10 mg capsule sprinkle,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456122929</ndc>
    <ndc_label_name>NAMZARIC TITRATION PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456140230</ndc>
    <ndc_label_name>Bystolic 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456140590</ndc>
    <ndc_label_name>Bystolic 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456141090</ndc>
    <ndc_label_name>Bystolic 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456142090</ndc>
    <ndc_label_name>Bystolic 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456150055</ndc>
    <ndc_label_name>Savella 12.5 mg (5)-25 mg(8)-50mg(42) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456151060</ndc>
    <ndc_label_name>Savella 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456151260</ndc>
    <ndc_label_name>Savella 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456152560</ndc>
    <ndc_label_name>Savella 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456155060</ndc>
    <ndc_label_name>Savella 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456200501</ndc>
    <ndc_label_name>Lexapro 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456201001</ndc>
    <ndc_label_name>Lexapro 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456202001</ndc>
    <ndc_label_name>Lexapro 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456220007</ndc>
    <ndc_label_name>Fetzima 20 mg (2)-40 mg (5) capsule,ER,24 hr,dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456220228</ndc>
    <ndc_label_name>Fetzima 20 mg (2)-40 mg (26) capsule,extended release,24 hr,dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456221230</ndc>
    <ndc_label_name>Fetzima 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456222030</ndc>
    <ndc_label_name>Fetzima 20 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456224030</ndc>
    <ndc_label_name>Fetzima 40 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456228030</ndc>
    <ndc_label_name>Fetzima 80 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456240206</ndc>
    <ndc_label_name>Saphris 2.5 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456240260</ndc>
    <ndc_label_name>Saphris 2.5 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456240506</ndc>
    <ndc_label_name>Saphris 5 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456240511</ndc>
    <ndc_label_name>Saphris 5 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456240560</ndc>
    <ndc_label_name>Saphris 5 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456241006</ndc>
    <ndc_label_name>Saphris 10 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456241011</ndc>
    <ndc_label_name>Saphris 10 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456241060</ndc>
    <ndc_label_name>Saphris 10 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456270001</ndc>
    <ndc_label_name>Avycaz 2.5 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456270010</ndc>
    <ndc_label_name>Avycaz 2.5 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456340029</ndc>
    <ndc_label_name>Namenda XR 7 mg-14 mg-21 mg-28 mg capsule,sprinkle,ext rel, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456340733</ndc>
    <ndc_label_name>Namenda XR 7 mg capsule sprinkle,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456341433</ndc>
    <ndc_label_name>NAMENDA XR 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456342133</ndc>
    <ndc_label_name>NAMENDA XR 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456342833</ndc>
    <ndc_label_name>NAMENDA XR 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456401001</ndc>
    <ndc_label_name>Celexa 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456402001</ndc>
    <ndc_label_name>Celexa 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00456404001</ndc>
    <ndc_label_name>Celexa 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00463750010</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00463800010</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469012599</ndc>
    <ndc_label_name>Xtandi 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469042001</ndc>
    <ndc_label_name>Cresemba 372 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469052001</ndc>
    <ndc_label_name>Cresemba 186 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469052002</ndc>
    <ndc_label_name>Cresemba 186 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469060773</ndc>
    <ndc_label_name>Prograf 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469061773</ndc>
    <ndc_label_name>Prograf 1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469062599</ndc>
    <ndc_label_name>Xtandi 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469064773</ndc>
    <ndc_label_name>Astagraf XL 0.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469065773</ndc>
    <ndc_label_name>Prograf 5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469067773</ndc>
    <ndc_label_name>Astagraf XL 1 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469068773</ndc>
    <ndc_label_name>Astagraf XL 5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469072560</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469123050</ndc>
    <ndc_label_name>Prograf 0.2 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469133050</ndc>
    <ndc_label_name>Prograf 1 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469142590</ndc>
    <ndc_label_name>Xospata 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469246007</ndc>
    <ndc_label_name>Veozah 45 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Veozah 45 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00469260130</ndc>
    <ndc_label_name>Myrbetriq 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00469260207</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00469260290</ndc>
    <ndc_label_name>Myrbetriq 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Veozah 45 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469286001</ndc>
    <ndc_label_name>Cresemba 74.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469305130</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469321110</ndc>
    <ndc_label_name>MYCAMINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469325010</ndc>
    <ndc_label_name>MYCAMINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00469342510</ndc>
    <ndc_label_name>Vyloy 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480124328</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480124421</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480124521</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480124621</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480134208</ndc>
    <ndc_label_name>RISPERIDONE ER 37.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480145308</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480155408</ndc>
    <ndc_label_name>RISPERIDONE ER 12.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480204356</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480204456</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480204556</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480215757</ndc>
    <ndc_label_name>AZELASTIN-FLUTIC 137-50MCG SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480229956</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 11.25-69</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480230830</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480230865</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480230930</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480230956</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480230965</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480231056</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480231156</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235601</ndc>
    <ndc_label_name>TOPIRAMATE ER 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235656</ndc>
    <ndc_label_name>TOPIRAMATE ER 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235701</ndc>
    <ndc_label_name>TOPIRAMATE ER 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235756</ndc>
    <ndc_label_name>TOPIRAMATE ER 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235801</ndc>
    <ndc_label_name>TOPIRAMATE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235856</ndc>
    <ndc_label_name>TOPIRAMATE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235901</ndc>
    <ndc_label_name>TOPIRAMATE ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480235956</ndc>
    <ndc_label_name>TOPIRAMATE ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480259634</ndc>
    <ndc_label_name>FIDAXOMICIN 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480260121</ndc>
    <ndc_label_name>POMALIDOMIDE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480268806</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480269506</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480299697</ndc>
    <ndc_label_name>FERRIC CITRATE 210 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480315445</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480315656</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480315756</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480323751</ndc>
    <ndc_label_name>LAPATINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480327356</ndc>
    <ndc_label_name>Alvaiz 9 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480327456</ndc>
    <ndc_label_name>Alvaiz 18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480327556</ndc>
    <ndc_label_name>Alvaiz 36 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480327656</ndc>
    <ndc_label_name>Alvaiz 54 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480329001</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480329556</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 15-92 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480329656</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 7.5-46 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480329756</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 3.75-23MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480330901</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480331001</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331519</ndc>
    <ndc_label_name>AMPHETAMINE ER 3.1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331565</ndc>
    <ndc_label_name>AMPHETAMINE ER 3.1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331619</ndc>
    <ndc_label_name>AMPHETAMINE ER 6.3 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331665</ndc>
    <ndc_label_name>AMPHETAMINE ER 6.3 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331719</ndc>
    <ndc_label_name>AMPHETAMINE ER 9.4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331765</ndc>
    <ndc_label_name>AMPHETAMINE ER 9.4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331819</ndc>
    <ndc_label_name>AMPHETAMINE ER 12.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331865</ndc>
    <ndc_label_name>AMPHETAMINE ER 12.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331919</ndc>
    <ndc_label_name>AMPHETAMINE ER 15.7 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480331965</ndc>
    <ndc_label_name>AMPHETAMINE ER 15.7 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480332019</ndc>
    <ndc_label_name>AMPHETAMINE ER 18.8 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480332065</ndc>
    <ndc_label_name>AMPHETAMINE ER 18.8 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480332501</ndc>
    <ndc_label_name>DALBAVANCIN HCL 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347001</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347224</ndc>
    <ndc_label_name>Amethyst (28) 90 mcg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347516</ndc>
    <ndc_label_name>Nora-BE 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347519</ndc>
    <ndc_label_name>Nora-BE 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347819</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347868</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480347906</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480349316</ndc>
    <ndc_label_name>Cryselle (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480349324</ndc>
    <ndc_label_name>Cryselle (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480349405</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480349505</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480352356</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480352456</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356701</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356801</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480356901</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480357001</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480357101</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480357105</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480358301</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480361087</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480361198</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480363198</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480363298</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480363398</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480366719</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480366720</ndc>
    <ndc_label_name>LIRAGLUTIDE 2-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480366722</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480368301</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 12.5MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480368401</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480368501</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 37.5MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480368601</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480372001</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480372056</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480400028</ndc>
    <ndc_label_name>Vestura (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480400062</ndc>
    <ndc_label_name>Vestura (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480401821</ndc>
    <ndc_label_name>POMALIDOMIDE 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480402221</ndc>
    <ndc_label_name>POMALIDOMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480403521</ndc>
    <ndc_label_name>POMALIDOMIDE 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480405356</ndc>
    <ndc_label_name>GEFITINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480407619</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480407630</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480407645</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480407660</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480411101</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480411103</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480413806</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480418489</ndc>
    <ndc_label_name>PAZOPANIB HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480432001</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480449056</ndc>
    <ndc_label_name>TASIMELTEON 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480451401</ndc>
    <ndc_label_name>PEMETREXED 500 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480451501</ndc>
    <ndc_label_name>PEMETREXED 1 GM/40 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480451601</ndc>
    <ndc_label_name>PEMETREXED 100 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480510106</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480510206</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480510306</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480510456</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480542589</ndc>
    <ndc_label_name>SORAFENIB 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480579508</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480701156</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480701256</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480701356</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706256</ndc>
    <ndc_label_name>PERAMPANEL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706356</ndc>
    <ndc_label_name>PERAMPANEL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706556</ndc>
    <ndc_label_name>PERAMPANEL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706656</ndc>
    <ndc_label_name>PERAMPANEL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706756</ndc>
    <ndc_label_name>PERAMPANEL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480706856</ndc>
    <ndc_label_name>PERAMPANEL 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480716710</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480716798</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480716810</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480716898</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480725019</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480725046</ndc>
    <ndc_label_name>LIRAGLUTIDE 5-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480727010</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480727098</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480773606</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480775080</ndc>
    <ndc_label_name>MESALAMINE 800 MG DR TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480782056</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480782498</ndc>
    <ndc_label_name>TIOPRONIN DR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868201</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868210</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868298</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868701</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868710</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480868798</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869001</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869010</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869098</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869301</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869310</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480869398</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870101</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870110</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870198</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870401</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870410</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870498</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870701</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870710</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480870798</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871001</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871010</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871098</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871501</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871510</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871598</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871801</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871810</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480871898</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480872210</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480872298</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480872501</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480872510</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480872598</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480922755</ndc>
    <ndc_label_name>TIOPRONIN DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00480924201</ndc>
    <ndc_label_name>PROPYLTHIOURACIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480925601</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 10 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480925801</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alyq 20 mg tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00480943589</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00487900330</ndc>
    <ndc_label_name>SODIUM CHLORIDE 3% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00487900730</ndc>
    <ndc_label_name>SODIUM CHLORIDE 7% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00487930103</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00487930133</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00487930201</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487950100</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487950101</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487950103</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487950125</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487950160</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487960101</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487960130</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487970101</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487970130</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487980100</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487980101</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487980125</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487980130</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487980160</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487990130</ndc>
    <ndc_label_name>ALBUTEROL 2.5 MG/0.5 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487990401</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00487990425</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496048010</ndc>
    <ndc_label_name>Heliocare 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496048108</ndc>
    <ndc_label_name>Heliocare Advanced 120 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496051304</ndc>
    <ndc_label_name>Detachol Adhesive Remover liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496051306</ndc>
    <ndc_label_name>Detachol Adhesive Remover liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496051315</ndc>
    <ndc_label_name>Detachol Adhesive Remover liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496051324</ndc>
    <ndc_label_name>Detachol Adhesive Remover liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496051348</ndc>
    <ndc_label_name>Detachol Adhesive Remover with Sterile Tip Dropperette</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496052306</ndc>
    <ndc_label_name>Mastisol Liquid Adhesive</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496052315</ndc>
    <ndc_label_name>Mastisol Stertip liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496052316</ndc>
    <ndc_label_name>Mastisol Stertip spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496052348</ndc>
    <ndc_label_name>Mastisol Adhesive drops in a dropperette topical to intact skin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496058608</ndc>
    <ndc_label_name>DerMend Anti-Itch 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496074803</ndc>
    <ndc_label_name>Prax 1 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496074804</ndc>
    <ndc_label_name>Prax 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496074965</ndc>
    <ndc_label_name>Prax 1 % towelette</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088205</ndc>
    <ndc_label_name>LMX 4 4 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088206</ndc>
    <ndc_label_name>LMX 4 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088207</ndc>
    <ndc_label_name>LMX 4 Plus 4 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088215</ndc>
    <ndc_label_name>LMX 4 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088230</ndc>
    <ndc_label_name>LMX 4 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496088271</ndc>
    <ndc_label_name>LMX 4 4 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00496088315</ndc>
    <ndc_label_name>LMX 5 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00496088330</ndc>
    <ndc_label_name>LMX 5 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00496089215</ndc>
    <ndc_label_name>RectiCare 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00496089230</ndc>
    <ndc_label_name>RectiCare 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496097345</ndc>
    <ndc_label_name>OC8 7 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00496097765</ndc>
    <ndc_label_name>RectiCare (glycerin) 5 %-20 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00516001312</ndc>
    <ndc_label_name>Boules Quies Ear Plugs misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00516012101</ndc>
    <ndc_label_name>AMMONIA AROMATIC AMPUL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517002010</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517003101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517003125</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517030110</ndc>
    <ndc_label_name>METHYLENE BLUE 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517037401</ndc>
    <ndc_label_name>ProvayBlue 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517037405</ndc>
    <ndc_label_name>ProvayBlue 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517037510</ndc>
    <ndc_label_name>Indigo Carmine 8 mg/mL (0.8 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517038101</ndc>
    <ndc_label_name>ProvayBlue 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517038105</ndc>
    <ndc_label_name>ProvayBlue 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517042001</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517044001</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517060201</ndc>
    <ndc_label_name>Injectafer 100 mg iron/2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517062001</ndc>
    <ndc_label_name>Injectafer 50 mg iron/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517065001</ndc>
    <ndc_label_name>Injectafer 50 mg iron/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517071001</ndc>
    <ndc_label_name>FOMEPIZOLE 1.5 GM/1.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517072001</ndc>
    <ndc_label_name>BETAMETHASONE SP-AC 30 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517073001</ndc>
    <ndc_label_name>CLONIDINE 1,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517073101</ndc>
    <ndc_label_name>CLONIDINE 5,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517073501</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517073510</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517074001</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517074020</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517075001</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517078001</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517078010</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517079101</ndc>
    <ndc_label_name>BETAMETHASONE SP-AC 30 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517079901</ndc>
    <ndc_label_name>BETAMETHASONE SP-AC 30 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517086601</ndc>
    <ndc_label_name>CYCLOSPORINE 250 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517086610</ndc>
    <ndc_label_name>CYCLOSPORINE 250 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517090101</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517090125</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517092001</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517092008</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517095501</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517100101</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517100125</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517100401</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517100425</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517102001</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517102025</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517103001</ndc>
    <ndc_label_name>VASOPRESSIN 200 UNIT/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517104501</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517104505</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517107501</ndc>
    <ndc_label_name>LEVOCARNITINE 4 GM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517113301</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517113305</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517113401</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517113405</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517130525</ndc>
    <ndc_label_name>DOPAMINE 160 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517182001</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517183001</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517190525</ndc>
    <ndc_label_name>DOPAMINE 80 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517198001</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517198005</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517205101</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517205125</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517210201</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517210225</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517231001</ndc>
    <ndc_label_name>Venofer 200 mg iron/10 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517231005</ndc>
    <ndc_label_name>Venofer 200 mg iron/10 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517232501</ndc>
    <ndc_label_name>Venofer 50 mg iron/2.5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517232510</ndc>
    <ndc_label_name>Venofer 50 mg iron/2.5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517234001</ndc>
    <ndc_label_name>Venofer 100 mg iron/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517234010</ndc>
    <ndc_label_name>Venofer 100 mg iron/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517234025</ndc>
    <ndc_label_name>Venofer 100 mg iron/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517234099</ndc>
    <ndc_label_name>Venofer 100 mg iron/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517250201</ndc>
    <ndc_label_name>CAFFEINE-SOD BENZOAT 250 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517250210</ndc>
    <ndc_label_name>CAFFEINE-SOD BENZOAT 250 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517250501</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517250525</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517290101</ndc>
    <ndc_label_name>Gvoke VialDx 1 mg/0.2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517290110</ndc>
    <ndc_label_name>Gvoke VialDx 1 mg/0.2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517300501</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517300525</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517301001</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517301025</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517302001</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517302025</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517303001</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517312025</ndc>
    <ndc_label_name>Nutrilyte 25 mEq-40.6 mEq-5 mEq/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517360501</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517360525</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517400201</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517400225</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517420101</ndc>
    <ndc_label_name>HYDROXYZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517420125</ndc>
    <ndc_label_name>HYDROXYZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517430001</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517460101</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517460125</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517460201</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517460225</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517460525</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517462025</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517481001</ndc>
    <ndc_label_name>NITROGLYCERIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517481025</ndc>
    <ndc_label_name>NITROGLYCERIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517560101</ndc>
    <ndc_label_name>HYDROXYZINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517560125</ndc>
    <ndc_label_name>HYDROXYZINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517560201</ndc>
    <ndc_label_name>HYDROXYZINE 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517560225</ndc>
    <ndc_label_name>HYDROXYZINE 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517561025</ndc>
    <ndc_label_name>HYDROXYZINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517610101</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517610125</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517610301</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517610325</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517620225</ndc>
    <ndc_label_name>Multitrace-4 Neonatal 0.85 mcg-0.1 mg-25 mcg-1.5 mg/mL intravenous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517650201</ndc>
    <ndc_label_name>SELENIOUS ACID 12 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517650210</ndc>
    <ndc_label_name>SELENIOUS ACID 12 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517651025</ndc>
    <ndc_label_name>SELENIUM 400 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517656001</ndc>
    <ndc_label_name>Selenious Acid 60 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517656005</ndc>
    <ndc_label_name>Selenious Acid 60 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517656025</ndc>
    <ndc_label_name>Selenious Acid 60 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517671001</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517671010</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517690201</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517690225</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517720125</ndc>
    <ndc_label_name>Multitrace-4 Concentrate 10 mg-1 mg-0.5 mg-5 mg/mL intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517730501</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517730525</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517731501</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517731525</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517735001</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 150 MMOL/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517735025</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 150 MMOL/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517750401</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517750425</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517751003</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517760401</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517760425</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00517761003</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517800501</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517800525</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517890510</ndc>
    <ndc_label_name>METHYLDOPATE 250 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517912001</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517912025</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517919101</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517919125</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 5 G/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517920325</ndc>
    <ndc_label_name>Multitrace-4 Pediatric 1 mcg-0.1 mg-25 mcg-1 mg/mL intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517930201</ndc>
    <ndc_label_name>Multrys 1,000mcg-60mcg-3mcg-6mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517930225</ndc>
    <ndc_label_name>Multrys 1,000mcg-60mcg-3mcg-6mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517930501</ndc>
    <ndc_label_name>Tralement 3 mg-0.3 mg-55 mcg-60 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517930525</ndc>
    <ndc_label_name>Tralement 3 mg-0.3 mg-55 mcg-60 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517931025</ndc>
    <ndc_label_name>Trace Elements 4/Pediatric 1 mcg-0.1 mg-30 mcg-0.5 mg/mL intravenous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00517970201</ndc>
    <ndc_label_name>DROPERIDOL 5 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DROPERIDOL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525031590</ndc>
    <ndc_label_name>NeevoDHA (with algal oil) 27 mg iron-1.13 mg-581.92 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525050190</ndc>
    <ndc_label_name>DEPLIN MA CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525050290</ndc>
    <ndc_label_name>DeplinPRO Mood Health 50 mcg-15 mg-25 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525050390</ndc>
    <ndc_label_name>Cerefolin 6 mg-5 mg-50 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525052590</ndc>
    <ndc_label_name>Cerefolin Brain Wellness 600 mg-2 mg-6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525055590</ndc>
    <ndc_label_name>Cerefolin NAC (algal oil) 6 mg-600 mg-2 mg-90.314 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525096690</ndc>
    <ndc_label_name>Foltx 2 mg-1.13 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525097160</ndc>
    <ndc_label_name>ZELNORM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525113990</ndc>
    <ndc_label_name>Deplin (algal oil) 7.5 mg-90.314 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00525115090</ndc>
    <ndc_label_name>Deplin FC 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00525116090</ndc>
    <ndc_label_name>Deplin FC 7.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525804918</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Metanx (algal oil) 3 mg-35 mg-2 mg-90.314 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525805018</ndc>
    <ndc_label_name>METANX RR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525805090</ndc>
    <ndc_label_name>METANX RR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525805218</ndc>
    <ndc_label_name>MetanxPRO Nerve Health 2 mg-3 mg-35 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MetanxPRO Nerve Health 2 mg-3 mg-35 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525811018</ndc>
    <ndc_label_name>Metanx FC 2 mg-3 mg-35 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00525811090</ndc>
    <ndc_label_name>Metanx FC 2 mg-3 mg-35 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527058601</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527058610</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527076037</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527076437</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527079037</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527079437</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527079537</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527123101</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527128201</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527128210</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527130101</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527130105</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527131101</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527131301</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527131801</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527132601</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133001</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133010</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133301</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133501</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133701</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133705</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133710</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133825</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527133850</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527136701</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527136710</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527136801</ndc>
    <ndc_label_name>DANAZOL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527136901</ndc>
    <ndc_label_name>DANAZOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527136906</ndc>
    <ndc_label_name>DANAZOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527139201</ndc>
    <ndc_label_name>DANAZOL 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527139401</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527139501</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527139601</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527139701</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527140701</ndc>
    <ndc_label_name>PILOCARPINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527143501</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527147501</ndc>
    <ndc_label_name>DIETHYLPROPION 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527147701</ndc>
    <ndc_label_name>DIETHYLPROPION ER 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527150037</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527150237</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527150537</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527155201</ndc>
    <ndc_label_name>BUTALBITAL-ASPIRIN-CAFFEINE CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527163201</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527163210</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527169501</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527169505</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527169801</ndc>
    <ndc_label_name>CODEINE SULFATE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527178801</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527178901</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527179001</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527179005</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527179101</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527179105</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527181843</ndc>
    <ndc_label_name>SUMATRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527183037</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527185943</ndc>
    <ndc_label_name>SUMATRIPTAN 20 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527192736</ndc>
    <ndc_label_name>METHADONE 10 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527193006</ndc>
    <ndc_label_name>CLARITHROMYCIN ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527193106</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527193206</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527194748</ndc>
    <ndc_label_name>LOPINAVIR-RITONAVIR 80-20MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527194866</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527194868</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527194870</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527213335</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527224432</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527224832</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527237020</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527237032</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527239519</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527239532</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242532</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242546</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242632</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242646</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242732</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527242746</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527252437</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527252537</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527258032</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527258037</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527280032</ndc>
    <ndc_label_name>VARDENAFIL HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527280132</ndc>
    <ndc_label_name>VARDENAFIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527280232</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527280332</ndc>
    <ndc_label_name>VARDENAFIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527296137</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527296237</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527296337</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527296437</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527296537</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527301248</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527323637</ndc>
    <ndc_label_name>LEVORPHANOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527323737</ndc>
    <ndc_label_name>LEVORPHANOL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328043</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328046</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328143</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328146</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328243</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328246</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328343</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328346</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328443</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328446</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328543</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328546</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328643</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328646</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328743</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328746</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328843</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328846</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328943</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527328946</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527329043</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527329046</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527329146</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527409437</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527409537</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527410737</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527410837</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527411637</ndc>
    <ndc_label_name>PROPRANOLOL ER 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527411737</ndc>
    <ndc_label_name>PROPRANOLOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527411837</ndc>
    <ndc_label_name>PROPRANOLOL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527411937</ndc>
    <ndc_label_name>PROPRANOLOL ER 160 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527457937</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527458037</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527458137</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527458237</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527458337</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527458437</ndc>
    <ndc_label_name>METHYLPHENIDATE CD 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527459113</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527459213</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527459313</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466137</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466237</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466337</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466437</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466537</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466637</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527466737</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495132</ndc>
    <ndc_label_name>LEVOTHYROXINE 13 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495232</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495332</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495432</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495532</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495632</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495732</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495832</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527495932</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527496032</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527496132</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527496232</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527512570</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527512578</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527513762</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527516082</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527540668</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527540670</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527600480</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00527612374</ndc>
    <ndc_label_name>SEVOFLURANE INHALATION LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527810637</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527810737</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527810837</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527810937</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527811037</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527811137</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527811237</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00527811337</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536001583</ndc>
    <ndc_label_name>Almacone-2 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536009185</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536100601</ndc>
    <ndc_label_name>Aller-Chlor 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536100610</ndc>
    <ndc_label_name>Aller-Chlor 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536100715</ndc>
    <ndc_label_name>Cal-Gest Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536100836</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536100901</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536104610</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536104710</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536104815</ndc>
    <ndc_label_name>Calcium Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536104922</ndc>
    <ndc_label_name>Calcium Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105022</ndc>
    <ndc_label_name>Calcium Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105224</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105227</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105260</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105284</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105429</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105525</ndc>
    <ndc_label_name>Acne Medication 5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105556</ndc>
    <ndc_label_name>Acne Medication 5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105625</ndc>
    <ndc_label_name>Acne Medication 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105656</ndc>
    <ndc_label_name>Acne Medication 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105775</ndc>
    <ndc_label_name>ACNE MEDICATION 5% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536105875</ndc>
    <ndc_label_name>ACNE MEDICATION 10% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536106139</ndc>
    <ndc_label_name>Blue Gel 2 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536109306</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536109311</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536109406</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536109411</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536110145</ndc>
    <ndc_label_name>Pain Relieving (methyl salicylate-menthol) 15 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536110301</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536110688</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536110788</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536110888</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536110945</ndc>
    <ndc_label_name>UREA 20% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536111248</ndc>
    <ndc_label_name>BUDESONIDE 32 MCG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536111825</ndc>
    <ndc_label_name>Arthritis Pain Relief (capsaicin) 0.075 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536112925</ndc>
    <ndc_label_name>ACNE MEDICATION 2.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536114263</ndc>
    <ndc_label_name>LEVONORGESTREL 1.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536114397</ndc>
    <ndc_label_name>PETROLATUM 42% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536114398</ndc>
    <ndc_label_name>PETROLATUM 42% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536114730</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536116134</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536116137</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536116144</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536116361</ndc>
    <ndc_label_name>GUAIFENESIN ER 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536117201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118170</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118313</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118321</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118365</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118399</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536118612</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536120207</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536120215</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536120229</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536120610</ndc>
    <ndc_label_name>CALCIUM CARBONATE 648 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121195</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121277</ndc>
    <ndc_label_name>Infant's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121388</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121429</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121794</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536121994</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536122308</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536122497</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536122522</ndc>
    <ndc_label_name>Calcium Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536122858</ndc>
    <ndc_label_name>Phenaseptic 1.4 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536122922</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536123201</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536123441</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536123927</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536123981</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124127</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124181</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124701</ndc>
    <ndc_label_name>Senexon-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124710</ndc>
    <ndc_label_name>Senexon-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124801</ndc>
    <ndc_label_name>Stimulant Laxative Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124810</ndc>
    <ndc_label_name>Stimulant Laxative Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536124971</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536125240</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536125391</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536125494</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536125628</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536125919</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536125963</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126163</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126328</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126456</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126511</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126526</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126595</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126659</ndc>
    <ndc_label_name>senna 8.8 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126720</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126812</ndc>
    <ndc_label_name>Anti-Itch (menthol-camphor) 0.5 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536126958</ndc>
    <ndc_label_name>Caldyphen Clear 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536127180</ndc>
    <ndc_label_name>First Aid Antiseptic (povidone-iodine) 10 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127211</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127222</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127780</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127803</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127912</ndc>
    <ndc_label_name>CETIRIZINE-PSE ER 5-120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536127935</ndc>
    <ndc_label_name>CETIRIZINE-PSE ER 5-120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536128636</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536128736</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536128806</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536128935</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536129136</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129229</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129383</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129434</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129497</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129701</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129710</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129801</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129901</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536129910</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130297</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130375</ndc>
    <ndc_label_name>Infants Simethicone 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130485</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130608</ndc>
    <ndc_label_name>SIMETHICONE 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130723</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536130840</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536130907</ndc>
    <ndc_label_name>Chest Congestion Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536130908</ndc>
    <ndc_label_name>Chest Congestion Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131108</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536131208</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131385</ndc>
    <ndc_label_name>Chest Congestion Relief DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131485</ndc>
    <ndc_label_name>Chest Congestion Relief 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131543</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131625</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131628</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131698</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131783</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536131983</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132197</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132213</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132271</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132288</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132601</ndc>
    <ndc_label_name>Pain Reliever Plus 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132701</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132706</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132710</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536132926</ndc>
    <ndc_label_name>TOLNAFTATE 1% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536133215</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536133321</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536133336</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133434</ndc>
    <ndc_label_name>DEXTROMETHORPHAN 15 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133559</ndc>
    <ndc_label_name>SENNA 176 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133632</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133709</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133735</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133809</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536133835</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536134201</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536134380</ndc>
    <ndc_label_name>VITAMIN D3 10 MCG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536134480</ndc>
    <ndc_label_name>INFANT IRON 15 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536134580</ndc>
    <ndc_label_name>Infant-Toddler Multivit 250 mcg-50 mg-10 mcg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536134680</ndc>
    <ndc_label_name>Infant-Toddler Multivitamin-Iron 11 mg iron/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536134780</ndc>
    <ndc_label_name>INFANT-TODDLER VIT A-C-D DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536134897</ndc>
    <ndc_label_name>Cough Syrup DM 5 mg-50 mg/5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536134957</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536135142</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536135201</ndc>
    <ndc_label_name>VITAMIN E 180MG(400 UNIT) SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536135301</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536135795</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536135807</ndc>
    <ndc_label_name>COENZYME Q-10  30 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136206</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136223</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136225</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136234</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136307</ndc>
    <ndc_label_name>COENZYME Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136601</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136707</ndc>
    <ndc_label_name>LORATADINE 10 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136813</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536136888</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137206</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137223</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137225</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137234</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137575</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536137636</ndc>
    <ndc_label_name>ACETAMIN-IBUPROFN 250-125MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536137785</ndc>
    <ndc_label_name>SODIUM CHLORIDE 23.4% ORAL SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137801</ndc>
    <ndc_label_name>VITAMIN B COMPLEX SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536137904</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138130</ndc>
    <ndc_label_name>MOMETASONE FUROATE 50 MCG SPRY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138170</ndc>
    <ndc_label_name>MOMETASONE FUROATE 50 MCG SPRY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138635</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138694</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138792</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536138793</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139047</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139048</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139288</ndc>
    <ndc_label_name>GUAIFENESIN ER 1,200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139426</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 180-240 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139619</ndc>
    <ndc_label_name>HYDRATING ELECTROLYTE PWDR PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536139708</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140085</ndc>
    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140117</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140317</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140417</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140517</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536140619</ndc>
    <ndc_label_name>HYDRATING ELECTROLYTE PWDR PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140795</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536140894</ndc>
    <ndc_label_name>POLYVINYL ALCOHOL 1.4% EYEDROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141107</ndc>
    <ndc_label_name>PHENAZOPYRIDINE HCL 95 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141220</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141226</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141347</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141348</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141401</ndc>
    <ndc_label_name>VITAMIN B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141501</ndc>
    <ndc_label_name>Nephro-Vite 0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536141638</ndc>
    <ndc_label_name>VITAMIN B-12 250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536142108</ndc>
    <ndc_label_name>SIMETHICONE 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536142201</ndc>
    <ndc_label_name>ACIDOPHILUS-BACILLUS COAGULANS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536142401</ndc>
    <ndc_label_name>ACIDOPHILUS-PECTIN CAPTAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536142541</ndc>
    <ndc_label_name>MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536142677</ndc>
    <ndc_label_name>Infant's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536142704</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143097</ndc>
    <ndc_label_name>Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143363</ndc>
    <ndc_label_name>LEVONORGESTREL 1.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143405</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143407</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143507</ndc>
    <ndc_label_name>COENZYME Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536143607</ndc>
    <ndc_label_name>COENZYME Q-10 30 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536143901</ndc>
    <ndc_label_name>COPPER 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536144201</ndc>
    <ndc_label_name>Probiotic Acidophilus (4 strain) 1 billion cell-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144370</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144540</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144634</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144788</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144813</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536144888</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536144921</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536144936</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145188</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536145206</ndc>
    <ndc_label_name>LACTOBACILLUS 1 MILLION CFU TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145326</ndc>
    <ndc_label_name>TOLNAFTATE 1% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536145408</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536145585</ndc>
    <ndc_label_name>SODIUM CHLORIDE 23.4% ORAL SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145684</ndc>
    <ndc_label_name>BUDESONIDE 32 MCG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145769</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145829</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536145925</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536146625</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 2.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536146725</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536147217</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536147317</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536147442</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536147823</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.7% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536196297</ndc>
    <ndc_label_name>Sebex 2 %-2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536199553</ndc>
    <ndc_label_name>Anti-Dandruff 1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536247085</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536250676</ndc>
    <ndc_label_name>Saline Mist 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536252525</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536302906</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536302923</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536302925</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536302934</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536303006</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536303023</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536303025</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536311201</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536311225</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536311237</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536311301</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536311337</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536322301</ndc>
    <ndc_label_name>CALCIUM CIT 200 MG-D3 6.25 MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536329210</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536338601</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536338701</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536340401</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536340501</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536344308</ndc>
    <ndc_label_name>Cerovite Jr 18 mg iron-10 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536344508</ndc>
    <ndc_label_name>Cerovite Senior 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536354710</ndc>
    <ndc_label_name>Daily-Vite (with folic acid) 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536360735</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536406301</ndc>
    <ndc_label_name>Classic Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536407810</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536408501</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536430605</ndc>
    <ndc_label_name>Fiber-Lax 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536430608</ndc>
    <ndc_label_name>Fiber-Lax 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536430611</ndc>
    <ndc_label_name>Fiber-Lax 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536440601</ndc>
    <ndc_label_name>Vitamin B-6 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536478701</ndc>
    <ndc_label_name>Vitamins B Complex capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536509008</ndc>
    <ndc_label_name>I-Vite 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589453</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589488</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589553</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589571</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589588</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589653</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589671</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536589688</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536703801</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536718701</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00536718706</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536741551</ndc>
    <ndc_label_name>Enema Disposable 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536781708</ndc>
    <ndc_label_name>Oysco 500/D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00536781710</ndc>
    <ndc_label_name>Oysco 500/D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548231100</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548500100</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548540000</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548540025</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548541000</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548541025</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560100</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560200</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560300</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560400</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560500</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560600</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560700</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548560800</ndc>
    <ndc_label_name>ENOXAPARIN 300 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548570100</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548571100</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548583100</ndc>
    <ndc_label_name>Diluent For Glucagon Emergency Kit injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548585000</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548590000</ndc>
    <ndc_label_name>Cortrosyn 0.25 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548590500</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548835101</ndc>
    <ndc_label_name>Baqsimi 3 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548835112</ndc>
    <ndc_label_name>Baqsimi 3 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00548835202</ndc>
    <ndc_label_name>Baqsimi 3 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548909010</ndc>
    <ndc_label_name>Amphadase 150 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548950100</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548950200</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548960100</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548960200</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00548970100</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555003302</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555003305</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555006602</ndc>
    <ndc_label_name>ISONIAZID 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555007101</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555007102</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555015802</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555015804</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555015902</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555015904</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555017178</ndc>
    <ndc_label_name>MEFLOQUINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555017188</ndc>
    <ndc_label_name>MEFLOQUINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555021110</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555030202</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555030204</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555032302</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555032304</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555032402</ndc>
    <ndc_label_name>HYDROXYZINE PAM 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555048302</ndc>
    <ndc_label_name>AMILORIDE HCL-HCTZ 5-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555048305</ndc>
    <ndc_label_name>AMILORIDE HCL-HCTZ 5-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555048401</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555048402</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555048527</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555057202</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555057235</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555060602</ndc>
    <ndc_label_name>MEGESTROL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555060702</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555063302</ndc>
    <ndc_label_name>DANAZOL 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555063402</ndc>
    <ndc_label_name>DANAZOL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555063502</ndc>
    <ndc_label_name>DANAZOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555063509</ndc>
    <ndc_label_name>DANAZOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555071102</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555077502</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555077602</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555077702</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555077902</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555077904</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555080802</ndc>
    <ndc_label_name>TRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555087202</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555087204</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555087302</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555087304</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555088202</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555088602</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555088604</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555088702</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555088704</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555089902</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555095202</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555095302</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555097102</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555097202</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555097302</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555097402</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555099702</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105456</ndc>
    <ndc_label_name>Claravis 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105460</ndc>
    <ndc_label_name>Claravis 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105486</ndc>
    <ndc_label_name>Claravis 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105556</ndc>
    <ndc_label_name>Claravis 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105560</ndc>
    <ndc_label_name>Claravis 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105586</ndc>
    <ndc_label_name>Claravis 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105660</ndc>
    <ndc_label_name>Claravis 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105686</ndc>
    <ndc_label_name>Claravis 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105756</ndc>
    <ndc_label_name>Claravis 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105760</ndc>
    <ndc_label_name>Claravis 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00555105786</ndc>
    <ndc_label_name>Claravis 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555900867</ndc>
    <ndc_label_name>Nortrel 0.5/35 (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555900879</ndc>
    <ndc_label_name>Nortrel 0.5/35 (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555900942</ndc>
    <ndc_label_name>Nortrel 1/35 (21) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555900980</ndc>
    <ndc_label_name>Nortrel 1/35 (21) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901058</ndc>
    <ndc_label_name>Nortrel 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901079</ndc>
    <ndc_label_name>Nortrel 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901258</ndc>
    <ndc_label_name>Nortrel 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901279</ndc>
    <ndc_label_name>Nortrel 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901467</ndc>
    <ndc_label_name>Lessina 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901479</ndc>
    <ndc_label_name>Lessina 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901658</ndc>
    <ndc_label_name>Sprintec (28) 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555901858</ndc>
    <ndc_label_name>Tri-Sprintec (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902058</ndc>
    <ndc_label_name>Portia 28 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902079</ndc>
    <ndc_label_name>Portia 28 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902542</ndc>
    <ndc_label_name>Junel 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902658</ndc>
    <ndc_label_name>Junel FE 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902742</ndc>
    <ndc_label_name>Junel 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555902858</ndc>
    <ndc_label_name>Junel FE 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555903270</ndc>
    <ndc_label_name>Tri-Legest Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555903458</ndc>
    <ndc_label_name>Balziva (28) 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555903479</ndc>
    <ndc_label_name>Balziva (28) 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904358</ndc>
    <ndc_label_name>Apri 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904379</ndc>
    <ndc_label_name>Apri 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904558</ndc>
    <ndc_label_name>Aviane 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904579</ndc>
    <ndc_label_name>Aviane 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904758</ndc>
    <ndc_label_name>Enpresse 50-30 (6)/75-40(5)/125-30(10) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904958</ndc>
    <ndc_label_name>Cryselle (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555904979</ndc>
    <ndc_label_name>Cryselle (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555905058</ndc>
    <ndc_label_name>Kariva (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555905079</ndc>
    <ndc_label_name>Kariva (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555905167</ndc>
    <ndc_label_name>Velivet Triphasic Regimen (28) 0.1 mg/0.125 mg/0.15 mg-25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555905179</ndc>
    <ndc_label_name>Velivet Triphasic Regimen (28) 0.1 mg/0.125 mg/0.15 mg-25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555906458</ndc>
    <ndc_label_name>Kelnor 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555906479</ndc>
    <ndc_label_name>Kelnor 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555906667</ndc>
    <ndc_label_name>Aranelle (28) 0.5 mg/1 mg/0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555906679</ndc>
    <ndc_label_name>Aranelle (28) 0.5 mg/1 mg/0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555912366</ndc>
    <ndc_label_name>Jolessa 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555913167</ndc>
    <ndc_label_name>Ocella 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00555913179</ndc>
    <ndc_label_name>Ocella 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00562780500</ndc>
    <ndc_label_name>RhoGAM Ultra-Filtered PLUS 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00562780501</ndc>
    <ndc_label_name>RhoGAM Ultra-Filtered PLUS 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00562780505</ndc>
    <ndc_label_name>RhoGAM Ultra-Filtered PLUS 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00562780525</ndc>
    <ndc_label_name>RhoGAM Ultra-Filtered PLUS 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014518</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014572</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014718</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014736</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014772</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014794</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014795</ndc>
    <ndc_label_name>Advil Dual Action 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573014966</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015020</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015030</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015040</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015110</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015112</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015120</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015121</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015130</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015460</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015475</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015489</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573015498</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016020</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016030</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016040</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016151</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016408</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016420</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016430</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016440</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016443</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016449</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016455</ndc>
    <ndc_label_name>Advil PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016530</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016540</ndc>
    <ndc_label_name>Advil 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016725</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016743</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016755</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016820</ndc>
    <ndc_label_name>Advil Migraine 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016840</ndc>
    <ndc_label_name>Advil Migraine 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016902</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016908</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016920</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016930</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016940</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016949</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573016989</ndc>
    <ndc_label_name>Advil Liqui-Gel 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573017030</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573017130</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573017920</ndc>
    <ndc_label_name>Advil Junior Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573018010</ndc>
    <ndc_label_name>Advil Cold and Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573018021</ndc>
    <ndc_label_name>Advil Cold and Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573018432</ndc>
    <ndc_label_name>Advil Cold and Sinus 30 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573018810</ndc>
    <ndc_label_name>Advil Allergy Sinus 2 mg-30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019010</ndc>
    <ndc_label_name>Advil Multi-Symptom Cold-Flu 4 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019020</ndc>
    <ndc_label_name>Advil Multi-Symptom Cold-Flu 4 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019120</ndc>
    <ndc_label_name>Infant's Advil 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019601</ndc>
    <ndc_label_name>Advil Allergy-Congestion Relief 4 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019610</ndc>
    <ndc_label_name>Advil Allergy-Congestion Relief 4 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019620</ndc>
    <ndc_label_name>Advil Allergy-Congestion Relief 4 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019901</ndc>
    <ndc_label_name>Advil Sinus Congestion-Pain 200 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019911</ndc>
    <ndc_label_name>Advil Sinus Congestion-Pain 200 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573019921</ndc>
    <ndc_label_name>Advil Sinus Congestion-Pain 200 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573020730</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573021341</ndc>
    <ndc_label_name>Anbesol (benzocaine) 10 % oral mucosal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573021541</ndc>
    <ndc_label_name>Anbesol (benzocaine) Maximum Strength 20 % oral mucosal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573021825</ndc>
    <ndc_label_name>Anbesol (benzocaine) 10 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573022567</ndc>
    <ndc_label_name>Anbesol (benzocaine) Maximum Strength 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573023230</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573024625</ndc>
    <ndc_label_name>Anbesol Cold Sore 20 %-3 %-1 %-64.9 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573029030</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573050375</ndc>
    <ndc_label_name>Centrum Women Immune Minis 9 mg iron-200 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573051330</ndc>
    <ndc_label_name>Centrum 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573051425</ndc>
    <ndc_label_name>Centrum Silver Men 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573055211</ndc>
    <ndc_label_name>Preparation H Hydrocortisone 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055420</ndc>
    <ndc_label_name>Preparation H Rapid Relief Wipes 5 %-0.25 %-20 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055620</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055695</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055696</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055807</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573055940</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 20 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573117412</ndc>
    <ndc_label_name>Children's Advil 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573119120</ndc>
    <ndc_label_name>Dristan Long Lasting 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573123821</ndc>
    <ndc_label_name>DRISTAN COLD MULTI-SYMP TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128424</ndc>
    <ndc_label_name>Centrum Adult 50 Plus 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128432</ndc>
    <ndc_label_name>Centrum Multi Plus Omega-3 80 mcg-12.5 mcg-23.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128434</ndc>
    <ndc_label_name>Centrum Adults 12 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128633</ndc>
    <ndc_label_name>Centrum Multi Plus Beauty 80 mcg-1,250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128634</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128635</ndc>
    <ndc_label_name>Centrum MultiGummies Men 12 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128673</ndc>
    <ndc_label_name>Centrum MultiGummies Men 12 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128674</ndc>
    <ndc_label_name>Centrum Adults 12 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128675</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128676</ndc>
    <ndc_label_name>Centrum MultiGummies Men 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128677</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128849</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128852</ndc>
    <ndc_label_name>Centrum MultiGummies Men 12 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573128853</ndc>
    <ndc_label_name>Centrum MultiGummies Men 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573128854</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573132125</ndc>
    <ndc_label_name>Preparation H Rapid Relief Spray 5 %-0.25 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573134762</ndc>
    <ndc_label_name>Centrum MultiGummies Men 42 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573134806</ndc>
    <ndc_label_name>Centrum MultiGummies Women 42 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573134814</ndc>
    <ndc_label_name>Centrum Kids Multigummy chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573134836</ndc>
    <ndc_label_name>Centrum Kids Multigummy chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573136901</ndc>
    <ndc_label_name>Centrum MultiGummies Men 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573136915</ndc>
    <ndc_label_name>Centrum MultiGummies Women 80 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573137801</ndc>
    <ndc_label_name>Preparation H (pe) 0.25 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573137806</ndc>
    <ndc_label_name>Preparation H (pe) 0.25 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573176909</ndc>
    <ndc_label_name>Advil Liqui-Gels Minis 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573176913</ndc>
    <ndc_label_name>Advil Liqui-Gels Minis 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573176920</ndc>
    <ndc_label_name>Advil Liqui-Gels Minis 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573176980</ndc>
    <ndc_label_name>Advil Liqui-Gels Minis 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573176989</ndc>
    <ndc_label_name>Advil Liqui-Gels Minis 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573206046</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573216074</ndc>
    <ndc_label_name>Advil Cold and Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245014</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245015</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245028</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245042</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245043</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245114</ndc>
    <ndc_label_name>Nexium 24HR 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245142</ndc>
    <ndc_label_name>Nexium 24HR 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245214</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573245242</ndc>
    <ndc_label_name>Nexium 24HR 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573262065</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573262119</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573262165</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573266012</ndc>
    <ndc_label_name>Alavert D-12 Allergy-Sinus 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573266024</ndc>
    <ndc_label_name>Alavert D-12 Allergy-Sinus 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573283011</ndc>
    <ndc_label_name>Preparation H Hydrocortisone 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573284020</ndc>
    <ndc_label_name>Preparation H (phenylephrine,witch hazel) 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573284021</ndc>
    <ndc_label_name>Preparation H (phenylephrine,witch hazel) 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573284093</ndc>
    <ndc_label_name>Preparation H (phenylephrine,witch hazel) 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573284301</ndc>
    <ndc_label_name>Preparation H Rapid Relief-Lidocaine 5 %-0.25 %-14.4 %-15 % top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573284310</ndc>
    <ndc_label_name>Preparation H Rapid Relief-Lidocaine 5 %-0.25 %-14.4 %-15 % top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573286893</ndc>
    <ndc_label_name>Preparation H Maximum Strength 0.25 %-1 % rectal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573286898</ndc>
    <ndc_label_name>Preparation H Maximum Strength 0.25 %-1 % rectal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573287193</ndc>
    <ndc_label_name>Preparation H 0.25 %-14 %-74.9 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573287194</ndc>
    <ndc_label_name>Preparation H 0.25 %-14 %-74.9 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573288031</ndc>
    <ndc_label_name>Preparation H(phenyleph,cocoa buttr) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573288311</ndc>
    <ndc_label_name>Preparation H(phenyleph,cocoa buttr) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573288320</ndc>
    <ndc_label_name>Preparation H(phenyleph,cocoa buttr) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573288712</ndc>
    <ndc_label_name>Preparation H (Witch Hazel) 20 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573295210</ndc>
    <ndc_label_name>Primatene Asthma 12.5 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573295220</ndc>
    <ndc_label_name>Primatene Asthma 12.5 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573417990</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573445160</ndc>
    <ndc_label_name>Centrum 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573445174</ndc>
    <ndc_label_name>Centrum 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573445176</ndc>
    <ndc_label_name>Centrum 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573446381</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573446391</ndc>
    <ndc_label_name>Centrum Silver 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475565</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475571</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475592</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475630</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475652</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475665</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475671</ndc>
    <ndc_label_name>Centrum Silver Women 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475765</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475770</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573475792</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573475830</ndc>
    <ndc_label_name>Centrum Silver Men 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573475850</ndc>
    <ndc_label_name>Centrum Silver Men 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573475870</ndc>
    <ndc_label_name>Centrum Silver Men 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573478199</ndc>
    <ndc_label_name>Centrum Minis Women 50 Plus 4 mg iron-200 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573478299</ndc>
    <ndc_label_name>Centrum Minis Men 50 Plus 150 mcg-30 mcg-300 mcg-150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573478399</ndc>
    <ndc_label_name>Centrum Minis Adults 50 Plus 200 mcg-15 mcg-150 mcg-125mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573550919</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573550924</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573550925</ndc>
    <ndc_label_name>Caltrate with Vitamin D3 600 mg-20 mcg (800 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573551210</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 300 mg-20 mcg-25 mg-0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573551750</ndc>
    <ndc_label_name>Caltrate Gummy Bites 250 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573555619</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-50 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573555623</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-50 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573555690</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-50 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573556711</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-40 mg-0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573556720</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-40 mg-0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573556764</ndc>
    <ndc_label_name>Caltrate-D3 Plus Minerals 600 mg-20 mcg-40 mg-0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573556819</ndc>
    <ndc_label_name>Caltrate plus D  600 mg (carbonate)-20 mcg (800 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573556919</ndc>
    <ndc_label_name>Caltrate plus D  600 mg (carbonate)-20 mcg (800 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655204</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655296</ndc>
    <ndc_label_name>Centrum Prenatal 180 mcg-35 mg-25 mg-5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655299</ndc>
    <ndc_label_name>Centrum Morning Sickness Relief 25 mg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655302</ndc>
    <ndc_label_name>Centrum Postnatal 115 mcg-35 mg-25 mg-5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655308</ndc>
    <ndc_label_name>Centrum Multi Mental Focus 80 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573655471</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573655476</ndc>
    <ndc_label_name>Centrum Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655545</ndc>
    <ndc_label_name>Advil Targeted Relief 0.025 %-15 %-10 %-3.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655551</ndc>
    <ndc_label_name>Advil Targeted Relief 0.025 %-15 %-10 %-3.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655554</ndc>
    <ndc_label_name>Advil Targeted Relief 0.025 %-15 %-10 %-3.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655644</ndc>
    <ndc_label_name>Centrum Menopause Sleep 30 mg-485 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655668</ndc>
    <ndc_label_name>Centrum Menopause Multivitamin 400 mcg-30 mcg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655671</ndc>
    <ndc_label_name>Centrum Menopause Support 1.7 mg-2.4 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655756</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00573655759</ndc>
    <ndc_label_name>Advil PM Liqui-Gels 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00573887830</ndc>
    <ndc_label_name>Centrum Men 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574006905</ndc>
    <ndc_label_name>Glutose-5 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574006915</ndc>
    <ndc_label_name>Glutose-15 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574006924</ndc>
    <ndc_label_name>Glutose-5 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574006930</ndc>
    <ndc_label_name>Glutose-15 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574006945</ndc>
    <ndc_label_name>Glutose-45 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574007030</ndc>
    <ndc_label_name>Glutose-15 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574007116</ndc>
    <ndc_label_name>DERMABASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574007216</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574010601</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574010603</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574010714</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574010770</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574010777</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG TROCHE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574011302</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574011501</ndc>
    <ndc_label_name>FLAVOXATE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574011830</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574012225</ndc>
    <ndc_label_name>EZ CHAR PELLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574014560</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574015004</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574015710</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574016712</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574022701</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574022801</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574022901</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574024001</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574024101</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574024201</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574027500</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574027511</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574027930</ndc>
    <ndc_label_name>PAROXETINE MESYLATE 7.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574029201</ndc>
    <ndc_label_name>AMILORIDE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574029301</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574029401</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 12 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574029501</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574030216</ndc>
    <ndc_label_name>Ora-Sweet SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574030316</ndc>
    <ndc_label_name>Ora-Plus oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574030416</ndc>
    <ndc_label_name>Ora-Sweet oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574031116</ndc>
    <ndc_label_name>Ora-Blend oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574031216</ndc>
    <ndc_label_name>Ora-Blend SF oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574042001</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574050801</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574050810</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574050811</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574052074</ndc>
    <ndc_label_name>Actidose/Sorbitol 25 gram/120 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574052076</ndc>
    <ndc_label_name>Actidose/Sorbitol 50 gram/240 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574052125</ndc>
    <ndc_label_name>Actidose-Aqua 15 g/72 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574052174</ndc>
    <ndc_label_name>Actidose-Aqua 25 gram/120 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574052176</ndc>
    <ndc_label_name>Actidose-Aqua 50 gram/240 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574060115</ndc>
    <ndc_label_name>Podocon 25 % topical liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574060801</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574060810</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574060811</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574061105</ndc>
    <ndc_label_name>PODOFILOX 0.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574062105</ndc>
    <ndc_label_name>PODOFILOX 0.5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574079001</ndc>
    <ndc_label_name>METHAZOLAMIDE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574079101</ndc>
    <ndc_label_name>METHAZOLAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574079201</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574080500</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574080530</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574082001</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574082010</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574082701</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574082710</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574085005</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574085010</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574086601</ndc>
    <ndc_label_name>CYCLOSPORINE 250 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574086610</ndc>
    <ndc_label_name>CYCLOSPORINE 250 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574093010</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574093125</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574110404</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574110416</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574113304</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574113316</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574140228</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574140528</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574141028</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574141521</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574142021</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574142521</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574195906</ndc>
    <ndc_label_name>GLUTOL GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574200802</ndc>
    <ndc_label_name>Nystop 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574200815</ndc>
    <ndc_label_name>Nystop 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574200830</ndc>
    <ndc_label_name>Nystop 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574204205</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574204213</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574204230</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574206101</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574206130</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574206145</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574206727</ndc>
    <ndc_label_name>Evamist 1.53 mg/spray (1.7 %) transdermal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574210745</ndc>
    <ndc_label_name>IVERMECTIN 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574220120</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574220145</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574220520</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574220545</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574222520</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574222545</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574230115</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574230145</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574232515</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574232545</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574241001</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574241065</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574241501</ndc>
    <ndc_label_name>METHYLPHENIDATE 15 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574241565</ndc>
    <ndc_label_name>METHYLPHENIDATE 15 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574242001</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574242065</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574243001</ndc>
    <ndc_label_name>METHYLPHENIDATE 30 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574243065</ndc>
    <ndc_label_name>METHYLPHENIDATE 30 MG/9HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574401210</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574401215</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574402135</ndc>
    <ndc_label_name>Polycin 500 unit-10,000 unit/gram eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574402235</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OPHTH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574402411</ndc>
    <ndc_label_name>ERYTHROMYCIN 0.5% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574402435</ndc>
    <ndc_label_name>ERYTHROMYCIN 0.5% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574402439</ndc>
    <ndc_label_name>ERYTHROMYCIN 0.5% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574402450</ndc>
    <ndc_label_name>ERYTHROMYCIN 0.5% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574403105</ndc>
    <ndc_label_name>TOBRAMYCIN-DEXAMETH OPHTH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574403110</ndc>
    <ndc_label_name>TOBRAMYCIN-DEXAMETH OPHTH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574403125</ndc>
    <ndc_label_name>TOBRAMYCIN-DEXAMETH OPHTH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574408005</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.2% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574408010</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.2% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574413505</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574413510</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574413515</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574414435</ndc>
    <ndc_label_name>Neo-Polycin HC 3.5 mg-400-10,000 unit/g-1 % eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574416035</ndc>
    <ndc_label_name>NEOMYC-POLYM-DEXAMET EYE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574419035</ndc>
    <ndc_label_name>SULFACETAMIDE 10% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574425035</ndc>
    <ndc_label_name>Neo-Polycin 3.5 mg-400 unit-10,000 unit/g eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574703412</ndc>
    <ndc_label_name>ASPIRIN 300 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574704001</ndc>
    <ndc_label_name>BELLADONNA-OPIUM 16.2-60 SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574704012</ndc>
    <ndc_label_name>BELLADONNA-OPIUM 16.2-60 SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574704501</ndc>
    <ndc_label_name>BELLADONNA-OPIUM 16.2-30 SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574704512</ndc>
    <ndc_label_name>BELLADONNA-OPIUM 16.2-30 SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574705012</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574705050</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574709012</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574709312</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574711012</ndc>
    <ndc_label_name>MORPHINE SULF 5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574711212</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574711412</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574711612</ndc>
    <ndc_label_name>MORPHINE SULF 30 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574722406</ndc>
    <ndc_label_name>HYDROMORPHONE 3 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00574722612</ndc>
    <ndc_label_name>Compro 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00574985510</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00575100408</ndc>
    <ndc_label_name>X-Seb T Pearl 10 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00575620030</ndc>
    <ndc_label_name>Proglycem 50 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034301</ndc>
    <ndc_label_name>VERAPAMIL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034305</ndc>
    <ndc_label_name>VERAPAMIL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034310</ndc>
    <ndc_label_name>VERAPAMIL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034501</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034505</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034510</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034701</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034705</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034801</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034805</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591034810</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591036901</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591037001</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591037101</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591037201</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591039501</ndc>
    <ndc_label_name>PENTAZOCINE-NALOXONE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591039719</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591039760</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591039860</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040401</ndc>
    <ndc_label_name>VERAPAMIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040501</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040505</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040601</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040610</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040701</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040710</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040801</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040810</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040901</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591040905</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591042401</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591042405</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591044401</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591045301</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046001</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046005</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046010</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046101</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046105</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591046110</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591058201</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591058301</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591060501</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591060505</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591060601</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591060605</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591060701</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591074401</ndc>
    <ndc_label_name>ESTAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591074501</ndc>
    <ndc_label_name>ESTAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591079401</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591079410</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591079501</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591079510</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591084401</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591084410</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591084501</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591084510</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086001</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086005</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086101</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086105</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086201</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591086205</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591088501</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591090030</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591115930</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591211481</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591212712</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591212779</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591213155</ndc>
    <ndc_label_name>AZELAIC ACID 15% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591213201</ndc>
    <ndc_label_name>DOXYLAMINE-PYRIDOXINE 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591215990</ndc>
    <ndc_label_name>CICLOPIROX 1% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591219101</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591219130</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591224522</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591225804</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591225823</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591225854</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591225879</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591228560</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591228660</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591228760</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591231215</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591231245</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591234101</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591236360</ndc>
    <ndc_label_name>TESTOSTERONE 10 MG GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591240530</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591240630</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591241101</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591241219</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591242212</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591242226</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591242279</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243315</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243345</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243415</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243445</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243515</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243545</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243615</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591243645</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591245115</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591245145</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591247218</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591247260</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591247319</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591247330</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591247401</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591247501</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591250115</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591250145</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591251030</ndc>
    <ndc_label_name>BUDESONIDE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591251160</ndc>
    <ndc_label_name>BOSENTAN 62.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591251260</ndc>
    <ndc_label_name>BOSENTAN 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591252001</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591252005</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591253360</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591256201</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591256230</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591257920</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591264001</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591264005</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591264101</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAF-COD 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591267911</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591267930</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591268201</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591271202</ndc>
    <ndc_label_name>ALBENDAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591271960</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591272060</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591272901</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591274201</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591278886</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591278986</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591279086</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591280560</ndc>
    <ndc_label_name>CLARITHROMYCIN ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591283201</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591288001</ndc>
    <ndc_label_name>VERAPAMIL SR 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591288201</ndc>
    <ndc_label_name>VERAPAMIL SR 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591288401</ndc>
    <ndc_label_name>VERAPAMIL SR 240 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591288601</ndc>
    <ndc_label_name>VERAPAMIL SR 360 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591288830</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN 1,000 MCG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292102</ndc>
    <ndc_label_name>TESTOSTERONE 12.5 MG/1.25 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292118</ndc>
    <ndc_label_name>TESTOSTERONE 12.5 MG/1.25 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591292418</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292530</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292532</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292625</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292630</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591292754</ndc>
    <ndc_label_name>LEVALBUTEROL TAR HFA 45MCG INH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591294430</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591294460</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591294487</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591299801</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591300501</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591312879</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591313760</ndc>
    <ndc_label_name>NIZATIDINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591313830</ndc>
    <ndc_label_name>NIZATIDINE 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591315301</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591315901</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591321617</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591321630</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591321726</ndc>
    <ndc_label_name>TESTOSTERONE 1% (50 MG/5 G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591321730</ndc>
    <ndc_label_name>TESTOSTERONE 1% (50 MG/5 G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591322001</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAF-COD 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591322126</ndc>
    <ndc_label_name>TESTOSTERONE ENAN 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591333105</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591333119</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591333130</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591335501</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591336901</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591336905</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591346753</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591346853</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591350804</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591350854</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591350904</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591350954</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591351004</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591351054</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591352426</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591352430</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591352511</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591352530</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354005</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354060</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354105</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354125</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354160</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354260</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354360</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591354376</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591363630</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591365801</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591365930</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591366030</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591367001</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591367005</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591367101</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591367105</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369230</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369319</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369330</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369419</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369430</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369519</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591369530</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591371305</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591371319</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591371330</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591372030</ndc>
    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591379519</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591379530</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591379619</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591379630</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591385101</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591385419</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591386219</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591386919</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387044</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387045</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387060</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591387319</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387544</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387545</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591387560</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591389119</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591389519</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591390087</ndc>
    <ndc_label_name>MEMANTINE 5-10 MG TITRATION PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591390219</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591391668</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PERO 1.2-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591395511</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591395550</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398260</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398301</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398305</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398401</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398405</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591398560</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591401201</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591403946</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591403974</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591405094</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591405289</ndc>
    <ndc_label_name>IVERMECTIN 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591406030</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591410101</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591410201</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591410301</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591410401</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591417101</ndc>
    <ndc_label_name>PENICILLAMINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591436560</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591438579</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591439096</ndc>
    <ndc_label_name>MIFEPRISTONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591455022</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591457560</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591473030</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591473054</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591473530</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591473554</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591474030</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591474054</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591491001</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591492001</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591492005</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591505201</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591505210</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591505221</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591505243</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591530701</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591530710</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591531901</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591532101</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591533501</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591533510</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591533701</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591533710</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591534701</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591534710</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544201</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544205</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544210</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544221</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544243</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544301</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544305</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591544310</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591551301</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591551305</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591551310</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591554301</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591554310</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591554401</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591554405</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555305</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555350</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555401</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555410</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555501</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555510</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555601</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555610</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555701</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591555705</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00591559001</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591564201</ndc>
    <ndc_label_name>MINOXIDIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591564205</ndc>
    <ndc_label_name>MINOXIDIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591564301</ndc>
    <ndc_label_name>MINOXIDIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591564305</ndc>
    <ndc_label_name>MINOXIDIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591566001</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591566005</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591566101</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591566105</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591569401</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591569460</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591569550</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591571301</ndc>
    <ndc_label_name>AMOXAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591571401</ndc>
    <ndc_label_name>AMOXAPINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591571501</ndc>
    <ndc_label_name>AMOXAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591571630</ndc>
    <ndc_label_name>AMOXAPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591578201</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00591578301</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597000302</ndc>
    <ndc_label_name>Aptivus 250 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597002402</ndc>
    <ndc_label_name>Combivent Respimat 20 mcg-100 mcg/actuation solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597003510</ndc>
    <ndc_label_name>Spevigo 60 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597003937</ndc>
    <ndc_label_name>MICARDIS 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597004037</ndc>
    <ndc_label_name>Micardis 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597004137</ndc>
    <ndc_label_name>Micardis 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597004237</ndc>
    <ndc_label_name>Micardis HCT 80 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597004337</ndc>
    <ndc_label_name>Micardis HCT 40 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597004437</ndc>
    <ndc_label_name>Micardis HCT 80 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597007541</ndc>
    <ndc_label_name>Spiriva with HandiHaler 18 mcg and inhalation capsules</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597007547</ndc>
    <ndc_label_name>Spiriva with HandiHaler 18 mcg and inhalation capsules</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597007575</ndc>
    <ndc_label_name>Spiriva with HandiHaler 18 mcg and inhalation capsules</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597008717</ndc>
    <ndc_label_name>Atrovent HFA 17 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597010028</ndc>
    <ndc_label_name>Spiriva Respimat 2.5 mcg/actuation solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597010051</ndc>
    <ndc_label_name>Spiriva Respimat 2.5 mcg/actuation solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597010061</ndc>
    <ndc_label_name>Spiriva Respimat 2.5 mcg/actuation solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597010854</ndc>
    <ndc_label_name>Pradaxa 110 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597010860</ndc>
    <ndc_label_name>Pradaxa 110 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597010930</ndc>
    <ndc_label_name>MIRAPEX ER 0.375 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597011330</ndc>
    <ndc_label_name>Mirapex ER 1.5 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597011530</ndc>
    <ndc_label_name>Mirapex ER 3 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597011630</ndc>
    <ndc_label_name>MIRAPEX ER 4.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597013730</ndc>
    <ndc_label_name>Gilotrif 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597013830</ndc>
    <ndc_label_name>Gilotrif 40 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014030</ndc>
    <ndc_label_name>Tradjenta 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014061</ndc>
    <ndc_label_name>Tradjenta 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014070</ndc>
    <ndc_label_name>Tradjenta 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014090</ndc>
    <ndc_label_name>Tradjenta 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597014130</ndc>
    <ndc_label_name>Gilotrif 20 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597014360</ndc>
    <ndc_label_name>Ofev 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597014560</ndc>
    <ndc_label_name>Ofev 150 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Jentadueto 2.5 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014660</ndc>
    <ndc_label_name>Jentadueto 2.5 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014718</ndc>
    <ndc_label_name>Jentadueto 2.5 mg-850 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597014760</ndc>
    <ndc_label_name>Jentadueto 2.5 mg-850 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Jardiance 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597015237</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Stiolto Respimat 2.5 mcg-2.5 mcg/actuation solution for inhalation</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Spiriva Respimat 1.25 mcg/actuation solution for inhalation</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597016439</ndc>
    <ndc_label_name>Glyxambi 25 mg-5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597016490</ndc>
    <ndc_label_name>Glyxambi 25 mg-5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597017518</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597017560</ndc>
    <ndc_label_name>Synjardy 5 mg-1,000 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597018018</ndc>
    <ndc_label_name>Synjardy 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597018060</ndc>
    <ndc_label_name>Synjardy 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597018066</ndc>
    <ndc_label_name>Synjardy 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597018207</ndc>
    <ndc_label_name>Glyxambi 10 mg-5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597018230</ndc>
    <ndc_label_name>Glyxambi 10 mg-5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597018239</ndc>
    <ndc_label_name>Glyxambi 10 mg-5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597018290</ndc>
    <ndc_label_name>Glyxambi 10 mg-5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597019261</ndc>
    <ndc_label_name>Striverdi Respimat 2.5 mcg/actuation solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597019705</ndc>
    <ndc_label_name>Praxbind 2.5 gram/50 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597027073</ndc>
    <ndc_label_name>Jentadueto XR 2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597027094</ndc>
    <ndc_label_name>Jentadueto XR 2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597027533</ndc>
    <ndc_label_name>Jentadueto XR 5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597027581</ndc>
    <ndc_label_name>Jentadueto XR 5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597028036</ndc>
    <ndc_label_name>Synjardy XR 10 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597028073</ndc>
    <ndc_label_name>Synjardy XR 10 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597028090</ndc>
    <ndc_label_name>Synjardy XR 10 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597028530</ndc>
    <ndc_label_name>MIRAPEX ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597028630</ndc>
    <ndc_label_name>Mirapex ER 2.25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597028730</ndc>
    <ndc_label_name>Mirapex ER 3.75 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029020</ndc>
    <ndc_label_name>Synjardy XR 5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029059</ndc>
    <ndc_label_name>Synjardy XR 5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029074</ndc>
    <ndc_label_name>Synjardy XR 5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029561</ndc>
    <ndc_label_name>Synjardy XR 25 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029578</ndc>
    <ndc_label_name>Synjardy XR 25 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597029588</ndc>
    <ndc_label_name>Synjardy XR 25 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597030020</ndc>
    <ndc_label_name>Synjardy XR 12.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597030045</ndc>
    <ndc_label_name>Synjardy XR 12.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597030093</ndc>
    <ndc_label_name>Synjardy XR 12.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597035509</ndc>
    <ndc_label_name>Pradaxa 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597035556</ndc>
    <ndc_label_name>Pradaxa 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597036055</ndc>
    <ndc_label_name>Pradaxa 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597036082</ndc>
    <ndc_label_name>Pradaxa 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597037082</ndc>
    <ndc_label_name>Cyltezo(CF) 40 mg/0.8 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597037516</ndc>
    <ndc_label_name>CYLTEZO(CF) PEN CRH-UC-HS 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597037523</ndc>
    <ndc_label_name>CYLTEZO(CF) PEN PSORIA-UV 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597037597</ndc>
    <ndc_label_name>Cyltezo(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038013</ndc>
    <ndc_label_name>Trijardy XR 10 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038022</ndc>
    <ndc_label_name>Trijardy XR 10 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038068</ndc>
    <ndc_label_name>Trijardy XR 10 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038577</ndc>
    <ndc_label_name>Trijardy XR 12.5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038586</ndc>
    <ndc_label_name>Trijardy XR 12.5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597038588</ndc>
    <ndc_label_name>Trijardy XR 12.5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039013</ndc>
    <ndc_label_name>Trijardy XR 25 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039031</ndc>
    <ndc_label_name>Trijardy XR 25 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039071</ndc>
    <ndc_label_name>Trijardy XR 25 mg-5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039523</ndc>
    <ndc_label_name>Trijardy XR 5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039552</ndc>
    <ndc_label_name>Trijardy XR 5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597039582</ndc>
    <ndc_label_name>Trijardy XR 5 mg-2.5 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597040089</ndc>
    <ndc_label_name>Cyltezo(CF) 10 mg/0.2 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597040580</ndc>
    <ndc_label_name>Cyltezo(CF) 20 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597042578</ndc>
    <ndc_label_name>Pradaxa 20 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597043018</ndc>
    <ndc_label_name>Pradaxa 30 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597043596</ndc>
    <ndc_label_name>Pradaxa 40 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597044053</ndc>
    <ndc_label_name>Pradaxa 50 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597044587</ndc>
    <ndc_label_name>Pradaxa 110 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597045016</ndc>
    <ndc_label_name>Pradaxa 150 mg oral pellets in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597048520</ndc>
    <ndc_label_name>Cyltezo(CF) 40 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597049540</ndc>
    <ndc_label_name>CYLTEZO(CF) PEN PSORIA-UV 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597049550</ndc>
    <ndc_label_name>Cyltezo(CF) Pen 40 mg/0.4 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597049560</ndc>
    <ndc_label_name>CYLTEZO(CF) PEN CRH-UC-HS 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597054522</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597054544</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PS-UV 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597054566</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) CRHN 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597055580</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 20 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597056520</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597057540</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PS-UV 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597057550</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597057560</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) CRHN 40MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597058589</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 10 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00597059520</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597062010</ndc>
    <ndc_label_name>Spevigo 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597062020</ndc>
    <ndc_label_name>Spevigo 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597246541</ndc>
    <ndc_label_name>Jascayd 9 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597731321</ndc>
    <ndc_label_name>Jascayd 18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597770538</ndc>
    <ndc_label_name>Spevigo 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597770541</ndc>
    <ndc_label_name>Spevigo 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597770572</ndc>
    <ndc_label_name>Spevigo 300 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597925759</ndc>
    <ndc_label_name>Hernexeos 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00597925786</ndc>
    <ndc_label_name>Hernexeos 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603020922</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603021321</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 420 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603116158</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603154258</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603154358</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603155404</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603155410</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603155416</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603188010</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603188016</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603211521</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603211532</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603211621</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603211628</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603211632</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240621</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240628</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240632</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240721</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240728</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603240732</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243321</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243332</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243421</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243432</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243521</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243532</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603243932</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603254021</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603254428</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358121</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358128</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358221</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358228</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358321</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603358328</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00603371834</ndc>
    <ndc_label_name>FROVATRIPTAN SUCC 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603459315</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603459321</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506021</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506121</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506128</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506221</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506228</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603506321</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516521</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516532</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516621</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516632</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516721</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516732</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516821</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603516832</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533521</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533532</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533621</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533715</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533721</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533731</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533732</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533815</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533821</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533828</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533831</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533832</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533921</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533928</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603533932</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603544921</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603544925</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603545021</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548221</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548232</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548321</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548332</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548421</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548432</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548521</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548621</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00603548628</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641036721</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641036725</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641037621</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641037625</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641039112</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641039137</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641040012</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641040037</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641041012</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641041037</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641047621</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641047625</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641047721</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641047725</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641049321</ndc>
    <ndc_label_name>PHENYTOIN 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641049325</ndc>
    <ndc_label_name>PHENYTOIN 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641049717</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641049725</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641092821</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641092825</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641092921</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
    <ndc>00641602310</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602325</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602725</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602801</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602810</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602825</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641602901</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641603001</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641603901</ndc>
    <ndc_label_name>Infumorph P/F 10 mg/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604101</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604125</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604225</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604425</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604525</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641604801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605110</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605325</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605401</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605601</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605701</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641605910</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>00641606010</ndc>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641608501</ndc>
    <ndc_label_name>Phenergan 50 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641608525</ndc>
    <ndc_label_name>Phenergan 50 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641610301</ndc>
    <ndc_label_name>Robaxin 100 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641610310</ndc>
    <ndc_label_name>Robaxin 100 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641610325</ndc>
    <ndc_label_name>Robaxin 100 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641611601</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641611610</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641611701</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641611710</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641611801</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612501</ndc>
    <ndc_label_name>MORPHINE SULFATE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612525</ndc>
    <ndc_label_name>MORPHINE SULFATE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612601</ndc>
    <ndc_label_name>MORPHINE SULFATE 8 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612625</ndc>
    <ndc_label_name>MORPHINE SULFATE 8 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612701</ndc>
    <ndc_label_name>MORPHINE SULFATE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641612725</ndc>
    <ndc_label_name>MORPHINE SULFATE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641613201</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641613225</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613501</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613525</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613601</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613625</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613701</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613710</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613801</ndc>
    <ndc_label_name>PHENYTOIN 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613825</ndc>
    <ndc_label_name>PHENYTOIN 100 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613901</ndc>
    <ndc_label_name>PHENYTOIN 250 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613910</ndc>
    <ndc_label_name>PHENYTOIN 250 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641613925</ndc>
    <ndc_label_name>PHENYTOIN 250 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614201</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614225</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614501</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614525</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614601</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614610</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614625</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614701</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614710</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614901</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641614910</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641615001</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641615010</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641615101</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641615125</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616401</ndc>
    <ndc_label_name>Cafcit 60 mg/3 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616410</ndc>
    <ndc_label_name>Cafcit 60 mg/3 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616601</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616610</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616701</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616710</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616901</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641616910</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617001</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617010</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617301</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617310</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617401</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617410</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617501</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617510</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617601</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617610</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617701</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641617801</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618201</ndc>
    <ndc_label_name>ORPHENADRINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618210</ndc>
    <ndc_label_name>ORPHENADRINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618225</ndc>
    <ndc_label_name>ORPHENADRINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618401</ndc>
    <ndc_label_name>DIGOXIN 500 MCG/2 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618425</ndc>
    <ndc_label_name>DIGOXIN 500 MCG/2 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618801</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618810</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618901</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641618910</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619001</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619010</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619101</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619110</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619201</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619210</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641619301</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641619310</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619401</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619410</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619501</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619520</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619601</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619610</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619901</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML SYRG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641619910</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641620401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641620410</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641620501</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00641620510</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620601</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620610</ndc>
    <ndc_label_name>HYDROMORPHONE 0.5 MG/0.5ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620701</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620725</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620801</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620825</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620901</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641620925</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621110</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621210</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621310</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641621910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641622001</ndc>
    <ndc_label_name>MIDAZOLAM 2 MG/2 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641622010</ndc>
    <ndc_label_name>MIDAZOLAM 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641622801</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641622825</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>00641622901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641623401</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 100 MG/5ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641623801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641624001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00641624301</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>00641624310</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703301811</ndc>
    <ndc_label_name>Adrucil 2.5 gram/50 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321301</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321381</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321601</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321681</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321701</ndc>
    <ndc_label_name>PACLITAXEL 150 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321801</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703321881</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703367101</ndc>
    <ndc_label_name>METHOTREXATE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703367501</ndc>
    <ndc_label_name>METHOTREXATE 250 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703367801</ndc>
    <ndc_label_name>METHOTREXATE 1 GRAM/40 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703367881</ndc>
    <ndc_label_name>METHOTREXATE 1 GRAM/40 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703398501</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703398601</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703400401</ndc>
    <ndc_label_name>ROMIDEPSIN 27.5 MG/5.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703409401</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703423901</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703423981</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424401</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424481</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424601</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424681</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424801</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703424881</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703440211</ndc>
    <ndc_label_name>Vincasar PFS 1 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703441211</ndc>
    <ndc_label_name>Vincasar PFS 2 mg/2 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703450201</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703450204</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703450291</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00703450293</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703463601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703574711</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703574811</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703950301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703950303</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951401</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951403</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951481</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951483</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951491</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703951493</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703952601</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00703952681</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713022880</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713022915</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713022980</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713026831</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713028031</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713031853</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713032615</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713032637</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713032715</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.1% OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713032737</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.1% OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713033915</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713033986</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713035102</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713035109</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713035125</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713035281</ndc>
    <ndc_label_name>BETAINE 1 GRAM/SCOOP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713035302</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713035362</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713049312</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713050301</ndc>
    <ndc_label_name>Anucort-HC 25 mg suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713050306</ndc>
    <ndc_label_name>Anucort-HC 25 mg suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713050312</ndc>
    <ndc_label_name>Anucort-HC 25 mg suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713050324</ndc>
    <ndc_label_name>Anucort-HC 25 mg suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713052606</ndc>
    <ndc_label_name>Promethegan 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713052612</ndc>
    <ndc_label_name>Promethegan 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713053606</ndc>
    <ndc_label_name>Promethegan 12.5 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713053612</ndc>
    <ndc_label_name>Promethegan 12.5 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713055273</ndc>
    <ndc_label_name>TERCONAZOLE 80 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713056015</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713056037</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713056060</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713056431</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057001</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057101</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057250</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057293</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057460</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713057571</ndc>
    <ndc_label_name>METRONIDAZOLE VAGINAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713059204</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713059377</ndc>
    <ndc_label_name>MICONAZOLE 3-DAY COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713062231</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063115</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063131</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063160</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063215</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063231</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063260</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063337</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063415</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063437</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063515</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063537</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713063737</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713063815</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713063818</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713063831</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713064015</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713064086</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713065540</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713065615</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713065631</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713065915</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713066115</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713066160</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713066360</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOCINONIDE-E 0.05% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOCINONIDE-E 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713066460</ndc>
    <ndc_label_name>FLUOCINONIDE-E 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713067031</ndc>
    <ndc_label_name>TAZAROTENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713067060</ndc>
    <ndc_label_name>TAZAROTENE 0.1% CREAM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713067653</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% LOTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713067815</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GENTAMICIN 0.1% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GENTAMICIN 0.1% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GENTAMICIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713070915</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713070960</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713072037</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713072060</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TAZAROTENE 0.05% CREAM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713078075</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713080431</ndc>
    <ndc_label_name>TAZAROTENE 0.1% GEL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713080499</ndc>
    <ndc_label_name>TAZAROTENE 0.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713080531</ndc>
    <ndc_label_name>TAZAROTENE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713080599</ndc>
    <ndc_label_name>TAZAROTENE 0.05% GEL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713080753</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713082375</ndc>
    <ndc_label_name>PROMETHAZINE-CODEINE SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713084860</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713084892</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713084909</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00713085004</ndc>
    <ndc_label_name>GRISEOFULVIN 125 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713085109</ndc>
    <ndc_label_name>CIPROFLOXACIN-HYDROCORT 0.2-1%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713086030</ndc>
    <ndc_label_name>Benicar 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713086130</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087030</ndc>
    <ndc_label_name>Azor 5 mg-20 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087130</ndc>
    <ndc_label_name>Azor 10 mg-20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087230</ndc>
    <ndc_label_name>Azor 5 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087330</ndc>
    <ndc_label_name>Azor 10 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087430</ndc>
    <ndc_label_name>Tribenzor 20 mg-5 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087530</ndc>
    <ndc_label_name>Tribenzor 40 mg-5 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087630</ndc>
    <ndc_label_name>Tribenzor 40 mg-5 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087730</ndc>
    <ndc_label_name>Tribenzor 40 mg-10 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087830</ndc>
    <ndc_label_name>Tribenzor 40 mg-10 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713087981</ndc>
    <ndc_label_name>WelChol 625 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088030</ndc>
    <ndc_label_name>WelChol 3.75 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088130</ndc>
    <ndc_label_name>Effient 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088230</ndc>
    <ndc_label_name>Effient 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088301</ndc>
    <ndc_label_name>Evoxac 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088506</ndc>
    <ndc_label_name>Clomid 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088509</ndc>
    <ndc_label_name>Clomid 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088530</ndc>
    <ndc_label_name>Clomid 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088618</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713088660</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713089704</ndc>
    <ndc_label_name>Vyleesi 1.75 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713089706</ndc>
    <ndc_label_name>Vyleesi 1.75 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713093530</ndc>
    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713093681</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713093701</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094030</ndc>
    <ndc_label_name>Benicar 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094130</ndc>
    <ndc_label_name>Benicar 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094230</ndc>
    <ndc_label_name>Benicar 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094330</ndc>
    <ndc_label_name>Benicar HCT 20 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094430</ndc>
    <ndc_label_name>Benicar HCT 40 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713094530</ndc>
    <ndc_label_name>Benicar HCT 40 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713540101</ndc>
    <ndc_label_name>Ambien 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713542101</ndc>
    <ndc_label_name>Ambien 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713550101</ndc>
    <ndc_label_name>Ambien CR 6.25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00713552101</ndc>
    <ndc_label_name>Ambien CR 12.5 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00731040106</ndc>
    <ndc_label_name>Zinc-220 50 mg zinc (220 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761001920</ndc>
    <ndc_label_name>CALCIUM-MAG-ZINC-VIT D TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761002120</ndc>
    <ndc_label_name>SELENIUM 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761007820</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761008624</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761009420</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761009450</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761010230</ndc>
    <ndc_label_name>VITAMIN B COMPLEX-VIT C CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761011110</ndc>
    <ndc_label_name>ZINC 15 MG-VIT A-VIT C LOZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761011210</ndc>
    <ndc_label_name>L-ARGININE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761015540</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761021736</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761022020</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761022120</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761022520</ndc>
    <ndc_label_name>B-COMPLEX TR 100 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761023408</ndc>
    <ndc_label_name>NATURAL LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761023920</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761029220</ndc>
    <ndc_label_name>GARLIC OIL 1000 SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761030020</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761030220</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761035920</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761036150</ndc>
    <ndc_label_name>DAILY MULTIVITAMIN WITH D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761036250</ndc>
    <ndc_label_name>Daily Multivitamin with Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761037920</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761041420</ndc>
    <ndc_label_name>Laxa Basic 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761043310</ndc>
    <ndc_label_name>VITAMIN A 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761043620</ndc>
    <ndc_label_name>VITAMIN B-6 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761044020</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761044110</ndc>
    <ndc_label_name>Sleep Tonite Valerian 750 mg-100 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761051520</ndc>
    <ndc_label_name>ACIDOPHILUS 30 MILLION CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761055520</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761061516</ndc>
    <ndc_label_name>GELATIN 10 GR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761081212</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00761083920</ndc>
    <ndc_label_name>Super B-50 Complex 400 mcg-20 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761084420</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761087840</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00761094020</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766041976</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766041978</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766041980</ndc>
    <ndc_label_name>Citrucel 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766049358</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766073966</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074020</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074062</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074120</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074152</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074610</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074650</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074655</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074670</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074680</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766074772</ndc>
    <ndc_label_name>Tums 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766080155</ndc>
    <ndc_label_name>Abreva 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766117314</ndc>
    <ndc_label_name>Gaviscon Extra Strength 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766117325</ndc>
    <ndc_label_name>Gaviscon Extra Strength 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766131246</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766140015</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766140017</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766140025</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766142020</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766143020</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766143050</ndc>
    <ndc_label_name>Nicoderm CQ 14 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766144020</ndc>
    <ndc_label_name>Nicoderm CQ 7 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766145020</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766147020</ndc>
    <ndc_label_name>Nicoderm CQ 21 mg/24 hr daily transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766150010</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766150012</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766150020</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766150022</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766155130</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766155132</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766155170</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766155172</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766157265</ndc>
    <ndc_label_name>Nicorette 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766157285</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766286210</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766286220</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766287589</ndc>
    <ndc_label_name>Citrucel Sugar Free oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766307210</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766307214</ndc>
    <ndc_label_name>Tums Ultra 400 mg (as calcium carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307278</ndc>
    <ndc_label_name>Abreva Rapid Pain Relief 4 %-20 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307295</ndc>
    <ndc_label_name>Tums-Gas Relief (calcium carb-simethicone) 750 mg-80mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307298</ndc>
    <ndc_label_name>Tums-Gas Relief (calcium carb-simethicone) 750 mg-80mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307419</ndc>
    <ndc_label_name>Tums Gummy 250 mg calcium chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307425</ndc>
    <ndc_label_name>Tums Plus Ginger 167 mg-16.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307457</ndc>
    <ndc_label_name>Abreva Rapid Pain Relief 4 %-20 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307480</ndc>
    <ndc_label_name>Eroxon topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307554</ndc>
    <ndc_label_name>Tums-Gas Relief (calcium carb-simethicone) 750 mg-80mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766307557</ndc>
    <ndc_label_name>Tums-Gas Relief (calcium carb-simethicone) 750 mg-80mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766725000</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766738808</ndc>
    <ndc_label_name>Tums E-X 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766739070</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766739274</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766739287</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766742991</ndc>
    <ndc_label_name>Tums Extra Strength Smoothies 300 mg (as carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766775000</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766775025</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766775030</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766775052</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766775054</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766776000</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766776030</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766776052</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766776054</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784340</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784420</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784440</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784508</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784560</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784708</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784714</ndc>
    <ndc_label_name>Nicorette 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784750</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784760</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784911</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784914</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784931</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784934</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784950</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766784955</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766785840</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766785870</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766785922</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766785940</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766786750</ndc>
    <ndc_label_name>Nicorette 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766786760</ndc>
    <ndc_label_name>Nicorette 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766788000</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766788040</ndc>
    <ndc_label_name>Nicorette 2 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766788050</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766788070</ndc>
    <ndc_label_name>Nicorette 4 mg buccal mini lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766796025</ndc>
    <ndc_label_name>Tums Dual Action (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00766796050</ndc>
    <ndc_label_name>Tums Dual Action (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00766798000</ndc>
    <ndc_label_name>Tums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00774031773</ndc>
    <ndc_label_name>Bullfrog Mosquito Coast 20 %-SPF 30 topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00777310402</ndc>
    <ndc_label_name>Prozac 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00777310502</ndc>
    <ndc_label_name>Prozac 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00777310530</ndc>
    <ndc_label_name>Prozac 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00777310730</ndc>
    <ndc_label_name>PROZAC 40 MG PULVULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781106101</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781106105</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781106110</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107701</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107705</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107710</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107901</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107905</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781107910</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781108901</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781108905</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148601</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148610</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148710</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148810</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781148901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781149001</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781247801</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781247901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781248101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781286892</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781300095</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781300642</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781311491</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781323801</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781323863</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781324494</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781324602</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781324664</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781325071</ndc>
    <ndc_label_name>Glatopa 40 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781325089</ndc>
    <ndc_label_name>Glatopa 40 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781325594</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781325603</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781325666</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781326204</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781326268</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781326805</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781326869</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781326971</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781326995</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781328809</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781328891</ndc>
    <ndc_label_name>CLINDAMYCIN 300 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781328909</ndc>
    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781328991</ndc>
    <ndc_label_name>CLINDAMYCIN 600 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781329009</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781329091</ndc>
    <ndc_label_name>CLINDAMYCIN 900 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781329804</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781329868</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781329905</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781329969</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781331275</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781331295</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781331570</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781331780</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781339194</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340278</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340295</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340485</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340495</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340778</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340795</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340880</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340895</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340946</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781340995</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341170</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341195</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341292</ndc>
    <ndc_label_name>AMPICILLIN 1 GM ADD-VANTAGE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341315</ndc>
    <ndc_label_name>AMPICILLIN 2 GM ADD-VANTAGE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341392</ndc>
    <ndc_label_name>AMPICILLIN 2 GM ADD-VANTAGE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341575</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781341694</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342080</ndc>
    <ndc_label_name>TREPROSTINIL 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342101</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342194</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342271</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342292</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342301</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342394</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342580</ndc>
    <ndc_label_name>TREPROSTINIL 50 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781342780</ndc>
    <ndc_label_name>TREPROSTINIL 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781343080</ndc>
    <ndc_label_name>TREPROSTINIL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781343346</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781343395</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781344071</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781344395</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781345246</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781345495</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781347090</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781347432</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781349806</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781349894</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354010</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354025</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354310</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354325</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354510</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781354525</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781355010</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781355025</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781355510</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781355525</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781375575</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781375595</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382571</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382596</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382772</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382796</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382975</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781382996</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781383180</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781383195</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781400332</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781400436</ndc>
    <ndc_label_name>Omnitrope 5.8 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781401471</ndc>
    <ndc_label_name>Omnitrope 5.8 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781402472</ndc>
    <ndc_label_name>Bacteriostatic Water-Omnitrope injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781402753</ndc>
    <ndc_label_name>CHLORPROMAZINE 30 MG/ML CONC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781402822</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG/ML CONC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781406336</ndc>
    <ndc_label_name>APREPITANT 125-80-80 MG PACK</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781407515</ndc>
    <ndc_label_name>DROSP-EE-LEVOMEF 3-0.02-0.451</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781407552</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781410315</ndc>
    <ndc_label_name>DROSP-EE-LEVOMEF 3-0.03-0.451</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781410352</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781506101</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781506120</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781517501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781517505</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781522101</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781522201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781522301</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781522401</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781528364</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG CHEW TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781528464</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG CHEW TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781531801</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781531810</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781532501</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781532531</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781543820</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781543901</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781543920</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781551501</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781557801</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781561301</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 50 MG-ENTA</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CARBIDOPA-LEVODOPA 75 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781563701</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 100 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781564101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 125 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781565401</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 150 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781566731</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781566831</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>00781713454</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713458</ndc>
    <ndc_label_name>ESTRADIOL 0.06 MG PATCH (1/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713593</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713654</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(1/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713658</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(1/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713858</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781713883</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781714458</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781714483</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781715683</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781716758</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781716783</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781717250</ndc>
    <ndc_label_name>AZELAIC ACID 15% GEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781717770</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781717775</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781717785</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781718670</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781718675</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781718685</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781729685</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781730431</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781730458</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781730931</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781730958</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781731331</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781731358</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751514</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751587</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751614</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751687</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751714</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781751787</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781801701</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781801731</ndc>
    <ndc_label_name>FLUVASTATIN ER 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781802801</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781802931</ndc>
    <ndc_label_name>ARMODAFINIL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781803201</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781803401</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781803601</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781803731</ndc>
    <ndc_label_name>ARMODAFINIL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781804531</ndc>
    <ndc_label_name>ARMODAFINIL 200 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781804601</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781804701</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781804801</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781804901</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781805331</ndc>
    <ndc_label_name>ARMODAFINIL 250 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781808532</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781808692</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781808926</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781808931</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781809003</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781809031</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00781809131</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781815831</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781815931</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781905370</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781905395</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781905501</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00781905512</ndc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832011189</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832022500</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832022600</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832022700</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832022800</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832022900</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832023000</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 80 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832023300</ndc>
    <ndc_label_name>MORPHINE SULFATE ER 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832027311</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832028500</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832031011</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832035611</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832040211</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832040230</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832040311</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832040330</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Nyamyc 100,000 unit/gram topical powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Nyamyc 100,000 unit/gram topical powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832051000</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832059530</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832063011</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832063211</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832107430</ndc>
    <ndc_label_name>TOPIRAMATE ER 100MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832107530</ndc>
    <ndc_label_name>TOPIRAMATE ER 150MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832111260</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832111360</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832112005</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832112035</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832112065</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832112089</ndc>
    <ndc_label_name>TESTOSTERONE 50 MG/5 GRAM PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832112140</ndc>
    <ndc_label_name>TESTOSTERONE 12.5 MG/1.25 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832112142</ndc>
    <ndc_label_name>TESTOSTERONE 12.5 MG/1.25 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121100</ndc>
    <ndc_label_name>Jantoven 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121101</ndc>
    <ndc_label_name>Jantoven 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121110</ndc>
    <ndc_label_name>Jantoven 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121189</ndc>
    <ndc_label_name>Jantoven 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121200</ndc>
    <ndc_label_name>Jantoven 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121201</ndc>
    <ndc_label_name>Jantoven 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121210</ndc>
    <ndc_label_name>Jantoven 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121289</ndc>
    <ndc_label_name>Jantoven 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121300</ndc>
    <ndc_label_name>Jantoven 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121301</ndc>
    <ndc_label_name>Jantoven 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121310</ndc>
    <ndc_label_name>Jantoven 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121389</ndc>
    <ndc_label_name>Jantoven 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121400</ndc>
    <ndc_label_name>Jantoven 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121401</ndc>
    <ndc_label_name>Jantoven 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121410</ndc>
    <ndc_label_name>Jantoven 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121489</ndc>
    <ndc_label_name>Jantoven 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121500</ndc>
    <ndc_label_name>Jantoven 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121501</ndc>
    <ndc_label_name>Jantoven 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121510</ndc>
    <ndc_label_name>Jantoven 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121589</ndc>
    <ndc_label_name>Jantoven 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121600</ndc>
    <ndc_label_name>Jantoven 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121601</ndc>
    <ndc_label_name>Jantoven 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121610</ndc>
    <ndc_label_name>Jantoven 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121689</ndc>
    <ndc_label_name>Jantoven 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121700</ndc>
    <ndc_label_name>Jantoven 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121701</ndc>
    <ndc_label_name>Jantoven 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121710</ndc>
    <ndc_label_name>Jantoven 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121789</ndc>
    <ndc_label_name>Jantoven 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121800</ndc>
    <ndc_label_name>Jantoven 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121801</ndc>
    <ndc_label_name>Jantoven 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121889</ndc>
    <ndc_label_name>Jantoven 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121900</ndc>
    <ndc_label_name>Jantoven 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121901</ndc>
    <ndc_label_name>Jantoven 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832121989</ndc>
    <ndc_label_name>Jantoven 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832125011</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832125030</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832135811</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832135911</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832141003</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832142505</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832142510</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832142515</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832143075</ndc>
    <ndc_label_name>CIPROFLOX-DEXAMETH OTIC SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832151011</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832152001</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832152011</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832152089</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832153011</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832154001</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832154011</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832154089</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832155001</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832155011</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832155089</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832156011</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832167011</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832167111</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832167211</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832169011</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532210</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532211</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532310</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532311</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532410</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532411</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532510</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532511</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832532515</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832600311</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832600411</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832600511</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832600611</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601700</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601800</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601810</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601900</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601901</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601910</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832601989</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602000</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602001</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602010</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602089</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602100</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602101</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602110</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602189</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602211</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602311</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832602411</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832603212</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832604510</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832604515</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832604550</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832604890</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832604990</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832605090</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832605210</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832605211</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832605310</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832605311</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832605405</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832605612</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607211</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607311</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607803</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607850</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607903</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832607950</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608003</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608050</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608103</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608150</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608203</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608250</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608303</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832608350</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712211</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712215</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712301</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712311</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712315</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712389</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712401</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712411</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712415</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00832712489</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830130</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830189</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830230</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830289</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830330</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830389</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830430</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00832830489</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847001200</ndc>
    <ndc_label_name>L-ARGININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847001300</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847001500</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847001600</ndc>
    <ndc_label_name>L-TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847001700</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847059000</ndc>
    <ndc_label_name>Complex MSD Amino Acid Blend 10 gram-42 kcal/13 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847059102</ndc>
    <ndc_label_name>Complex Junior MSD 13 gram-496 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847059722</ndc>
    <ndc_label_name>Complex Essential 25 gram-380 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847075000</ndc>
    <ndc_label_name>GlutarAde Amino Acid Blend 81 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847075102</ndc>
    <ndc_label_name>GlutarAde Junior 10 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847075422</ndc>
    <ndc_label_name>GlutarAde GA-1 25 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095000</ndc>
    <ndc_label_name>PhenylAde Amino Acids 10 gram-42 kcal/13 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095004</ndc>
    <ndc_label_name>PhenylAde Amino Acids 10 gram-42 kcal/13 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095012</ndc>
    <ndc_label_name>Phenylade Essential (flax) 25 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095014</ndc>
    <ndc_label_name>Phenylade Essential (flax) 10 gram-156 kcal/40 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095022</ndc>
    <ndc_label_name>Phenylade Essential (flax) 25 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095024</ndc>
    <ndc_label_name>Phenylade Essential (flax) 10 gram-156 kcal/40 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095032</ndc>
    <ndc_label_name>Phenylade Essential (flax) 25 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095034</ndc>
    <ndc_label_name>Phenylade Essential (flax) 10 gram-156 kcal/40 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095042</ndc>
    <ndc_label_name>Phenylade Essential (flax) 25 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095044</ndc>
    <ndc_label_name>Phenylade Essential (flax) 10 gram-156 kcal/40 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095082</ndc>
    <ndc_label_name>Phenylade Essential (flax) 25 gram-390 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095084</ndc>
    <ndc_label_name>Phenylade Essential (flax) 10 gram-156 kcal/40 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095404</ndc>
    <ndc_label_name>PhenylAde 40 10 gram-84 kcal/25 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095414</ndc>
    <ndc_label_name>PhenylAde 40 10 gram-84 kcal/25 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095501</ndc>
    <ndc_label_name>Phenylade Phebloc 750 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095504</ndc>
    <ndc_label_name>Phenylade Phebloc 2.2 gram-10 kcal/3 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095602</ndc>
    <ndc_label_name>PhenylAde 60  60 gram-295 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095604</ndc>
    <ndc_label_name>PhenylAde 60 10 gram-49 kcal/16.7 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095622</ndc>
    <ndc_label_name>PhenylAde 60  60 gram-327 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095624</ndc>
    <ndc_label_name>PhenylAde 60 10 gram-49 kcal/16.7 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095960</ndc>
    <ndc_label_name>Phenylade MTE Amino Acids 10 gram-42 kcal/13 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00847095964</ndc>
    <ndc_label_name>Phenylade MTE Amino Acids 10 gram-42 kcal/13 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000001</ndc>
    <ndc_label_name>CeraLyte-70  70 mEq-60 mEq-20 mEq-30 mEq oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000002</ndc>
    <ndc_label_name>CeraLyte 90  90 mEq-80 mEq-20 mEq-30 mEq oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000005</ndc>
    <ndc_label_name>CeraLyte-70 2.3 g-1.5 g-2.9 g-160 kcal/50 oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000009</ndc>
    <ndc_label_name>CeraLyte 50 240 mg-300 mg-32 kcal/10 g oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000010</ndc>
    <ndc_label_name>CeraLyte-70  440 mg-300 mg-32 kcal/10 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000012</ndc>
    <ndc_label_name>CeraLyte-70  440 mg-300 mg-32 kcal/10 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000014</ndc>
    <ndc_label_name>CeraLyte-70  70 mEq-60 mEq-20 mEq-30 mEq oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851000019</ndc>
    <ndc_label_name>Ceralyte 50 Potassium Free 50 mEq-20 mEq-30 mEq oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020001</ndc>
    <ndc_label_name>CeraSport 200 mg-75 mg-80 kcal/20 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020003</ndc>
    <ndc_label_name>CeraSport 200 mg-75 mg-80 kcal/20 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020009</ndc>
    <ndc_label_name>CeraSport EX1 400 mg-200 mg-40 kcal/12.5 g oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020010</ndc>
    <ndc_label_name>CeraSport EX1 400 mg-200 mg-40 kcal/12.5 g oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020012</ndc>
    <ndc_label_name>CeraSport EX1 400 mg-200 mg-40 kcal/12.5 g oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851020020</ndc>
    <ndc_label_name>Cerasport Plus 230 mg-85 mg-120 kcal/31 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851022003</ndc>
    <ndc_label_name>CeraSport 115 mg-40 mg-40 kcal/10.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851022005</ndc>
    <ndc_label_name>CeraSport EX1 200 mg-100 mg-20 kcal/6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851022010</ndc>
    <ndc_label_name>CeraSport 115 mg-40 mg-40 kcal/10.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851023000</ndc>
    <ndc_label_name>Cerasport Endurance 400 mg-160 mg/42 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851023001</ndc>
    <ndc_label_name>Cerasport Endurance 400 mg-160 mg/42 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851050012</ndc>
    <ndc_label_name>CERASPORT LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00851050013</ndc>
    <ndc_label_name>CERASPORT EX1 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00851050030</ndc>
    <ndc_label_name>CERALYTE-70 ELECTROLYTE DRINK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00856000309</ndc>
    <ndc_label_name>Rompe Pecho Max Multi Symptoms 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00869007816</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00869008810</ndc>
    <ndc_label_name>IODINE 2% TINCTURE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00869016438</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00869081043</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00869081045</ndc>
    <ndc_label_name>SWAN ISOPROPYL ALCOHOL 70%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MINERAL OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00869087143</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00875010110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nail Scrub lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904026252</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904027746</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904027760</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904042804</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904042806</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904043004</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904043006</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904043095</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904052360</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904052361</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904052372</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904052380</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904053061</ndc>
    <ndc_label_name>Tab-A-Vite 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904053961</ndc>
    <ndc_label_name>Thera 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904073431</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904078816</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904110309</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904188260</ndc>
    <ndc_label_name>CALCIUM 250 MG-VIT D3 3 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904188361</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904188372</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904198760</ndc>
    <ndc_label_name>Mapap (acetaminophen) 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904201559</ndc>
    <ndc_label_name>Tri-Buffered Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904205112</ndc>
    <ndc_label_name>Driminate 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904205159</ndc>
    <ndc_label_name>Driminate 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904205661</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904208560</ndc>
    <ndc_label_name>VITAMIN A 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904227260</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904250091</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904253321</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904264172</ndc>
    <ndc_label_name>Certavite-Antioxidant 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904272561</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904385461</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904386575</ndc>
    <ndc_label_name>Deep Sea Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904404073</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904421551</ndc>
    <ndc_label_name>ARGININE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904423960</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904427451</ndc>
    <ndc_label_name>Sleep-Tabs 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904429909</ndc>
    <ndc_label_name>Thera-Derm lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904505359</ndc>
    <ndc_label_name>Sudogest 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904515460</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904522452</ndc>
    <ndc_label_name>Dairy-Aid 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904525944</ndc>
    <ndc_label_name>Thera-Gel 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904530016</ndc>
    <ndc_label_name>Lubrisoft lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904530760</ndc>
    <ndc_label_name>BANOPHEN 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904530780</ndc>
    <ndc_label_name>BANOPHEN 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904530909</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904530920</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904531346</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904531360</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904535124</ndc>
    <ndc_label_name>SudoGest Cold and Allergy 4 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904535431</ndc>
    <ndc_label_name>Banophen Anti-Itch 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904536560</ndc>
    <ndc_label_name>Acid Gone Antacid Extra Strength 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904539561</ndc>
    <ndc_label_name>Ferrex 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904544861</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904546052</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904546072</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904546080</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904546092</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904546335</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904548652</ndc>
    <ndc_label_name>CertaVite Senior 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904552261</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904552361</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904552461</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904552952</ndc>
    <ndc_label_name>Heartburn Relief (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904552987</ndc>
    <ndc_label_name>Heartburn Relief (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904555124</ndc>
    <ndc_label_name>Banophen 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904555159</ndc>
    <ndc_label_name>Banophen 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904557720</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904560413</ndc>
    <ndc_label_name>Fish Oil 60 mg-90 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904561646</ndc>
    <ndc_label_name>COENZYME Q10 50 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904567516</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose-sugar) 2 gram/19 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904567661</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904567761</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904572514</ndc>
    <ndc_label_name>Mintox Maximum Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904573182</ndc>
    <ndc_label_name>WHITE PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904578017</ndc>
    <ndc_label_name>Heartburn Relief (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904578051</ndc>
    <ndc_label_name>Heartburn Relief (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904578561</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904578624</ndc>
    <ndc_label_name>Mapap Cold Formula 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904578961</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904579061</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904579146</ndc>
    <ndc_label_name>Children's Mapap 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904582360</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904583315</ndc>
    <ndc_label_name>Loratadine-D 10 mg-240 mg tablet,extended release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904583348</ndc>
    <ndc_label_name>Loratadine-D 10 mg-240 mg tablet,extended release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904584709</ndc>
    <ndc_label_name>Mapap (acetaminophen) 500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585340</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585360</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585361</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585440</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585460</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585461</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585540</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585560</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904585561</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904589161</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904589261</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904589361</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904590887</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904592161</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904592261</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904595961</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904598348</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904598426</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904598463</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600760</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600761</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600860</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600861</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600960</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904600961</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904608261</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904608461</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904608561</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904617250</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904617261</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904622106</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904622161</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904625549</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904626908</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904626945</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627008</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627045</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627108</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627145</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627208</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904627245</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904628361</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904628606</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904628661</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904628706</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904628761</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629006</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629061</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629106</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629161</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629206</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629261</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629304</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904629461</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904630061</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904630161</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904630261</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904630361</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904630521</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904631256</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904632078</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904632206</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904632261</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904632361</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904632461</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904633724</ndc>
    <ndc_label_name>Sudogest 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904635161</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904635261</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904635361</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904636345</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904636361</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904636961</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637061</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637161</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637361</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637461</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637661</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904637761</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904640360</ndc>
    <ndc_label_name>Ferate 240 mg (27 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904640761</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904641292</ndc>
    <ndc_label_name>Calcium Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904641861</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904642661</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904642761</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904643604</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904644961</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904645061</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904646320</ndc>
    <ndc_label_name>DIMAPHEN DM ELIXIR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904646509</ndc>
    <ndc_label_name>All-Nite Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904646707</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904646710</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904647461</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904647561</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904647661</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904647761</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904647861</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904648838</ndc>
    <ndc_label_name>Lubrifresh PM 83 %-15 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650006</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650061</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650106</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650161</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904650261</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904650361</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650506</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650561</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650606</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650661</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904650904</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904651061</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904651106</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904651204</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904651961</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904653061</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904653720</ndc>
    <ndc_label_name>Robafen CF (phenylephrine) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655161</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655261</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655304</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655761</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655861</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904655961</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904656061</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904656460</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904656507</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904656561</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657004</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657006</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657061</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657261</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657561</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904657580</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904658168</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904658304</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904659204</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904659304</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904659604</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904659961</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904660061</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904660161</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904661561</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904661761</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904661861</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904661961</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904662061</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904662104</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904662261</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904662361</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904662461</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904662735</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904663444</ndc>
    <ndc_label_name>Cough and Cold (chlorpheniramine-DM) 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904663561</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904663661</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904663761</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904663861</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904663961</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904664061</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904664161</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904664261</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904664361</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904664524</ndc>
    <ndc_label_name>Children's Mapap 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904665640</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904666104</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904666245</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904666361</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904666561</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904666661</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904666761</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904667104</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904667106</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904667840</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904668108</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904668208</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904668308</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670060</ndc>
    <ndc_label_name>Mintox Plus 200 mg-200 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670310</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670461</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670606</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670706</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670782</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904670961</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671146</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671740</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671741</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671743</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671746</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671760</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671761</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671772</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671786</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904671839</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672024</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672040</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672051</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672059</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672060</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672080</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672559</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672760</ndc>
    <ndc_label_name>Sudogest 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672846</ndc>
    <ndc_label_name>Sudogest 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904672852</ndc>
    <ndc_label_name>Sudogest 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673059</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673060</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673061</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673080</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673151</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904673204</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904673361</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904673461</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904673561</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674724</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674740</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674751</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674759</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674770</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674780</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674817</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674860</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904674880</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904675060</ndc>
    <ndc_label_name>DOK 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904675180</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904675415</ndc>
    <ndc_label_name>Sudogest 12-hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904676130</ndc>
    <ndc_label_name>Nasal Decongestant (oxymetazoline) 0.05 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904676520</ndc>
    <ndc_label_name>Children's Cetirizine 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904676720</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904677212</ndc>
    <ndc_label_name>Driminate 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904677361</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904677861</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904677961</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678061</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678161</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678261</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678370</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678504</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678561</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678604</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904678661</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679104</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679204</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679430</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679480</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679489</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679604</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679610</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679761</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679861</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904679961</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680161</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680261</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680361</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680461</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680561</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680806</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904680861</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904681706</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904681761</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904681806</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904681861</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904681907</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682104</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682207</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682361</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682805</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682892</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904682894</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904682960</ndc>
    <ndc_label_name>Medi-Pads 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904683006</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904683061</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904683104</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904683106</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904683204</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904683407</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904683507</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904683620</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904685261</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904685272</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904685289</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904686061</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904686161</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904686190</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904686704</ndc>
    <ndc_label_name>TRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904686861</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904686961</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904687045</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904687204</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904687404</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904687406</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904688210</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904688365</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904688504</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904688806</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904689004</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904689961</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904690004</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904690061</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904690104</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904690204</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904690706</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904690804</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904691461</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904691761</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692093</ndc>
    <ndc_label_name>DOCUSATE SODIUM MINI ENEMA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692361</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692461</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692561</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692661</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692761</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692861</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904692961</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693126</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693176</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693181</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693186</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693561</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693661</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693761</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693806</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904693961</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904694804</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904694961</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695061</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695161</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695261</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695361</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695461</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695561</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695661</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904695761</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904696661</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904697712</ndc>
    <ndc_label_name>HEMORRHOIDAL SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904698516</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904698520</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904698640</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904698761</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904698861</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699061</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699104</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699161</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699261</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699361</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699446</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904699544</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904699644</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699740</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699760</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904699780</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700061</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700161</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700261</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700304</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700404</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700504</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700635</ndc>
    <ndc_label_name>Nasal Decongestant (oxymetazoline) 0.05 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700761</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700861</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904700906</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701006</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701416</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701420</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701604</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701606</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904701661</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904702061</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904702161</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904702261</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904702367</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904702404</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904702661</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904702761</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703580</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703587</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703588</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703604</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703807</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904703907</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704161</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704206</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704240</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704259</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704261</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704304</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704361</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704461</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704561</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704606</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704661</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704761</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704861</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904704961</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705040</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705060</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705261</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705361</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705461</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705561</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904705699</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705761</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904705861</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904705952</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706146</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706180</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706187</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706188</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706243</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706260</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706273</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706561</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904706704</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707007</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707061</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707107</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707161</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707341</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707393</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707661</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707761</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904707861</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708106</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708161</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708204</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708206</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708361</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708395</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708404</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708461</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708761</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708861</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904708961</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709061</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709361</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709461</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709561</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709661</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709761</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904709961</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904710304</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904710310</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904710561</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904710661</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904710761</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904710861</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711241</ndc>
    <ndc_label_name>HALOPERIDOL LAC 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711270</ndc>
    <ndc_label_name>HALOPERIDOL LAC 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904711341</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904711393</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711741</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711793</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711906</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904711961</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712004</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712161</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712261</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712361</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712461</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712561</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712661</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712761</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904712804</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904712961</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713006</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713061</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713161</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713261</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713361</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713470</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713572</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904713761</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714004</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714110</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714212</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714361</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714461</ndc>
    <ndc_label_name>DRONABINOL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904714504</ndc>
    <ndc_label_name>DRONABINOL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904714904</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904714910</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904715361</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715404</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715504</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715661</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715761</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715861</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904715961</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716061</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716104</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716161</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716261</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716361</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716461</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904716507</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904716723</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904716783</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904716799</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716806</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904716861</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904717207</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904717761</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904717861</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904717961</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718061</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718245</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718261</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718361</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718761</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718861</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904718904</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719004</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719106</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719204</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719240</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719260</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719306</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719361</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719461</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904719907</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904720061</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904720546</ndc>
    <ndc_label_name>BISMUTH 262 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904720660</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904720806</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904720861</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904720906</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904721104</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721261</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721304</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721461</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721661</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721761</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721861</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904721961</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722061</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722320</ndc>
    <ndc_label_name>Robafen DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722359</ndc>
    <ndc_label_name>Robafen DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722461</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722504</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722604</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722761</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904722961</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904723006</ndc>
    <ndc_label_name>SACCH-BOULARDII 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723661</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723724</ndc>
    <ndc_label_name>BANOPHEN 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723760</ndc>
    <ndc_label_name>BANOPHEN 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723761</ndc>
    <ndc_label_name>BANOPHEN 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723780</ndc>
    <ndc_label_name>BANOPHEN 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904723860</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904723961</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724361</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724395</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724468</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724568</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724668</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724768</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904724804</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904725260</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904725261</ndc>
    <ndc_label_name>Senna Lax 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904725280</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725304</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725335</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725368</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725435</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725468</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725510</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725535</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904725568</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904725761</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904726006</ndc>
    <ndc_label_name>ACIDOPHILUS LACTBACLLI 500 MIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726161</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726261</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726361</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726461</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726541</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726592</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726593</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726594</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726661</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726761</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726918</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904726966</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727061</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727641</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727670</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727692</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727741</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727770</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727841</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727870</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727966</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904727972</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728060</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728080</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728160</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728180</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904728210</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728306</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728361</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728454</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728469</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728861</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904728961</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904729061</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904729261</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904729361</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904730165</ndc>
    <ndc_label_name>BENZOCAINE 20% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904730186</ndc>
    <ndc_label_name>BENZOCAINE 20% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730224</ndc>
    <ndc_label_name>Aprodine 2.5 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730260</ndc>
    <ndc_label_name>Aprodine 2.5 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904730304</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730461</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730561</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730661</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730761</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730861</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904730961</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731061</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731161</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731261</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731310</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731427</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731460</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731561</ndc>
    <ndc_label_name>RIFAMPIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731662</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731673</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731680</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731688</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731706</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731761</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731813</ndc>
    <ndc_label_name>FISH OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731941</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904731970</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732002</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732071</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732103</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732176</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732341</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732370</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732466</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732472</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732562</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732573</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732762</ndc>
    <ndc_label_name>MILK OF MAGNESIA SUSP 30ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732773</ndc>
    <ndc_label_name>MILK OF MAGNESIA SUSP 30ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732861</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904732961</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733301</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733317</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733460</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733560</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733661</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733706</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733735</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904733761</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904734001</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904734012</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904734024</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904734201</ndc>
    <ndc_label_name>ARTHRITIS PAIN RLF 3-10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904734233</ndc>
    <ndc_label_name>ARTHRITIS PAIN RLF 3-10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904734561</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904734661</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904734920</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735006</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735061</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735104</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735504</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735661</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735761</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735861</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904735904</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736061</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736161</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736261</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736361</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736461</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736561</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736604</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736706</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736761</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736806</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736861</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904736904</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737004</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737104</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737261</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737561</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737661</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737740</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737780</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737840</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737880</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737940</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904737980</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904738106</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904738206</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904738361</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904738961</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904739061</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904739161</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739289</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739389</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739489</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739546</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739646</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739753</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739789</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904739889</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904739946</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740004</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740006</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740161</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740267</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740361</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740661</ndc>
    <ndc_label_name>CLOZAPINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904740704</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904740706</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740861</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904740915</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741061</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741161</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741335</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741435</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741516</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741661</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904741761</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904741844</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904741904</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742016</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742146</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742246</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742346</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742446</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742546</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742646</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742659</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904742730</ndc>
    <ndc_label_name>Nasal Decongestant (oxymetazoline) 0.05 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904743368</ndc>
    <ndc_label_name>BALSAM PERU-CASTOR OIL OINT PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904743391</ndc>
    <ndc_label_name>BALSAM PERU-CASTOR OIL OINT PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904743405</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904743410</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904743535</ndc>
    <ndc_label_name>Nasal Decongestant (oxymetazoline) 0.05 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744061</ndc>
    <ndc_label_name>SENNOSIDES-DOCUSATE SODIUM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744120</ndc>
    <ndc_label_name>Robafen DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744261</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744361</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744461</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744520</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744761</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744861</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904744961</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745061</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745161</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745261</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745361</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904745411</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904745414</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904745455</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904745498</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745861</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745925</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745941</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904745953</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746146</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746147</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746151</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746180</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746187</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746188</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746243</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746260</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746262</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746273</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746341</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746368</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746464</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746466</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746561</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746661</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746761</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746806</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746861</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904746904</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747001</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747018</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747056</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747066</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747072</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747095</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747261</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747546</ndc>
    <ndc_label_name>COENZYME Q-10 50 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904747761</ndc>
    <ndc_label_name>Thera-M (with Vitamin K) 9 mg iron-400 mcg-28 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904747835</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748004</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748061</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748159</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000 MG/30 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748303</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748389</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904748403</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904748503</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748602</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748640</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748660</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748761</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748861</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904748961</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749371</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904749406</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749506</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749661</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749704</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749804</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904749904</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750161</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750204</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750313</ndc>
    <ndc_label_name>FISH OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750461</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750504</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750561</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750604</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750761</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904750852</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904750887</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904750930</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751061</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751161</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751241</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751270</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751366</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751372</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904751961</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752061</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752161</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904752208</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904752308</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904752408</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752713</ndc>
    <ndc_label_name>Thera-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752780</ndc>
    <ndc_label_name>Thera-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752841</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752894</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904752960</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904753060</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904753120</ndc>
    <ndc_label_name>Child Cough-Cold (bromphen-DM) 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904753259</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG/15 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904753315</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904753320</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904753904</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904754012</ndc>
    <ndc_label_name>Lubrifresh PM 83 %-15 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904754210</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904754361</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904754961</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755261</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755361</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755762</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755773</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755966</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904755972</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756041</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756070</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756160</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756304</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756462</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756473</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756541</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904756570</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904757718</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904757766</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904757772</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904758004</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904758104</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00904758204</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904758361</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759060</ndc>
    <ndc_label_name>FeroSul 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759080</ndc>
    <ndc_label_name>FeroSul 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759160</ndc>
    <ndc_label_name>FeroSul 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759161</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759180</ndc>
    <ndc_label_name>FeroSul 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904759182</ndc>
    <ndc_label_name>FeroSul 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904772512</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904772524</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904772714</ndc>
    <ndc_label_name>Acid Gone Antacid 95 mg-358 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904772861</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904773445</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904773518</ndc>
    <ndc_label_name>Prosight 1,500 mcg-60 mg-13.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904773552</ndc>
    <ndc_label_name>Prosight 1,500 mcg-60 mg-13.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904775127</ndc>
    <ndc_label_name>Minerin Creme topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904775216</ndc>
    <ndc_label_name>Minerin lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904791251</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904791259</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904791459</ndc>
    <ndc_label_name>IBU-200 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904791461</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00904880531</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941040906</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal Low Calcium with 1.5% Dextrose calcium 2.5 mEq/L-mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal PD-2 with 1.5 % Dextrose calcium 3.5 mEq/L-low mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041301</ndc>
    <ndc_label_name>Dianeal PD-2 with 2.5 % dextrose calcium 3.5 mEq/L-low mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal PD-2 with 2.5 % dextrose calcium 3.5 mEq/L-low mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal PD-2 with 2.5 % dextrose calcium 3.5 mEq/L-low mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041306</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041307</ndc>
    <ndc_label_name>Dianeal PD-2 with 2.5 % dextrose calcium 3.5 mEq/L-low mag 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041501</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041504</ndc>
    <ndc_label_name>Dianeal PD-2 with 4.25% dextrose calcium 3.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal PD-2 with 4.25% dextrose calcium 3.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041506</ndc>
    <ndc_label_name>Dianeal PD-2 with 4.25% dextrose calcium 3.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941041507</ndc>
    <ndc_label_name>Dianeal PD-2 with 4.25% dextrose calcium 3.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941042451</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dianeal with 1.5% Dextrose low calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941042455</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941042652</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941042955</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941043051</ndc>
    <ndc_label_name>Dianeal with 2.5% Dextrose low calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941043053</ndc>
    <ndc_label_name>Dianeal with 2.5% Dextrose low calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941045702</ndc>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941067905</ndc>
    <ndc_label_name>Extraneal 7.5 % with calcium 3.5 mEq/L-low magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941073501</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00941073504</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00942064103</ndc>
    <ndc_label_name>ACD-A 2.45-2.2 gram-730 mg/100 mL solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ACD-A 2.45-2.2 gram-730 mg/100 mL solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00942950410</ndc>
    <ndc_label_name>SODIUM CITRATE 4% SOLN</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00942950510</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00942950625</ndc>
    <ndc_label_name>ANTICOAG SODIUM CITRATE 4% SOL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944049301</ndc>
    <ndc_label_name>Flexbumin 25 % intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944251002</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944251202</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944251302</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944251402</ndc>
    <ndc_label_name>HyQvia 30 gram/300 mL (10 %) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944265603</ndc>
    <ndc_label_name>Gammagard S-D (IgA &lt; 1 mcg/mL) 5 gram intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944265707</ndc>
    <ndc_label_name>Gammagard S-D (IgA &lt; 1 mcg/mL) 5 gram intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944265804</ndc>
    <ndc_label_name>Gammagard S-D (IgA &lt; 1 mcg/mL) 10 gram intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944265908</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944270002</ndc>
    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944270003</ndc>
    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944270004</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944270008</ndc>
    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gammagard Liquid 10 % injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944284510</ndc>
    <ndc_label_name>Recombinate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285001</ndc>
    <ndc_label_name>Cuvitru 1 gram/5 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285002</ndc>
    <ndc_label_name>Cuvitru 1 gram/5 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285003</ndc>
    <ndc_label_name>Cuvitru 2 gram/10 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285004</ndc>
    <ndc_label_name>Cuvitru 2 gram/10 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285005</ndc>
    <ndc_label_name>Cuvitru 4 gram/20 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285006</ndc>
    <ndc_label_name>Cuvitru 4 gram/20 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285007</ndc>
    <ndc_label_name>Cuvitru 8 gram/40 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285008</ndc>
    <ndc_label_name>Cuvitru 8 gram/40 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944285009</ndc>
    <ndc_label_name>Cuvitru 10 gram/50 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288401</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288402</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288403</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288404</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288405</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944288406</ndc>
    <ndc_label_name>Glassia 20 mg/mL (2 %) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944302501</ndc>
    <ndc_label_name>Rixubis 250 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944302602</ndc>
    <ndc_label_name>Rixubis 250 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944302701</ndc>
    <ndc_label_name>Rixubis 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944302802</ndc>
    <ndc_label_name>Rixubis 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944302901</ndc>
    <ndc_label_name>Rixubis 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944303002</ndc>
    <ndc_label_name>Rixubis 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944303101</ndc>
    <ndc_label_name>Rixubis 2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944303202</ndc>
    <ndc_label_name>Rixubis 2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944303301</ndc>
    <ndc_label_name>Rixubis 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944303402</ndc>
    <ndc_label_name>Rixubis 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304510</ndc>
    <ndc_label_name>Advate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304511</ndc>
    <ndc_label_name>Advate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304512</ndc>
    <ndc_label_name>Advate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304610</ndc>
    <ndc_label_name>Advate 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304611</ndc>
    <ndc_label_name>Advate 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944304710</ndc>
    <ndc_label_name>Advate 4,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305102</ndc>
    <ndc_label_name>Advate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305103</ndc>
    <ndc_label_name>Advate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305104</ndc>
    <ndc_label_name>Advate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305202</ndc>
    <ndc_label_name>Advate 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305203</ndc>
    <ndc_label_name>Advate 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305204</ndc>
    <ndc_label_name>Advate 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305302</ndc>
    <ndc_label_name>Advate 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305303</ndc>
    <ndc_label_name>Advate 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305304</ndc>
    <ndc_label_name>Advate 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305402</ndc>
    <ndc_label_name>Advate 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305403</ndc>
    <ndc_label_name>Advate 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944305404</ndc>
    <ndc_label_name>Advate 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394002</ndc>
    <ndc_label_name>Hemofil M Low 220 unit-400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394101</ndc>
    <ndc_label_name>Hemofil M Low 220 unit-400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394202</ndc>
    <ndc_label_name>Hemofil M Mid 401 unit-800 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394301</ndc>
    <ndc_label_name>Hemofil M Mid 401 unit-800 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394402</ndc>
    <ndc_label_name>Hemofil M High 801 unit-1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394501</ndc>
    <ndc_label_name>Hemofil M High 801 unit-1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394602</ndc>
    <ndc_label_name>Hemofil M Super High 1,501 unit-2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944394701</ndc>
    <ndc_label_name>Hemofil M Super High 1,501 unit-2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944417601</ndc>
    <ndc_label_name>Ceprotin (Blue Bar) 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944417705</ndc>
    <ndc_label_name>Ceprotin (Blue Bar) 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944417802</ndc>
    <ndc_label_name>Ceprotin (Green Bar) 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00944417910</ndc>
    <ndc_label_name>Ceprotin (Green Bar) 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462201</ndc>
    <ndc_label_name>Adynovate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462202</ndc>
    <ndc_label_name>Adynovate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462301</ndc>
    <ndc_label_name>Adynovate 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462302</ndc>
    <ndc_label_name>Adynovate 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462401</ndc>
    <ndc_label_name>Adynovate 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462402</ndc>
    <ndc_label_name>Adynovate 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462501</ndc>
    <ndc_label_name>Adynovate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462502</ndc>
    <ndc_label_name>Adynovate 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462601</ndc>
    <ndc_label_name>Adynovate 750 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462602</ndc>
    <ndc_label_name>Adynovate 750 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462701</ndc>
    <ndc_label_name>Adynovate 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462702</ndc>
    <ndc_label_name>Adynovate 1,500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462801</ndc>
    <ndc_label_name>Adynovate 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944462802</ndc>
    <ndc_label_name>Adynovate 3,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944500101</ndc>
    <ndc_label_name>Obizur 500 (+/-) unit range intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944755001</ndc>
    <ndc_label_name>Vonvendi 650 (+/-) unit range intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944755102</ndc>
    <ndc_label_name>Vonvendi 650 (+/-) unit range intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944755201</ndc>
    <ndc_label_name>Vonvendi 1,300 (+/-) unit range intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00944755302</ndc>
    <ndc_label_name>Vonvendi 1,300 (+/-) unit range intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100301</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100310</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100401</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100410</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100601</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100610</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100801</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955100810</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101001</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101010</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101201</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101210</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101501</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101510</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>00955101601</ndc>
    <ndc_label_name>ENOXAPARIN 300 MG/3 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955102001</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955102104</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955102208</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955104818</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955174601</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955290001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955290002</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955390001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00955390003</ndc>
    <ndc_label_name>INSULIN GLARGINE SOLOSTAR U300</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990417803</ndc>
    <ndc_label_name>Aminosyn-PF 7 % (sulfite-free) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990417905</ndc>
    <ndc_label_name>Aminosyn-PF 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990613803</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG.</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990613822</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990613903</ndc>
    <ndc_label_name>STERILE WATER FOR IRRIGATION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990614109</ndc>
    <ndc_label_name>Physiosol Irrigation 140 mEq-5 mEq-3 mEq-98 mEq/L solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990614309</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990707426</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990710709</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990710909</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990711109</ndc>
    <ndc_label_name>KCL 20 MEQ IN D5W-LACT RINGER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990711509</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/1,000ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990711609</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990711807</ndc>
    <ndc_label_name>STERILE WATER FOR INJECTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990712007</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990713809</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM CHLORIDE 0.9% IRRIG.</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990713909</ndc>
    <ndc_label_name>STERILE WATER FOR IRRIGATION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990717117</ndc>
    <ndc_label_name>Aminosyn II 15 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990717217</ndc>
    <ndc_label_name>Aminosyn II 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ionosol-MB in D5W intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Normosol-R pH 7.4 intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MANNITOL 20% (50 GM/250 ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MANNITOL 20% (100 GM/500 ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MANNITOL 20% (50 GM/250 ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MANNITOL 20% (100 GM/500 ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>00990782808</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Normosol-R in 5 % dextrose intravenous solution</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mydriacyl 1 % eye drops</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741001836</ndc>
    <ndc_label_name>Bardia Red Rubber Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741002008</ndc>
    <ndc_label_name>Silastic Foley Catheter 20 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741003877</ndc>
    <ndc_label_name>Bard Clean-Cath 8 Fr-10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741003879</ndc>
    <ndc_label_name>Bard Clean-Cath 8 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741006807</ndc>
    <ndc_label_name>Magic3 Intermittent Catheter 12 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741006809</ndc>
    <ndc_label_name>Magic3 Intermittent Catheter 16 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741006855</ndc>
    <ndc_label_name>Magic3 Intermittent Catheter 10 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741006895</ndc>
    <ndc_label_name>Personal Catheter Intermittent 14 Fr-6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741007049</ndc>
    <ndc_label_name>Pop-On Catheter 32 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741007095</ndc>
    <ndc_label_name>Spirit Style-1 catheter 36 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741007133</ndc>
    <ndc_label_name>Spirit Style-3 29 mm misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741007784</ndc>
    <ndc_label_name>Bard Lubricath Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741008859</ndc>
    <ndc_label_name>Magic3 Intermittent Catheter 18 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01741013696</ndc>
    <ndc_label_name>Magic3 Go Intermittent Catheter 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01769099588</ndc>
    <ndc_label_name>diachrome 2 mg-600 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>01875011045</ndc>
    <ndc_label_name>BIAFINE EMULSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>01932080321</ndc>
    <ndc_label_name>Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>01932080650</ndc>
    <ndc_label_name>Diastix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>01932088121</ndc>
    <ndc_label_name>Ketostix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340009000</ndc>
    <ndc_label_name>Durex Tropical Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340012900</ndc>
    <ndc_label_name>Durex Extra Sensitive Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340024100</ndc>
    <ndc_label_name>Durex Extra Sensitive Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340089455</ndc>
    <ndc_label_name>Durex Avanti Bare Real Feel Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340089456</ndc>
    <ndc_label_name>Durex Avanti Bare Real Feel Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02340089457</ndc>
    <ndc_label_name>Durex Avanti Bare Real Feel Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>02359046005</ndc>
    <ndc_label_name>Biogaia 100 million cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>02359046010</ndc>
    <ndc_label_name>Replesta 1,250 mcg (50,000 unit) oral wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>02359046013</ndc>
    <ndc_label_name>Replesta NX 350 mcg (14,000 unit) oral wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>02359046015</ndc>
    <ndc_label_name>Biogaia Protectis-Vitamin D3 100 million cell-10 mcg/5 drops oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>02359046017</ndc>
    <ndc_label_name>BioGaia Gastrus 200 million cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>02359046020</ndc>
    <ndc_label_name>Biogaia Protectis Baby 100 million cell/5 oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03215120107</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060069</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060071</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060072</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060073</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060077</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060078</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>03999060079</ndc>
    <ndc_label_name>Dropsafe Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060189</ndc>
    <ndc_label_name>DropSafe Medlance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060190</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060191</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060192</ndc>
    <ndc_label_name>DropSafe Medlance Plus Blade 0.8 mm X 2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060195</ndc>
    <ndc_label_name>DropSafe MediSafe Solo Lancet 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060196</ndc>
    <ndc_label_name>DropSafe MediSafe Solo Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060197</ndc>
    <ndc_label_name>DropSafe Acti-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060198</ndc>
    <ndc_label_name>DropSafe Acti-Lance 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060199</ndc>
    <ndc_label_name>DropSafe Acti-Lance 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060200</ndc>
    <ndc_label_name>DropSafe Acti-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060201</ndc>
    <ndc_label_name>DropSafe Acti-Lance 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060202</ndc>
    <ndc_label_name>DropSafe Acti-Lance 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060207</ndc>
    <ndc_label_name>DropSafe Medlance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060208</ndc>
    <ndc_label_name>DropSafe Medlance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060209</ndc>
    <ndc_label_name>DropSafe Medlance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060210</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060211</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060212</ndc>
    <ndc_label_name>DropSafe Medlance Plus Blade 0.8 mm X 2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060228</ndc>
    <ndc_label_name>Droplet Medlance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060229</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060230</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060231</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 21 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060232</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 18 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060233</ndc>
    <ndc_label_name>DropSafe Haemolance Plus Blade 1.5 mm X 1.6 mm</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060234</ndc>
    <ndc_label_name>DropSafe Haemolance Plus Blade 1.5 mm X 1.2 mm</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060241</ndc>
    <ndc_label_name>DropSafe ergoLance 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060242</ndc>
    <ndc_label_name>DropSafe ergoLance 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>03999060243</ndc>
    <ndc_label_name>DropSafe ergoLance 21 gauge</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000007</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000024</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000032</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000035</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000037</ndc>
    <ndc_label_name>FlorastorKids 250 mg oral powder packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000040</ndc>
    <ndc_label_name>FlorastorKids 250 mg oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000043</ndc>
    <ndc_label_name>FlorastorSelect Immunity Boost 250 mg-60 mg-10 mcg-10 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000047</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000048</ndc>
    <ndc_label_name>FlorastorSelect Gut Boost 250 mg-300 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000053</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000057</ndc>
    <ndc_label_name>FlorastorSelect Immunity Boost 250 mg-60 mg-10 mcg-10 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000060</ndc>
    <ndc_label_name>FlorastorBaby 250 mg oral powder packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000075</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142000081</ndc>
    <ndc_label_name>Florastor ADVANCED 250 mg-62.5 mg-30 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142010045</ndc>
    <ndc_label_name>Florastor 250 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142062340</ndc>
    <ndc_label_name>Florastor Woman's Probiotic 11 billion cell-200 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04142088130</ndc>
    <ndc_label_name>Florastor Digest-Metabolic 500 million cell-1 gram-125 mcg chew tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351024010</ndc>
    <ndc_label_name>ComfortSeal Medium Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351034010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351044010</ndc>
    <ndc_label_name>ComfortSeal Large Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351044050</ndc>
    <ndc_label_name>AeroEclipse II Nebulizer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050012</ndc>
    <ndc_label_name>Aerochamber Plus Flow-Vu</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050112</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050212</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050312</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050412</ndc>
    <ndc_label_name>Aerochamber Plus Flow-Vu,Medium Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351050612</ndc>
    <ndc_label_name>Aerochamber2go</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AeroTrach Plus spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351062510</ndc>
    <ndc_label_name>Aerobika Oscillating PEP System device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351063506</ndc>
    <ndc_label_name>Ombra Compressor System</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351065055</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351066510</ndc>
    <ndc_label_name>EZ Twist Tubing misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351067150</ndc>
    <ndc_label_name>MC 300 Nebulizer with Mouthpiece</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351067750</ndc>
    <ndc_label_name>MC 300 Nebulizer with Universal Tubing misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351069010</ndc>
    <ndc_label_name>AeroEclipse XL Nebulizer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351069350</ndc>
    <ndc_label_name>AeroEclipse II Nebulizer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351078710</ndc>
    <ndc_label_name>AeroChamber Plus Z Stat Medium Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351078810</ndc>
    <ndc_label_name>Aerochamber Plus Flow-Vu,Medium Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351079710</ndc>
    <ndc_label_name>AeroChamber Z-Stat Plus-Flow Signal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351079750</ndc>
    <ndc_label_name>Aerochamber Plus Z Stat spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351079810</ndc>
    <ndc_label_name>Aerochamber Plus Flow-Vu</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351079850</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351080710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351080810</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aerovent Plus spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351088710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351088810</ndc>
    <ndc_label_name>Aerochamber Plus Flow-Vu,Small Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351088910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351089510</ndc>
    <ndc_label_name>AEROGEAR ASTHMA ACTION KIT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351096510</ndc>
    <ndc_label_name>Truzone Peak Flow Meter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351096610</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aerochamber MV spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351098550</ndc>
    <ndc_label_name>Aerochamber Mechanical Vent</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>04351098810</ndc>
    <ndc_label_name>Aerochamber Mini</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388043611</ndc>
    <ndc_label_name>SV ECHINACEA 380 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388043617</ndc>
    <ndc_label_name>SV ALOE VERA 25 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388049228</ndc>
    <ndc_label_name>ReliOn Micro Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388056447</ndc>
    <ndc_label_name>Relion Confirm-Micro strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388062772</ndc>
    <ndc_label_name>SV ST. JOHN'S WORT 300 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388062777</ndc>
    <ndc_label_name>SV ALPHA LIPOIC ACID 200 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388062780</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388062808</ndc>
    <ndc_label_name>SV MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388062809</ndc>
    <ndc_label_name>SV MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388062842</ndc>
    <ndc_label_name>SV VITAMIN D3 25MCG(1000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388066113</ndc>
    <ndc_label_name>Nasal Spray (sodium chloride) 0.65 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388066186</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388081745</ndc>
    <ndc_label_name>SV TEA TREE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388081765</ndc>
    <ndc_label_name>SV VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388086015</ndc>
    <ndc_label_name>Relion Confirm kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388086016</ndc>
    <ndc_label_name>Relion Confirm kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388086017</ndc>
    <ndc_label_name>Relion Confirm-Micro strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05388086024</ndc>
    <ndc_label_name>RELION GLUCOSE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388098775</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388098776</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388098777</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388098778</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05388099945</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083005</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083010</ndc>
    <ndc_label_name>Trustex-RIA Lubricated/Spermicide Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083015</ndc>
    <ndc_label_name>Trustex-RIA Lubricated/Spermicide Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083020</ndc>
    <ndc_label_name>Trustex-RIA Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083025</ndc>
    <ndc_label_name>Trustex-RIA Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083027</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083030</ndc>
    <ndc_label_name>Trustex-RIA Lubricated/Spermicide Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083035</ndc>
    <ndc_label_name>Trustex-RIA Lubricated/Spermicide Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083040</ndc>
    <ndc_label_name>Trustex-RIA Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083045</ndc>
    <ndc_label_name>Trustex-RIA Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083047</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083050</ndc>
    <ndc_label_name>Trustex-RIA Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083055</ndc>
    <ndc_label_name>Trustex-RIA Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083065</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083067</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083087</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083137</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083157</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083177</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632083197</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084010</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084015</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084020</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084025</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084030</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084035</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084040</ndc>
    <ndc_label_name>Trustex Latex Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084140</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084150</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084152</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084154</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084156</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084158</ndc>
    <ndc_label_name>Trustex Non-Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632084240</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632086805</ndc>
    <ndc_label_name>Fantasy Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632086815</ndc>
    <ndc_label_name>Fantasy Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632086825</ndc>
    <ndc_label_name>Fantasy Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632086835</ndc>
    <ndc_label_name>Fantasy Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632088080</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>05632088082</ndc>
    <ndc_label_name>Trustex Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000099</ndc>
    <ndc_label_name>Nasogel 0.9 % nasal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000100</ndc>
    <ndc_label_name>Neilmed Sinus Rinse Complete with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000200</ndc>
    <ndc_label_name>Neilmed Sinus Rinse Refill packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000204</ndc>
    <ndc_label_name>Neilmed Pediatric Sinus Rinse Refill packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000300</ndc>
    <ndc_label_name>Sinus Rinse Pediatric with packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000308</ndc>
    <ndc_label_name>Sinus Rinse Starter with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000400</ndc>
    <ndc_label_name>Sinus Rinse packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000816</ndc>
    <ndc_label_name>NeilMed NasaFlo packet with sinus rinse device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928000901</ndc>
    <ndc_label_name>Nasaflo Porcelain Kit with sinus rinse device and packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928001400</ndc>
    <ndc_label_name>Sinus Rinse Pediatric Starter Kit with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928004530</ndc>
    <ndc_label_name>Nasogel 0.9 % nasal spray gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928005075</ndc>
    <ndc_label_name>NasaMist 0.9 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928005177</ndc>
    <ndc_label_name>NasaMist 0.9 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928005200</ndc>
    <ndc_label_name>Sinus Rinse packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928007125</ndc>
    <ndc_label_name>NasaMist Extra Strength 2.7 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928010008</ndc>
    <ndc_label_name>Sinuflo ReadyRinse nasal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928011001</ndc>
    <ndc_label_name>NasaDrops 0.9 % nasal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928060311</ndc>
    <ndc_label_name>Clearcanal Ear Wax 6.5 %-0.9 % ear pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928088801</ndc>
    <ndc_label_name>Sinugator Nasal Wash Kit with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>05928091901</ndc>
    <ndc_label_name>Nasadock Plus Kit with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000051223</ndc>
    <ndc_label_name>CeraVe Acne 4 % topical cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>06000052755</ndc>
    <ndc_label_name>Effaclar Adapalene 0.1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053479</ndc>
    <ndc_label_name>CeraVe Daily Moisturizing lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053717</ndc>
    <ndc_label_name>CeraVe SA (with niacinamide) topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053721</ndc>
    <ndc_label_name>CeraVe Healing 46.5 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053743</ndc>
    <ndc_label_name>CeraVe topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053745</ndc>
    <ndc_label_name>CeraVe PM lotion,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053746</ndc>
    <ndc_label_name>CeraVe AM SPF 30 lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053748</ndc>
    <ndc_label_name>CeraVe Healing 46.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053751</ndc>
    <ndc_label_name>CeraVe Daily Moisturizing lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053754</ndc>
    <ndc_label_name>CeraVe Psoriasis 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053758</ndc>
    <ndc_label_name>CeraVe SA (with niacinamide) topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053762</ndc>
    <ndc_label_name>CeraVe Itch Relief 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053763</ndc>
    <ndc_label_name>CeraVe Itch Relief 1 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053764</ndc>
    <ndc_label_name>CeraVe Healing 46.5 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053766</ndc>
    <ndc_label_name>CeraVe topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053769</ndc>
    <ndc_label_name>CeraVe topical cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053771</ndc>
    <ndc_label_name>CeraVe SA lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053773</ndc>
    <ndc_label_name>CeraVe Daily Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053774</ndc>
    <ndc_label_name>CeraVe Daily Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053775</ndc>
    <ndc_label_name>CeraVe Foaming Facial topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>06000053784</ndc>
    <ndc_label_name>Cerave Baby Healing 46.5 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000053797</ndc>
    <ndc_label_name>CeraVe topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000055471</ndc>
    <ndc_label_name>CeraVe Healing 46.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06000057517</ndc>
    <ndc_label_name>CeraVe Acne Control 2 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06028009083</ndc>
    <ndc_label_name>TRYPAN BLUE 0.6 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06121076304</ndc>
    <ndc_label_name>CELLTRION DIATRUST COV-19 HOME</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>06121076323</ndc>
    <ndc_label_name>CELLTRION DIATRUST COV-19 HOME</ndc_label_name>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Stuart One 27 mg iron-800 mcg-200 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07249404012</ndc>
    <ndc_label_name>Re-Gen oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07415024805</ndc>
    <ndc_label_name>MB IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07415082468</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610003220</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610003920</ndc>
    <ndc_label_name>Probiotic Gold Acidophilus 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610004012</ndc>
    <ndc_label_name>CRANBERRY 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610005820</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610009840</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610010418</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610011907</ndc>
    <ndc_label_name>L-Carnitine (tartrate) 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610012012</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610015224</ndc>
    <ndc_label_name>MELATONIN VIT B6 QUICK DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610015832</ndc>
    <ndc_label_name>Calcium Citrate + D 315 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610016840</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610017120</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610017840</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610020912</ndc>
    <ndc_label_name>Niacin Flush Free 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610021510</ndc>
    <ndc_label_name>DHEA 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610022312</ndc>
    <ndc_label_name>B-6 TR 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610022640</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610028320</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 250 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610030020</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610031924</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN-MSM TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610032024</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610051612</ndc>
    <ndc_label_name>VITAMIN B-12 2,500 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610054112</ndc>
    <ndc_label_name>TURMERIC 450-50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07610060512</ndc>
    <ndc_label_name>5-HTP 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610071602</ndc>
    <ndc_label_name>B-12 5,000 MCG/ML SUBLING LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610081007</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610081232</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>07610091010</ndc>
    <ndc_label_name>COENZYME Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>07996009885</ndc>
    <ndc_label_name>Droplet Micron Pen Needle 34 gauge x 9/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011000538</ndc>
    <ndc_label_name>Bard Plastic Tubing/Adapter 8 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011004052</ndc>
    <ndc_label_name>Bard Cunningham Incontin Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011004053</ndc>
    <ndc_label_name>Bard Cunningham Incontin Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011004054</ndc>
    <ndc_label_name>Bard Cunningham Incontin Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011010112</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011015914</ndc>
    <ndc_label_name>Bard Female Intermittent Cath 14 Fr-6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011016524</ndc>
    <ndc_label_name>Bardex Lubricath Foley Cath 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011041170</ndc>
    <ndc_label_name>Toomey Syringe 70 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011094140</ndc>
    <ndc_label_name>Urethral Catheter 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120608</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 8 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120610</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 10 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120612</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120614</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120616</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120618</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120620</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011120622</ndc>
    <ndc_label_name>Bard Coude Tip Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150101</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150102</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150103</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150111</ndc>
    <ndc_label_name>Bard Leg Bag Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150121</ndc>
    <ndc_label_name>Bard Leg Bag Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150131</ndc>
    <ndc_label_name>Bard Leg Bag Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150319</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150332</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150419</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150432</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150507</ndc>
    <ndc_label_name>Bard Deluxe Fabric Leg Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150520</ndc>
    <ndc_label_name>Bard Catheter Strap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150615</ndc>
    <ndc_label_name>Bard Extension Tubing/Connect misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150619</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150632</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150707</ndc>
    <ndc_label_name>Bard Latex Leg Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150719</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150732</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150819</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150832</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150919</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011150932</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011151919</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011151932</ndc>
    <ndc_label_name>Dispoz-A-Bag Leg Bag Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011153504</ndc>
    <ndc_label_name>Bard Center Entry Close System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011153509</ndc>
    <ndc_label_name>Bard Urinary Drainage System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011154002</ndc>
    <ndc_label_name>Bard Center Entry Close System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011154004</ndc>
    <ndc_label_name>Bard Infection Control Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011162110</ndc>
    <ndc_label_name>Bard Leg Bag Straps/Fabric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011162210</ndc>
    <ndc_label_name>Bard Leg Bag Straps/Fabric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011162310</ndc>
    <ndc_label_name>Bard Leg Bag Straps/Fabric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165814</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165816</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165818</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165820</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165822</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011165824</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011166816</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011166818</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011166820</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011166822</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011166824</ndc>
    <ndc_label_name>Bardex All-Silicone Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277708</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 8 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277710</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 10 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277712</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277714</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277716</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277718</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011277720</ndc>
    <ndc_label_name>Bard Rubber Utility Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011420614</ndc>
    <ndc_label_name>Vinyl Catheter 14 Fr-6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011421010</ndc>
    <ndc_label_name>Bard Clean-Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011421614</ndc>
    <ndc_label_name>Vinyl Catheter 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740013</ndc>
    <ndc_label_name>Protective Barrier Film Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740020</ndc>
    <ndc_label_name>Bard Adhesive Remover Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740041</ndc>
    <ndc_label_name>Vigilon Primary Wound Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740042</ndc>
    <ndc_label_name>Vigilon Primary Wound Dressing 3" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740043</ndc>
    <ndc_label_name>Vigilon Primary Wound Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011740047</ndc>
    <ndc_label_name>Vigilon Primary Wound Dressing 13" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011770715</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011771114</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011771215</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 15 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011772414</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 15 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011772415</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 15 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011772416</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011772514</ndc>
    <ndc_label_name>Bard Urethral Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011775516</ndc>
    <ndc_label_name>Bardex Urethral CatheterTray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011782100</ndc>
    <ndc_label_name>Bard Universal Foley Cath Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011782102</ndc>
    <ndc_label_name>Bard Universal Foley Cath Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011800316</ndc>
    <ndc_label_name>Davol Complete Foley kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011800318</ndc>
    <ndc_label_name>Davol Complete Foley kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011800516</ndc>
    <ndc_label_name>Davol Complete Foley kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011800518</ndc>
    <ndc_label_name>Davol Complete Foley kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802001</ndc>
    <ndc_label_name>Davol Urinary Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802002</ndc>
    <ndc_label_name>Bardia Urinary Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802010</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802011</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802015</ndc>
    <ndc_label_name>Davol Universal Cath Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802016</ndc>
    <ndc_label_name>Davol Closed System Foley Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802018</ndc>
    <ndc_label_name>Davol Closed System Foley Catheter Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802030</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802031</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802035</ndc>
    <ndc_label_name>Davol Universal Cath Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802055</ndc>
    <ndc_label_name>Davol Irrigation Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802065</ndc>
    <ndc_label_name>Davol Piston Irrigation Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802100</ndc>
    <ndc_label_name>Davol Urethral Cath Tray (without cathether)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802110</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802115</ndc>
    <ndc_label_name>Davol Urethral Catheter Tray 15 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011802130</ndc>
    <ndc_label_name>Davol Foley Cath Insert Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806316</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806318</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806320</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806322</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806324</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806514</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806516</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806518</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806520</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806522</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011806524</ndc>
    <ndc_label_name>Davol Silicone Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011896300</ndc>
    <ndc_label_name>Bardex Closed System Cath Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011899100</ndc>
    <ndc_label_name>Bard Infect Cont Tray-no Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011899616</ndc>
    <ndc_label_name>Bard Lubricath Foley Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011899618</ndc>
    <ndc_label_name>Bard Lubricath Foley Tray 18Fr 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011968602</ndc>
    <ndc_label_name>Scanpor Tape 1" X 11 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011968622</ndc>
    <ndc_label_name>Scanpor Tape 1" X 11 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08011968624</ndc>
    <ndc_label_name>Scanpor Tape 2" X 11 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08021354221</ndc>
    <ndc_label_name>Filtered Extension Set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08021375153</ndc>
    <ndc_label_name>Rate Flow Regulator IV Set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08021470117</ndc>
    <ndc_label_name>Filtered Extension Set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026000040</ndc>
    <ndc_label_name>Opsite Flexifix 2" X 11 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026000041</ndc>
    <ndc_label_name>Opsite Flexifix 4" X 11 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118377</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 3" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118414</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 6" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118438</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 9" X 15"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118452</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118483</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118513</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 20" X 28"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118544</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 2" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118551</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 3" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026118582</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026402500</ndc>
    <ndc_label_name>Uni-Solve Adhesive Remover liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026403100</ndc>
    <ndc_label_name>Remove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026405000</ndc>
    <ndc_label_name>Uri-Clean liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026420900</ndc>
    <ndc_label_name>Hypafix 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026421000</ndc>
    <ndc_label_name>Hypafix 4" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026421100</ndc>
    <ndc_label_name>Hypafix 6" X 360" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026421500</ndc>
    <ndc_label_name>Hypafix 2" X 72" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026421600</ndc>
    <ndc_label_name>Hypafix 4" X 2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026421700</ndc>
    <ndc_label_name>Hypafix 6" X 2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026443500</ndc>
    <ndc_label_name>Uniderm Moisturizer lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026449000</ndc>
    <ndc_label_name>Dermal Wound Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026462800</ndc>
    <ndc_label_name>Opsite Flexigrid Dressing 2 3/8" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026462900</ndc>
    <ndc_label_name>Opsite Flexigrid Dressing 4" X 4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026463000</ndc>
    <ndc_label_name>Opsite Flexigrid Dressing 4" X 4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026463100</ndc>
    <ndc_label_name>Opsite Flexigrid Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026463200</ndc>
    <ndc_label_name>Opsite Flexigrid Dressing 4 3/4" X 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026480400</ndc>
    <ndc_label_name>Algisite M 3/4" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026482300</ndc>
    <ndc_label_name>Solosite 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026482340</ndc>
    <ndc_label_name>Solosite 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026482400</ndc>
    <ndc_label_name>Solosite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026482440</ndc>
    <ndc_label_name>Solosite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026495600</ndc>
    <ndc_label_name>Viscopaste PB7 3" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026496300</ndc>
    <ndc_label_name>Opsite Adhesive Dressing 4" X 5 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026498600</ndc>
    <ndc_label_name>Opsite Adhesive Dressing 6" X 11"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026498700</ndc>
    <ndc_label_name>Opsite Adhesive Dressing 11" X 11 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026498900</ndc>
    <ndc_label_name>Opsite Adhesive Dressing 17 3/4" X 22"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026714000</ndc>
    <ndc_label_name>Covrsite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026714100</ndc>
    <ndc_label_name>Covrsite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026714300</ndc>
    <ndc_label_name>Covrsite 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026714400</ndc>
    <ndc_label_name>Covrsite 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026715000</ndc>
    <ndc_label_name>Covrsite Plus 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026715100</ndc>
    <ndc_label_name>Covrsite Plus 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026730800</ndc>
    <ndc_label_name>Intrasite Gel Dressing topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026731100</ndc>
    <ndc_label_name>Intrasite Gel Dressing topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08026731300</ndc>
    <ndc_label_name>Intrasite Gel Dressing topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065100002</ndc>
    <ndc_label_name>Microsponge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065100003</ndc>
    <ndc_label_name>Microsponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183004</ndc>
    <ndc_label_name>Provisc 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183055</ndc>
    <ndc_label_name>Provisc 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183085</ndc>
    <ndc_label_name>Provisc 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183135</ndc>
    <ndc_label_name>DuoVisc Visco Elastic 3 %-4 %(0.35 mL) 1 %(0.4 mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183150</ndc>
    <ndc_label_name>DuoVisc Visco Elastic 3 %-4 %(0.5 mL) 1 %(0.55 mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183710</ndc>
    <ndc_label_name>DisCoVisc 40 mg-17 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183810</ndc>
    <ndc_label_name>CELLUGEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183905</ndc>
    <ndc_label_name>Viscoat 4 %-3 % (40 mg-30 mg/mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065183975</ndc>
    <ndc_label_name>Viscoat 4 %-3 % (40 mg-30 mg/mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08065199907</ndc>
    <ndc_label_name>DuoVisc Visco Elastic 4 %-3 %(0.5 mL) 1 %(0.85 mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080015220</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080032010</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080072030</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080100000</ndc>
    <ndc_label_name>Curity Sterile Water irrigation solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080100555</ndc>
    <ndc_label_name>Monoject Tuberculin Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080100777</ndc>
    <ndc_label_name>Monoject TB Luer Lok 1 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080102000</ndc>
    <ndc_label_name>Sterile Saline 0.9 % irrigation solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080103800</ndc>
    <ndc_label_name>Durasorb Underpad 23" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080104000</ndc>
    <ndc_label_name>Simplicity Contoured Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080104400</ndc>
    <ndc_label_name>Simplicity Contoured Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080104600</ndc>
    <ndc_label_name>Simplicity Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080105000</ndc>
    <ndc_label_name>Telfa Ouchless Non-Adherent Dressing 4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080105800</ndc>
    <ndc_label_name>Maxicare Belted Undergarment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080109300</ndc>
    <ndc_label_name>Durasorb Underpad 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080110900</ndc>
    <ndc_label_name>Telfa Clear Wound Dressing 3" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080111100</ndc>
    <ndc_label_name>Telfa Clear Wound Dressing 4" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080111300</ndc>
    <ndc_label_name>Telfa Clear Wound Dressing 12" X 12"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080111400</ndc>
    <ndc_label_name>Telfa Clear Wound Dressing 12" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080111500</ndc>
    <ndc_label_name>Telfa Clear Wound Dressing 39" X 25 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080114063</ndc>
    <ndc_label_name>Monoject Syringe 140 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080114300</ndc>
    <ndc_label_name>Curity Gauze 1" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080116700</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080116900</ndc>
    <ndc_label_name>Telfa Ouchless Non-Adherent Dressing 6" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080120500</ndc>
    <ndc_label_name>Sure Care Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080121500</ndc>
    <ndc_label_name>Sure Care Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080123800</ndc>
    <ndc_label_name>Telfa 3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080125058</ndc>
    <ndc_label_name>Monoject Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080125158</ndc>
    <ndc_label_name>Monoject Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080126038</ndc>
    <ndc_label_name>Monoject Tuberculin Syringe 1 mL 26 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080127012</ndc>
    <ndc_label_name>Monoject Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080127200</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080128012</ndc>
    <ndc_label_name>Monoject TB 1 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080133400</ndc>
    <ndc_label_name>Curity Gauze 2" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080141600</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080141800</ndc>
    <ndc_label_name>Webril 2" X 4 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080141900</ndc>
    <ndc_label_name>TOUCH-TROL 10 Fr misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080141901</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080142000</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080142200</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080142400</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080142600</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 26 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080142700</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 28 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080143100</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 30 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080143699</ndc>
    <ndc_label_name>Sharps-A-Gator Disposal System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080145540</ndc>
    <ndc_label_name>SEAMLESS ENEMA BAG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080147300</ndc>
    <ndc_label_name>Curity Gauze 36" X 3600" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080152200</ndc>
    <ndc_label_name>Curity Gauze 3" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080153000</ndc>
    <ndc_label_name>Handicare Garment Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080159610</ndc>
    <ndc_label_name>Kendall Paper Tape 1/2" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080160500</ndc>
    <ndc_label_name>Sure Care Protective Undergmnt misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080161200</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080161400</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080161500</ndc>
    <ndc_label_name>Sure Care Protective Undergmnt misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080161600</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080161900</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162100</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162200</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162400</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162500</ndc>
    <ndc_label_name>Sure Care Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162600</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 26 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080162800</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter Teflon 28 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080163100</ndc>
    <ndc_label_name>Curity Ultramer 2-Way Catheter, Latex/Teflon 30 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080170000</ndc>
    <ndc_label_name>Curity Cover 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080171300</ndc>
    <ndc_label_name>Curity Cover 4" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080179200</ndc>
    <ndc_label_name>Curity Cover 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080180100</ndc>
    <ndc_label_name>Kerlix 2 1/4" X 3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080180600</ndc>
    <ndc_label_name>Curity Gauze 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080181030</ndc>
    <ndc_label_name>Maxicare Beltless Undergarment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080181400</ndc>
    <ndc_label_name>Curity Foley Catheter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080181700</ndc>
    <ndc_label_name>Curity Foley Catheter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080181800</ndc>
    <ndc_label_name>Curity Foley Catheter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080182400</ndc>
    <ndc_label_name>Curity Gauze 4" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080189200</ndc>
    <ndc_label_name>Kerlix 4 1/2" X 147" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080190300</ndc>
    <ndc_label_name>Curity Gauze 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080196100</ndc>
    <ndc_label_name>Telfa 2" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080196700</ndc>
    <ndc_label_name>Curity Multi-Trauma Dressing 10" X 30"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080200055</ndc>
    <ndc_label_name>Monoject Disposable Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080200077</ndc>
    <ndc_label_name>Monoject Disposable Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080200777</ndc>
    <ndc_label_name>Monoject Luer-Lock Tip 12 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080205900</ndc>
    <ndc_label_name>Webril 3" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080210100</ndc>
    <ndc_label_name>Curity Universal - No Drainage 16 Fr tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080213200</ndc>
    <ndc_label_name>Telfa 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080214600</ndc>
    <ndc_label_name>Curity Gauze 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080216017</ndc>
    <ndc_label_name>Monoject Blood Collection 20 gauge x 1" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080216025</ndc>
    <ndc_label_name>Monoject Blood Collection 20 x 1 1/2" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080216033</ndc>
    <ndc_label_name>Monoject Blood Collection 21 gauge x 1" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080216066</ndc>
    <ndc_label_name>Monoject Blood Collection 22 gauge x 1" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080218100</ndc>
    <ndc_label_name>Monoject Syringe 12 mL 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080218700</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080220112</ndc>
    <ndc_label_name>Monoject Syringe 12 mL 20 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080221100</ndc>
    <ndc_label_name>Monoject Syringe 12 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080221112</ndc>
    <ndc_label_name>Monoject Syringe 12 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223000</ndc>
    <ndc_label_name>Conform 1" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223100</ndc>
    <ndc_label_name>Conform 2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223200</ndc>
    <ndc_label_name>Conform 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223600</ndc>
    <ndc_label_name>Conform 4" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223800</ndc>
    <ndc_label_name>Conform 6" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080223900</ndc>
    <ndc_label_name>Conform 1" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080224200</ndc>
    <ndc_label_name>Conform 2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080224400</ndc>
    <ndc_label_name>Conform 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080224700</ndc>
    <ndc_label_name>Conform 4" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080224900</ndc>
    <ndc_label_name>Conform 6" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080225200</ndc>
    <ndc_label_name>Curity Gauze 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080225257</ndc>
    <ndc_label_name>Monoject Luer Adapter intravenous admix accessory</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080225900</ndc>
    <ndc_label_name>Curity Gauze 8" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080228300</ndc>
    <ndc_label_name>Webril 2" X 4 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080234600</ndc>
    <ndc_label_name>Curity Gauze 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080239400</ndc>
    <ndc_label_name>Webril 3" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080243800</ndc>
    <ndc_label_name>Curity Gauze 4" X 3 1/2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080248000</ndc>
    <ndc_label_name>Curity Ureth Cath Closed Systm tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080250200</ndc>
    <ndc_label_name>Webril 4" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080250600</ndc>
    <ndc_label_name>Curity AMD (with polyhexamethylene) 0.2 %-2" X 2" sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080254000</ndc>
    <ndc_label_name>Curity Urethral Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080255600</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080256200</ndc>
    <ndc_label_name>Telfa Island Dressing 4" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080256300</ndc>
    <ndc_label_name>Telfa Island Dressing 6" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080258500</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080260000</ndc>
    <ndc_label_name>Curity Cotton Prep Balls misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080260100</ndc>
    <ndc_label_name>Curity Cotton Prep Balls misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080260200</ndc>
    <ndc_label_name>Curity Cotton Prep Balls misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080263400</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080266600</ndc>
    <ndc_label_name>Webril II 2" X 4 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080267100</ndc>
    <ndc_label_name>Kerlix 9" X 100 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080271800</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080272000</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080272200</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080272300</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080273300</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080275400</ndc>
    <ndc_label_name>Webril II 3" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080279800</ndc>
    <ndc_label_name>Curity Ready-Cut Gauze 36" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080281900</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080282100</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080282200</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080282400</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080282600</ndc>
    <ndc_label_name>Curity Ultramer Irrgation 3 way Catheter 26 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080283500</ndc>
    <ndc_label_name>Curity Gauze 8" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080284100</ndc>
    <ndc_label_name>Curity Eye pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080284700</ndc>
    <ndc_label_name>Webril II 4" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080289100</ndc>
    <ndc_label_name>Telfa 3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080291300</ndc>
    <ndc_label_name>Curity Cover 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080294900</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080300555</ndc>
    <ndc_label_name>Monoject Syringe 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080300777</ndc>
    <ndc_label_name>Monoject Syringe 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080301515</ndc>
    <ndc_label_name>Argyle Connecting Tubes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080303300</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080303900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080304100</ndc>
    <ndc_label_name>Lisco 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080304400</ndc>
    <ndc_label_name>Curity Universal - No Drainage 18 Fr tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080305700</ndc>
    <ndc_label_name>Curity Bedside Drainage Set tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080308500</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080311440</ndc>
    <ndc_label_name>Sharps-A-Gator Disposal System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080314100</ndc>
    <ndc_label_name>Curity Ureth Cath Open System tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080314400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080315700</ndc>
    <ndc_label_name>Curity Cover 4" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080317000</ndc>
    <ndc_label_name>Curity Ureth Cath Closed Systm tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080317500</ndc>
    <ndc_label_name>Webril 4" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080319500</ndc>
    <ndc_label_name>Curity Ready-Cut Gauze 18" X 18" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080320112</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080320800</ndc>
    <ndc_label_name>Lisco 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080321100</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080321112</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080321700</ndc>
    <ndc_label_name>Curity Ureth Cath Open System tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080322100</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080322110</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080322112</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080322200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080322210</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080323100</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080325000</ndc>
    <ndc_label_name>Curity Gauze 3" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080325058</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080325100</ndc>
    <ndc_label_name>Monoject 3cc Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080325114</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 25 x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080327114</ndc>
    <ndc_label_name>Monoject Syringe 3 mL 27 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080327900</ndc>
    <ndc_label_name>Telfa 8" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080330200</ndc>
    <ndc_label_name>Tensor 2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080330500</ndc>
    <ndc_label_name>Curity Ureth Cath Open System tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080330600</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080332000</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080332400</ndc>
    <ndc_label_name>Kerlix 4 1/2" X 147" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080333100</ndc>
    <ndc_label_name>Kerlix AMD 0.2 %-4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080333200</ndc>
    <ndc_label_name>Kerlix AMD 0.2 %-4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080333700</ndc>
    <ndc_label_name>Curity Wet Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080333900</ndc>
    <ndc_label_name>Curity Dressing 6" X 6 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080336400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080338100</ndc>
    <ndc_label_name>Curity Gauze 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080341000</ndc>
    <ndc_label_name>Curity Ureth Cath Closed Systm tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080341610</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080343300</ndc>
    <ndc_label_name>Urinary Leg Medium Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080344900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080345000</ndc>
    <ndc_label_name>Curity Ureth Cath Closed Systm tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080348900</ndc>
    <ndc_label_name>Webril 6" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080351200</ndc>
    <ndc_label_name>Kenguard Urinary Drain Bag 2,000 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080351220</ndc>
    <ndc_label_name>Kenguard Urinary Drain Bag 2,000 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080351500</ndc>
    <ndc_label_name>Add-A-Foley Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080352300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080353100</ndc>
    <ndc_label_name>Add-A-Foley Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080354900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080355000</ndc>
    <ndc_label_name>Tensor 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080355800</ndc>
    <ndc_label_name>Foley Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080356000</ndc>
    <ndc_label_name>Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080356300</ndc>
    <ndc_label_name>Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080356500</ndc>
    <ndc_label_name>Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080356700</ndc>
    <ndc_label_name>Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080357000</ndc>
    <ndc_label_name>Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080357300</ndc>
    <ndc_label_name>Foley Catheter 26 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080357500</ndc>
    <ndc_label_name>Foley Catheter 28 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080357700</ndc>
    <ndc_label_name>Foley Catheter 30 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080360100</ndc>
    <ndc_label_name>Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080360700</ndc>
    <ndc_label_name>Foley Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080361100</ndc>
    <ndc_label_name>Foley Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080361400</ndc>
    <ndc_label_name>Foley Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080361600</ndc>
    <ndc_label_name>Tensor 4" X 4.5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080361800</ndc>
    <ndc_label_name>Foley Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080361900</ndc>
    <ndc_label_name>Foley Catheter 26 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080362300</ndc>
    <ndc_label_name>Foley Catheter 28 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080363100</ndc>
    <ndc_label_name>Foley Catheter 30 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080391300</ndc>
    <ndc_label_name>Heavy Drainage Dressing Steril package</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080392200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080393000</ndc>
    <ndc_label_name>Tensor 6" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080396700</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080396800</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080399500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080400616</ndc>
    <ndc_label_name>Robinson Clear Vinyl Catheter 16 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080401400</ndc>
    <ndc_label_name>Specipan Collection Unit misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080402718</ndc>
    <ndc_label_name>Kenguard Foley Catheter 18 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080403100</ndc>
    <ndc_label_name>Kerlix 26" X 17" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080403200</ndc>
    <ndc_label_name>Kerlix 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080403400</ndc>
    <ndc_label_name>Kerlix 14" X 14" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080403700</ndc>
    <ndc_label_name>Kerlix 30" X 7" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080403728</ndc>
    <ndc_label_name>Dover Latex Foley Catheter 28 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080404800</ndc>
    <ndc_label_name>Kerlix 14" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080406900</ndc>
    <ndc_label_name>Kerlix 9" X 9" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080409500</ndc>
    <ndc_label_name>Webril II 2" X 4 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080412600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 1" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080413605</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080414600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 3" X 18" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080415200</ndc>
    <ndc_label_name>Webril II 3" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080415600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 3" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080416600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 6" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080417601</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 1" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080420200</ndc>
    <ndc_label_name>Curity Bandage 2" X 4.1 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080421600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 1/2" X 72" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080422100</ndc>
    <ndc_label_name>Webril II 4" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080422600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 1" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080423600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080424600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 3" X 18" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080425600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 3" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080426500</ndc>
    <ndc_label_name>T.E.D. Knee Length-S-Regular misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080426600</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 6" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080427100</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080427601</ndc>
    <ndc_label_name>Vaseline Petrolatum Gauze 1" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080427800</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080427900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428000</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428100</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080428900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080429600</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080429700</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080429800</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080429900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430000</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430100</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080430101</ndc>
    <ndc_label_name>Vaseline jelly, topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080430201</ndc>
    <ndc_label_name>Vaseline jelly, topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080430301</ndc>
    <ndc_label_name>Vaseline jelly, topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080430800</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080431302</ndc>
    <ndc_label_name>Xeroform Petrolatum Overwrap 1" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080431605</ndc>
    <ndc_label_name>Xeroform Petrolatum Overwrap 5" X 9" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080431700</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080432000</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 3 yard</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080432300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433200</ndc>
    <ndc_label_name>Vaseline White Petroleum topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433301</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 1" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433401</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433501</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080433605</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080434400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080437100</ndc>
    <ndc_label_name>XEROFORM 5"X9" GAUZE STRIP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441102</ndc>
    <ndc_label_name>Dermacea 3.4" X 3.6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441106</ndc>
    <ndc_label_name>Dermacea 4" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441201</ndc>
    <ndc_label_name>Dermacea sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441202</ndc>
    <ndc_label_name>Dermacea sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441203</ndc>
    <ndc_label_name>Dermacea 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441204</ndc>
    <ndc_label_name>Dermacea 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441205</ndc>
    <ndc_label_name>Dermacea 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441206</ndc>
    <ndc_label_name>Dermacea 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441208</ndc>
    <ndc_label_name>Dermacea 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441209</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441210</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441214</ndc>
    <ndc_label_name>Dermacea 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441215</ndc>
    <ndc_label_name>Dermacea 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441216</ndc>
    <ndc_label_name>Dermacea 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441217</ndc>
    <ndc_label_name>Dermacea 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441218</ndc>
    <ndc_label_name>Dermacea 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441219</ndc>
    <ndc_label_name>Dermacea 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441250</ndc>
    <ndc_label_name>Dermacea 2 1/4" X 3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441251</ndc>
    <ndc_label_name>Dermacea 4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441401</ndc>
    <ndc_label_name>Dermacea Non-Woven 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441402</ndc>
    <ndc_label_name>Dermacea Non-Woven 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441403</ndc>
    <ndc_label_name>Dermacea Non-Woven 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441404</ndc>
    <ndc_label_name>Dermacea Non-Woven 3" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441405</ndc>
    <ndc_label_name>Dermacea Non-Woven 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441406</ndc>
    <ndc_label_name>Dermacea Non-Woven 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441410</ndc>
    <ndc_label_name>Dermacea Non-Woven 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441411</ndc>
    <ndc_label_name>Dermacea Non-Woven 3" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441412</ndc>
    <ndc_label_name>Dermacea Non-Woven 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441504</ndc>
    <ndc_label_name>Dermacea Stretch 2" X 4 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441505</ndc>
    <ndc_label_name>Dermacea Stretch 3" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441506</ndc>
    <ndc_label_name>Dermacea Stretch 4" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080441507</ndc>
    <ndc_label_name>Dermacea Stretch 6" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080442212</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080442213</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080442214</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080442215</ndc>
    <ndc_label_name>Dermacea 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080442308</ndc>
    <ndc_label_name>Dermacea 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080443400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080443500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080443600</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080443700</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080451900</ndc>
    <ndc_label_name>Webril II 6" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080457200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080457300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080457400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080457500</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080458800</ndc>
    <ndc_label_name>Kerlix 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080476154</ndc>
    <ndc_label_name>Aquaflo 4.75 " bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080478910</ndc>
    <ndc_label_name>Argyle Tracheostomy Care Tray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080490000</ndc>
    <ndc_label_name>Argyle Tracheostom Tube Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080493500</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080500555</ndc>
    <ndc_label_name>Monoject Regular Luer 35 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080500777</ndc>
    <ndc_label_name>Monoject Regular Luer 35 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080500888</ndc>
    <ndc_label_name>Monoject 35cc Syringe Cath Tip 35 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080501459</ndc>
    <ndc_label_name>Monoject Pharmacy Tray Regular Tip 1 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080502700</ndc>
    <ndc_label_name>Kenline Add-A-Foley Tray 30cc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080502900</ndc>
    <ndc_label_name>Add-A-Foley Cath-Pre-Fill Syrn tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080503300</ndc>
    <ndc_label_name>Webcol topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080504200</ndc>
    <ndc_label_name>Kerlix 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080507200</ndc>
    <ndc_label_name>Kerlix 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080511000</ndc>
    <ndc_label_name>Webcol topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080536000</ndc>
    <ndc_label_name>Kerlix Packing Sponge 4 1/2" X 22"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080541400</ndc>
    <ndc_label_name>Curity Cotton Tip Applicator</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080555230</ndc>
    <ndc_label_name>Kendall Foam Border 1 3/4" X 3 1/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080555440</ndc>
    <ndc_label_name>Copa Hydrophilic Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080560805</ndc>
    <ndc_label_name>Argyle Trocar 8 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080561019</ndc>
    <ndc_label_name>Argyle Trocar 10 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080561027</ndc>
    <ndc_label_name>Argyle Trocar 12 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080561035</ndc>
    <ndc_label_name>Argyle Trocar 16 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080561043</ndc>
    <ndc_label_name>Argyle Trocar 20 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080561050</ndc>
    <ndc_label_name>Argyle Trocar 24 Fr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080575000</ndc>
    <ndc_label_name>Curity Alcohol Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600310</ndc>
    <ndc_label_name>Wings Choice Plus Youth Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600320</ndc>
    <ndc_label_name>Wings Choice Plus Adult Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600330</ndc>
    <ndc_label_name>Wings Choice Plus Adult Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600340</ndc>
    <ndc_label_name>Wings Choice Plus Adult Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600350</ndc>
    <ndc_label_name>Wings Choice Plus Adult Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600430</ndc>
    <ndc_label_name>Wings Choice Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600440</ndc>
    <ndc_label_name>Wings Choice Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600555</ndc>
    <ndc_label_name>Monoject Syringe 6 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080600777</ndc>
    <ndc_label_name>Monoject Syringe 6 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080601400</ndc>
    <ndc_label_name>Foley Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080601700</ndc>
    <ndc_label_name>Telfa 2" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080602100</ndc>
    <ndc_label_name>Curity Gauze 4" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080602200</ndc>
    <ndc_label_name>Curity Disp Lap Sponge Tray 18" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080603101</ndc>
    <ndc_label_name>Dover Foley Catheter 10 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080603400</ndc>
    <ndc_label_name>Curity Disp Lap Sponge Tray 12" X 12"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080603500</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080604500</ndc>
    <ndc_label_name>Curity Disp Lap Sponge Tray 18" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080605600</ndc>
    <ndc_label_name>Curity Disp Lap Sponge Tray 36" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080607000</ndc>
    <ndc_label_name>Curity Strmlin Cath - Mono-Flo 14 Fr tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080608000</ndc>
    <ndc_label_name>Foley Catheter Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080611100</ndc>
    <ndc_label_name>Curity Non-Adherent Strip 1/2" X 144" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080611200</ndc>
    <ndc_label_name>Curity Non-Adhering Dressing 3" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080611300</ndc>
    <ndc_label_name>Curity Non-Adherent Strip 3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080612000</ndc>
    <ndc_label_name>Kerlix 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080612100</ndc>
    <ndc_label_name>Curity Non-Adherent Strip 9" X 16" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080612200</ndc>
    <ndc_label_name>Curity Ready-Cut Gauze 12" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080613200</ndc>
    <ndc_label_name>Curity Gauze 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080614000</ndc>
    <ndc_label_name>Foley Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080615300</ndc>
    <ndc_label_name>Curity Premium Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080615400</ndc>
    <ndc_label_name>Curity Premium Catheter Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080615500</ndc>
    <ndc_label_name>Curity Premium Catheter Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080615600</ndc>
    <ndc_label_name>Curity Premium Catheter Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080617500</ndc>
    <ndc_label_name>Add-A-Foley Cath-Mono-Flo Drng tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080620112</ndc>
    <ndc_label_name>Monoject Syringe 6 mL 20 x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080620600</ndc>
    <ndc_label_name>Curity Drainage Bag 2,000 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080620800</ndc>
    <ndc_label_name>Curity Bedside-Mono-Flo Drange tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080620900</ndc>
    <ndc_label_name>Mono-Flo Drainage Bag 2,000 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080621000</ndc>
    <ndc_label_name>Foley Catheter Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080621100</ndc>
    <ndc_label_name>Monoject Syringe 6 mL 21 x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080621112</ndc>
    <ndc_label_name>Monoject Syringe 6 mL 21 x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080622112</ndc>
    <ndc_label_name>Monoject Syringe 6 mL 22 x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080624100</ndc>
    <ndc_label_name>Dermacea I.V. 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080624300</ndc>
    <ndc_label_name>Tenderol kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080625100</ndc>
    <ndc_label_name>Curity Ureteral Drain Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080625500</ndc>
    <ndc_label_name>Foley Catheter Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080626100</ndc>
    <ndc_label_name>Curity Bedside Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080628600</ndc>
    <ndc_label_name>Curity Triangular Bandage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080630000</ndc>
    <ndc_label_name>Curity Bedside Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080630103</ndc>
    <ndc_label_name>Simplicity Adult Poly Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080630900</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080631000</ndc>
    <ndc_label_name>Curity Bedside Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080631800</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080635000</ndc>
    <ndc_label_name>Handicare Garment Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080647400</ndc>
    <ndc_label_name>Curity Dressing 4 1/2" X 3600"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080660085</ndc>
    <ndc_label_name>Dover Red Rubber Robinson Cath 8 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080660101</ndc>
    <ndc_label_name>Dover Catheter 10 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080664000</ndc>
    <ndc_label_name>Kendall 2" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080664100</ndc>
    <ndc_label_name>Polyskin II 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080664200</ndc>
    <ndc_label_name>Polyskin II 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080664600</ndc>
    <ndc_label_name>Curity Dressing 9" X 100 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080666000</ndc>
    <ndc_label_name>Kerlix AMD 0.2 %-6" X 6.75" sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080666200</ndc>
    <ndc_label_name>Kerlix AMD 0.2 %-6" X 6.75" sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080666500</ndc>
    <ndc_label_name>Kerlix AMD 0.2 %-6" X 6.75" sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080670000</ndc>
    <ndc_label_name>Dover Bulb Syringe 60 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080670930</ndc>
    <ndc_label_name>Wings XXL Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080671500</ndc>
    <ndc_label_name>Kerlix 4 1/2" X 147" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080672000</ndc>
    <ndc_label_name>Kerlix 2 1/4" X 3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080673000</ndc>
    <ndc_label_name>Kerlix 4 1/2" X 147" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080673500</ndc>
    <ndc_label_name>Kerlix 3.4" X 3.6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080676000</ndc>
    <ndc_label_name>Kerlix Burn Pack 4 1/2" X 148" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08080681800</ndc>
    <ndc_label_name>Webcol topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080682010</ndc>
    <ndc_label_name>Monoject Safety Syringe Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080689167</ndc>
    <ndc_label_name>Dover Latex Foley Catheter 16 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080693900</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080702520</ndc>
    <ndc_label_name>Kangaroo Gravity Set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080707100</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708300</ndc>
    <ndc_label_name>Excilon 4" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708400</ndc>
    <ndc_label_name>Excilon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708401</ndc>
    <ndc_label_name>Excilon AMD (with polyhexamethylene) 0.2 %-4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708500</ndc>
    <ndc_label_name>Excilon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708600</ndc>
    <ndc_label_name>Excilon Drain 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708700</ndc>
    <ndc_label_name>Excilon I.V. 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080708800</ndc>
    <ndc_label_name>Excilon AMD (with polyhexamethylene) 0.2 %-4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080710000</ndc>
    <ndc_label_name>Add-A-Foley Cath-Pre-Fill Syrn tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080710500</ndc>
    <ndc_label_name>Tendersorb Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080711006</ndc>
    <ndc_label_name>Kangaroo Feeding Tube 10 Fr-43"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080712080</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080712100</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720270</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720300</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720350</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720400</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720450</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720500</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080720900</ndc>
    <ndc_label_name>Diapers-Disp-Polyethylene Back</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724080</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724100</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724120</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724150</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724170</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724200</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724230</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724250</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724270</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724300</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724350</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724450</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080724500</ndc>
    <ndc_label_name>Nutriport Balloon kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080726700</ndc>
    <ndc_label_name>Curity Gauze 3" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080731000</ndc>
    <ndc_label_name>Kerlix sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080733200</ndc>
    <ndc_label_name>Dover Urinary Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080733900</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080740200</ndc>
    <ndc_label_name>Curity Skin Scrub tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080740500</ndc>
    <ndc_label_name>Curity Skin Scrub tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080748000</ndc>
    <ndc_label_name>T.E.D. ANTI-EMBOL STOCKING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080753901</ndc>
    <ndc_label_name>Telfa 2" X 3 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080754000</ndc>
    <ndc_label_name>Telfa Island Dressing 4" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080754100</ndc>
    <ndc_label_name>Telfa Island Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080754200</ndc>
    <ndc_label_name>Telfa Island Dressing 4" X 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080759400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080760000</ndc>
    <ndc_label_name>Kenguard Foley Catheter tray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080760100</ndc>
    <ndc_label_name>Dover Universal tray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080760400</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080760500</ndc>
    <ndc_label_name>Curity Gauze 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080763100</ndc>
    <ndc_label_name>Curity Plain Packing Strip 1/4" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080763200</ndc>
    <ndc_label_name>Curity Plain Packing Strip 1/2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080763300</ndc>
    <ndc_label_name>Curity Plain Packing Strip 1" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080763400</ndc>
    <ndc_label_name>Curity Plain Packing Strip 2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080764300</ndc>
    <ndc_label_name>Telfa 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080766200</ndc>
    <ndc_label_name>Telfa (with polyhexamethylene) 0.2 %-3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080766300</ndc>
    <ndc_label_name>Telfa (with polyhexamethylene) 0.2 %-3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080766500</ndc>
    <ndc_label_name>Telfa AMD 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080773656</ndc>
    <ndc_label_name>Kangaroo Epump Set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080773662</ndc>
    <ndc_label_name>Kangaroo Epump Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080775759</ndc>
    <ndc_label_name>Kangaroo 924 Safety Screw</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080780200</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783100</ndc>
    <ndc_label_name>Curity Iodoform Packing Strip 1/4" X 5 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783110</ndc>
    <ndc_label_name>Curity AMD 1/4 " X 36 " bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783200</ndc>
    <ndc_label_name>Curity Iodoform Packing Strip 1/2" X 5 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783210</ndc>
    <ndc_label_name>Curity AMD (with polyhexamethylene) 0.2 %-1/2" X 3 feet topical strips</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783300</ndc>
    <ndc_label_name>Curity Iodoform Packing Strip 1" X 5 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783310</ndc>
    <ndc_label_name>Curity AMD 1" X 5 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080783400</ndc>
    <ndc_label_name>Curity Iodoform Packing Strip 2" X 5 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080796000</ndc>
    <ndc_label_name>Curity Gauze Burn Dressing 18" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080800000</ndc>
    <ndc_label_name>Curity Urine Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080803300</ndc>
    <ndc_label_name>TENDERWRAP Unna Boot 3" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804200</ndc>
    <ndc_label_name>Versalon 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804201</ndc>
    <ndc_label_name>Curity AMD (with polyhexamethylene) 0.2 %-2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804300</ndc>
    <ndc_label_name>Versalon 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804400</ndc>
    <ndc_label_name>Versalon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804500</ndc>
    <ndc_label_name>Versalon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804600</ndc>
    <ndc_label_name>Versalon 3" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804700</ndc>
    <ndc_label_name>Versalon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080804701</ndc>
    <ndc_label_name>Curity AMD (with polyhexamethylene) 0.2 %-4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080810055</ndc>
    <ndc_label_name>Monoject Insulin Syringe 1 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080812200</ndc>
    <ndc_label_name>Curity 8000 Urine Mtr Fly Tray 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080812701</ndc>
    <ndc_label_name>Monoject Insulin Syringe 1 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080812801</ndc>
    <ndc_label_name>Monoject Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080818100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080818112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080818113</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080819010</ndc>
    <ndc_label_name>Curity Abdominal Pad 5" X 9" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080819100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 19 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080819112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 19 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080819210</ndc>
    <ndc_label_name>Curity Abdominal Pad 7 1/2" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080820100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080820112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080821100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080821112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080822100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 22 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080822112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 22 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080822300</ndc>
    <ndc_label_name>Curity 8000 Urine Mtr Fly Tray 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080823100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080825058</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 25 gauge x 5/8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080825100</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080825112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 25 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080826112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 26 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080827012</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 27 gauge x 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080827112</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 27 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080830340</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 30 gauge x 3/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080832400</ndc>
    <ndc_label_name>Curity 8000 Urine Mtr Fly Tray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080841200</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080841400</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080841600</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080841800</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 18 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080842000</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 20 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080842200</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 22 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080842400</ndc>
    <ndc_label_name>Curity Ultramer Urethral Catheter 24 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080850600</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080850700</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080851201</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080852211</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080852801</ndc>
    <ndc_label_name>Monoject Syringe 1/2 mL 28 gauge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080853400</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080853601</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080853700</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080860200</ndc>
    <ndc_label_name>Rcra Hazardous Waste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080890000</ndc>
    <ndc_label_name>Kendall Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080893000</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080894400</ndc>
    <ndc_label_name>Dover Coated Latex Foley combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080896710</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080899004</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080899100</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080899804</ndc>
    <ndc_label_name>SharpSafety Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080902200</ndc>
    <ndc_label_name>Versalon Nonwoven All-Purpose 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080902300</ndc>
    <ndc_label_name>Versalon Nonwoven All-Purpose 3" X 3" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080902400</ndc>
    <ndc_label_name>Versalon Nonwoven All-Purpose 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080902600</ndc>
    <ndc_label_name>Versalon Nonwoven All-Purpose 3" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080913200</ndc>
    <ndc_label_name>Versalon 2" X 2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080913400</ndc>
    <ndc_label_name>Versalon 4" X 4" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080919410</ndc>
    <ndc_label_name>Tendersorb 8" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080923100</ndc>
    <ndc_label_name>Kendall 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080923200</ndc>
    <ndc_label_name>Kendall 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080923300</ndc>
    <ndc_label_name>Kendall 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080923600</ndc>
    <ndc_label_name>Kendall 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080925100</ndc>
    <ndc_label_name>Kendall topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080925200</ndc>
    <ndc_label_name>Curafil Gel Wound topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080931024</ndc>
    <ndc_label_name>Handicare Garment Liner Large pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080941110</ndc>
    <ndc_label_name>Kendall Cloth 1" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080941210</ndc>
    <ndc_label_name>Kendall Cloth 2" X 360" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080948000</ndc>
    <ndc_label_name>Maxicare Underpads 30" X 30"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080949000</ndc>
    <ndc_label_name>Durasorb Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080958010</ndc>
    <ndc_label_name>Maxicare Underpads 30" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080959000</ndc>
    <ndc_label_name>Sta-Put Underpad 28" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080965200</ndc>
    <ndc_label_name>Handicare Garment Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080982010</ndc>
    <ndc_label_name>Wings Maxima Underpads 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080989000</ndc>
    <ndc_label_name>Curi-Strip Wound Closures 1/8" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080989100</ndc>
    <ndc_label_name>Curi-Strip Wound Closures 1/4" X 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080989200</ndc>
    <ndc_label_name>Curi-Strip Wound Closures 1/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080989300</ndc>
    <ndc_label_name>Curi-Strip Wound Closures 1/4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08080989400</ndc>
    <ndc_label_name>Curi-Strip Wound Closures 1/2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08130071206</ndc>
    <ndc_label_name>Ferretts Carbonyl Iron 18 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137001137</ndc>
    <ndc_label_name>Aveeno Intense Relief topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137003314</ndc>
    <ndc_label_name>Johnson's Baby Oil topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08137003405</ndc>
    <ndc_label_name>Persa-Gel 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137003600</ndc>
    <ndc_label_name>Aveeno Daily Moisturizing 1.25 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137003640</ndc>
    <ndc_label_name>Aveeno Soothing Bath packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08137003658</ndc>
    <ndc_label_name>Aveeno Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137003662</ndc>
    <ndc_label_name>Aveeno Baby Eczema Therapy 43 % bath packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137003844</ndc>
    <ndc_label_name>Aveeno Daily Moisturizing 1.25 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004267</ndc>
    <ndc_label_name>Aveeno 1.3 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004424</ndc>
    <ndc_label_name>Band-Aid Tough Strips 1 3/4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004430</ndc>
    <ndc_label_name>Band-Aid Flexible Assorted bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004431</ndc>
    <ndc_label_name>Band-Aid Flexible Fabric 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004444</ndc>
    <ndc_label_name>Band-Aid Flexible 1" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004452</ndc>
    <ndc_label_name>Band-Aid Handyman bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004666</ndc>
    <ndc_label_name>Band-Aid Sheer Strips 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137004708</ndc>
    <ndc_label_name>Band-Aid Clear Spots bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137005570</ndc>
    <ndc_label_name>Band-Aid Plus Antibiotic 500 unit-10,000 unit/gram bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137005616</ndc>
    <ndc_label_name>Band-Aid Plastic bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137005635</ndc>
    <ndc_label_name>Band-Aid Plastic 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137005685</ndc>
    <ndc_label_name>Band-Aid Flexible Fabric bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137101842</ndc>
    <ndc_label_name>Aveeno Moisturizing 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137101845</ndc>
    <ndc_label_name>Aveeno Baby 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137115105</ndc>
    <ndc_label_name>Aveeno Moisturizing 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116123</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116124</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116125</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116126</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116127</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116128</ndc>
    <ndc_label_name>Band-Aid Gauze Pads 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116137</ndc>
    <ndc_label_name>Band-Aid Rolled Gauze 2" X 2.5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116138</ndc>
    <ndc_label_name>Band-Aid Rolled Gauze 3" X 2.5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116139</ndc>
    <ndc_label_name>Band-Aid Rolled Gauze 4" X 2.5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116140</ndc>
    <ndc_label_name>Band-Aid Rolled Gauze 3" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116141</ndc>
    <ndc_label_name>Band-Aid Rolled Gauze 4" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116142</ndc>
    <ndc_label_name>Band-Aid Non-Stick Pads 2" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116143</ndc>
    <ndc_label_name>Band-Aid Non-Stick Pads 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116146</ndc>
    <ndc_label_name>Band-Aid Hurt-Free 2" X 2.3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Band-Aid Paper Tape 1" X 10 yard</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Band-Aid Plastic bandage</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08137116934</ndc>
    <ndc_label_name>Aveeno Eczema Night Itch Relief 1 % topical cream</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08179002810</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08187570041</ndc>
    <ndc_label_name>RESURGEX SELECT 15 gram-350 kcal/83.6 gram oral packet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08187570042</ndc>
    <ndc_label_name>RESURGEX SELECT 15 gram-350 kcal/83.6 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08187570043</ndc>
    <ndc_label_name>RESURGEX SELECT 15 gram-350 kcal/83.6 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08193072101</ndc>
    <ndc_label_name>PTS Panels Multi-Chemistry Controls solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08193270001</ndc>
    <ndc_label_name>CardioChek Plus Analyzer misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08193271301</ndc>
    <ndc_label_name>PTS Panels eGLU Test Strip</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>08193286501</ndc>
    <ndc_label_name>PTS Collect Capillary Tube</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08193286601</ndc>
    <ndc_label_name>PTS Collect Capillary Tube</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>A1CNow Self Check device</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08212427181</ndc>
    <ndc_label_name>Ilex Skin Protectant topical paste</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>08213000009</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213000011</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213000013</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213000016</ndc>
    <ndc_label_name>OASIS Ultra Fenestrated 3 cm X 3.5 cm topical sheets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213000018</ndc>
    <ndc_label_name>OASIS Ultra Fenestrated 3 cm X 7 cm topical sheets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213100033</ndc>
    <ndc_label_name>OASIS Wound Matrix Fenestrated 3 cm X 3.5 cm sheets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08213100037</ndc>
    <ndc_label_name>OASIS Wound Matrix Fenestrated 3 cm X 7 cm sheets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ultra Thin Lancets 28 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214025727</ndc>
    <ndc_label_name>inControl Ultra Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ultra Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Advanced Lancing Device kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>QC AUTOLET LANCING DEVICE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>On-The-Go Lancets 30 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214029735</ndc>
    <ndc_label_name>PEN NEEDLES 12MM 29G</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Unifine Pentips 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214030724</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214030727</ndc>
    <ndc_label_name>inControl Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214030735</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214030739</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214030748</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214035721</ndc>
    <ndc_label_name>Careone Ultra Thin Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214040727</ndc>
    <ndc_label_name>inControl Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214040748</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214043517</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214043520</ndc>
    <ndc_label_name>Alternate Site Lancet 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214046520</ndc>
    <ndc_label_name>Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214046533</ndc>
    <ndc_label_name>Unilet Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214050727</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214050739</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214053080</ndc>
    <ndc_label_name>KRO PEN NEEDLE 8MM X 31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214054080</ndc>
    <ndc_label_name>KRO PEN NEEDLE 4MM X 32G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214055027</ndc>
    <ndc_label_name>inControl Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214055080</ndc>
    <ndc_label_name>KRO PEN NEEDLE 5MM X 31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214056080</ndc>
    <ndc_label_name>KRO PEN NEEDLE 4MM X 33G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214056529</ndc>
    <ndc_label_name>LANCETS 28G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214056533</ndc>
    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214056761</ndc>
    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214057517</ndc>
    <ndc_label_name>Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214057761</ndc>
    <ndc_label_name>Unilet Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214058517</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214058529</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214058539</ndc>
    <ndc_label_name>Unilet Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214058733</ndc>
    <ndc_label_name>Unilet Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214059080</ndc>
    <ndc_label_name>KRO PEN NEEDLE 6MM X 31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214065727</ndc>
    <ndc_label_name>inControl Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214065735</ndc>
    <ndc_label_name>Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214065739</ndc>
    <ndc_label_name>Unilet Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214065748</ndc>
    <ndc_label_name>Unilet Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070721</ndc>
    <ndc_label_name>Careone Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070727</ndc>
    <ndc_label_name>inControl Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070729</ndc>
    <ndc_label_name>Advanced Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070734</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070748</ndc>
    <ndc_label_name>Autolet Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214070757</ndc>
    <ndc_label_name>Autolet Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214082921</ndc>
    <ndc_label_name>Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214083021</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214083027</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214083054</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214083062</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214084021</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214084027</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214084054</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214084062</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214084739</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214085021</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214085029</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214085054</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214085062</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08214085727</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214086021</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214086027</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214086039</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214089021</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214089027</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214089054</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214090724</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08214090727</ndc>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>08222710093</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222710130</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222710147</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222719372</ndc>
    <ndc_label_name>inControl Pen Needle 32 gauge x 5/32"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720055</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720078</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720085</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720092</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720130</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222720147</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910004</ndc>
    <ndc_label_name>UltiCare 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910011</ndc>
    <ndc_label_name>UltiCare 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910028</ndc>
    <ndc_label_name>UltiCare 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910035</ndc>
    <ndc_label_name>UltiCare 0.3 mL 30 gauge x 1/2" syringe</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910042</ndc>
    <ndc_label_name>UltiCare 0.5 mL 30 gauge x 1/2" syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910059</ndc>
    <ndc_label_name>UltiCare 1 mL 30 gauge x 1/2" syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910066</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910073</ndc>
    <ndc_label_name>UltiCare Insulin Syringe (half unit) 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910080</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1/2 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910097</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910103</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910110</ndc>
    <ndc_label_name>UltiCare Insulin Syringe (half unit) 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910127</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1/2 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08222910134</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126003</ndc>
    <ndc_label_name>COMFORT POINT PEN NDL 29GX1/2"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126004</ndc>
    <ndc_label_name>COMFORT POINT PEN NDL 31GX1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126005</ndc>
    <ndc_label_name>COMFORT POINT PEN NDL 31GX1/3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126006</ndc>
    <ndc_label_name>COMFORT POINT PEN NDL 31GX1/6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126014</ndc>
    <ndc_label_name>EXEL U100 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126015</ndc>
    <ndc_label_name>Exel Insulin 0.5 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126016</ndc>
    <ndc_label_name>Exel Insulin 1 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126018</ndc>
    <ndc_label_name>Exel Insulin 0.3 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126040</ndc>
    <ndc_label_name>Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EXEL TB WITH NEEDLE 26GX3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126044</ndc>
    <ndc_label_name>Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126048</ndc>
    <ndc_label_name>Tuberculin Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allergy Syringe 1 mL 27 gauge x 3/8"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <otc>True</otc>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Exel Syringe 3 mL 27 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126402</ndc>
    <ndc_label_name>Exel Hypodermic Needles 26 gauge x 1/2"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08287126403</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>08290301036</ndc>
    <ndc_label_name>BD Syringe Slip Tip Non-Sterile 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290301037</ndc>
    <ndc_label_name>BD Syringe Catheter Tip Non-Sterile 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290301604</ndc>
    <ndc_label_name>BD Slip Tip Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290301625</ndc>
    <ndc_label_name>B-D Slip Tip Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290301629</ndc>
    <ndc_label_name>BD PrecisionGlide 27 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290302830</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290302831</ndc>
    <ndc_label_name>B-D Slip Tip Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290302832</ndc>
    <ndc_label_name>Luer-Lok Tip 30 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290302995</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303005</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 18 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303006</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 19 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303007</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 20 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303008</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 21 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303010</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 25 gauge x 5/8" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303011</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 23 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303012</ndc>
    <ndc_label_name>BD PrecisionGlide Non-Sterile 25 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303134</ndc>
    <ndc_label_name>BD Slip Tip Syringe 10 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303302</ndc>
    <ndc_label_name>BD PrecisionGlide 27 gauge x 3/8" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303304</ndc>
    <ndc_label_name>Eclipse Needle 23 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303306</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 3 mL 23 gauge x 1 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303327</ndc>
    <ndc_label_name>BD Safetyglide Tuberculin 1 mL 27 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303344</ndc>
    <ndc_label_name>BD Tuberculin Slip-Tip 1 mL 27 gauge x 3/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303345</ndc>
    <ndc_label_name>BD Blunt Plastic Cannula misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303346</ndc>
    <ndc_label_name>BD Blunt Plastic Cannula 17 x 3 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303347</ndc>
    <ndc_label_name>BD Interlink Blunt Plastic Cannula 17 x 5 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303348</ndc>
    <ndc_label_name>BD Interlink Syringe 17 x 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303366</ndc>
    <ndc_label_name>InterLink Syringe Cannula</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303370</ndc>
    <ndc_label_name>InterLink Lever Lock Cannula</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303393</ndc>
    <ndc_label_name>BD Syringe with Dual Cannula 10 mL 20  gauge and 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290303405</ndc>
    <ndc_label_name>InterLink Syringe and Cannula 15 x 10 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290304387</ndc>
    <ndc_label_name>BD SafetyGlide Needle 23 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305106</ndc>
    <ndc_label_name>BD Specialty Use Needles 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305109</ndc>
    <ndc_label_name>BD Regular Bevel Needles 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305110</ndc>
    <ndc_label_name>BD Intradermal Bevel Needles 26 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305111</ndc>
    <ndc_label_name>BD Regular Bevel Needles 26 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305115</ndc>
    <ndc_label_name>Hypodermic Needles 26 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305120</ndc>
    <ndc_label_name>BD Specialty Use Needles 23 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305122</ndc>
    <ndc_label_name>BD Regular Bevel Needles 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305124</ndc>
    <ndc_label_name>BD Specialty Use Needles 25 gauge x 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305125</ndc>
    <ndc_label_name>BD PrecisionGlide 25 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305127</ndc>
    <ndc_label_name>BD Regular Bevel Needles 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305128</ndc>
    <ndc_label_name>BD Specialty Use Needles 30 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305129</ndc>
    <ndc_label_name>BD Specialty Use Needles 21 gauge x 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305136</ndc>
    <ndc_label_name>BD Specialty Use Needles 27 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305143</ndc>
    <ndc_label_name>BD Regular Bevel Needles 23 gauge x 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305145</ndc>
    <ndc_label_name>Hypodermic Needles 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305165</ndc>
    <ndc_label_name>BD Regular Bevel Needles 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305166</ndc>
    <ndc_label_name>Yale Disposable Needles 21 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305167</ndc>
    <ndc_label_name>BD Regular Bevel Needles 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305175</ndc>
    <ndc_label_name>BD Regular Bevel Needles 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305176</ndc>
    <ndc_label_name>BD Regular Bevel Needles 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305177</ndc>
    <ndc_label_name>Hypodermic Needles 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305178</ndc>
    <ndc_label_name>BD Short Bevel Needles 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305179</ndc>
    <ndc_label_name>BD Short Bevel Needles 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305180</ndc>
    <ndc_label_name>BD BLUNT NEEDLE 18GX1-1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305185</ndc>
    <ndc_label_name>Hypodermic Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305186</ndc>
    <ndc_label_name>BD Regular Bevel Needles 19 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305187</ndc>
    <ndc_label_name>BD Regular Bevel Needles 19 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305188</ndc>
    <ndc_label_name>BD Short Bevel Thin Wall 19 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305189</ndc>
    <ndc_label_name>BD Short Bevel Thin Wall 19 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305190</ndc>
    <ndc_label_name>Hypodermic Needles 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305193</ndc>
    <ndc_label_name>Hypodermic Needles 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305194</ndc>
    <ndc_label_name>Hypodermic Needles 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305195</ndc>
    <ndc_label_name>BD Regular Bevel Needles 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305196</ndc>
    <ndc_label_name>BD Regular Bevel Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305197</ndc>
    <ndc_label_name>BD Specialty Use Needles 16 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305198</ndc>
    <ndc_label_name>BD Specialty Use Needles 16 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305199</ndc>
    <ndc_label_name>BD Short Bevel Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305200</ndc>
    <ndc_label_name>BD Filter Needle-5 Micron 19 x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305201</ndc>
    <ndc_label_name>BD Filter Needle 5-Mircon Nokor Point 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305207</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 1 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305208</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305209</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305210</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305211</ndc>
    <ndc_label_name>BD FILTER NEEDLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305213</ndc>
    <ndc_label_name>Nokor Needle 16 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305214</ndc>
    <ndc_label_name>Nokor Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305215</ndc>
    <ndc_label_name>BD Nokor Admix Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305217</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 1 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305218</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305219</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305220</ndc>
    <ndc_label_name>BD ORAL SYRINGE-TIP CAP 3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305225</ndc>
    <ndc_label_name>Syringe Tip Connector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305269</ndc>
    <ndc_label_name>BD Integra Syringe 3 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305270</ndc>
    <ndc_label_name>BD Integra Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305271</ndc>
    <ndc_label_name>BD Integra Syringe 3 mL 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305273</ndc>
    <ndc_label_name>Integra Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305274</ndc>
    <ndc_label_name>BD Integra Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305310</ndc>
    <ndc_label_name>Integra PrecisionGlide Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305312</ndc>
    <ndc_label_name>BD Integra Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305426</ndc>
    <ndc_label_name>BD Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305482</ndc>
    <ndc_label_name>BD Eccentric Tip Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305487</ndc>
    <ndc_label_name>BD Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305488</ndc>
    <ndc_label_name>Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305489</ndc>
    <ndc_label_name>Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305490</ndc>
    <ndc_label_name>BD Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305500</ndc>
    <ndc_label_name>BD ALLERGY SYRINGE-NEEDLE 1 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305535</ndc>
    <ndc_label_name>BD Allergist Tray Reg Bevel 1/2 mL 27 x 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305536</ndc>
    <ndc_label_name>Allergist Tray 1/2 mL 27 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305538</ndc>
    <ndc_label_name>Allergist Tray Intradermal Bevel 1 mL 26 gauge x 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305539</ndc>
    <ndc_label_name>Allergist Tray Intradermal Bevel 1 mL 26 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305540</ndc>
    <ndc_label_name>BD Allergist Tray Reg Bevel 1 mL 27 x 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305541</ndc>
    <ndc_label_name>Allergist Tray Intradermal Bevel 1 mL 27 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305542</ndc>
    <ndc_label_name>Allergist Tray Regular Bevel 1 mL 27 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305577</ndc>
    <ndc_label_name>BD Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305615</ndc>
    <ndc_label_name>Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305617</ndc>
    <ndc_label_name>BD Luer-Lok Bulk Syringe 20 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305618</ndc>
    <ndc_label_name>BD SYRINGE 30 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305620</ndc>
    <ndc_label_name>BD Tuberculin Syringe 1/2 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305635</ndc>
    <ndc_label_name>BD Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305712</ndc>
    <ndc_label_name>BD Eclipse 18 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305757</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 30 x 1/2" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305759</ndc>
    <ndc_label_name>Eclipse Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305761</ndc>
    <ndc_label_name>BD Eclipse 25 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305762</ndc>
    <ndc_label_name>Eclipse Needle 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305764</ndc>
    <ndc_label_name>BD Eclipse 21 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305765</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 21 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305766</ndc>
    <ndc_label_name>BD ECLIPSE NEEDLE 18GX1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305767</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 25 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305778</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 1 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305779</ndc>
    <ndc_label_name>Eclipse Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305780</ndc>
    <ndc_label_name>Eclipse Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305781</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 3 mL 25 x 5/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305782</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 3 mL 23 x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305787</ndc>
    <ndc_label_name>Eclipse Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305789</ndc>
    <ndc_label_name>BD Eclipse Luer-Lok 1 mL 27 x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305819</ndc>
    <ndc_label_name>BD Syringe Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305826</ndc>
    <ndc_label_name>Eclipse Needle 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305829</ndc>
    <ndc_label_name>Eclipse Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305837</ndc>
    <ndc_label_name>BD Eclipse 25 gauge x 1" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305838</ndc>
    <ndc_label_name>BD Eclipse 25 gauge x 1 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305901</ndc>
    <ndc_label_name>BD SafetyGlide Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305902</ndc>
    <ndc_label_name>BD SafetyGlide Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305903</ndc>
    <ndc_label_name>BD SafetyGlide Shielding Regular Bevel 1 mL 25 gauge x 5/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305904</ndc>
    <ndc_label_name>BD SafetyGlide Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305905</ndc>
    <ndc_label_name>BD SafetyGlide Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305909</ndc>
    <ndc_label_name>BD SafetyGlide Shielding Regular Bevel syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305915</ndc>
    <ndc_label_name>BD SafetyGlide Needle 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305916</ndc>
    <ndc_label_name>BD SafetyGlide Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305917</ndc>
    <ndc_label_name>BD SafetyGlide Needle 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305918</ndc>
    <ndc_label_name>BD SafetyGlide Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305921</ndc>
    <ndc_label_name>BD SafetyGlide Needle 27 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305924</ndc>
    <ndc_label_name>BD SafetyGlide Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305927</ndc>
    <ndc_label_name>BD SafetyGlide Syringe 1 mL 27 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305930</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305932</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305934</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305935</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290305937</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305945</ndc>
    <ndc_label_name>BD SafetyGlide Tuberculin Regular Bevel 1 mL 27 x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305946</ndc>
    <ndc_label_name>BD SAFETYGLIDE TUBERCULIN SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305950</ndc>
    <ndc_label_name>BD SafetyGlide Allergist Tray 1 mL 27 x 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290305951</ndc>
    <ndc_label_name>BD SafetyGlide Allergist Tray 1 mL 26 gauge x 3/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306413</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 10 unit/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306414</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 10 unit/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306423</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 100 unit/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306424</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 100 unit/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306499</ndc>
    <ndc_label_name>BD PosiFlush Normal Saline 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306544</ndc>
    <ndc_label_name>BD PosiFlush Normal Saline 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306545</ndc>
    <ndc_label_name>BD PosiFlush Normal Saline 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306546</ndc>
    <ndc_label_name>BD PosiFlush Normal Saline 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306547</ndc>
    <ndc_label_name>Normal Saline Flush 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306550</ndc>
    <ndc_label_name>Normal Saline Flush 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306551</ndc>
    <ndc_label_name>Normal Saline Flush 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290306553</ndc>
    <ndc_label_name>Normal Saline Flush 0.9 % injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290308341</ndc>
    <ndc_label_name>Syringe Luer Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309570</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309571</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309575</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309577</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309578</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309579</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309580</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 18 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309581</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309582</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 25 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309587</ndc>
    <ndc_label_name>BD 3 ML SYRINGE WITH NEEDLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309588</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309589</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309597</ndc>
    <ndc_label_name>BD Slip Tip Syringe 1 mL 26 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309598</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309599</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309604</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309605</ndc>
    <ndc_label_name>BD Syringe Luer-Lok Sterile 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309620</ndc>
    <ndc_label_name>BD Syringe Catheter Tip 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309623</ndc>
    <ndc_label_name>BD Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309624</ndc>
    <ndc_label_name>BD Tuberculin Syringe 1 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309625</ndc>
    <ndc_label_name>BD Tuberculin Syringe 1 mL 26 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309626</ndc>
    <ndc_label_name>BD Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309628</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309632</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 5 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309633</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 5 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309634</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 5 mL 20 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309635</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 5 mL 20 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309637</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 1 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309642</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309643</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL 21 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309644</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL 20 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309645</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 10 mL 20 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309646</ndc>
    <ndc_label_name>BD LUER-LOK 5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309647</ndc>
    <ndc_label_name>BD SLIP TIP 5 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309653</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309654</ndc>
    <ndc_label_name>BD Slip Tip Syringe 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309656</ndc>
    <ndc_label_name>BD Slip Tip Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309657</ndc>
    <ndc_label_name>BD SYRINGE 3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309659</ndc>
    <ndc_label_name>BD Tuberculin Slip-Tip 1 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309680</ndc>
    <ndc_label_name>BD Syringe Luer-Lok Sterile 50 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309695</ndc>
    <ndc_label_name>BD Luer-Lok Tip Control Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309701</ndc>
    <ndc_label_name>BD Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309702</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290309703</ndc>
    <ndc_label_name>BD Luer-Lok Syringe 5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320109</ndc>
    <ndc_label_name>BD UF SHORT PEN NEEDLE 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320119</ndc>
    <ndc_label_name>BD UF MINI PEN NEEDLE 5MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320122</ndc>
    <ndc_label_name>BD UF NANO PEN NEEDLE 4MMX32G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320550</ndc>
    <ndc_label_name>BD NANO 2 GEN PEN NDL 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320574</ndc>
    <ndc_label_name>BD NANO 2 GEN PEN NDL 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320749</ndc>
    <ndc_label_name>BD UF MICRO PEN NEEDLE 6MMX32G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320880</ndc>
    <ndc_label_name>BD UF ORIG PEN NDL 12.7MMX29G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320881</ndc>
    <ndc_label_name>BD UF SHORT PEN NEEDLE 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320882</ndc>
    <ndc_label_name>BD UF MINI PEN NEEDLE 5MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290320883</ndc>
    <ndc_label_name>BD UF NANO PEN NEEDLE 4MMX32G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290323487</ndc>
    <ndc_label_name>Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324906</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.3 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324907</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.5 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324908</ndc>
    <ndc_label_name>BD VEO INS SYRING 1 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324909</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.3 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324910</ndc>
    <ndc_label_name>BD VEO INS 0.3ML 6MMX31G (1/2)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324911</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.5 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290324912</ndc>
    <ndc_label_name>BD VEO INS SYRING 1 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290326730</ndc>
    <ndc_label_name>BD INS SYR U-500 1/2ML 6MMX31G</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290326895</ndc>
    <ndc_label_name>BD SINGLE USE SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328203</ndc>
    <ndc_label_name>BD UF ORIG PEN NDL 12.7MMX29G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328278</ndc>
    <ndc_label_name>BD INS SYRN UF 1 ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328279</ndc>
    <ndc_label_name>BD INS SYR UF 0.5ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328280</ndc>
    <ndc_label_name>BD INS SYR UF 0.3ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328289</ndc>
    <ndc_label_name>BD INSULIN SYR UF 1 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328290</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.5 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328291</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.3 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328411</ndc>
    <ndc_label_name>BD INS SYRN UF 1 ML 30G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328418</ndc>
    <ndc_label_name>BD INSULIN SYR UF 1 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328431</ndc>
    <ndc_label_name>BD INS SYR UF 0.3ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328438</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.3 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328440</ndc>
    <ndc_label_name>BD INS SYR 0.3 ML 8MMX31G(1/2)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328446</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328447</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328449</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328466</ndc>
    <ndc_label_name>BD INS SYR UF 0.5ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290328468</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.5 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290329410</ndc>
    <ndc_label_name>BD INSULIN SYR 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290329412</ndc>
    <ndc_label_name>BD INSULIN SYR 1 ML 27GX5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290329420</ndc>
    <ndc_label_name>BD INSULIN SYR 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290329424</ndc>
    <ndc_label_name>BD INSULIN SYR 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290329461</ndc>
    <ndc_label_name>BD INSULIN SYR 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290329465</ndc>
    <ndc_label_name>BD INSULIN SYR 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290329515</ndc>
    <ndc_label_name>BD AUTOSHIELD DUO NDL 5MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290364880</ndc>
    <ndc_label_name>BD Vacutainer Collection Set for blood</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290364902</ndc>
    <ndc_label_name>BD Luer-Lok Collection Set for blood</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290366592</ndc>
    <ndc_label_name>BD Microtainer Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290366593</ndc>
    <ndc_label_name>BD Microtainer Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290366594</ndc>
    <ndc_label_name>BD Microtainer Lancet 1.5 mm X 2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367283</ndc>
    <ndc_label_name>BD Safety-Lok Collection Set, Blood, 23 gauge x 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367292</ndc>
    <ndc_label_name>BD Safety-Lok Collection Set, Blood, 23 gauge x 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367294</ndc>
    <ndc_label_name>BD Safety-Lok Collection Set 25 gauge x 3/4" for blood</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367297</ndc>
    <ndc_label_name>BD Safety-Lok Collection Set, Blood, 23 gauge x 3/4"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367341</ndc>
    <ndc_label_name>Vacutainer Collection Set 25 gauge x 3/4" for blood</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290367342</ndc>
    <ndc_label_name>BD Vacutainer Collection Set for blood</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290372453</ndc>
    <ndc_label_name>E-Z Scrub Preoperative 0.5 % sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381412</ndc>
    <ndc_label_name>BD Insyte Autoguard 24 gauge x 3/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381423</ndc>
    <ndc_label_name>BD Insyte Autoguard 22 gauge x 1" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381433</ndc>
    <ndc_label_name>BD Insyte Autoguard 20 gauge x 1" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381434</ndc>
    <ndc_label_name>Insyte IV Catheter 20 x 1.16" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381444</ndc>
    <ndc_label_name>BD Insyte Autoguard 18 x 1.16" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381467</ndc>
    <ndc_label_name>Insyte IV Catheter 14 x 1.75" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381512</ndc>
    <ndc_label_name>BD Insyte Autoguard 24 gauge x 3/4" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381523</ndc>
    <ndc_label_name>BD Insyte Autoguard 22 gauge x 1" infusion set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381533</ndc>
    <ndc_label_name>BD Insyte Autoguard 20 gauge x 1" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290381700</ndc>
    <ndc_label_name>BD Angiocath IV Catheter 24 gauge x 3/4" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383313</ndc>
    <ndc_label_name>BD Saf-T-Intima 24 gauge x 3/4" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383322</ndc>
    <ndc_label_name>BD Saf-T-Intima 22 gauge x 3/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383323</ndc>
    <ndc_label_name>BD Saf-T-Intima 22 gauge x 3/4" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383336</ndc>
    <ndc_label_name>BD Saf-T-Intima 20 gauge x 1" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383346</ndc>
    <ndc_label_name>BD Saf-T-Intima 18 gauge x 1" infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383510</ndc>
    <ndc_label_name>Nexiva 24 x 0.56" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383511</ndc>
    <ndc_label_name>Nexiva 24 gauge x 3/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383512</ndc>
    <ndc_label_name>Nexiva 22 gauge x 1" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383516</ndc>
    <ndc_label_name>Nexiva 20 gauge x 1" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383517</ndc>
    <ndc_label_name>Nexiva 20 X 1 1/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383518</ndc>
    <ndc_label_name>Nexiva 20 X 1 3/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383519</ndc>
    <ndc_label_name>Nexiva 18 X 1 1/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383520</ndc>
    <ndc_label_name>Nexiva 18 X 1 3/4" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290383532</ndc>
    <ndc_label_name>Nexiva 22 gauge x 1" infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290384010</ndc>
    <ndc_label_name>Introsyte Autoguard 20 gauge x 3 Fr infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290384011</ndc>
    <ndc_label_name>Introsyte Autoguard 18 gauge x 4 Fr infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290384012</ndc>
    <ndc_label_name>Introsyte Autoguard 16 gauge x 5 Fr infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290385100</ndc>
    <ndc_label_name>BD Q-Syte split-septum device infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290385102</ndc>
    <ndc_label_name>BD Q-Syte Extension Set, 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290385108</ndc>
    <ndc_label_name>BD Q-Syte MDV Adapter infusion set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290405071</ndc>
    <ndc_label_name>BD Quincke Spinal Needle 20 gauge x 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08290405160</ndc>
    <ndc_label_name>BD Quincke Spinal Needle 20 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290490901</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.3 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290491001</ndc>
    <ndc_label_name>BD VEO INS 0.3ML 6MMX31G (1/2)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290491101</ndc>
    <ndc_label_name>BD VEO INS SYRN 0.5 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290491201</ndc>
    <ndc_label_name>BD VEO INS SYRING 1 ML 6MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290593001</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290593201</ndc>
    <ndc_label_name>BD SafetyGlide Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290841101</ndc>
    <ndc_label_name>BD INS SYRN UF 1 ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290841103</ndc>
    <ndc_label_name>BD INS SYRN UF 1 ML 30G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290841801</ndc>
    <ndc_label_name>BD INSULIN SYR UF 1 ML 8MMX31G</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290843101</ndc>
    <ndc_label_name>BD INS SYR UF 0.3ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290843801</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.3 ML 8MMX31G</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290844001</ndc>
    <ndc_label_name>BD INS SYR 0.3 ML 8MMX31G(1/2)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290846601</ndc>
    <ndc_label_name>BD INS SYR UF 0.5ML 12.7MMX30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08290846801</ndc>
    <ndc_label_name>BD INS SYRNG UF 0.5 ML 8MMX31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317232129</ndc>
    <ndc_label_name>TechLITE Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317234132</ndc>
    <ndc_label_name>TechLITE Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317234232</ndc>
    <ndc_label_name>Techlite Plus Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317235131</ndc>
    <ndc_label_name>TechLITE Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317236132</ndc>
    <ndc_label_name>TechLITE Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317238131</ndc>
    <ndc_label_name>TechLITE Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260303</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260305</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260311</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260312</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260313</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260314</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260315</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317260316</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317278130</ndc>
    <ndc_label_name>Assure ID Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317410012</ndc>
    <ndc_label_name>Hypolance AST Lancing kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317500001</ndc>
    <ndc_label_name>Assure Platinum Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317500005</ndc>
    <ndc_label_name>Assure Dose Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317500006</ndc>
    <ndc_label_name>Assure Dose Normal-High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317500050</ndc>
    <ndc_label_name>Assure Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317500100</ndc>
    <ndc_label_name>Assure Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317502030</ndc>
    <ndc_label_name>Assure Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317530001</ndc>
    <ndc_label_name>Assure Prism Multi Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317530006</ndc>
    <ndc_label_name>Assure Prism Control 1-2 Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317530050</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317530101</ndc>
    <ndc_label_name>Assure Prism Multi Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317532050</ndc>
    <ndc_label_name>Assure Prism Multi Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317540001</ndc>
    <ndc_label_name>Glucocard Shine Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317540005</ndc>
    <ndc_label_name>Glucocard Shine solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317540050</ndc>
    <ndc_label_name>Glucocard Shine Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317541100</ndc>
    <ndc_label_name>Glucocard Shine Meter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317542110</ndc>
    <ndc_label_name>Glucocard Shine XL Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317543110</ndc>
    <ndc_label_name>Glucocard Shine Connex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317544110</ndc>
    <ndc_label_name>Glucocard Shine Express Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317560006</ndc>
    <ndc_label_name>Assure 4 Control Solution combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317560050</ndc>
    <ndc_label_name>Assure 4 Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317560100</ndc>
    <ndc_label_name>Assure 4 Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317570001</ndc>
    <ndc_label_name>Glucocard Expression</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317570005</ndc>
    <ndc_label_name>Glucocard Expression solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317570015</ndc>
    <ndc_label_name>Lanzo Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317570050</ndc>
    <ndc_label_name>Glucocard Expression strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317571100</ndc>
    <ndc_label_name>Glucocard Expression kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317572050</ndc>
    <ndc_label_name>Glucocard Expression strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317600001</ndc>
    <ndc_label_name>Assure Titanium Glucose System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317600050</ndc>
    <ndc_label_name>Assure Titanium Test Strip</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317600100</ndc>
    <ndc_label_name>Assure Titanium Test Strip</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317660016</ndc>
    <ndc_label_name>Multi-Lancet Device 2 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317700025</ndc>
    <ndc_label_name>ReliOn Prime Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317700050</ndc>
    <ndc_label_name>ReliOn Prime Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317700100</ndc>
    <ndc_label_name>ReliOn Prime Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317701102</ndc>
    <ndc_label_name>ReliOn Prime Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317701103</ndc>
    <ndc_label_name>ReliOn Prime Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317710050</ndc>
    <ndc_label_name>Micro Blood Glucose strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317712001</ndc>
    <ndc_label_name>ReliOn Micro Glucose Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317712002</ndc>
    <ndc_label_name>Relion Confirm kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317712003</ndc>
    <ndc_label_name>Relion Confirm kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317712020</ndc>
    <ndc_label_name>Relion Confirm-Micro strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317712100</ndc>
    <ndc_label_name>Relion Confirm-Micro strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317720005</ndc>
    <ndc_label_name>Glucocard 01 Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317720050</ndc>
    <ndc_label_name>Glucocard 01 Sensor Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317740001</ndc>
    <ndc_label_name>Glucocard 01 Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317740006</ndc>
    <ndc_label_name>Glucocard 01 High-Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317740050</ndc>
    <ndc_label_name>Glucocard 01 Sensor Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317741100</ndc>
    <ndc_label_name>Glucocard 01 Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317760001</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317760002</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317760003</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317760050</ndc>
    <ndc_label_name>Glucocard Vital Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317761101</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317761102</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317761103</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317762050</ndc>
    <ndc_label_name>Glucocard Vital Sensor strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317780001</ndc>
    <ndc_label_name>Premier Voice Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317780025</ndc>
    <ndc_label_name>Premier Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317780050</ndc>
    <ndc_label_name>Premier Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317780100</ndc>
    <ndc_label_name>Premier Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317782001</ndc>
    <ndc_label_name>Premier BLU Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317783110</ndc>
    <ndc_label_name>Premier Compact Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08317784001</ndc>
    <ndc_label_name>Premier Classic Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317880126</ndc>
    <ndc_label_name>TechLITE Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317880128</ndc>
    <ndc_label_name>TechLITE Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317880130</ndc>
    <ndc_label_name>TechLITE Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980121</ndc>
    <ndc_label_name>Assure Lance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980125</ndc>
    <ndc_label_name>Assure Lance 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980128</ndc>
    <ndc_label_name>Assure Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980225</ndc>
    <ndc_label_name>Assure Lance 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980228</ndc>
    <ndc_label_name>Assure Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317980328</ndc>
    <ndc_label_name>Assure Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317990125</ndc>
    <ndc_label_name>Assure Lance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08317990130</ndc>
    <ndc_label_name>Assure Lance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326231001</ndc>
    <ndc_label_name>Ultilet Safety Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326261001</ndc>
    <ndc_label_name>Ultilet Classic Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326280001</ndc>
    <ndc_label_name>Ultilet Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326280002</ndc>
    <ndc_label_name>Ultilet Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326281001</ndc>
    <ndc_label_name>Ultilet Classic Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326281002</ndc>
    <ndc_label_name>Ultilet Classic Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326284001</ndc>
    <ndc_label_name>Ultilet Classic Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326284101</ndc>
    <ndc_label_name>Ultilet Classic Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290110</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 1 mL 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290130</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.3 mL 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290150</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 1/2 mL 29</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290310</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290330</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326290350</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326300001</ndc>
    <ndc_label_name>Ultilet Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300210</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300230</ndc>
    <ndc_label_name>INSULIN SYRINGE 0.3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300310</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300330</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300350</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326300810</ndc>
    <ndc_label_name>Ultilet Pen Needle 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326301001</ndc>
    <ndc_label_name>Ultilet Classic Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326302001</ndc>
    <ndc_label_name>Ultilet Basic Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326304001</ndc>
    <ndc_label_name>Ultilet Classic Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326304101</ndc>
    <ndc_label_name>Ultilet Classic Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326310310</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326310330</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326310350</ndc>
    <ndc_label_name>Ultilet Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08326320904</ndc>
    <ndc_label_name>Ultilet Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326330001</ndc>
    <ndc_label_name>Ultilet Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326331001</ndc>
    <ndc_label_name>Ultilet Classic Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08326412801</ndc>
    <ndc_label_name>Ultilet Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327000103</ndc>
    <ndc_label_name>Skintegrity Hydrogel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327000309</ndc>
    <ndc_label_name>Skintegrity Wound Cleanser topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327000409</ndc>
    <ndc_label_name>Skintegrity Wound Cleanser topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327002646</ndc>
    <ndc_label_name>Suresite Matrix 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327003082</ndc>
    <ndc_label_name>TenderWet Active Dressing 4" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327003095</ndc>
    <ndc_label_name>TenderWet Active Cavity Dress 3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327003182</ndc>
    <ndc_label_name>TenderWet Active Cavity Dress 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327006029</ndc>
    <ndc_label_name>EvenCare G2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327006109</ndc>
    <ndc_label_name>EvenCare G2 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08327006729</ndc>
    <ndc_label_name>Safety Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08327006829</ndc>
    <ndc_label_name>Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08327006929</ndc>
    <ndc_label_name>Pressure Activated Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08327007029</ndc>
    <ndc_label_name>Pressure Activated Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327009129</ndc>
    <ndc_label_name>EvenCare Mini Glucose Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327009209</ndc>
    <ndc_label_name>EvenCare Mini Monitor System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031037</ndc>
    <ndc_label_name>SilvaSorb Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031089</ndc>
    <ndc_label_name>SilvaSorb Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031094</ndc>
    <ndc_label_name>SilvaSorb Dressing 4 1/4" X 4 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031098</ndc>
    <ndc_label_name>SilvaSorb Dressing 4" X 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031194</ndc>
    <ndc_label_name>SilvaSorb Dressing 4 1/4" X 4 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327031276</ndc>
    <ndc_label_name>SilvaSorb Cavity 6 gram bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327032209</ndc>
    <ndc_label_name>Maxorb Extra Ag 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327032227</ndc>
    <ndc_label_name>Maxorb Extra Ag 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327038527</ndc>
    <ndc_label_name>Exuderm OdorShield 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327038626</ndc>
    <ndc_label_name>Exuderm OdorShield 6" X 6 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327038727</ndc>
    <ndc_label_name>Exuderm OdorShield 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327038826</ndc>
    <ndc_label_name>Exuderm OdorShield 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327038926</ndc>
    <ndc_label_name>Exuderm OdorShield 8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327039027</ndc>
    <ndc_label_name>Exuderm OdorShield 4" X 3.6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327048733</ndc>
    <ndc_label_name>Skintegrity Hydrogel Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327048789</ndc>
    <ndc_label_name>Skintegrity Hydrogel Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327050609</ndc>
    <ndc_label_name>Medfix EZ Dressing 2" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327050709</ndc>
    <ndc_label_name>Stratasorb Composite Wound 4" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327050809</ndc>
    <ndc_label_name>Stratasorb Composite Wound 4" X 14" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051009</ndc>
    <ndc_label_name>Bordered Gauze 4" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051040</ndc>
    <ndc_label_name>Bordered Gauze 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051042</ndc>
    <ndc_label_name>Bordered Gauze 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051089</ndc>
    <ndc_label_name>Bordered Gauze 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051109</ndc>
    <ndc_label_name>Bordered Gauze 4" X 14" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051340</ndc>
    <ndc_label_name>Exuderm Satin Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051342</ndc>
    <ndc_label_name>Exuderm Satin Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051343</ndc>
    <ndc_label_name>Exuderm Satin Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051409</ndc>
    <ndc_label_name>Medfix EZ Dressing 4" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051455</ndc>
    <ndc_label_name>Bordered Gauze 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051509</ndc>
    <ndc_label_name>Medfix EZ Dressing 6" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051709</ndc>
    <ndc_label_name>Medfix EZ Dressing 2" X 72" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051809</ndc>
    <ndc_label_name>Medfix EZ Dressing 4" X 2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327051909</ndc>
    <ndc_label_name>Medfix EZ Dressing 6" X 2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327052409</ndc>
    <ndc_label_name>EvenCare G3 Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327052509</ndc>
    <ndc_label_name>EvenCare G3 Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327052609</ndc>
    <ndc_label_name>EvenCare G3 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060209</ndc>
    <ndc_label_name>Medigrip bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060309</ndc>
    <ndc_label_name>Medigrip Elasticated Support bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060409</ndc>
    <ndc_label_name>Medigrip Elasticated Support bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060509</ndc>
    <ndc_label_name>Medigrip Elasticated Support bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060609</ndc>
    <ndc_label_name>Medigrip Elasticated Support bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060709</ndc>
    <ndc_label_name>Medigrip Elasticated Support bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327060809</ndc>
    <ndc_label_name>Medigrip Tubular bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327080879</ndc>
    <ndc_label_name>Carrasyn Hydrogel Wound Dressing topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327080979</ndc>
    <ndc_label_name>Radiagel topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08327081306</ndc>
    <ndc_label_name>Carraklenz Dermal Wound Cleanser topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152500</ndc>
    <ndc_label_name>Blenderm Surgical 1/2" X 5 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152501</ndc>
    <ndc_label_name>Blenderm Surgical 1" X 5 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152502</ndc>
    <ndc_label_name>Blenderm Surgical 2" X 5 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152700</ndc>
    <ndc_label_name>Transpore Surgical 1/2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152701</ndc>
    <ndc_label_name>Transpore Surgical 1" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152702</ndc>
    <ndc_label_name>Transpore Surgical 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152703</ndc>
    <ndc_label_name>Transpore Surgical 3" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152711</ndc>
    <ndc_label_name>Transpore Surgical 1" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152712</ndc>
    <ndc_label_name>Transpore Surgical 2" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152801</ndc>
    <ndc_label_name>Microfoam Surgical 1" X 5 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152802</ndc>
    <ndc_label_name>Microfoam Surgical 2" X 5 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152803</ndc>
    <ndc_label_name>Microfoam Surgical 3" X 5 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333152804</ndc>
    <ndc_label_name>Microfoam Surgical 4" X 5 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153000</ndc>
    <ndc_label_name>Micropore Surgical 1/2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153001</ndc>
    <ndc_label_name>Micropore Surgical 1" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153002</ndc>
    <ndc_label_name>Micropore Surgical 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153003</ndc>
    <ndc_label_name>Micropore Surgical 3" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153011</ndc>
    <ndc_label_name>Micropore Surgical 1" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153012</ndc>
    <ndc_label_name>Micropore Surgical 2" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153300</ndc>
    <ndc_label_name>Micropore Surgical 1/2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153301</ndc>
    <ndc_label_name>Micropore Surgical 1" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153302</ndc>
    <ndc_label_name>Micropore Surgical 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153500</ndc>
    <ndc_label_name>Micropore Surgical 1/2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153501</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153502</ndc>
    <ndc_label_name>Micropore Surgical 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153503</ndc>
    <ndc_label_name>Micropore Surgical 3" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153801</ndc>
    <ndc_label_name>Durapore Surgical 1" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153802</ndc>
    <ndc_label_name>Durapore Surgical 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153803</ndc>
    <ndc_label_name>Durapore Surgical 3" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153811</ndc>
    <ndc_label_name>Durapore Surgical 1" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333153812</ndc>
    <ndc_label_name>Durapore Surgical 2" X 1 1/2 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154001</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154101</ndc>
    <ndc_label_name>Steri-Strip Skin Closures 1/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154201</ndc>
    <ndc_label_name>Steri-Strip Skin Closures 1/4" X 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154601</ndc>
    <ndc_label_name>Steri-Strip Skin Closures 1/4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154701</ndc>
    <ndc_label_name>Steri-Strip Skin Closures 1/2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154801</ndc>
    <ndc_label_name>Steri-Strip Skin Closures 1" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333154901</ndc>
    <ndc_label_name>Steri-Strip 1/2" X 2" topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333156001</ndc>
    <ndc_label_name>Reston Medium Support Pad 7 7/8" X 11 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333156101</ndc>
    <ndc_label_name>Reston High Support Pad 7 7/8" X 11 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333156201</ndc>
    <ndc_label_name>Microfoam Surgical 4" X 7" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333156301</ndc>
    <ndc_label_name>Reston Light Support Roll 4" X 196" pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158101</ndc>
    <ndc_label_name>Coban Self-Adherent Wrap 1" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158201</ndc>
    <ndc_label_name>Coban Self-Adherent Wrap 2" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158301</ndc>
    <ndc_label_name>Coban Self-Adherent Wrap 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158310</ndc>
    <ndc_label_name>Coban Sterile Self-Adherent Wrap 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158401</ndc>
    <ndc_label_name>Coban Self-Adherent Wrap 4" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158430</ndc>
    <ndc_label_name>Coban 4" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158601</ndc>
    <ndc_label_name>Coban Self-Adherent Wrap 6" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333158610</ndc>
    <ndc_label_name>Coban Sterile Self-Adherent Wrap 6" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162001</ndc>
    <ndc_label_name>Tegaderm First Aid Style 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162101</ndc>
    <ndc_label_name>Tegaderm First Aid Style 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162205</ndc>
    <ndc_label_name>Tegaderm Frame Style 1 3/4" X 1 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162405</ndc>
    <ndc_label_name>Tegaderm Frame Style 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162601</ndc>
    <ndc_label_name>Tegaderm Frame Style 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162701</ndc>
    <ndc_label_name>Tegaderm Frame Style 4" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162801</ndc>
    <ndc_label_name>Tegaderm Frame Style 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333162901</ndc>
    <ndc_label_name>Tegaderm Frame Style 8" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333163401</ndc>
    <ndc_label_name>Tegaderm Transparent Dressing 2 3/8" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333163501</ndc>
    <ndc_label_name>Tegaderm I.V. 3.5" X 4.25" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333168301</ndc>
    <ndc_label_name>Tegaderm I.V. 2.5" X 2.75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333168801</ndc>
    <ndc_label_name>Tegaderm 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333286301</ndc>
    <ndc_label_name>Medipore H 3" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333286401</ndc>
    <ndc_label_name>Medipore H 4" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333295401</ndc>
    <ndc_label_name>Medipore Dress-It Cover 3 7/8" X 4 5/8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333295501</ndc>
    <ndc_label_name>Medipore Dress-It Cover 3 7/8" X 7 7/8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333295601</ndc>
    <ndc_label_name>Medipore Dress-It Cover 5 7/8" X 5 7/8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333295701</ndc>
    <ndc_label_name>Medipore Dress-It Cover 3 7/8" X 4 5/8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333295801</ndc>
    <ndc_label_name>Medipore Dress-It Cover 7 7/8" X 11" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333296201</ndc>
    <ndc_label_name>Medipore 2" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333296401</ndc>
    <ndc_label_name>Medipore Soft Cloth Tape 4" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333334301</ndc>
    <ndc_label_name>No Sting Barrier Film topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333334401</ndc>
    <ndc_label_name>No Sting Barrier Film Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333334501</ndc>
    <ndc_label_name>No Sting Barrier Film topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333334601</ndc>
    <ndc_label_name>No Sting Barrier Film topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333356201</ndc>
    <ndc_label_name>Soft Cloth 2" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333356401</ndc>
    <ndc_label_name>Soft Cloth 2.375" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333356601</ndc>
    <ndc_label_name>Soft Cloth 3 1/2" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333356901</ndc>
    <ndc_label_name>Medipore Plus Pad 3 1/2" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333357001</ndc>
    <ndc_label_name>Soft Cloth 3 1/2" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333357101</ndc>
    <ndc_label_name>Soft Cloth 3 1/2" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333357301</ndc>
    <ndc_label_name>Soft Cloth 3 1/2" X 13 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358201</ndc>
    <ndc_label_name>Tegaderm 2" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358401</ndc>
    <ndc_label_name>Tegaderm 2.375" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358601</ndc>
    <ndc_label_name>Tegaderm 3 1/2" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358701</ndc>
    <ndc_label_name>Tegaderm 3 1/2" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358801</ndc>
    <ndc_label_name>Tegaderm plus Pad 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333358901</ndc>
    <ndc_label_name>Tegaderm 3 1/2" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333359001</ndc>
    <ndc_label_name>Tegaderm 3.5" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333359101</ndc>
    <ndc_label_name>Tegaderm 3.5" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333359301</ndc>
    <ndc_label_name>Tegaderm 3.5" X 13.75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333851201</ndc>
    <ndc_label_name>Steri-Strip Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333851401</ndc>
    <ndc_label_name>Steri-Strip Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333851601</ndc>
    <ndc_label_name>Steri-Strip Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900010</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900020</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900030</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 5 1/8" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900040</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 6 3/4" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900050</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900070</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid 6 3/4 " X 6 3/8 " bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900210</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid Thin 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900220</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid Thin 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900230</ndc>
    <ndc_label_name>Tegaderm Hydrocolloid Thin 5 1/8" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333900240</ndc>
    <ndc_label_name>Tegasorb Thin Dressing 6 3/4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333901120</ndc>
    <ndc_label_name>Tegagen HI 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333901200</ndc>
    <ndc_label_name>Tegagen HI 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333902120</ndc>
    <ndc_label_name>Tegagen HG 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333902200</ndc>
    <ndc_label_name>Tegagen HG 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333905020</ndc>
    <ndc_label_name>Tegaderm AG Mesh 4" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333906010</ndc>
    <ndc_label_name>Tegaderm Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333908010</ndc>
    <ndc_label_name>Tegaderm Absorbent 4 3/8" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333908030</ndc>
    <ndc_label_name>Tegaderm Absorbent 5.6" X 6.25" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333911110</ndc>
    <ndc_label_name>Tegaderm Hydrogel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333950505</ndc>
    <ndc_label_name>Tegaderm Frame Style 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333950605</ndc>
    <ndc_label_name>Tegaderm Frame Style 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333953401</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333953601</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333954301</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 4 1/2" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333954501</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 2 1/8" X 2 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333954601</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 4" X 4 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08333954801</ndc>
    <ndc_label_name>Tegaderm HP Frame Style 5 1/2" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08337000158</ndc>
    <ndc_label_name>InteliSwab COVID-19 Rapid Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08348000101</ndc>
    <ndc_label_name>PrimeAire spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08348129700</ndc>
    <ndc_label_name>Quake Vibratory PEP device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08348130301</ndc>
    <ndc_label_name>LiteAire MDI Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373000800</ndc>
    <ndc_label_name>Sidestream misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373006300</ndc>
    <ndc_label_name>InnoSpire Deluxe device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373013400</ndc>
    <ndc_label_name>InnoSpire Elegance device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373025531</ndc>
    <ndc_label_name>Sidestream Adult Face Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373031200</ndc>
    <ndc_label_name>InnoSpire Essence device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373041534</ndc>
    <ndc_label_name>Micro Elite Replacement Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373053000</ndc>
    <ndc_label_name>Home Nebulizer Plus Sidestream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373053100</ndc>
    <ndc_label_name>Home Nebulizer Plus Sidestream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373055300</ndc>
    <ndc_label_name>PFLEX Inspiratory Trainer device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373072500</ndc>
    <ndc_label_name>Asthmapack Children's kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373073000</ndc>
    <ndc_label_name>Threshold IMT Trainer device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373073500</ndc>
    <ndc_label_name>Threshold PEP Device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373074000</ndc>
    <ndc_label_name>Asthma Check Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373075500</ndc>
    <ndc_label_name>Personal Best Full Range device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373075600</ndc>
    <ndc_label_name>Personal Best Low Range device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08373081111</ndc>
    <ndc_label_name>Pediatric Small Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08373081211</ndc>
    <ndc_label_name>Pediatric Medium Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373081311</ndc>
    <ndc_label_name>Optichamber Adult Mask-Large</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373086000</ndc>
    <ndc_label_name>Sidestream misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373087000</ndc>
    <ndc_label_name>Sidestream Plus misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373092904</ndc>
    <ndc_label_name>Inspiration Elite Filter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373208800</ndc>
    <ndc_label_name>Innospire Replacement Filter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373228600</ndc>
    <ndc_label_name>Sidestream Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373229900</ndc>
    <ndc_label_name>Sidestream Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373245600</ndc>
    <ndc_label_name>Sami The Seal device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373252100</ndc>
    <ndc_label_name>Sidestream Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373271400</ndc>
    <ndc_label_name>LiteTouch-Small Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373271500</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373271600</ndc>
    <ndc_label_name>LiteTouch-Large Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373312800</ndc>
    <ndc_label_name>Sami The Seal Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373346100</ndc>
    <ndc_label_name>Sami The Seal Mask</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373381800</ndc>
    <ndc_label_name>Willis The Whale Compressor Nebulizer System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373410000</ndc>
    <ndc_label_name>Aeroneb Go Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373420000</ndc>
    <ndc_label_name>Aeroneb Go Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373430000</ndc>
    <ndc_label_name>Aeroneb Go</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373438200</ndc>
    <ndc_label_name>Sidestream Pediatric Face Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373450000</ndc>
    <ndc_label_name>Aeroneb Go</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373552900</ndc>
    <ndc_label_name>Sidestream Pediatric Face Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373616000</ndc>
    <ndc_label_name>Sidestream Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373643500</ndc>
    <ndc_label_name>Mini Plus Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373659100</ndc>
    <ndc_label_name>Innospire Go Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373689800</ndc>
    <ndc_label_name>Mini Elite Filter Replacement</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373747800</ndc>
    <ndc_label_name>OptiChamber Diamond VHC spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373812500</ndc>
    <ndc_label_name>Sidestream misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373917700</ndc>
    <ndc_label_name>ProChamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373928900</ndc>
    <ndc_label_name>InnoSpire Mini device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373929000</ndc>
    <ndc_label_name>InnoSpire Mini device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373982300</ndc>
    <ndc_label_name>OptiChamber Diamond VHC with Small Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373982600</ndc>
    <ndc_label_name>OptiChamber Diamond VHC with Medium Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373982700</ndc>
    <ndc_label_name>OptiChamber Diamond VHC with Large Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373996600</ndc>
    <ndc_label_name>InnoSpire Essence device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08373996900</ndc>
    <ndc_label_name>InnoSpire Elegance device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001432</ndc>
    <ndc_label_name>Lo-Profile Urostomy Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001433</ndc>
    <ndc_label_name>Lo-Profile Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001434</ndc>
    <ndc_label_name>Lo-Profile Urostomy Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001438</ndc>
    <ndc_label_name>Lo-Profile Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001439</ndc>
    <ndc_label_name>Lo-Profile Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380001796</ndc>
    <ndc_label_name>Contour I Stoma Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003184</ndc>
    <ndc_label_name>Stoma Cap-Adhesive-Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003186</ndc>
    <ndc_label_name>Stoma Cap-Adhesive-Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003222</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003223</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003224</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003225</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003226</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003228</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003229</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003232</ndc>
    <ndc_label_name>Karaya 5 Drainable Mini-Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003233</ndc>
    <ndc_label_name>Karaya 5 Drainable Mini-Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003234</ndc>
    <ndc_label_name>Karaya 5 Drainable Mini-Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003238</ndc>
    <ndc_label_name>Karaya 5 Drainable Mini-Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003239</ndc>
    <ndc_label_name>Karaya 5 Drainable Mini-Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003273</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003274</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003275</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003276</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003278</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003279</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003323</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003324</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003325</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003326</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003328</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003329</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch with Paper Tape 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003603</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch with Cloth Tape 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003604</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch with Cloth Tape 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003605</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch with Cloth Tape 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003608</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch with Cloth Tape 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003609</ndc>
    <ndc_label_name>Karaya 5 Drainable Pouch with Cloth Tape 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003668</ndc>
    <ndc_label_name>Premium Drainable Pouch/Karaya 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003761</ndc>
    <ndc_label_name>Pouchkins Skin Barrier 1 3/4" package</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003774</ndc>
    <ndc_label_name>Pouchkins Ped Ostomy Belt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003777</ndc>
    <ndc_label_name>Pouchkins Ostomy System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003778</ndc>
    <ndc_label_name>Pouchkins Ostomy System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003795</ndc>
    <ndc_label_name>Pouchkins Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003796</ndc>
    <ndc_label_name>Pouchkins Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380003797</ndc>
    <ndc_label_name>Pouchkins Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007164</ndc>
    <ndc_label_name>Karaya 5 Closed Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007299</ndc>
    <ndc_label_name>Ostomy Belt Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007300</ndc>
    <ndc_label_name>Ostomy Belt Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007331</ndc>
    <ndc_label_name>Urostomy Drain Tube Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007700</ndc>
    <ndc_label_name>HolliHesive Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007715</ndc>
    <ndc_label_name>M9 Odor Eliminator liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007717</ndc>
    <ndc_label_name>M9 Odor Eliminator liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007721</ndc>
    <ndc_label_name>Cone-Tube Irrigation Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007723</ndc>
    <ndc_label_name>Stoma Cone-Connector Repl Unit misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007724</ndc>
    <ndc_label_name>Combination Cone/Tube Drain irrigation set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007728</ndc>
    <ndc_label_name>Combination Cone/Tube Drain irrigation set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007730</ndc>
    <ndc_label_name>Medical Adhesive spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007731</ndc>
    <ndc_label_name>ADHESIVE REMOVER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007732</ndc>
    <ndc_label_name>Eliminator Odor Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007733</ndc>
    <ndc_label_name>Eliminator Odor Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007734</ndc>
    <ndc_label_name>Eliminator Odor Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007735</ndc>
    <ndc_label_name>Eliminator Odor Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007736</ndc>
    <ndc_label_name>M9 Cleaner-Decrystallizer liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007740</ndc>
    <ndc_label_name>Stoma Lubricant topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007760</ndc>
    <ndc_label_name>Universal Remover Wipes packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007766</ndc>
    <ndc_label_name>Hollister Replacement Filters</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007767</ndc>
    <ndc_label_name>Loop Ostomy Bridge Sterile misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007800</ndc>
    <ndc_label_name>Premium Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007805</ndc>
    <ndc_label_name>Adapt Barrier Ring 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007806</ndc>
    <ndc_label_name>SoftFlex Skin Barrier Ring</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007905</ndc>
    <ndc_label_name>Karaya Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007906</ndc>
    <ndc_label_name>Adapt Stoma Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007910</ndc>
    <ndc_label_name>Karaya Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380007917</ndc>
    <ndc_label_name>Skin Gel Protect Dressing Wipe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008081</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008331</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008440</ndc>
    <ndc_label_name>Premier Urostomy Pouch 2 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008442</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008443</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008447</ndc>
    <ndc_label_name>Premier Urostomy Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008448</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008449</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008450</ndc>
    <ndc_label_name>Premier Urostomy Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008460</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008462</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008463</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008464</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008467</ndc>
    <ndc_label_name>Premier Urostomy Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008468</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008469</ndc>
    <ndc_label_name>Premier Urostomy Flextend Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008474</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008478</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008480</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008481</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008482</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008483</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008484</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008485</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008486</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008487</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008488</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008489</ndc>
    <ndc_label_name>Premier Urostomy Convex Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008491</ndc>
    <ndc_label_name>Premier Urostomy Pouch 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008492</ndc>
    <ndc_label_name>Premier Urostomy Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008493</ndc>
    <ndc_label_name>Premier Urostomy Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008494</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008504</ndc>
    <ndc_label_name>Premier Lock N Roll 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008508</ndc>
    <ndc_label_name>Premier Lock N Roll 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008510</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008511</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008512</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008513</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008514</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008515</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008524</ndc>
    <ndc_label_name>Premier Lock N Roll Convex 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008528</ndc>
    <ndc_label_name>Premier Lock N Roll Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008531</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008538</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008551</ndc>
    <ndc_label_name>Premier Lock N Roll Flextend 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008552</ndc>
    <ndc_label_name>Premier Lock N Roll 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008558</ndc>
    <ndc_label_name>Premier Lock N Roll 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008584</ndc>
    <ndc_label_name>Premier Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008590</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008591</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008592</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008593</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008594</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008595</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008610</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008611</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008612</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008613</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008614</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008615</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008616</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008617</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008618</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008619</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008624</ndc>
    <ndc_label_name>Premier Drainable Pouch Convex 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008628</ndc>
    <ndc_label_name>Premier Drainable Pouch Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008631</ndc>
    <ndc_label_name>Premier Drainable Flextend Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008632</ndc>
    <ndc_label_name>Premier Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008633</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008634</ndc>
    <ndc_label_name>Premier Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008635</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008637</ndc>
    <ndc_label_name>Premier Drainable Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008638</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008639</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008641</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 2 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008642</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008643</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008647</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008648</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008649</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008651</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008770</ndc>
    <ndc_label_name>Drainable Pouch Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008800</ndc>
    <ndc_label_name>Flextend Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008801</ndc>
    <ndc_label_name>Flextend Skin Barrier 8" X 8" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008901</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380008958</ndc>
    <ndc_label_name>Premier Lock N Roll Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009106</ndc>
    <ndc_label_name>EVERYDAY MALE CATHETER 22-25MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009208</ndc>
    <ndc_label_name>EXTENDED MALE CATHETER 31-35MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009342</ndc>
    <ndc_label_name>Leg Bag Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009343</ndc>
    <ndc_label_name>Leg Bag Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009345</ndc>
    <ndc_label_name>Extension Tubing w-Connector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009346</ndc>
    <ndc_label_name>Extension Tubing w-Connector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009348</ndc>
    <ndc_label_name>Urinary Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009349</ndc>
    <ndc_label_name>Urinary Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009645</ndc>
    <ndc_label_name>Vented Urinary Leg Bag combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009655</ndc>
    <ndc_label_name>Vented Urinary Leg Bag combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009701</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009702</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009703</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009772</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009773</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009775</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009776</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009778</ndc>
    <ndc_label_name>Wound Drainage Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009779</ndc>
    <ndc_label_name>Universal Catheter Access Port</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009780</ndc>
    <ndc_label_name>Drain-Tube Attachment Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009781</ndc>
    <ndc_label_name>Horizontal Drain-Tube Att Dev</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009782</ndc>
    <ndc_label_name>Vertical Drain-Tube Att Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009785</ndc>
    <ndc_label_name>Suction Tube Attachment Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009786</ndc>
    <ndc_label_name>Feeding Tube Attachment Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009788</ndc>
    <ndc_label_name>Replacement Neckband Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009805</ndc>
    <ndc_label_name>Urinary Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009811</ndc>
    <ndc_label_name>SoftFlex Male Urinary Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009814</ndc>
    <ndc_label_name>Urinary Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009821</ndc>
    <ndc_label_name>Drainable Fecal Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009822</ndc>
    <ndc_label_name>Drainable Fecal Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009823</ndc>
    <ndc_label_name>Drainable Fecal Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009839</ndc>
    <ndc_label_name>Bedside Drainage Collect System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009840</ndc>
    <ndc_label_name>Female Urinary Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009873</ndc>
    <ndc_label_name>Flextend Male Urinary Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380009880</ndc>
    <ndc_label_name>Fecal Collector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380011204</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380011403</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380011404</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380011406</ndc>
    <ndc_label_name>Apogee IC Intermittent Catheter 14 Fr-6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380013402</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380013905</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380013907</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014102</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014103</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014104</ndc>
    <ndc_label_name>New Image Skin Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014202</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014203</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014204</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014206</ndc>
    <ndc_label_name>New Image Skin Barrier 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014301</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014302</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014303</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014304</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014305</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014306</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014307</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014308</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014402</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014403</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014404</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014503</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014504</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014505</ndc>
    <ndc_label_name>New Image Flexwear Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014506</ndc>
    <ndc_label_name>New Image Flexwear Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014602</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014603</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014604</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014606</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014702</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014703</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014704</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014705</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014706</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014707</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014708</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014802</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014803</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014804</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014901</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014902</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014903</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014904</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014905</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014906</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014907</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014908</ndc>
    <ndc_label_name>New Image Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380014909</ndc>
    <ndc_label_name>New Image Skin Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015202</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015203</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015204</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015302</ndc>
    <ndc_label_name>New Image CeraPlus Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015402</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015403</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015404</ndc>
    <ndc_label_name>New Image Flexwear Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015503</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015504</ndc>
    <ndc_label_name>New Image Flexwear Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015505</ndc>
    <ndc_label_name>New Image Flexwear Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015506</ndc>
    <ndc_label_name>New Image Flexwear Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015602</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015603</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015604</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015802</ndc>
    <ndc_label_name>New Image Flextend Skin Barrier 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015803</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015804</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015903</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015904</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015905</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380015906</ndc>
    <ndc_label_name>New Image Flextend Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016101</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016102</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016103</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016104</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Flextend Barrier Flat 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016107</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016108</ndc>
    <ndc_label_name>New Image Flextend Barrier Flat 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016402</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016404</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016405</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016406</ndc>
    <ndc_label_name>New Image Flexwear Flat 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016407</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380016408</ndc>
    <ndc_label_name>New Image Flexwear Flat 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018003</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018004</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018006</ndc>
    <ndc_label_name>New Image Drainable Pouch 4"</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018012</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018013</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018014</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018016</ndc>
    <ndc_label_name>New Image Drainable Pouch 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018102</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018104</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018112</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018113</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018114</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018122</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018123</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018124</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018132</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018133</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018134</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018142</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018143</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018144</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018152</ndc>
    <ndc_label_name>New Image Irrigator Sleeve 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018154</ndc>
    <ndc_label_name>New Image Irrigator Sleeve 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018162</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018163</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018164</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018172</ndc>
    <ndc_label_name>New Image Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018173</ndc>
    <ndc_label_name>New Image Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018182</ndc>
    <ndc_label_name>New Image Lock'n Roll Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018183</ndc>
    <ndc_label_name>New Image Lock'n Roll Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018184</ndc>
    <ndc_label_name>New Image Lock'n Roll Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018192</ndc>
    <ndc_label_name>New Image Drainable Lock N Roll 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018193</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018202</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Drain Mini-Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018282</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018284</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018292</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Drainable Mini-Pouch 2 3/4" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018323</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Closed Mini-Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>New Image Closed Mini-Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018403</ndc>
    <ndc_label_name>New Image Urostomy Pouch 2 1/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018404</ndc>
    <ndc_label_name>New Image Urostomy Pouch 2 3/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018412</ndc>
    <ndc_label_name>New Image Urostomy Pouch 1 3 /4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018413</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018422</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018423</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018732</ndc>
    <ndc_label_name>New Image Closed Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018734</ndc>
    <ndc_label_name>New Image Closed Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018752</ndc>
    <ndc_label_name>New Image Closed Mini-Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380018753</ndc>
    <ndc_label_name>New Image Closed Mini-Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019002</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit, Sterile 1 3/4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019003</ndc>
    <ndc_label_name>New Image Drainable Kit 2 1/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019004</ndc>
    <ndc_label_name>New Image Drainable Kit 2 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019006</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019052</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit, Sterile 1 3/4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019053</ndc>
    <ndc_label_name>New Image Ostomy Kit 2 1/4 " (12 ")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019054</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 2 3 /4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019056</ndc>
    <ndc_label_name>New Image Ostomy Kit 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019102</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit, Non-Sterile 1 3/4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019103</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 2 1/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019104</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 2 1/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019106</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019152</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit, Sterile 1 3/4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019153</ndc>
    <ndc_label_name>New Image Ostomy Kit 2 1/4 " (12 ")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019154</ndc>
    <ndc_label_name>New Image Colostomy-Ileostomy Kit 2 3 /4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019156</ndc>
    <ndc_label_name>New Image Drainable Pouch 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019202</ndc>
    <ndc_label_name>New Image Urostomy Set 1 3/4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019203</ndc>
    <ndc_label_name>New Image Urostomy Set 2 1/4" (1 3/4")</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019204</ndc>
    <ndc_label_name>New Image Urostomy Set 2 3/4" (2 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019252</ndc>
    <ndc_label_name>New Image Urostomy Set, Sterile 1 3 /4" (1 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019253</ndc>
    <ndc_label_name>New Image Urostomy Set, Sterile 2 1/4 " (9 ")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380019254</ndc>
    <ndc_label_name>New Image Urostomy Set, Sterile 2 3/4" (2 1/4")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380078500</ndc>
    <ndc_label_name>Adapt Lubricating Deodorant liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380078501</ndc>
    <ndc_label_name>Adapt Lubricating Deodorant liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079300</ndc>
    <ndc_label_name>Adapt Ostomy Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079301</ndc>
    <ndc_label_name>Adapt Ostomy Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079400</ndc>
    <ndc_label_name>Adapt Barrier Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079520</ndc>
    <ndc_label_name>Adapt Convex Barrier Rings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079530</ndc>
    <ndc_label_name>Adapt Barrier Ring 1 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380079540</ndc>
    <ndc_label_name>Adapt Barrier Ring 1 9/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380080070</ndc>
    <ndc_label_name>Premier High Output Drainable 2 3/4 " (12") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380080110</ndc>
    <ndc_label_name>Premier Drainable Pouch 4 1/3" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082100</ndc>
    <ndc_label_name>Premier Closed Mini-Pouch 5/8"-2 1/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082125</ndc>
    <ndc_label_name>Premier Closed Mini-Pouch 1" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082130</ndc>
    <ndc_label_name>Premier Pre-Sized Mini-Pouch 1 3/16" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Premier Closed Mini-Pouch 1 3/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082300</ndc>
    <ndc_label_name>Premier Closed Pouch 5/8"-2 1/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082325</ndc>
    <ndc_label_name>Premier Closed Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Premier Closed Pouch 1 3 /16 " (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082335</ndc>
    <ndc_label_name>Premier Closed Pouch 1 3/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380082400</ndc>
    <ndc_label_name>Premier Closed Pouch 5/8"-2 1/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Premier Closed Mini-Pouch 5/8"-2 1/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380084711</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380085011</ndc>
    <ndc_label_name>Premier Lock N Roll 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Premier Lock N Roll Convex 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088300</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088325</ndc>
    <ndc_label_name>Premier Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088330</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088335</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088340</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 9/16" (11")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088400</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 2 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088401</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088425</ndc>
    <ndc_label_name>Premier Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088430</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088435</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088440</ndc>
    <ndc_label_name>Premier Drainable Pouch 1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088501</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088700</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 5/8"-2 1/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088725</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088730</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 3/16" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088735</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 3/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088740</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 1 9 /16 " (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380088800</ndc>
    <ndc_label_name>Premier Drainable Mini-Pouch 5/8"-2 1/8" (7")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380089001</ndc>
    <ndc_label_name>Premier Colostomy-Ileostomy 12" (2 1/2") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380089002</ndc>
    <ndc_label_name>Premier Colostomy-Ileostomy 12" (2 1/2") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380089003</ndc>
    <ndc_label_name>Premier Colostomy-Ileostomy 12" (2 1/2") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380089004</ndc>
    <ndc_label_name>Premier Colostomy-Ileostomy 12" (2 1/2") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380089005</ndc>
    <ndc_label_name>Premier Urostomy 9" (2 1/2") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094064</ndc>
    <ndc_label_name>Advance Plus Intermittent 6 Fr combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094084</ndc>
    <ndc_label_name>Advance Plus Intermittent 8 Fr-16" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094104</ndc>
    <ndc_label_name>Advance Plus Intermittent 10 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094124</ndc>
    <ndc_label_name>Advance Plus Intermittent 12 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094164</ndc>
    <ndc_label_name>Advance Plus Intermittent 16 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380094184</ndc>
    <ndc_label_name>Advance Plus Intermittent 18 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380095124</ndc>
    <ndc_label_name>Advance Plus Intermittent 12 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380095144</ndc>
    <ndc_label_name>Advance Plus Intermittent 14 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380095164</ndc>
    <ndc_label_name>Advance Plus Intermittent 16 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096064</ndc>
    <ndc_label_name>Advance Plus Intermittent 6 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096084</ndc>
    <ndc_label_name>Advance Plus Intermittent 8 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096104</ndc>
    <ndc_label_name>Advance Plus Intermittent 10 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096124</ndc>
    <ndc_label_name>Advance Plus Intermittent 12 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096144</ndc>
    <ndc_label_name>Advance Plus Intermittent 14 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096164</ndc>
    <ndc_label_name>Advance Plus Intermittent 16 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380096184</ndc>
    <ndc_label_name>Advance Plus Intermittent 18 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097425</ndc>
    <ndc_label_name>InCare InView Catheter 25 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097429</ndc>
    <ndc_label_name>InCare InView Catheter 29 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097432</ndc>
    <ndc_label_name>InCare InView Catheter 32 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097436</ndc>
    <ndc_label_name>InCare InView Catheter 36 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097441</ndc>
    <ndc_label_name>InCare InView Catheter 41 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097525</ndc>
    <ndc_label_name>InCare InView Catheter 25 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097529</ndc>
    <ndc_label_name>InCare InView Catheter 29 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097532</ndc>
    <ndc_label_name>InCare InView Catheter 32 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097536</ndc>
    <ndc_label_name>InCare InView Catheter 36 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097541</ndc>
    <ndc_label_name>InCare InView Catheter 41 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097625</ndc>
    <ndc_label_name>InCare InView Catheter 25 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097629</ndc>
    <ndc_label_name>InCare InView Catheter 29 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097632</ndc>
    <ndc_label_name>InCare InView Catheter 32 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097636</ndc>
    <ndc_label_name>InCare InView Catheter 36 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08380097641</ndc>
    <ndc_label_name>InCare InView Catheter 41 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395025690</ndc>
    <ndc_label_name>Two-Piece Stoma Caps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395035690</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041100</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041101</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041300</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041320</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041330</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041340</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041350</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041360</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041370</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041390</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041400</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041420</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041430</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041440</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041450</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041460</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041470</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395041490</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048300</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048320</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048330</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048340</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048350</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048360</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048370</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048400</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048420</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048430</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048440</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048450</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048460</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395048470</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395051390</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395051490</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395055690</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058000</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058020</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058030</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058040</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058050</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058060</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058070</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395058100</ndc>
    <ndc_label_name>Adhesive Barrier 2-pc 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395059390</ndc>
    <ndc_label_name>Irrigation Sleeve misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395068100</ndc>
    <ndc_label_name>MicroSkin Barrier Large Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395068390</ndc>
    <ndc_label_name>System Pouch Large Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395068490</ndc>
    <ndc_label_name>System Pouch Large Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078000</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078020</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078030</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078040</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078050</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078060</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078070</ndc>
    <ndc_label_name>Adhesive Barriers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078300</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078320</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078330</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078340</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078350</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078360</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078370</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078390</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078400</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078420</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078430</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078440</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078450</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078460</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078470</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078490</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078500</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078501</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078900</ndc>
    <ndc_label_name>MicroDerm Plus 1 1/2" package</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078920</ndc>
    <ndc_label_name>MicroDerm Plus 7/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078930</ndc>
    <ndc_label_name>MicroDerm Plus 1" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078940</ndc>
    <ndc_label_name>MicroDerm Plus 1 1/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078950</ndc>
    <ndc_label_name>MicroDerm Plus 1 1/4" package</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078960</ndc>
    <ndc_label_name>MicroDerm Plus 1 3/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395078970</ndc>
    <ndc_label_name>MicroDerm Plus 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081100</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081101</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081300</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081301</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081320</ndc>
    <ndc_label_name>Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081330</ndc>
    <ndc_label_name>Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081340</ndc>
    <ndc_label_name>Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081350</ndc>
    <ndc_label_name>Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081360</ndc>
    <ndc_label_name>Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081370</ndc>
    <ndc_label_name>Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081400</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081401</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081402</ndc>
    <ndc_label_name>One-Piece Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081420</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081430</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081440</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081450</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081460</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081470</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081500</ndc>
    <ndc_label_name>Mini Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081501</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081504</ndc>
    <ndc_label_name>Mini Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395081505</ndc>
    <ndc_label_name>Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085400</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085401</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085421</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085431</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085441</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085451</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085461</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395085471</ndc>
    <ndc_label_name>Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086300</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086301</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086302</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086310</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086320</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086321</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 7/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086322</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086330</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086331</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086332</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086340</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086341</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1 1/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086342</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086350</ndc>
    <ndc_label_name>UROSTOMY POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086351</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1 1/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086352</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086361</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1 3/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086362</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086371</ndc>
    <ndc_label_name>Urostomy Pouch with Microderm Washer 1 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086372</ndc>
    <ndc_label_name>Platinum Urostomy Pouch 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086400</ndc>
    <ndc_label_name>Mini Urostomy Pouch 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086401</ndc>
    <ndc_label_name>Mini Urostomy Pouch 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395086800</ndc>
    <ndc_label_name>One-Piece Urostomy Pouch 2 1/2" (11")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089400</ndc>
    <ndc_label_name>MicroDerm 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089420</ndc>
    <ndc_label_name>MicroDerm 7/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089430</ndc>
    <ndc_label_name>MicroDerm 1" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089440</ndc>
    <ndc_label_name>MicroDerm 1 1/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089450</ndc>
    <ndc_label_name>MicroDerm 1 1/4" package</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089460</ndc>
    <ndc_label_name>MicroDerm 1 3/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395089470</ndc>
    <ndc_label_name>MicroDerm 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395091000</ndc>
    <ndc_label_name>Cymed Seal misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395098200</ndc>
    <ndc_label_name>Ile-Sorb Original misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395099060</ndc>
    <ndc_label_name>Night Drain Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395099090</ndc>
    <ndc_label_name>MicroSkin Applicator misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395099120</ndc>
    <ndc_label_name>Drainable Pouch Closure</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395099150</ndc>
    <ndc_label_name>Drainable Pouch Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08395099180</ndc>
    <ndc_label_name>MicroHesive Stoma Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08396050192</ndc>
    <ndc_label_name>GS LANCING DEVICE AND LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500122</ndc>
    <ndc_label_name>REXALL GLUCOSE MONITORING SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500125</ndc>
    <ndc_label_name>Smart Sense Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500126</ndc>
    <ndc_label_name>GS BLOOD GLUCOSE MONITOR SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500144</ndc>
    <ndc_label_name>CAREONE GLUCOSE MONITORING SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500175</ndc>
    <ndc_label_name>Advanced All-in-One Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500225</ndc>
    <ndc_label_name>Smart Sense Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500244</ndc>
    <ndc_label_name>CAREONE GLUCOSE MONITORING SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500291</ndc>
    <ndc_label_name>UP &amp; UP BLOOD MONITORING SYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500326</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500375</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500425</ndc>
    <ndc_label_name>Smart Sense Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500426</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500444</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500475</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500525</ndc>
    <ndc_label_name>Smart Sense Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500526</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500544</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500575</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500622</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500625</ndc>
    <ndc_label_name>Smart Sense Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500644</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500675</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500691</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500725</ndc>
    <ndc_label_name>Smart Sense Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500744</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500791</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500825</ndc>
    <ndc_label_name>Smart Sense Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500844</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396500891</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396501375</ndc>
    <ndc_label_name>Advanced Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08396705014</ndc>
    <ndc_label_name>RA HEALTH CARE LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08396706002</ndc>
    <ndc_label_name>RELION LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08396706018</ndc>
    <ndc_label_name>KRO LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08396706091</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800100</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800200</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800300</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe (half unit) 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800400</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800500</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800800</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396800900</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801000</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801100</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801200</ndc>
    <ndc_label_name>CA INSULIN SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801201</ndc>
    <ndc_label_name>CA INSULIN SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801300</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801301</ndc>
    <ndc_label_name>CA INSULIN SYR 0.5 ML 29GX1/2"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801400</ndc>
    <ndc_label_name>CA INSULIN SYR 1 ML 29GX1/2"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801401</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801500</ndc>
    <ndc_label_name>CA INS SYR 0.3 ML 30GX5/16"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801501</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801600</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801800</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801801</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801900</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396801901</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396802000</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396802001</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08396900118</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08439640113</ndc>
    <ndc_label_name>Panda Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08439640115</ndc>
    <ndc_label_name>Panda Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08454000122</ndc>
    <ndc_label_name>FemCap 22 mm vaginal device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08454000226</ndc>
    <ndc_label_name>FemCap 26 mm vaginal device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08454000330</ndc>
    <ndc_label_name>FemCap 30 mm vaginal device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08459009576</ndc>
    <ndc_label_name>Biobrane 5" X 15" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462003110</ndc>
    <ndc_label_name>Pillow Mask Pediatric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462004110</ndc>
    <ndc_label_name>Pillow Mask Child</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462005110</ndc>
    <ndc_label_name>Pillow Mask Adult</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462014505</ndc>
    <ndc_label_name>Face Splash Shield, Full</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462014507</ndc>
    <ndc_label_name>Splash Shield Flex</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462014511</ndc>
    <ndc_label_name>Face Splash Shield, Short</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462034507</ndc>
    <ndc_label_name>Splash Shield Flex</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462102013</ndc>
    <ndc_label_name>Disposable Paper Mouthpiece</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462103104</ndc>
    <ndc_label_name>Mini Wright Peak Flow Meter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462104001</ndc>
    <ndc_label_name>Mini Wright Peak Flow Meter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462104028</ndc>
    <ndc_label_name>Airzone and Miniwright AFS misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462109750</ndc>
    <ndc_label_name>In-Check Oral Flow Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462109751</ndc>
    <ndc_label_name>In-Check Nasal With Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462109912</ndc>
    <ndc_label_name>In-Check Dial Training Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122015</ndc>
    <ndc_label_name>WINDMILL TRAINER device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122064</ndc>
    <ndc_label_name>One Way Valved Mouthpiece device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122069</ndc>
    <ndc_label_name>One Way Valved Mouthpiece device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122120</ndc>
    <ndc_label_name>Pediatric-Small Mouth Adaptor misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122200</ndc>
    <ndc_label_name>Disposable Paper Mouthpiece</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462122220</ndc>
    <ndc_label_name>Pediatric-Small Mouth Adaptor misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462123200</ndc>
    <ndc_label_name>Pediatric Mouthpieces</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462130045</ndc>
    <ndc_label_name>Airzone Peak Flow Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462285100</ndc>
    <ndc_label_name>Filtered Mouthpiece Attachment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462426001</ndc>
    <ndc_label_name>Silicone Mask - Infant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462426002</ndc>
    <ndc_label_name>Silicone Mask - Pediatric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462426003</ndc>
    <ndc_label_name>Silicone Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462426012</ndc>
    <ndc_label_name>Silicone Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462426013</ndc>
    <ndc_label_name>Silicone Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462430100</ndc>
    <ndc_label_name>BreatheRite Valved MDI Chamber spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462430120</ndc>
    <ndc_label_name>BreatheRite Valved MDI Chamber spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462430200</ndc>
    <ndc_label_name>BreatheRite Valved MDI Spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462430220</ndc>
    <ndc_label_name>BreatheRite Valved MDI Spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462550047</ndc>
    <ndc_label_name>Nose Clip</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462550048</ndc>
    <ndc_label_name>Rubber Mouthpiece</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462551000</ndc>
    <ndc_label_name>All Flow 1000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462551095</ndc>
    <ndc_label_name>All Flow 1000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462551100</ndc>
    <ndc_label_name>All Flow 1000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462551595</ndc>
    <ndc_label_name>All Flow 1000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462553000</ndc>
    <ndc_label_name>All Flow 3000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462553095</ndc>
    <ndc_label_name>All Flow 3000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462553100</ndc>
    <ndc_label_name>All Flow 3000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462553595</ndc>
    <ndc_label_name>All Flow 3000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462554000</ndc>
    <ndc_label_name>All Flow 4000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462554095</ndc>
    <ndc_label_name>All Flow 4000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462554100</ndc>
    <ndc_label_name>All Flow 4000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462554595</ndc>
    <ndc_label_name>All Flow 4000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462555000</ndc>
    <ndc_label_name>All Flow 5000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462555095</ndc>
    <ndc_label_name>All Flow 5000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462555100</ndc>
    <ndc_label_name>All Flow 5000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462555595</ndc>
    <ndc_label_name>All Flow 5000 Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462556000</ndc>
    <ndc_label_name>All Flow 6000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462556095</ndc>
    <ndc_label_name>All Flow 6000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462556100</ndc>
    <ndc_label_name>All Flow 6000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08462556595</ndc>
    <ndc_label_name>All Flow 6000 PFT Filter</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463000301</ndc>
    <ndc_label_name>EASYGLUCO METER STARTER KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463010301</ndc>
    <ndc_label_name>EasyGluco Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463020350</ndc>
    <ndc_label_name>EasyGluco Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463500301</ndc>
    <ndc_label_name>Infinity Starter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463500501</ndc>
    <ndc_label_name>Infinity Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463510301</ndc>
    <ndc_label_name>Infinity Meter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463510501</ndc>
    <ndc_label_name>Infinity Control Solution High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463520350</ndc>
    <ndc_label_name>Infinity Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08463520501</ndc>
    <ndc_label_name>Infinity Control Solution Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08463702930</ndc>
    <ndc_label_name>LANCETS 30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08466092100</ndc>
    <ndc_label_name>Compact Ultrasonic Nebulizer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08466093100</ndc>
    <ndc_label_name>Compact Compressor Nebulizer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470010001</ndc>
    <ndc_label_name>Neuropen kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470010401</ndc>
    <ndc_label_name>Neuropen Monofilaments misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470027001</ndc>
    <ndc_label_name>Autolet Impression Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470027101</ndc>
    <ndc_label_name>Autolet Impression Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470027901</ndc>
    <ndc_label_name>Autolet Lite</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470043501</ndc>
    <ndc_label_name>Unilet ComforTouch Lancet 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470045501</ndc>
    <ndc_label_name>Unilet GP Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470046501</ndc>
    <ndc_label_name>Unilet ComforTouch Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470054001</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470054041</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470056501</ndc>
    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470057501</ndc>
    <ndc_label_name>Unilet Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470058501</ndc>
    <ndc_label_name>Unilet Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470070201</ndc>
    <ndc_label_name>Unistik Normal Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470070401</ndc>
    <ndc_label_name>Unistik Normal Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470071201</ndc>
    <ndc_label_name>Unistik Extra Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470071401</ndc>
    <ndc_label_name>Unistik Extra Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470074201</ndc>
    <ndc_label_name>Unistik Comfort Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470074701</ndc>
    <ndc_label_name>Unistik Comfort Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470075201</ndc>
    <ndc_label_name>Unistik 2 Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470092501</ndc>
    <ndc_label_name>Unilet GP Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470100201</ndc>
    <ndc_label_name>Unistik 3 Normal Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470100401</ndc>
    <ndc_label_name>Unistik 3 Normal Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470100701</ndc>
    <ndc_label_name>Unistik 3 Normal Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470100801</ndc>
    <ndc_label_name>Unistik CZT Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470101201</ndc>
    <ndc_label_name>Unistik 3 Extra Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470101401</ndc>
    <ndc_label_name>Unistik 3 Extra Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470101501</ndc>
    <ndc_label_name>Safety Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470102201</ndc>
    <ndc_label_name>Unistik 3 Gentle 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470102401</ndc>
    <ndc_label_name>Unistik 3 Gentle 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470102701</ndc>
    <ndc_label_name>Unistik 3 Gentle 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470102801</ndc>
    <ndc_label_name>Unistik 3 Gentle 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470104201</ndc>
    <ndc_label_name>Unistik 3 Comfort Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470104401</ndc>
    <ndc_label_name>Unistik 3 Comfort Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470104701</ndc>
    <ndc_label_name>Unistik 3 Comfort Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470104801</ndc>
    <ndc_label_name>Unistik CZT Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470113001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470114001</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470115001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470119001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470130001</ndc>
    <ndc_label_name>Autoject 2 Injection Device subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470131001</ndc>
    <ndc_label_name>Autoject 2 Injection Device subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470131101</ndc>
    <ndc_label_name>Autoject 2 Injection Device subcutaneous insulin pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470140201</ndc>
    <ndc_label_name>Unistik Touch Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470140401</ndc>
    <ndc_label_name>Unistik Touch Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470141201</ndc>
    <ndc_label_name>Unistik Touch Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470141401</ndc>
    <ndc_label_name>Unistik Touch Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470142201</ndc>
    <ndc_label_name>Unistik Safety 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470142401</ndc>
    <ndc_label_name>Unistik Touch Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470144201</ndc>
    <ndc_label_name>Unistik Safety 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470144401</ndc>
    <ndc_label_name>Unistik Touch Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470161401</ndc>
    <ndc_label_name>Unistik Pro Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470163401</ndc>
    <ndc_label_name>Unistik Pro Lancet 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08470164401</ndc>
    <ndc_label_name>Unistik Pro Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470182901</ndc>
    <ndc_label_name>Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470183001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470184001</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470185001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470189001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470200001</ndc>
    <ndc_label_name>Rapport Vacuum Therapy kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470210001</ndc>
    <ndc_label_name>Amielle Vaginal Trainer kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470342901</ndc>
    <ndc_label_name>Pentips Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470343001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470344001</ndc>
    <ndc_label_name>Pentips Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470345001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470349001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470349501</ndc>
    <ndc_label_name>Pentips Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470352901</ndc>
    <ndc_label_name>Unifine Pentips 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470353001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470354001</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470355001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470355501</ndc>
    <ndc_label_name>Unifine Pentips Maxflow 30 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470356001</ndc>
    <ndc_label_name>Unifine Pentips 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470359001</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470359501</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470380001</ndc>
    <ndc_label_name>Autopen 2 to 42 units subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470381001</ndc>
    <ndc_label_name>Autopen 1 to 21 units subcutaneous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470382901</ndc>
    <ndc_label_name>Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470383001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470384001</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470385001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470385501</ndc>
    <ndc_label_name>Unifine Pentips Plus Maxflow 30 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470386001</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470389001</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470413001</ndc>
    <ndc_label_name>Unifine Ultra Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470414001</ndc>
    <ndc_label_name>Unifine Ultra Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470415001</ndc>
    <ndc_label_name>Unifine Ultra Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470419001</ndc>
    <ndc_label_name>Unifine Ultra Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470540501</ndc>
    <ndc_label_name>Neurotips 40 gram Press misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470600001</ndc>
    <ndc_label_name>Autodrop misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470610001</ndc>
    <ndc_label_name>Autosqueeze misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470783501</ndc>
    <ndc_label_name>Unifine PROtect 30 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470784501</ndc>
    <ndc_label_name>Unifine PROtect 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470785501</ndc>
    <ndc_label_name>Unifine PROtect 30 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470793001</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470793501</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470794001</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470795001</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470795501</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08470799001</ndc>
    <ndc_label_name>Unifine SafeControl Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08471054701</ndc>
    <ndc_label_name>ANTI-NAUSEA GINGER gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08479012301</ndc>
    <ndc_label_name>Clearblue Fertility Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08479012401</ndc>
    <ndc_label_name>Clearblue Fertility Sticks kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08479021101</ndc>
    <ndc_label_name>Clearblue Easy Ovulation Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08479021201</ndc>
    <ndc_label_name>Clearblue Digital Ovulation kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484014600</ndc>
    <ndc_label_name>Prodigy Count-A-Dose misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484032500</ndc>
    <ndc_label_name>Prodigy Mini-Mist Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484032800</ndc>
    <ndc_label_name>Prodigy Mini-Mist Nebulizer misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484050362</ndc>
    <ndc_label_name>Prodigy Pocket Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484051885</ndc>
    <ndc_label_name>Prodigy Autocode Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484051890</ndc>
    <ndc_label_name>Prodigy Autocode Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484052800</ndc>
    <ndc_label_name>Prodigy No Coding strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484053310</ndc>
    <ndc_label_name>Prodigy Control Solution, Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484053350</ndc>
    <ndc_label_name>Prodigy Control Solution,High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484070120</ndc>
    <ndc_label_name>Prodigy Autocode Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484070802</ndc>
    <ndc_label_name>Prodigy Pocket Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484071950</ndc>
    <ndc_label_name>Prodigy Voice Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484072500</ndc>
    <ndc_label_name>Prodigy No Coding strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484073200</ndc>
    <ndc_label_name>Prodigy No Coding strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484074300</ndc>
    <ndc_label_name>Prodigy Autocode Blood Glucose Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484075300</ndc>
    <ndc_label_name>Prodigy No Coding strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08484081028</ndc>
    <ndc_label_name>Prodigy Twist Top Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08484082026</ndc>
    <ndc_label_name>Prodigy Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484990310</ndc>
    <ndc_label_name>Prodigy Control Solution, Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08484990328</ndc>
    <ndc_label_name>Prodigy Twist Top Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08484990338</ndc>
    <ndc_label_name>Prodigy Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08484990355</ndc>
    <ndc_label_name>Prodigy Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484990430</ndc>
    <ndc_label_name>Prodigy Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484990435</ndc>
    <ndc_label_name>Prodigy Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08484990438</ndc>
    <ndc_label_name>Prodigy Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600110</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600210</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600310</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600410</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600510</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600610</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600710</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600810</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489600910</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601110</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601210</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601310</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601410</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 30 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601510</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 30 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489601710</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602009</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602109</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602209</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602309</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602409</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602509</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602609</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602709</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489602809</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489605010</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489605110</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489605210</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489704320</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489704420</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489704520</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489704620</ndc>
    <ndc_label_name>Medlance Plus Special Blade 0.8 mm X 2 mm misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489714120</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489714220</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489714320</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489715510</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489715610</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489715710</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489716130</ndc>
    <ndc_label_name>Droplet Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489716710</ndc>
    <ndc_label_name>Droplet Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489724120</ndc>
    <ndc_label_name>Medlance Plus Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489724210</ndc>
    <ndc_label_name>Medlance Plus Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489724310</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489724410</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489724610</ndc>
    <ndc_label_name>Medlance Plus Special Blade 0.8 mm X 2 mm misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489749610</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489749710</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489749810</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489749910</ndc>
    <ndc_label_name>Droplet Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489786609</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 5/32"</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489787009</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489787209</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489791010</ndc>
    <ndc_label_name>Droplet Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489791410</ndc>
    <ndc_label_name>Droplet Micron Pen Needle 34 gauge x 9/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489792010</ndc>
    <ndc_label_name>Droplet Micron Pen Needle 34 gauge x 9/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489816110</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489816210</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489816310</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489830710</ndc>
    <ndc_label_name>Droplet Pen Needle 29 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489830810</ndc>
    <ndc_label_name>Droplet Pen Needle 29 gauge x 1/2"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489830910</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 5/16"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831010</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 3/16"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831110</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831210</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831310</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831410</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489831510</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489846710</ndc>
    <ndc_label_name>PEN NEEDLE 29G 12MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489846810</ndc>
    <ndc_label_name>PEN NEEDLE 31G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489846910</ndc>
    <ndc_label_name>PEN NEEDLE 31G 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489847010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489847110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489847210</ndc>
    <ndc_label_name>PEN NEEDLE 33G 4MM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489889705</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08489889805</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08489915001</ndc>
    <ndc_label_name>Droplet Genteel Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496009501</ndc>
    <ndc_label_name>Easy Touch Fluringe 1 mL 25 gauge x 5/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496009601</ndc>
    <ndc_label_name>Easy Touch Fluringe 1 mL 25 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496010101</ndc>
    <ndc_label_name>Easy Touch 1 mL 25 gauge x 5/8" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Easy Touch 1 mL 25 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496011701</ndc>
    <ndc_label_name>Easy Touch Insulin Safety Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496011801</ndc>
    <ndc_label_name>Easy Touch Insulin Safety Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496011901</ndc>
    <ndc_label_name>Easy Touch Insulin Safety Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496012501</ndc>
    <ndc_label_name>Easy Touch 3 mL 20 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496012601</ndc>
    <ndc_label_name>Easy Touch 3 mL 21 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496012701</ndc>
    <ndc_label_name>Easy Touch 3 mL 22 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496012801</ndc>
    <ndc_label_name>Easy Touch 3 mL 22 x 1 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496012901</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Easy Touch 3 mL 25 gauge x 1" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496013501</ndc>
    <ndc_label_name>Easy Touch Safety Syringe Allergy Tray 1 mL 26 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496013701</ndc>
    <ndc_label_name>Easy Touch Safety Syringe Allergy Tray 1 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496014001</ndc>
    <ndc_label_name>Easy Touch Fluringe Safety Syringe Flu Tray 1 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496015401</ndc>
    <ndc_label_name>Easy Touch Uni-Slip 1 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496015501</ndc>
    <ndc_label_name>Easy Touch Luer Lock Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496015801</ndc>
    <ndc_label_name>Easy Touch Uni-Slip 3 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496015901</ndc>
    <ndc_label_name>Easy Touch Luer Lock Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496016001</ndc>
    <ndc_label_name>Easy Touch Uni-Slip 5 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496016101</ndc>
    <ndc_label_name>Easy Touch Luer Lock Syringe 5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496016201</ndc>
    <ndc_label_name>Easy Touch Uni-Slip 10 mL syringe</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
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    <ndc>08496016301</ndc>
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    <drug_tier>0</drug_tier>
    <ndc>08496016401</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496016501</ndc>
    <ndc_label_name>Easy Touch Uni-Slip 1 mL syringe</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Easy Touch SheathLock Syringe 3 mL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496017101</ndc>
    <ndc_label_name>Easy Touch SheathLock Syringe 5 mL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496017401</ndc>
    <ndc_label_name>Easy Touch Fluringe Fliplock 1 mL syringe 25 gauge x 5/8"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496017601</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496017801</ndc>
    <ndc_label_name>Easy Touch Luer Lock Syringe 60 mL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496018601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496018701</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496018801</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019001</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 19 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019201</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019401</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019501</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019601</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019801</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496019901</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020001</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 23 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020101</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020201</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020301</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020401</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020501</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020601</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 26 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496020701</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021001</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021101</ndc>
    <ndc_label_name>SureLife Wrist BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021201</ndc>
    <ndc_label_name>SureLife Talking Wrist BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021301</ndc>
    <ndc_label_name>SureLife Arm BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021401</ndc>
    <ndc_label_name>SureLife Talking Arm BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021601</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021701</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 30 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021801</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496021901</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496022001</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 26 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496022101</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496022201</ndc>
    <ndc_label_name>Easy Touch FlipLock Needle 22 gauge x 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496023101</ndc>
    <ndc_label_name>Easy Touch Tuberculin Fliplock syringe 1 mL 26 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496023201</ndc>
    <ndc_label_name>Easy Touch Tuberculin Fliplock 1 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496023301</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496023401</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496023601</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496024201</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496024301</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496024501</ndc>
    <ndc_label_name>Easy Touch FlipLock Insulin syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496024601</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496024801</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496025301</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496025701</ndc>
    <ndc_label_name>Easy Touch FlipLock Syringe 3 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496025901</ndc>
    <ndc_label_name>Easy Touch FlipLock Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496031401</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496300501</ndc>
    <ndc_label_name>Easy Touch Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496300601</ndc>
    <ndc_label_name>Easy Touch Safety Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496300701</ndc>
    <ndc_label_name>Easy Touch Safety Pen Needle 30 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496300801</ndc>
    <ndc_label_name>Easy Touch Safety Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496301001</ndc>
    <ndc_label_name>Easy Touch Twist Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496301201</ndc>
    <ndc_label_name>Easy Touch Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496301501</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496301511</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496301601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496301611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496303501</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496303511</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496303601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496303611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496305501</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496305511</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496305601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496305611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310101</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310305</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310401</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310405</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310601</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496310605</ndc>
    <ndc_label_name>Easy Touch 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496311601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496311611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496313601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496313611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496315601</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496315611</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320101</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320105</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320401</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320405</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496320601</ndc>
    <ndc_label_name>Easy Touch Safety Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320801</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496320805</ndc>
    <ndc_label_name>Easy Touch 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496321001</ndc>
    <ndc_label_name>Easy Touch Twist Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496321201</ndc>
    <ndc_label_name>Easy Touch Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496331001</ndc>
    <ndc_label_name>Easy Touch Twist Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496651001</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496651101</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496651201</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496652001</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1/2 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496652101</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496652201</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496700401</ndc>
    <ndc_label_name>HealthPro High-Low Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496701301</ndc>
    <ndc_label_name>Easy Touch BluLink Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496701501</ndc>
    <ndc_label_name>Easy Touch BluLink Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496701701</ndc>
    <ndc_label_name>Easy Touch Blu Ctrl Soln-L1,L3 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496701801</ndc>
    <ndc_label_name>SureLife ThinTemp Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496701901</ndc>
    <ndc_label_name>Easy Touch Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496702001</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 27 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08496702101</ndc>
    <ndc_label_name>Easy Touch Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707201</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 0.5 mL 30 gauge x 1/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707301</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707501</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 1 mL 30 gauge x 1/4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707601</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707701</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 1 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496707901</ndc>
    <ndc_label_name>Easy Touch AutoRetract Syringe 3 mL 23 gauge x 1"</ndc_label_name>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496791501</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08496801501</ndc>
    <ndc_label_name>Easy Touch Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508112005</ndc>
    <ndc_label_name>OMNIPOD CLASSIC PODS(GEN3) 5PK</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508200000</ndc>
    <ndc_label_name>Omnipod DASH PDM Kit (Gen 4)</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508200005</ndc>
    <ndc_label_name>Omnipod Dash Pods (Gen 4) subcutaneous cartridge</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508200032</ndc>
    <ndc_label_name>Omnipod Dash Intro Kit (Gen 4) subcutaneous cartridge with controller</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508300001</ndc>
    <ndc_label_name>Omnipod 5 G6-G7 Intro Kit(Gen 5) subcutaneous cartridge and controller</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Omnipod 5 G6-G7 Pods (Gen 5) subcutaneous cartridge</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508300042</ndc>
    <ndc_label_name>Omnipod 5 (G6/Libre 2 Plus) subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508300050</ndc>
    <ndc_label_name>Omnipod 5 G6-G7 Intro Kit(Gen 5) subcutaneous cartridge and controller</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Omnipod 5 G6-G7 Pods (Gen 5) subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508300075</ndc>
    <ndc_label_name>Omnipod 5 G6-G7 Pods (Gen 5) subcutaneous cartridge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508300088</ndc>
    <ndc_label_name>Omnipod 5 Intro Kit(G6/Libre2Plus) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400010</ndc>
    <ndc_label_name>OMNIPOD GO 10 UNIT/DAY PODS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400015</ndc>
    <ndc_label_name>OMNIPOD GO 15 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400020</ndc>
    <ndc_label_name>OMNIPOD GO 20 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400025</ndc>
    <ndc_label_name>OMNIPOD GO 25 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400030</ndc>
    <ndc_label_name>OMNIPOD GO 30 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400035</ndc>
    <ndc_label_name>OMNIPOD GO 35 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08508400040</ndc>
    <ndc_label_name>OMNIPOD GO 40 UNIT/DAY PODS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08514001001</ndc>
    <ndc_label_name>Xclair topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08514011002</ndc>
    <ndc_label_name>Numoisyn oral mucosal liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08514021001</ndc>
    <ndc_label_name>Numoisyn 0.3 gram lozenges</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517001501</ndc>
    <ndc_label_name>Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517042973</ndc>
    <ndc_label_name>Pentips Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517042987</ndc>
    <ndc_label_name>Pentips Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517043073</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517043087</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517044073</ndc>
    <ndc_label_name>Pentips Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517044087</ndc>
    <ndc_label_name>Pentips Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517045073</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517045087</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517049087</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517052988</ndc>
    <ndc_label_name>Unifine Pentips 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517053085</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517053087</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517053088</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517054085</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517054087</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517054088</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517055085</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517055087</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517055088</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08517056536</ndc>
    <ndc_label_name>Unilet Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08517057536</ndc>
    <ndc_label_name>Unilet Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08517058536</ndc>
    <ndc_label_name>Unilet Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517059085</ndc>
    <ndc_label_name>Unifine Pentips 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517059587</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517059588</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517342901</ndc>
    <ndc_label_name>Pentips Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517343001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517344001</ndc>
    <ndc_label_name>Pentips Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517345001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517349001</ndc>
    <ndc_label_name>Pentips Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517352936</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517353036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517354036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517355036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517356036</ndc>
    <ndc_label_name>Unifine Pentips 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517359036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517359536</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517382919</ndc>
    <ndc_label_name>Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517382936</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517383019</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517383036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517383065</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517384019</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517384036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517384065</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517385019</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517385036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517385065</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517386036</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517389019</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08517389036</ndc>
    <ndc_label_name>1st Tier Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08519010110</ndc>
    <ndc_label_name>I-Port misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08519010210</ndc>
    <ndc_label_name>I-Port misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08521080100</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000016</ndc>
    <ndc_label_name>Evolution Blood Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000017</ndc>
    <ndc_label_name>Evolution Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000018</ndc>
    <ndc_label_name>Evolution Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000023</ndc>
    <ndc_label_name>Element Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000024</ndc>
    <ndc_label_name>Element Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000025</ndc>
    <ndc_label_name>Element Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000026</ndc>
    <ndc_label_name>Element High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08522000050</ndc>
    <ndc_label_name>SmartDiabetes Vantage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000051</ndc>
    <ndc_label_name>Element Plus Blood Glucose Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000067</ndc>
    <ndc_label_name>Element Compact Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000068</ndc>
    <ndc_label_name>Element Compact Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000070</ndc>
    <ndc_label_name>Element Compact Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000071</ndc>
    <ndc_label_name>Element Compact High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08522000080</ndc>
    <ndc_label_name>Element Compact V Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08522000082</ndc>
    <ndc_label_name>LANCETS 30G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08522000085</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524000103</ndc>
    <ndc_label_name>Smartest Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524000201</ndc>
    <ndc_label_name>Smartest Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08524000403</ndc>
    <ndc_label_name>Smartest Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001201</ndc>
    <ndc_label_name>Smartest Eject kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001301</ndc>
    <ndc_label_name>Smartest Protege kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001401</ndc>
    <ndc_label_name>Smartest Smart Code Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001501</ndc>
    <ndc_label_name>Smartest Talking Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001702</ndc>
    <ndc_label_name>Smartest Pronto Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524001802</ndc>
    <ndc_label_name>Smartest Persona Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002201</ndc>
    <ndc_label_name>Smartest Eject kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002301</ndc>
    <ndc_label_name>Smartest Protege kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002401</ndc>
    <ndc_label_name>Smartest Smart Code Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002501</ndc>
    <ndc_label_name>Smartest Talking Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002702</ndc>
    <ndc_label_name>Smartest Pronto Starter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08524002802</ndc>
    <ndc_label_name>Smartest Persona Starter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525010001</ndc>
    <ndc_label_name>Glucocom Blood Glucose kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525010150</ndc>
    <ndc_label_name>Glucocom Glucose strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08525010300</ndc>
    <ndc_label_name>Glucocom Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525010601</ndc>
    <ndc_label_name>GLUCOCOM BLOOD GLUCOSE METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525011001</ndc>
    <ndc_label_name>Glucocom Control Normal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525011101</ndc>
    <ndc_label_name>Glucocom Control High solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08525011200</ndc>
    <ndc_label_name>Glucocom Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08525011300</ndc>
    <ndc_label_name>Glucocom Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525011401</ndc>
    <ndc_label_name>Glucocom Autolink</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08525011501</ndc>
    <ndc_label_name>Glucocom Blood Glucose kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08528003501</ndc>
    <ndc_label_name>GLUCOSE CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08528009001</ndc>
    <ndc_label_name>Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08528010301</ndc>
    <ndc_label_name>Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08528010501</ndc>
    <ndc_label_name>Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08528010601</ndc>
    <ndc_label_name>GLUCOSE CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08528146404</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08528147401</ndc>
    <ndc_label_name>True Metrix Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539000101</ndc>
    <ndc_label_name>Bionime Rightest Gm300 System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539000501</ndc>
    <ndc_label_name>Bionime Rightest Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539001201</ndc>
    <ndc_label_name>Rightest Control Solution High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539001301</ndc>
    <ndc_label_name>Rightest Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08539002001</ndc>
    <ndc_label_name>Rightest GD500 Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539010001</ndc>
    <ndc_label_name>GM100 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539055003</ndc>
    <ndc_label_name>Rightest GM550 System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08539060000</ndc>
    <ndc_label_name>Rightest GL300 Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539105002</ndc>
    <ndc_label_name>GM100 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539391000</ndc>
    <ndc_label_name>GE333 Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539391201</ndc>
    <ndc_label_name>GE333 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539391502</ndc>
    <ndc_label_name>GE333 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539392000</ndc>
    <ndc_label_name>Rightest GT333 Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539392101</ndc>
    <ndc_label_name>Rightest GT333 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539392203</ndc>
    <ndc_label_name>Rightest GT333 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539392502</ndc>
    <ndc_label_name>Rightest GT333 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539395001</ndc>
    <ndc_label_name>GE333 Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539395200</ndc>
    <ndc_label_name>Rightest GT333 Level 2 Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539480001</ndc>
    <ndc_label_name>Rightest GC700 Level 2 Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539492003</ndc>
    <ndc_label_name>Rightest GS700 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539497001</ndc>
    <ndc_label_name>Rightest GM700SB Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539497201</ndc>
    <ndc_label_name>Rightest GS700 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539498001</ndc>
    <ndc_label_name>Rightest Max Plus Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539498102</ndc>
    <ndc_label_name>Rightest Max Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539498201</ndc>
    <ndc_label_name>Rightest Max Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539505003</ndc>
    <ndc_label_name>Rightest GS550 Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539710001</ndc>
    <ndc_label_name>GE100 Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539710002</ndc>
    <ndc_label_name>GE100 Blood Glucose System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539810000</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539810001</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539810002</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539810003</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08539900100</ndc>
    <ndc_label_name>GE100 Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08539900400</ndc>
    <ndc_label_name>GE LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548043435</ndc>
    <ndc_label_name>Nova Max Plus Glucose-Ketone Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548043436</ndc>
    <ndc_label_name>Nova Max Plus Glucose-Ketone Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548043437</ndc>
    <ndc_label_name>Nova Max Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08548043447</ndc>
    <ndc_label_name>Sureflex Lancing Device with Lancets kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548043523</ndc>
    <ndc_label_name>Nova Max Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548045824</ndc>
    <ndc_label_name>Nova Max Plus Glucose-Ketone Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08548048738</ndc>
    <ndc_label_name>Nova Sureflex Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548049640</ndc>
    <ndc_label_name>novaMax Plus Glu-Ket solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08548050078</ndc>
    <ndc_label_name>Sureflex Lancing Device with Lancets kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08548050938</ndc>
    <ndc_label_name>Nova Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08548050939</ndc>
    <ndc_label_name>Nova Safety Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08548053493</ndc>
    <ndc_label_name>novaMax Plus Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554010972</ndc>
    <ndc_label_name>CareSens S Fit Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554010973</ndc>
    <ndc_label_name>Caresens S Fit BT Glucose Mtr misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554010974</ndc>
    <ndc_label_name>CareSens S Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554010975</ndc>
    <ndc_label_name>CareSens S Control A and B solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554010976</ndc>
    <ndc_label_name>CareSens S Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554133301</ndc>
    <ndc_label_name>AgaMatrix Control Solution-Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08554197101</ndc>
    <ndc_label_name>AgaMatrix Ultra-Thin Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554201101</ndc>
    <ndc_label_name>AgaMatrix Control Solution-High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554229701</ndc>
    <ndc_label_name>AgaMatrix Jazz Wireless 2 Monitoring System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554232001</ndc>
    <ndc_label_name>AgaMatrix Jazz Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554264901</ndc>
    <ndc_label_name>AgaMatrix Presto System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554318802</ndc>
    <ndc_label_name>AgaMatrix Jazz Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554332901</ndc>
    <ndc_label_name>AgaMatrix Presto Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554333702</ndc>
    <ndc_label_name>AgaMatrix Presto Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554362901</ndc>
    <ndc_label_name>WAVESENSE PRESTO SYSTEM KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554376402</ndc>
    <ndc_label_name>AgaMatrix Control Solution-Normal-High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554386401</ndc>
    <ndc_label_name>WAVESENSE PRESTO SYSTEM KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554402401</ndc>
    <ndc_label_name>WAVESENSE AMP SYSTEM KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554402501</ndc>
    <ndc_label_name>AGAMATRIX AMP GLUC MONITOR SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554403601</ndc>
    <ndc_label_name>AgaMatrix Amp Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554408801</ndc>
    <ndc_label_name>PRESTO PRO BLOOD GLUCOSE METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08554424001</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08560940001</ndc>
    <ndc_label_name>V-GO 40 device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08560940002</ndc>
    <ndc_label_name>V-GO 30 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08560940003</ndc>
    <ndc_label_name>V-GO 20 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08564000000</ndc>
    <ndc_label_name>Ear Popper Inflation Device (via nasal instillation)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565015915</ndc>
    <ndc_label_name>TWIST LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565016915</ndc>
    <ndc_label_name>Sterilance TL 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565017915</ndc>
    <ndc_label_name>Sterilance TL 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565044415</ndc>
    <ndc_label_name>LANCETS 26G X 1.8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565045415</ndc>
    <ndc_label_name>LANCETS 28G X 1.8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565054015</ndc>
    <ndc_label_name>LANCETS 26G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565134415</ndc>
    <ndc_label_name>LANCETS 26G X 1.8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08565135415</ndc>
    <ndc_label_name>LANCETS 28G X 1.8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519921</ndc>
    <ndc_label_name>Restore Extra Thin Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519923</ndc>
    <ndc_label_name>Restore Extra Thin Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519925</ndc>
    <ndc_label_name>Restore Extra Thin Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519930</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519932</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 6"X8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519935</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 8"X8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519953</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519954</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 6"X8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519955</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 8"X8"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519956</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 4"X4"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519957</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 6"X8"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519958</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 8"X8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519959</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 17 SQ IN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519963</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID 6"X6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567519965</ndc>
    <ndc_label_name>RESTORE HYDROCOLLOID DRESSING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567529937</ndc>
    <ndc_label_name>Restore 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08567529938</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Restore Calcium Alginate 12" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Restore 1" X 12" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Restore Wound Cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Restore Wound Cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MEDICAL ID FOR BRACELET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08620218321</ndc>
    <ndc_label_name>Combistix Reagent strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08620218421</ndc>
    <ndc_label_name>Uristix Reagent strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08620219121</ndc>
    <ndc_label_name>Albustix Reagent strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08620230921</ndc>
    <ndc_label_name>Multistix 5 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08620242721</ndc>
    <ndc_label_name>Hematest tablet (non-oral)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08620259121</ndc>
    <ndc_label_name>Ictotest tablet (non-oral)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08620283025</ndc>
    <ndc_label_name>Azostix strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08626000101</ndc>
    <ndc_label_name>GDrive kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08626100750</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08626333350</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08626412301</ndc>
    <ndc_label_name>Blood Glucose Monitoring kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627001601</ndc>
    <ndc_label_name>Dexcom G6 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627005303</ndc>
    <ndc_label_name>Dexcom G6 Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627007701</ndc>
    <ndc_label_name>Dexcom G7 Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627007801</ndc>
    <ndc_label_name>Dexcom G7 Receiver</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627007901</ndc>
    <ndc_label_name>Dexcom G7 15 Day Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08627009111</ndc>
    <ndc_label_name>Dexcom G6 Receiver</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08633900001</ndc>
    <ndc_label_name>Droplet Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638714120</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638714220</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638714320</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638715510</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638715610</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638715710</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638731125</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638731225</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638731325</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638732150</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638732250</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08638732350</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000001</ndc>
    <ndc_label_name>SEA-BAND Adult misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000002</ndc>
    <ndc_label_name>SEA-BAND For Children misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000029</ndc>
    <ndc_label_name>SEA-BAND For Children misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000031</ndc>
    <ndc_label_name>SEA-BAND For Children misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000037</ndc>
    <ndc_label_name>SEA-BAND Mama Nausea Relief misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000076</ndc>
    <ndc_label_name>SEA-BAND For Children misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000098</ndc>
    <ndc_label_name>Sea-Band Nausea Relief 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000102</ndc>
    <ndc_label_name>SEA-BAND Adult misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000103</ndc>
    <ndc_label_name>SEA-BAND Adult misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000104</ndc>
    <ndc_label_name>SEA-BAND Adult misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08727000106</ndc>
    <ndc_label_name>SEA-BAND Adult misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>08820018012</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881103025</ndc>
    <ndc_label_name>Monoject Regular Tip Non-Sterile 3 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881106028</ndc>
    <ndc_label_name>Monoject Regular Tip Non-Sterile 6 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881112059</ndc>
    <ndc_label_name>Monoject Regular Tip Non-Sterile 12 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881112075</ndc>
    <ndc_label_name>Monoject Eccentric Tip Non-Sterile 12 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881114014</ndc>
    <ndc_label_name>Monoject 140cc Piston Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881114030</ndc>
    <ndc_label_name>Syringe without Needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881114055</ndc>
    <ndc_label_name>Monoject 140cc Piston Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881118059</ndc>
    <ndc_label_name>Monoject Filter Connector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881120037</ndc>
    <ndc_label_name>Monoject Regular Tip Non-Sterile 20 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881135068</ndc>
    <ndc_label_name>Monoject Eccentric Tip Non-Sterile 35 mL syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200011</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 14 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200029</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 15 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200037</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 16 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200045</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 16 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200052</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 16 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200060</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 16 gauge x 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200078</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200086</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08881200110</ndc>
    <ndc_label_name>Monoject Hypodermic Needles 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Kendall Disinfectant Cap</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884706220</ndc>
    <ndc_label_name>Kangaroo Pump Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884706238</ndc>
    <ndc_label_name>Kangaroo Rigid Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884711501</ndc>
    <ndc_label_name>Kangaroo Feeding Tube 12 Fr-36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884711519</ndc>
    <ndc_label_name>Kangaroo Feeding Tube 14 Fr-36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kangaroo Feeding Tube 10 Fr-36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884711568</ndc>
    <ndc_label_name>Kangaroo Feeding Tube 8 Fr-36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884712004</ndc>
    <ndc_label_name>Kangaroo EZ Cap Pump Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884712100</ndc>
    <ndc_label_name>Kangaroo Deluxe EZ Cap Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884712300</ndc>
    <ndc_label_name>Kangaroo Gravity Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884713600</ndc>
    <ndc_label_name>Kangaroo EZ Cap Pump Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884714300</ndc>
    <ndc_label_name>Kangaroo Deluxe EZ Cap Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884714600</ndc>
    <ndc_label_name>Kangaroo Proximal Spike Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884716100</ndc>
    <ndc_label_name>Kangaroo Burette/Pump Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884730200</ndc>
    <ndc_label_name>Dover Texas Male External Catheter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884730300</ndc>
    <ndc_label_name>Dover Texas Male External Catheter 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884730600</ndc>
    <ndc_label_name>Elastic Foam Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884731100</ndc>
    <ndc_label_name>Dover Two-Sided Adhesive Strap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884731300</ndc>
    <ndc_label_name>Dover Texas Male External Catheter 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884731900</ndc>
    <ndc_label_name>Uri-Drain misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884732000</ndc>
    <ndc_label_name>Dover Uri-Drain Male Ext Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884732300</ndc>
    <ndc_label_name>Dover Uri-Drain Male Ext Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884732500</ndc>
    <ndc_label_name>Dover Uri-Drain Male Ext Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dover Uri-Drain Deluxe Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884733900</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dover Uri-Drain Male Ext Cath</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08884773600</ndc>
    <ndc_label_name>Kangaroo EZ Cap Pump Set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492017</ndc>
    <ndc_label_name>Rob-Nel Urethral Catheter 8 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492025</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492033</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492041</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492058</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08888492066</ndc>
    <ndc_label_name>Rob-Nel Urethral Catheter 18 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Terumo Insulin Syringe 1/2 mL 30 x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 23 gauge x 1 1/2" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 30 gauge x 1 1/2" needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 1 mL 25 gauge x 5/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 1 mL 26 gauge x 3/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 1 mL 27 gauge x 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SurGuard2 Safety 3 mL 20 gauge x 1" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970100657</ndc>
    <ndc_label_name>SurGuard2 Safety 3 mL 20 gauge x 1 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970100658</ndc>
    <ndc_label_name>SurGuard2 Safety 3 mL 21 gauge x 1" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970100659</ndc>
    <ndc_label_name>SurGuard2 Safety syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970100660</ndc>
    <ndc_label_name>SurGuard2 Safety 3 mL 22 gauge x 1" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <ndc_label_name>SurGuard2 Safety syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705013</ndc>
    <ndc_label_name>SurGuard2 Safety 5 mL 20 gauge x 1" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705014</ndc>
    <ndc_label_name>SurGuard2 Safety 5 mL 20 gauge x 1 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705015</ndc>
    <ndc_label_name>SurGuard2 Safety 5 mL 21 gauge x 1 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705016</ndc>
    <ndc_label_name>SurGuard2 Safety 10 mL 20 gauge x 1" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705017</ndc>
    <ndc_label_name>SurGuard2 Safety 10 mL 20 gauge x 1 1/2" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970705018</ndc>
    <ndc_label_name>SurGuard2 Safety syringe 10 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970721111</ndc>
    <ndc_label_name>Terumo Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970721121</ndc>
    <ndc_label_name>Terumo Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970721131</ndc>
    <ndc_label_name>Terumo Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970721141</ndc>
    <ndc_label_name>Terumo Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731001</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731051</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 20 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731061</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 20 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731071</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731091</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 22 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970731101</ndc>
    <ndc_label_name>Terumo Hypodermic Needle/Syringe 5 mL 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970761001</ndc>
    <ndc_label_name>Terumo Syringe 30 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970762001</ndc>
    <ndc_label_name>Terumo Syringe 30 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>08970763001</ndc>
    <ndc_label_name>Terumo Syringe 30 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09115090462</ndc>
    <ndc_label_name>OHC COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958000010</ndc>
    <ndc_label_name>Primer Modified Unna Boot 25 %-3" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958000020</ndc>
    <ndc_label_name>Primer Modified Unna Boot 25 %-4" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003101</ndc>
    <ndc_label_name>Dermagran Hydrophilic Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003111</ndc>
    <ndc_label_name>Dermagran Hydrophilic Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003121</ndc>
    <ndc_label_name>Dermagran Hydrophilic Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003131</ndc>
    <ndc_label_name>MediHoney (calcium alginate-honey) 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003141</ndc>
    <ndc_label_name>MediHoney (calcium alginate-honey) 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003161</ndc>
    <ndc_label_name>MediHoney (calcium alginate-honey) 3/4" X 12" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003201</ndc>
    <ndc_label_name>MediHoney (hydrocolloid-honey) 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003211</ndc>
    <ndc_label_name>MediHoney (hydrocolloid-honey) 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003351</ndc>
    <ndc_label_name>MediHoney (honey) 100 % topical paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003360</ndc>
    <ndc_label_name>MediHoney (honey) 100 % topical paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003361</ndc>
    <ndc_label_name>MediHoney (honey) 100 % topical paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003401</ndc>
    <ndc_label_name>MediHoney (honey) 100 % topical paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003411</ndc>
    <ndc_label_name>MediHoney HCS 2.4" X 2.4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003421</ndc>
    <ndc_label_name>MediHoney HCS 4.3" X 4.3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003441</ndc>
    <ndc_label_name>MediHoney HCS 2.8" X 2.8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003451</ndc>
    <ndc_label_name>MediHoney HCS 4 1/2" X 4 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003461</ndc>
    <ndc_label_name>MediHoney (honey) 80 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003470</ndc>
    <ndc_label_name>MediHoney (honey) 80 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003471</ndc>
    <ndc_label_name>MediHoney (honey) 80 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958003501</ndc>
    <ndc_label_name>MediHoney HCS 1.8 " X 1.8 " bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008680</ndc>
    <ndc_label_name>Bioguard gauze 0.3 %-4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008682</ndc>
    <ndc_label_name>Bioguard gauze 0.3 %-4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008701</ndc>
    <ndc_label_name>Bioguard gauze 0.3 %-2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008711</ndc>
    <ndc_label_name>Bioguard gauze 0.3 %-4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008730</ndc>
    <ndc_label_name>Bioguard Conforming 0.15 %-4" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008732</ndc>
    <ndc_label_name>Bioguard Conforming 0.15 %-4" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008770</ndc>
    <ndc_label_name>Bioguard packing strips 0.3 %-1/4" X 5 yard topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008780</ndc>
    <ndc_label_name>Bioguard packing strips 0.3 %-1/2" X 5 yard topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008790</ndc>
    <ndc_label_name>Bioguard packing strips 0.3 %-1" X 5 yard topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008811</ndc>
    <ndc_label_name>Bioguard non-adherent 0.15 %-3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008821</ndc>
    <ndc_label_name>Bioguard non-adherent 0.15 %-3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008831</ndc>
    <ndc_label_name>Bioguard island 0.2 %-4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008841</ndc>
    <ndc_label_name>Bioguard island 0.2 %-4" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008851</ndc>
    <ndc_label_name>Bioguard island 0.2 %-4" X 14" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008870</ndc>
    <ndc_label_name>Bioguard Conforming 0.15 %-2" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>09958008872</ndc>
    <ndc_label_name>Bioguard Conforming 0.15 %-2" X 4.1 yard bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019092616</ndc>
    <ndc_label_name>IFOSFAMIDE 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093501</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093525</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093601</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093650</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093701</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093710</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093801</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093825</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093901</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019093950</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094201</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094210</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094301</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094325</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094401</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094450</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094501</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019094510</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095301</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095362</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095550</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095601</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095616</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095701</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019095711</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019098201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019098209</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019098401</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019098409</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10019099101</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10022063031</ndc>
    <ndc_label_name>FaStep COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10022063035</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10022063036</ndc>
    <ndc_label_name>FaStep COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10022063041</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FaStep COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FaStep COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10037091093</ndc>
    <ndc_label_name>XyliMelts 500 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10040082001</ndc>
    <ndc_label_name>CUE COVID-19 CARTRIDGE READER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Probiotic (B. coagulans) 1 billion cell chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Prebiotic Fiber 2 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061073</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061076</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 300 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061083</ndc>
    <ndc_label_name>Elderberry Immune Health 45 mg-4 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061097</ndc>
    <ndc_label_name>BEET ROOT-TART CHERRY GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061117</ndc>
    <ndc_label_name>Diabetic Multivitamin 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061129</ndc>
    <ndc_label_name>CALCIUM-MAG-ZINC-VITAMIN D3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061141</ndc>
    <ndc_label_name>BIOTIN 2,500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061145</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061152</ndc>
    <ndc_label_name>B Complex-Vitamin C 20 mg-5 mg-2 mg-75 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061153</ndc>
    <ndc_label_name>MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061156</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 83.3MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061216</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061217</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061218</ndc>
    <ndc_label_name>VITAMIN D3 62.5 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061219</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 2.5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061220</ndc>
    <ndc_label_name>BIOTIN 2,500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061230</ndc>
    <ndc_label_name>Prebiotic Fiber (FOS) 2.5 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061233</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061234</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERAL GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10048061291</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061307</ndc>
    <ndc_label_name>APPLE CIDER VINEGAR-GINGER CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061459</ndc>
    <ndc_label_name>Turmeric with BioPerine 450 mg-50 mg-2.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10048061461</ndc>
    <ndc_label_name>Probiotic-Cranberry 2.5 bilion cell-50 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10055097004</ndc>
    <ndc_label_name>Lucira Check-It COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10055097013</ndc>
    <ndc_label_name>LUCIRA COVID-19 AND FLU TEST</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075002983</ndc>
    <ndc_label_name>New Image CeraPlus Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075002984</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075002986</ndc>
    <ndc_label_name>New Image CeraPlus Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075002987</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005177</ndc>
    <ndc_label_name>New Image Flextend Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005368</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005401</ndc>
    <ndc_label_name>VaPro Plus Intermittent Catheter 14 Fr-16" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005406</ndc>
    <ndc_label_name>VaPro Plus Intermittent Catheter 12 Fr-8" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005463</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005698</ndc>
    <ndc_label_name>Premier Drainable Pouch 1" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005702</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005707</ndc>
    <ndc_label_name>Premier Lock N Roll Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005709</ndc>
    <ndc_label_name>Premier Drainable Lock N Roll 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005711</ndc>
    <ndc_label_name>Premier Ostomy Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005713</ndc>
    <ndc_label_name>Premier Lock N Roll Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005729</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005733</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005898</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005971</ndc>
    <ndc_label_name>Adapt CeraRing 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075005972</ndc>
    <ndc_label_name>Adapt CeraRing 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006444</ndc>
    <ndc_label_name>Premier Urostomy Pouch 2 1/8" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006445</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006446</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006447</ndc>
    <ndc_label_name>Premier Urostomy Pouch 3/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006902</ndc>
    <ndc_label_name>New Image CeraPlus Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075006908</ndc>
    <ndc_label_name>New Image Skin Barrier-Flange 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075008637</ndc>
    <ndc_label_name>Premier Drainable Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075011500</ndc>
    <ndc_label_name>New Image Drainable Mini-Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075015586</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/2-3" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075017614</ndc>
    <ndc_label_name>VaPro Plus Intermittent Catheter 14 Fr-16" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075017621</ndc>
    <ndc_label_name>VaPro Plus Intermittent Catheter 14 Fr-8" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075017737</ndc>
    <ndc_label_name>Apogee Plus Intermittent Catheter 16 Fr-16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018515</ndc>
    <ndc_label_name>Premier Drainable Pouch 2 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018790</ndc>
    <ndc_label_name>New Image Urostomy Pouch 2 1/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018791</ndc>
    <ndc_label_name>New Image Urostomy Pouch 2 3/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018792</ndc>
    <ndc_label_name>New Image Urostomy Pouch 1 3 /4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018796</ndc>
    <ndc_label_name>New Image Urostomy Pouch 2 1/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018848</ndc>
    <ndc_label_name>Premier Urostomy Pouch 2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018856</ndc>
    <ndc_label_name>Premier Urostomy Pouch 2 1/2" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018863</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018869</ndc>
    <ndc_label_name>Premier Urostomy Pouch 3/4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10075018871</ndc>
    <ndc_label_name>Premier Urostomy Pouch 1" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094020501</ndc>
    <ndc_label_name>Sympazan 5 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094020560</ndc>
    <ndc_label_name>Sympazan 5 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094021001</ndc>
    <ndc_label_name>Sympazan 10 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094021060</ndc>
    <ndc_label_name>Sympazan 10 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094022001</ndc>
    <ndc_label_name>Sympazan 20 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094022060</ndc>
    <ndc_label_name>Sympazan 20 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094030501</ndc>
    <ndc_label_name>LIBERVANT 5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094030502</ndc>
    <ndc_label_name>LIBERVANT 5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094030701</ndc>
    <ndc_label_name>LIBERVANT 7.5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094030702</ndc>
    <ndc_label_name>LIBERVANT 7.5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031001</ndc>
    <ndc_label_name>LIBERVANT 10 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031002</ndc>
    <ndc_label_name>LIBERVANT 10 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031201</ndc>
    <ndc_label_name>LIBERVANT 12.5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031202</ndc>
    <ndc_label_name>LIBERVANT 12.5 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031501</ndc>
    <ndc_label_name>LIBERVANT 15 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10094031502</ndc>
    <ndc_label_name>LIBERVANT 15 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015005</ndc>
    <ndc_label_name>ENFIT SYRINGE 0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015056</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015057</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015058</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015059</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015060</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015065</ndc>
    <ndc_label_name>ENFIT SYRINGE 0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015067</ndc>
    <ndc_label_name>ENFIT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015119</ndc>
    <ndc_label_name>ENFit MultiFil Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015120</ndc>
    <ndc_label_name>ENFit MultiFil Syringe 60 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015174</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015175</ndc>
    <ndc_label_name>ENFit Irrigation Syringe and Container kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015176</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015177</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10096015187</ndc>
    <ndc_label_name>ENFit Medicine Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10107029001</ndc>
    <ndc_label_name>Flowflex Plus COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10107029002</ndc>
    <ndc_label_name>Flowflex Plus COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10107029003</ndc>
    <ndc_label_name>Flowflex Plus COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089001</ndc>
    <ndc_label_name>Aqinject Safety Syringe 1 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089004</ndc>
    <ndc_label_name>Aqinject Safety Syringe 1 mL 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089007</ndc>
    <ndc_label_name>Aqinject Safety Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089010</ndc>
    <ndc_label_name>Aqinject Safety Syringe 3 mL 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089013</ndc>
    <ndc_label_name>Aqinject 3.0 Lock Syringe 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089016</ndc>
    <ndc_label_name>Aqinject Luer Lock Syringe 5 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089019</ndc>
    <ndc_label_name>Aqinject Luer Lock Syringe 10 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089022</ndc>
    <ndc_label_name>Aqinject Luer Lock Syringe 20 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089025</ndc>
    <ndc_label_name>Aqinject Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089028</ndc>
    <ndc_label_name>Aqinject Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089032</ndc>
    <ndc_label_name>AQ INSULIN SYR 0.5 ML 30G 8MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089036</ndc>
    <ndc_label_name>AQ INSULIN SYRIN 1 ML 29G 12MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089040</ndc>
    <ndc_label_name>AQ INSULIN SYR 1 ML 31G 8MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089043</ndc>
    <ndc_label_name>Aqinject Standard Needle 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089046</ndc>
    <ndc_label_name>Aqinject Standard Needle 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089049</ndc>
    <ndc_label_name>Aqinject Standard Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089052</ndc>
    <ndc_label_name>Aqinject Safety Needle 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089055</ndc>
    <ndc_label_name>Aqinject Safety Needle 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10118089058</ndc>
    <ndc_label_name>Aqinject Safety Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119000114</ndc>
    <ndc_label_name>Sensitive Eyes drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119000238</ndc>
    <ndc_label_name>Sensitive Eyes Plus Saline solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119000252</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119000738</ndc>
    <ndc_label_name>Collyrium eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119001004</ndc>
    <ndc_label_name>Sensitive Eyes Daily Cleaner solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002003</ndc>
    <ndc_label_name>Advanced Eye Relief 1 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002010</ndc>
    <ndc_label_name>Moisture Drops 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119002013</ndc>
    <ndc_label_name>Soothe Night Time Lubricant 80 %-20 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002068</ndc>
    <ndc_label_name>Advanced Eye Relief Maximum Redness 0.03 %-0.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002090</ndc>
    <ndc_label_name>Opcon-A 0.02675 %-0.315 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002178</ndc>
    <ndc_label_name>Opcon-A 0.02675 %-0.315 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002219</ndc>
    <ndc_label_name>Soothe Lubricant 0.6 %-0.6 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119002238</ndc>
    <ndc_label_name>Soothe XP (PF) 1 %-4.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119002239</ndc>
    <ndc_label_name>Soothe Night Time Lubricant 80 %-20 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119002266</ndc>
    <ndc_label_name>Soothe Hydration 1.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002278</ndc>
    <ndc_label_name>Biotrue Hydration Boost 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002279</ndc>
    <ndc_label_name>Biotrue Hydration Boost 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002297</ndc>
    <ndc_label_name>Biotrue Hydration Boost 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002301</ndc>
    <ndc_label_name>Biotrue Eyelid Cleansing Wipes topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002323</ndc>
    <ndc_label_name>Blink Boost 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002324</ndc>
    <ndc_label_name>Blink Nourish 0.75 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119002329</ndc>
    <ndc_label_name>Blink Triple Care PF 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119003018</ndc>
    <ndc_label_name>Renu Disinfecting solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119003048</ndc>
    <ndc_label_name>Renu Disinfecting solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119003122</ndc>
    <ndc_label_name>Renu Disinfecting solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119003582</ndc>
    <ndc_label_name>Bio true solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005208</ndc>
    <ndc_label_name>Renu Rewetting Drops solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005220</ndc>
    <ndc_label_name>ReNu MultiPlus eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005421</ndc>
    <ndc_label_name>Boston Cleaner solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005609</ndc>
    <ndc_label_name>Boston Conditioning solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005610</ndc>
    <ndc_label_name>Boston Conditioning solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119005611</ndc>
    <ndc_label_name>Boston Simplus solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119049311</ndc>
    <ndc_label_name>Soothe XP 1 %-4.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119049399</ndc>
    <ndc_label_name>Soothe XP 1 %-4.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119053708</ndc>
    <ndc_label_name>Lumify 0.025 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119053725</ndc>
    <ndc_label_name>Lumify 0.025 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10119054208</ndc>
    <ndc_label_name>Boston Cleaner solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10119060105</ndc>
    <ndc_label_name>Children's Alaway 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122010010</ndc>
    <ndc_label_name>FERRIPROX 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122010150</ndc>
    <ndc_label_name>Ferriprox 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122010305</ndc>
    <ndc_label_name>Ferriprox 1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122010401</ndc>
    <ndc_label_name>Ferriprox (2 times a day) 1,000 mg tablet, modified release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122010405</ndc>
    <ndc_label_name>Ferriprox (2 times a day) 1,000 mg tablet, modified release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122014102</ndc>
    <ndc_label_name>RETAVASE VIAL FULL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122014301</ndc>
    <ndc_label_name>RETAVASE VIAL HALF-KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122016001</ndc>
    <ndc_label_name>Elfabrio 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122016002</ndc>
    <ndc_label_name>Elfabrio 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122016005</ndc>
    <ndc_label_name>Elfabrio 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122016010</ndc>
    <ndc_label_name>Elfabrio 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122016502</ndc>
    <ndc_label_name>Elfabrio 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122018001</ndc>
    <ndc_label_name>Lamzede 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122018002</ndc>
    <ndc_label_name>Lamzede 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122021001</ndc>
    <ndc_label_name>Myalept 5 mg/mL (final concentration) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122021002</ndc>
    <ndc_label_name>Myalept 5 mg/mL (final concentration) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122021256</ndc>
    <ndc_label_name>Bronchitol 40 mg capsule with inhalation device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031001</ndc>
    <ndc_label_name>Filsuvez 10 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031002</ndc>
    <ndc_label_name>Filsuvez 10 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031301</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031310</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031401</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL (0.1 mg/mL) in dextrose (iso) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122031410</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL (0.1 mg/mL) in dextrose (iso) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122032501</ndc>
    <ndc_label_name>Cardene 40 mg/200 mL(0.2 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122032510</ndc>
    <ndc_label_name>Cardene 40 mg/200 mL(0.2 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier/>
    <ndc>10122040228</ndc>
    <ndc_label_name>Juxtapid 2 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122040228</ndc>
    <ndc_label_name>Juxtapid 2 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122040528</ndc>
    <ndc_label_name>Juxtapid 5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122041028</ndc>
    <ndc_label_name>Juxtapid 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122042028</ndc>
    <ndc_label_name>Juxtapid 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122043028</ndc>
    <ndc_label_name>Juxtapid 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122050201</ndc>
    <ndc_label_name>Revcovi 2.4 mg/1.5 mL (1.6 mg/mL) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122051001</ndc>
    <ndc_label_name>Curosurf 120 mg/1.5 mL intratracheal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122051003</ndc>
    <ndc_label_name>Curosurf 240 mg/3 mL intratracheal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122055028</ndc>
    <ndc_label_name>Mycapssa 20 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122061001</ndc>
    <ndc_label_name>Cleviprex 25 mg/50 mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122061010</ndc>
    <ndc_label_name>Cleviprex 25 mg/50 mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122061101</ndc>
    <ndc_label_name>Cleviprex 50 mg/100 mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122061110</ndc>
    <ndc_label_name>Cleviprex 50 mg/100 mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122062001</ndc>
    <ndc_label_name>Kengreal 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122062010</ndc>
    <ndc_label_name>Kengreal 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10122082004</ndc>
    <ndc_label_name>Bethkis 300 mg/4 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10122082028</ndc>
    <ndc_label_name>Bethkis 300 mg/4 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10122082056</ndc>
    <ndc_label_name>Bethkis 300 mg/4 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10122090112</ndc>
    <ndc_label_name>ZYFLO 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10125097069</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10125097102</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050001</ndc>
    <ndc_label_name>Good Start Dr Brown Gentle Pro 2.2 g-5.1 g-11.2 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050002</ndc>
    <ndc_label_name>Good Start Dr Brown Gentle Pro 2.2 g-5.1 g-11.2 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050003</ndc>
    <ndc_label_name>Good Start Dr Brown Soothe Pro 2.2-5.1-11.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050004</ndc>
    <ndc_label_name>Good Start Dr Brown Soothe Pro 2.2-5.1-11.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050005</ndc>
    <ndc_label_name>Good Start Dr Brown Soy-Ease Pro 2.45 gram-5.46 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050010</ndc>
    <ndc_label_name>Good Start Dr Brown Gentle Pro 2.2 g-5.1 g-11.2 g/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10131050011</ndc>
    <ndc_label_name>Good Start Dr Brown Soothe Pro 2.2-5.1-11.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010102</ndc>
    <ndc_label_name>BENZOIN COMPOUND TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010104</ndc>
    <ndc_label_name>BENZOIN COMPOUND TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010108</ndc>
    <ndc_label_name>BENZOIN COMPOUND TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010304</ndc>
    <ndc_label_name>BENZOIN TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010608</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010618</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135010808</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135011004</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135011006</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135011008</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135011018</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011101</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011103</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011110</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011113</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011130</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011157</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011160</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011162</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011167</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011190</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011901</ndc>
    <ndc_label_name>PYRIDOXINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135011930</ndc>
    <ndc_label_name>PYRIDOXINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012108</ndc>
    <ndc_label_name>DOCUSATE SOD 60 MG/15 ML SYRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012305</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012310</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012324</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012330</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012350</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012357</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012360</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012362</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012365</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012370</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012390</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012601</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012603</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012613</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012616</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012620</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012627</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012630</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012650</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012660</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012669</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012675</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135012690</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013201</ndc>
    <ndc_label_name>THIAMINE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013210</ndc>
    <ndc_label_name>THIAMINE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013301</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013310</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013324</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013330</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013362</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013369</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013601</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013605</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013610</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013613</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013630</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013657</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013660</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013708</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013718</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013801</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013803</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013805</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013810</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013813</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013830</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013860</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013861</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135013910</ndc>
    <ndc_label_name>PYRIDOXINE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014201</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014210</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014301</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014305</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014401</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014405</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014410</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014424</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014450</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014460</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014466</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014470</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135014614</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135014617</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014702</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014901</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014910</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135014924</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015001</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015005</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015010</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015013</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015020</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015024</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015030</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015069</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015101</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015110</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015124</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015150</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015152</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015157</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015210</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015213</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015224</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015230</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015250</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015256</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015257</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015260</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015266</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015270</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015401</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015410</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015425</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015450</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015461</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015510</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015601</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015610</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015613</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015801</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015810</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015812</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015818</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135015850</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016101</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016213</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016313</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016314</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016413</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135016613</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017101</ndc>
    <ndc_label_name>ASPIRIN EC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017110</ndc>
    <ndc_label_name>ASPIRIN EC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017160</ndc>
    <ndc_label_name>ASPIRIN EC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017164</ndc>
    <ndc_label_name>ASPIRIN EC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017201</ndc>
    <ndc_label_name>ASPIRIN EC 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017210</ndc>
    <ndc_label_name>ASPIRIN EC 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017301</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017305</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017310</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017336</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017362</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017369</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017510</ndc>
    <ndc_label_name>CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017516</ndc>
    <ndc_label_name>CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135017575</ndc>
    <ndc_label_name>CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017701</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017710</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017712</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135017736</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018001</ndc>
    <ndc_label_name>FOLIC ACID 0.4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018101</ndc>
    <ndc_label_name>FOLIC ACID 0.8 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018201</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018210</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018301</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018305</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018310</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018324</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135018330</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020301</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020313</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020324</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020360</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020364</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135020390</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135024036</ndc>
    <ndc_label_name>Aspirin Childrens 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135025416</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135025430</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135025460</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135025464</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135025564</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135031401</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135031410</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135031760</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135036701</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135036801</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135040401</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135040405</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135040410</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049201</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049205</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049210</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049301</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049305</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135049310</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135049501</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135049510</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135051601</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135051701</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135051801</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052001</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052010</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052201</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052205</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052210</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052403</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052405</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052410</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052490</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052503</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052505</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052510</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052590</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052603</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052605</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052610</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135052690</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053201</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053210</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053301</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053305</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053310</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053401</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053410</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053501</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053510</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053610</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053710</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053810</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135053901</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054001</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054005</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054101</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054110</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054301</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135054420</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135056701</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135056919</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135057901</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135058001</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058101</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058110</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058362</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058401</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058430</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058501</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058601</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058701</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058801</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135058901</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059001</ndc>
    <ndc_label_name>PILOCARPINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059130</ndc>
    <ndc_label_name>SIMETHICONE 125 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059160</ndc>
    <ndc_label_name>SIMETHICONE 125 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059230</ndc>
    <ndc_label_name>SIMETHICONE 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059260</ndc>
    <ndc_label_name>SIMETHICONE 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059324</ndc>
    <ndc_label_name>Nite Time Cold-Flu Relief 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059374</ndc>
    <ndc_label_name>Nite Time Cold-Flu Relief 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059386</ndc>
    <ndc_label_name>Nite Time Cold-Flu Relief 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059401</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059501</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059505</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135059510</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059601</ndc>
    <ndc_label_name>Omega-3 Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059797</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059798</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135059799</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135060190</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135060290</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135060301</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135060310</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135060408</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135060571</ndc>
    <ndc_label_name>LAMIVUDINE 10 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135060901</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135060905</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061001</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061005</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061101</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061290</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061390</ndc>
    <ndc_label_name>NIACIN ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061490</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061530</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135061630</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135062001</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135062101</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135062301</ndc>
    <ndc_label_name>BETAXOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135062401</ndc>
    <ndc_label_name>BETAXOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135062501</ndc>
    <ndc_label_name>DEMECLOCYCLINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135062648</ndc>
    <ndc_label_name>DEMECLOCYCLINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135062902</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135063001</ndc>
    <ndc_label_name>ACEBUTOLOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135063101</ndc>
    <ndc_label_name>ACEBUTOLOL 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135063205</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063301</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063305</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063401</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063405</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063501</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063505</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063632</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063701</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063705</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135063801</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135063810</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063930</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135063990</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064001</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064005</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064010</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064101</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064201</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064301</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064401</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064405</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064501</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064505</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064601</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064605</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064701</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064705</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064801</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064805</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135064910</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065005</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065110</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065201</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065250</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065263</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065305</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065401</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065430</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065660</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065760</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065860</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135065960</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066101</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066201</ndc>
    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066301</ndc>
    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066401</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066405</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066501</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066505</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066601</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066610</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066701</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066710</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066801</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066869</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135066901</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135067061</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067181</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067191</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067296</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067299</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067301</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067401</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067501</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067601</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067701</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067801</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135067901</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068101</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068230</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068260</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068304</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068308</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068312</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068410</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068510</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068601</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068701</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068801</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135068962</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069001</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069161</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135069201</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135069205</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069301</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069305</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069461</ndc>
    <ndc_label_name>SERTRALINE 20 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069508</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069712</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069720</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069744</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069801</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135069901</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070001</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070104</ndc>
    <ndc_label_name>MENTHOL-ZINC OXIDE OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070201</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070305</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070330</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070390</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070405</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070430</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070490</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135070550</ndc>
    <ndc_label_name>LACTOBACILLUS 1 MILLION CFU TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135070605</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135070660</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135070705</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135070760</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070801</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070805</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070901</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135070905</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071001</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071101</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071105</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071201</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071205</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071301</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071305</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071492</ndc>
    <ndc_label_name>Fiber Therapy (psyllium husk-sucrose) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071501</ndc>
    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071601</ndc>
    <ndc_label_name>Sotalol AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071701</ndc>
    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071812</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071844</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071912</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135071944</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072085</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135072101</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 420 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072201</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072205</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072301</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072305</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135072499</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072501</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072601</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072701</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072801</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072910</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135072962</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135073001</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135073101</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135073201</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073301</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073401</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073501</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073560</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073590</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135073651</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073760</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135073801</ndc>
    <ndc_label_name>RIFABUTIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135073901</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074001</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074005</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074101</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074105</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074205</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074230</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135074301</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135074401</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074560</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074562</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074660</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074701</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074710</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074801</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074810</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074901</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135074932</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075001</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135075112</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135075124</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075201</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075301</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075401</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075501</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075601</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075701</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135075830</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075910</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135075990</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076010</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076090</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076110</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076190</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076201</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076203</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076205</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076230</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076290</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076303</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076330</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076390</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135076430</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076501</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076601</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076701</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076830</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135076990</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135077090</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135077190</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135077201</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135077301</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078001</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078101</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078110</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078201</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078205</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078210</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135078301</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078662</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078705</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078730</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078790</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078801</ndc>
    <ndc_label_name>VITAMIN B-2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135078901</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135079030</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135079060</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135079601</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135079701</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135079841</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135079960</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080060</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080160</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080260</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080401</ndc>
    <ndc_label_name>ISONIAZID 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080501</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080530</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10135080601</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080856</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135080956</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081001</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081010</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081201</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081210</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081301</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081310</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081401</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081410</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081501</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135081510</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082130</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082190</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082230</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082290</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082305</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082330</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082332</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082333</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082360</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082362</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082390</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082405</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082490</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082510</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082530</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082590</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082610</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082630</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082690</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082710</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082790</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082801</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135082901</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083001</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083101</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083210</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083290</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083310</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083390</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083401</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10135083405</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GenaCheck Vaginal Health pH vaginal strip</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10143062008</ndc>
    <ndc_label_name>GenaCheck COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10143062018</ndc>
    <ndc_label_name>Genabio COVID-19 Rapid At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10143062020</ndc>
    <ndc_label_name>PdG Ovulation Confirmation Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10143062034</ndc>
    <ndc_label_name>GenaCheck COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10143062036</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Inbrija 42 mg capsules for inhalation</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10144034260</ndc>
    <ndc_label_name>Inbrija 42 mg capsule with inhalation device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10144042760</ndc>
    <ndc_label_name>Ampyra 10 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10147015001</ndc>
    <ndc_label_name>ITRACONAZOLE 10 MG/ML SOLUTION</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ETRAVIRINE 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10147057101</ndc>
    <ndc_label_name>ETRAVIRINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10147092103</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10481100701</ndc>
    <ndc_label_name>Gordomatic 92 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gordomatic crystals,topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Calicylic 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Methagual topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Oxyzal Wet Dressing 1:2,000 topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10481104203</ndc>
    <ndc_label_name>Gordon's Vite A topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Gordon's Vite A topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gordobalm 16 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gordobalm 16 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10481104902</ndc>
    <ndc_label_name>Mecholyl 0.25 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10481105101</ndc>
    <ndc_label_name>SILVER NITRATE 10% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10481105201</ndc>
    <ndc_label_name>SILVER NITRATE 25% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10481105301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sorbidon Hydrate topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sorbidon Hydrate topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10481300003</ndc>
    <ndc_label_name>Gordons-Vite E topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10481300005</ndc>
    <ndc_label_name>Gordons-Vite E topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10481300016</ndc>
    <ndc_label_name>Gordons-Vite E topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001050</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001150</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001201</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001210</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001250</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001301</ndc>
    <ndc_label_name>BETAXOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001401</ndc>
    <ndc_label_name>BETAXOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001601</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001606</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001610</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702001650</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001706</ndc>
    <ndc_label_name>CHLORPHENIRAMINE ER 12 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001724</ndc>
    <ndc_label_name>CHLORPHENIRAMINE ER 12 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001801</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702001850</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002301</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002501</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002503</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002510</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002601</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002610</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002701</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002710</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002801</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002810</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002901</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002903</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702002910</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702003615</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702003645</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004001</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004003</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004050</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004401</ndc>
    <ndc_label_name>DIETHYLPROPION 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004406</ndc>
    <ndc_label_name>DIETHYLPROPION 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702004510</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702005501</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE 5-1.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702005503</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE 5-1.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702005601</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702005650</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702005701</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702005750</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702006501</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702006601</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702006606</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702007001</ndc>
    <ndc_label_name>OXYMORPHONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702007006</ndc>
    <ndc_label_name>OXYMORPHONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702007101</ndc>
    <ndc_label_name>OXYMORPHONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702007106</ndc>
    <ndc_label_name>OXYMORPHONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007501</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007506</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007601</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007606</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007701</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007710</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702007810</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010001</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010101</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010201</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010601</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010701</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702010801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702015016</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702016350</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702016450</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702016901</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702017001</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018401</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 2.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018501</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018550</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018601</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018650</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018701</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018750</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018901</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018910</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702018950</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019001</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019010</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019050</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019101</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019110</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019150</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019201</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019250</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019301</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019350</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019401</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702019450</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702020101</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702020110</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702020150</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702022321</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702023701</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702025301</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702025350</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702027703</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10702027803</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034001</ndc>
    <ndc_label_name>APADAZ 4.08-325 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034101</ndc>
    <ndc_label_name>APADAZ 6.12-325 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034201</ndc>
    <ndc_label_name>APADAZ 8.16-325 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034301</ndc>
    <ndc_label_name>BENZHYDROCOD-ACETAMIN 4.08-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034401</ndc>
    <ndc_label_name>BENZHYDROCOD-ACETAMIN 6.12-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702034501</ndc>
    <ndc_label_name>BENZHYDROCOD-ACETAMIN 8.16-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702036199</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702036405</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702036451</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702036603</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702080301</ndc>
    <ndc_label_name>OXYCODONE HCL ER 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702080501</ndc>
    <ndc_label_name>OXYCODONE HCL ER 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702080803</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10702080806</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10725002507</ndc>
    <ndc_label_name>Mya Joy Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10758002000</ndc>
    <ndc_label_name>Shake That Ache 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10758002001</ndc>
    <ndc_label_name>Move It Along 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10758002002</ndc>
    <ndc_label_name>EaZZZe The Pain 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10758002004</ndc>
    <ndc_label_name>Tame The Flame 195 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10782010130</ndc>
    <ndc_label_name>VitaMedMD One Rx 30 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10782029860</ndc>
    <ndc_label_name>VITATRUE COMBO PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10791001486</ndc>
    <ndc_label_name>Mesalt 0.75" X 39" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10791017763</ndc>
    <ndc_label_name>Normlgel 0.9 % topical</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10791017775</ndc>
    <ndc_label_name>Normlgel 0.9 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10819388502</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10819388801</ndc>
    <ndc_label_name>Profend 10 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10819388802</ndc>
    <ndc_label_name>Profend 10 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858000186</ndc>
    <ndc_label_name>Konsyl Sugar-Free 6 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858000187</ndc>
    <ndc_label_name>Konsyl Daily Psyllium Fiber 5 gram/6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10858001590</ndc>
    <ndc_label_name>Konsyl (sugar) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008107</ndc>
    <ndc_label_name>Sitzmarks 24 Markers capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008109</ndc>
    <ndc_label_name>Sitzmarks 24 Markers capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008110</ndc>
    <ndc_label_name>Sitzmarks 24 Markers capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008114</ndc>
    <ndc_label_name>Sitzmarks For Kids 24 Markers capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008116</ndc>
    <ndc_label_name>Sitzmarks For Kids 24 Markers capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858008486</ndc>
    <ndc_label_name>Konsyl Daily Fiber (stevia) 3.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10858090100</ndc>
    <ndc_label_name>Konsyl Sugar-Free 6 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10885034100</ndc>
    <ndc_label_name>PKU EASY MICROTAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10888500602</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10888500603</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10888713502</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10888713602</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939000544</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939000644</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939002444</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939004533</ndc>
    <ndc_label_name>SM CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939004633</ndc>
    <ndc_label_name>SM MICONAZOLE 7 100 MG VAG SUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939005044</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939009144</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939011844</ndc>
    <ndc_label_name>SM TWO-STEP PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939013844</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939013944</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014233</ndc>
    <ndc_label_name>SM POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014333</ndc>
    <ndc_label_name>SM POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014533</ndc>
    <ndc_label_name>Caldyphen 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014633</ndc>
    <ndc_label_name>SM CALDYPHEN CLEAR LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939014733</ndc>
    <ndc_label_name>SM CALAMINE PHENOLATED LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014833</ndc>
    <ndc_label_name>SM CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939014933</ndc>
    <ndc_label_name>SM CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939016733</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939016833</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939017033</ndc>
    <ndc_label_name>Multipurpose Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939017144</ndc>
    <ndc_label_name>SM OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939019044</ndc>
    <ndc_label_name>SM LORATA-DINE D 24HR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939019344</ndc>
    <ndc_label_name>SM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939019444</ndc>
    <ndc_label_name>SM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939019844</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939020444</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939020733</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939020833</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939020933</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939020944</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939023633</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939024933</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939025033</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939025144</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939027533</ndc>
    <ndc_label_name>Children's Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939029833</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939030033</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939030444</ndc>
    <ndc_label_name>Sterile Pads 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939030844</ndc>
    <ndc_label_name>SM ROLLED GAUZE 2"X2.5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939032933</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939033233</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939033433</ndc>
    <ndc_label_name>SM FIBER LAXATIVE 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939035233</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939035444</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939035633</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939035933</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939036133</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939036233</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939037433</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939037933</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939038033</ndc>
    <ndc_label_name>SM MICONAZOLE 2% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939038333</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939038944</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939039644</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939040233</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939041033</ndc>
    <ndc_label_name>SM NASAL SPRAY SINUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939041233</ndc>
    <ndc_label_name>SM NASAL SPRAY 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939041433</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939042502</ndc>
    <ndc_label_name>COMBINE ABD 5" X 9" PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939043444</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939044144</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939044244</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939044333</ndc>
    <ndc_label_name>SM NOSE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939044344</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939044444</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939045944</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939047144</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939048233</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939048433</ndc>
    <ndc_label_name>SM TIOCONAZOLE-1 6.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939049444</ndc>
    <ndc_label_name>SM TEMPLE THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939053944</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939055633</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939056333</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939056433</ndc>
    <ndc_label_name>Antibiotic (bacitracin zinc) 500 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939056633</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939056644</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939056744</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939056833</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939056844</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057033</ndc>
    <ndc_label_name>SM HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057144</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057233</ndc>
    <ndc_label_name>SM HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057333</ndc>
    <ndc_label_name>Hydrocortisone Plus 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057433</ndc>
    <ndc_label_name>SM MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057733</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057833</ndc>
    <ndc_label_name>3-Day Vaginal 2 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057844</ndc>
    <ndc_label_name>Antacid Maximum Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939057944</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939060233</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939062144</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939063544</ndc>
    <ndc_label_name>SM NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939063744</ndc>
    <ndc_label_name>Lubricating Plus 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939065544</ndc>
    <ndc_label_name>SM HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939067944</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939068744</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939068833</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939068844</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939068933</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939069033</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939069133</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939069144</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939071844</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939072444</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939072644</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939072744</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939073844</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939073944</ndc>
    <ndc_label_name>Lice Treatment (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939074444</ndc>
    <ndc_label_name>SM MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939076044</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939076144</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939076244</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939076644</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939076744</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939076844</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939077444</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939077544</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939078844</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939078944</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939079044</ndc>
    <ndc_label_name>Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079233</ndc>
    <ndc_label_name>SM LORATADINE 5 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079344</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079444</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079544</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079744</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939079933</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939082144</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939082244</ndc>
    <ndc_label_name>Allergy (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939082344</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939082444</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939082544</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939083744</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939084044</ndc>
    <ndc_label_name>SM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939084244</ndc>
    <ndc_label_name>SM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939084344</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939084844</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939084944</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939085144</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939085844</ndc>
    <ndc_label_name>SM GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939086144</ndc>
    <ndc_label_name>SM NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939086244</ndc>
    <ndc_label_name>SM NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939086344</ndc>
    <ndc_label_name>SM NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939086844</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939088144</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939088244</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939088444</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939088644</ndc>
    <ndc_label_name>SM CALCIUM 600-D3-MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939088744</ndc>
    <ndc_label_name>SM CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939088844</ndc>
    <ndc_label_name>SM CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939088944</ndc>
    <ndc_label_name>SM CRANBERRY 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089044</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089144</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939089244</ndc>
    <ndc_label_name>SM FLAXSEED OIL 1,000 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089344</ndc>
    <ndc_label_name>SM FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089444</ndc>
    <ndc_label_name>SM MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089544</ndc>
    <ndc_label_name>SM MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089744</ndc>
    <ndc_label_name>SM POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939089944</ndc>
    <ndc_label_name>SM VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090044</ndc>
    <ndc_label_name>SM VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090144</ndc>
    <ndc_label_name>SM VITAMIN C 500 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090233</ndc>
    <ndc_label_name>Antibiotic Plus (pramoxine) 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090433</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090544</ndc>
    <ndc_label_name>SM ZINC CHELATED 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090633</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090644</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090744</ndc>
    <ndc_label_name>Mucus-ER MAX 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939090844</ndc>
    <ndc_label_name>SM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939091044</ndc>
    <ndc_label_name>SM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939091144</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939091233</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939091444</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939091744</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095357</ndc>
    <ndc_label_name>Advanced Probiotic 625 mg (10 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095358</ndc>
    <ndc_label_name>SM CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095359</ndc>
    <ndc_label_name>SM CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095360</ndc>
    <ndc_label_name>SM CALCIUM CIT 315-D3 6.5 MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095361</ndc>
    <ndc_label_name>Century Men 50 Plus 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095362</ndc>
    <ndc_label_name>Century Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095368</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095370</ndc>
    <ndc_label_name>SM MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095371</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095374</ndc>
    <ndc_label_name>Acidophilus Probiotic Blend 175 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095375</ndc>
    <ndc_label_name>SM VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095376</ndc>
    <ndc_label_name>SM VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095377</ndc>
    <ndc_label_name>SM FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095378</ndc>
    <ndc_label_name>SM SERIES 200 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095379</ndc>
    <ndc_label_name>SM SERIES 600 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095380</ndc>
    <ndc_label_name>SM SERIES 800 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095381</ndc>
    <ndc_label_name>SM SERIES 200W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095382</ndc>
    <ndc_label_name>SM SERIES 600W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095383</ndc>
    <ndc_label_name>SM BLOOD PRESSURE MANUAL KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095439</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095440</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095513</ndc>
    <ndc_label_name>Vapor Inhaler (menthol) nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095585</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095586</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095594</ndc>
    <ndc_label_name>Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095614</ndc>
    <ndc_label_name>Fiber (psyllium husk) 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095615</ndc>
    <ndc_label_name>Fiber (psyllium husk-sugar) 3 gram/11 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095616</ndc>
    <ndc_label_name>Fiber Therapy (psyllium husk-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095617</ndc>
    <ndc_label_name>Fiber (with aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095618</ndc>
    <ndc_label_name>Fiber Therapy (psyllium husk-sucrose) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095660</ndc>
    <ndc_label_name>Advanced Probiotic 625 mg (10 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095662</ndc>
    <ndc_label_name>Children's Multivitamin-Immune chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095663</ndc>
    <ndc_label_name>Children's Multivitamin-Immune chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095664</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095665</ndc>
    <ndc_label_name>Sambucus Elderberry 45 mg-3.75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095666</ndc>
    <ndc_label_name>FT SELENIUM 200 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095667</ndc>
    <ndc_label_name>FT TURMERIC 500MG-BLK PEPR CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095668</ndc>
    <ndc_label_name>FT TURMERIC COMPLEX 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095669</ndc>
    <ndc_label_name>FT CRANBERRY 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095670</ndc>
    <ndc_label_name>FT GLUCOSAMINE-CHONDROITIN ADV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095671</ndc>
    <ndc_label_name>FT GLUCOSAMINE DAILY COMPLEX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095672</ndc>
    <ndc_label_name>FT GLUCOSAMINE-CHONDRO-MSM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095673</ndc>
    <ndc_label_name>FT CALCIUM 500 MG-D3 5 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095674</ndc>
    <ndc_label_name>FT CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095675</ndc>
    <ndc_label_name>FT CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095676</ndc>
    <ndc_label_name>FT CALCIUM CIT 200-D3 6.25 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095677</ndc>
    <ndc_label_name>FT CALCIUM CIT 315-D3 6.25 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095678</ndc>
    <ndc_label_name>FT CALCIUM-MAG-ZINC-D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095679</ndc>
    <ndc_label_name>FT CALCIUM 1000MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095680</ndc>
    <ndc_label_name>FT CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095681</ndc>
    <ndc_label_name>FT CALCIUM 600-D3-MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095682</ndc>
    <ndc_label_name>FT CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095683</ndc>
    <ndc_label_name>FT IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095684</ndc>
    <ndc_label_name>FT IRON 45 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095685</ndc>
    <ndc_label_name>FT MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095686</ndc>
    <ndc_label_name>FT MAGNESIUM OXIDE 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095687</ndc>
    <ndc_label_name>FT NIACIN 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095688</ndc>
    <ndc_label_name>FT ZINC CHELATED 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095689</ndc>
    <ndc_label_name>FT CALCIUM CIT 315-D3 6.25 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095691</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095692</ndc>
    <ndc_label_name>Century Men 50 Plus 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095693</ndc>
    <ndc_label_name>Century Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095694</ndc>
    <ndc_label_name>Century Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095695</ndc>
    <ndc_label_name>Century Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095696</ndc>
    <ndc_label_name>Century Men 8 mg iron-200 mcg-60 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095697</ndc>
    <ndc_label_name>Century 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095698</ndc>
    <ndc_label_name>Century 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095699</ndc>
    <ndc_label_name>Century Women 18 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095701</ndc>
    <ndc_label_name>Eye Health Vitamin-Mineral 250 mg-90 mg-10 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095702</ndc>
    <ndc_label_name>Eye Health Plus Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095703</ndc>
    <ndc_label_name>Mind and Memory 100 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095704</ndc>
    <ndc_label_name>One Daily Men's Health 240 mcg-30 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095705</ndc>
    <ndc_label_name>One Daily Women 50 Plus(Vit K) 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095706</ndc>
    <ndc_label_name>One Daily Women's 18 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095707</ndc>
    <ndc_label_name>One Daily Men's 50 Plus with D3 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095708</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095709</ndc>
    <ndc_label_name>FT B COMPLEX PLUS VIT C TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095710</ndc>
    <ndc_label_name>FT VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095711</ndc>
    <ndc_label_name>FT VITAMIN B12 ER 1,000 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095712</ndc>
    <ndc_label_name>FT VIT B-12 2,500 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095713</ndc>
    <ndc_label_name>FT VITAMIN B-12 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095714</ndc>
    <ndc_label_name>FT VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095715</ndc>
    <ndc_label_name>FT VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095716</ndc>
    <ndc_label_name>FT VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095717</ndc>
    <ndc_label_name>FT VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095718</ndc>
    <ndc_label_name>B-100 Complex ER 100 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095719</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095720</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095721</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095722</ndc>
    <ndc_label_name>FT VITAMIN C 500 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095723</ndc>
    <ndc_label_name>FT VITAMIN D3 250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095724</ndc>
    <ndc_label_name>FT VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095725</ndc>
    <ndc_label_name>FT VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095726</ndc>
    <ndc_label_name>FT VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095727</ndc>
    <ndc_label_name>FT VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095728</ndc>
    <ndc_label_name>FT VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095729</ndc>
    <ndc_label_name>FT VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095730</ndc>
    <ndc_label_name>FT APPLE CIDER VINEGAR 300 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095731</ndc>
    <ndc_label_name>FT BIOTIN 2,500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095732</ndc>
    <ndc_label_name>FT BIOTIN 10,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095734</ndc>
    <ndc_label_name>FT BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095735</ndc>
    <ndc_label_name>FT CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095736</ndc>
    <ndc_label_name>FT CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095737</ndc>
    <ndc_label_name>Cranberry-Probiotic (blend)-Vit C 150 million cell-250 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095738</ndc>
    <ndc_label_name>FT FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095739</ndc>
    <ndc_label_name>FT FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095740</ndc>
    <ndc_label_name>FT FISH OIL 650 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095741</ndc>
    <ndc_label_name>FT FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095742</ndc>
    <ndc_label_name>FT FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095743</ndc>
    <ndc_label_name>FT FLAXSEED OIL 1,000 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095744</ndc>
    <ndc_label_name>FT FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095745</ndc>
    <ndc_label_name>FT FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095746</ndc>
    <ndc_label_name>Hair,Skin and Nails (folic acid-biotin) 66.7 mcg-1,666.7 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095747</ndc>
    <ndc_label_name>FT KRILL OIL 350 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095748</ndc>
    <ndc_label_name>FT MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095749</ndc>
    <ndc_label_name>FT MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095750</ndc>
    <ndc_label_name>FT MELATONIN ER 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095751</ndc>
    <ndc_label_name>FT MELATONIN 10 MG QUICK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095752</ndc>
    <ndc_label_name>FT MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095753</ndc>
    <ndc_label_name>FT MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095754</ndc>
    <ndc_label_name>FT MILK THISTLE EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095755</ndc>
    <ndc_label_name>FT POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095756</ndc>
    <ndc_label_name>Acidophilus Probiotic Blend 175 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095757</ndc>
    <ndc_label_name>FT RED YEAST RICE 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095760</ndc>
    <ndc_label_name>Immune Support (vit-min-herbs) 250 mg-8.875 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095761</ndc>
    <ndc_label_name>FT VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095762</ndc>
    <ndc_label_name>FT VITAMIN B-12 1500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095817</ndc>
    <ndc_label_name>Combination Water Bottle misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095820</ndc>
    <ndc_label_name>Eyelid Wipes (with chamomile) towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095856</ndc>
    <ndc_label_name>Water Bottle misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095857</ndc>
    <ndc_label_name>FT ICE BAG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095890</ndc>
    <ndc_label_name>Lice-Bedbug-Mite Bedding 0.5 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095891</ndc>
    <ndc_label_name>Ultra Pesticide Free Lice Treatment topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095905</ndc>
    <ndc_label_name>FT ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095906</ndc>
    <ndc_label_name>FT ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095907</ndc>
    <ndc_label_name>FT ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095908</ndc>
    <ndc_label_name>FT ELASTIC BANDAGE 3" X 5 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095909</ndc>
    <ndc_label_name>FT ELASTIC BANDAGE 4" X 5 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095910</ndc>
    <ndc_label_name>FT SELF-ADHERING BANDG 3"X5YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095911</ndc>
    <ndc_label_name>FT SELF-ADHERING BANDG 4"X5YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095912</ndc>
    <ndc_label_name>FT HEATING PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095913</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095914</ndc>
    <ndc_label_name>Instant Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095915</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095916</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095917</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095918</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095919</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095920</ndc>
    <ndc_label_name>Antibacterial Strong Strips 0.1 %-1" X 3 1/4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095921</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095922</ndc>
    <ndc_label_name>Flexible Fabric Antibacterial Bandage 0.1 %-2" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095924</ndc>
    <ndc_label_name>Advanced Antibacterial Bandage 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095925</ndc>
    <ndc_label_name>Flexible Fabric Antibacterial Bandage 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095927</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095929</ndc>
    <ndc_label_name>Antibacterial Strong Strips 0.1 %-1 3/4" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095932</ndc>
    <ndc_label_name>Antibacterial Pad 0.1 %-2" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095934</ndc>
    <ndc_label_name>Antibacterial Pad 0.1 %-3" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095935</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095937</ndc>
    <ndc_label_name>FT FABRIC ADH BNDG 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095939</ndc>
    <ndc_label_name>FT FABRIC ADHESIVE BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095940</ndc>
    <ndc_label_name>FT PLASTIC ADH BNDG 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095941</ndc>
    <ndc_label_name>Sheer Bandage 2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095944</ndc>
    <ndc_label_name>FT WATERPRF ADH TAPE 1" X 180"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095945</ndc>
    <ndc_label_name>FT WATERPRF ADH TAPE 1/2"X360"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095946</ndc>
    <ndc_label_name>Gentle Tape 2" X 5 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095949</ndc>
    <ndc_label_name>FT BANDAGE ROLL 4.5" X 4.1YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095950</ndc>
    <ndc_label_name>FT ROLLED GAUZE 3" X 2.5 YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095951</ndc>
    <ndc_label_name>Sterile Pads 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095952</ndc>
    <ndc_label_name>Sterile Pads 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095953</ndc>
    <ndc_label_name>Sterile Pads 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095954</ndc>
    <ndc_label_name>FT ROLLED GAUZE 2" X 2.5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939095959</ndc>
    <ndc_label_name>FT GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095963</ndc>
    <ndc_label_name>FT BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095964</ndc>
    <ndc_label_name>Sweet Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095990</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095991</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939095999</ndc>
    <ndc_label_name>Cranberry Urinary Tract Health 250 mg-30 mg-3.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096013</ndc>
    <ndc_label_name>FT WRIST BP MONITR SERIES 200W</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096014</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 200</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096015</ndc>
    <ndc_label_name>FT WRIST BP MONITR SERIES 600W</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096016</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 600</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096017</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 800</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096018</ndc>
    <ndc_label_name>FT BLOOD PRESSURE MANUAL KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096019</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096020</ndc>
    <ndc_label_name>FT THERMOMETER PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096021</ndc>
    <ndc_label_name>FT TEMPLE THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096022</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096023</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096057</ndc>
    <ndc_label_name>Children's Probiotic Digestive-Immune 5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096058</ndc>
    <ndc_label_name>FT MAGNESIUM GLYCINATE 100 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096059</ndc>
    <ndc_label_name>FT ASHWAGANDHA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096060</ndc>
    <ndc_label_name>FT CALCIUM 600 MG-VIT D3 5 MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939096061</ndc>
    <ndc_label_name>FT CO Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096127</ndc>
    <ndc_label_name>urinary tract infection test for leukocytes strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096132</ndc>
    <ndc_label_name>FT CRYO WART REMOVER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939096153</ndc>
    <ndc_label_name>FT VITAMIN A 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939096154</ndc>
    <ndc_label_name>FT VITAMIN K2 100 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096155</ndc>
    <ndc_label_name>FT BERBERINE HCL 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096156</ndc>
    <ndc_label_name>FT BEET ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096198</ndc>
    <ndc_label_name>Heartburn Relief-Vitamin D 250 mg-12.5 mcg (500 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10939096199</ndc>
    <ndc_label_name>Prebiotic Fiber Digestive 1.7 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096204</ndc>
    <ndc_label_name>FT WRIST BP MONITR SERIES 200W</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096205</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 200</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096206</ndc>
    <ndc_label_name>FT WRIST BP MONITR SERIES 600W</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096207</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 600</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939096208</ndc>
    <ndc_label_name>FT BP MONITOR-SERIES 800</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939097633</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939097733</ndc>
    <ndc_label_name>SM BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10939097833</ndc>
    <ndc_label_name>Sweet Oil oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10956055130</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10956061801</ndc>
    <ndc_label_name>Reese's Pinworm Medicine 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10956061821</ndc>
    <ndc_label_name>Reese's Pinworm Medicine 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10956076150</ndc>
    <ndc_label_name>Refenesen DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>10956078850</ndc>
    <ndc_label_name>Refenesen 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>10956079150</ndc>
    <ndc_label_name>Refenesen PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017011075</ndc>
    <ndc_label_name>Dr Scholl's Clear Away 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017011120</ndc>
    <ndc_label_name>Clear Away 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017023140</ndc>
    <ndc_label_name>Dr Scholl's Foot Powder powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017023523</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017023532</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017025220</ndc>
    <ndc_label_name>Duofilm 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017040444</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017040679</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017041005</ndc>
    <ndc_label_name>Tinactin 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11017041013</ndc>
    <ndc_label_name>Lotrimin AF 2 % topical spray</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11017041023</ndc>
    <ndc_label_name>Lotrimin AF Powder 2 % topical spray</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11017041025</ndc>
    <ndc_label_name>Lotrimin AF Powder 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11017041031</ndc>
    <ndc_label_name>LOTRIMIN AF 2% SPRAY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11017057136</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11084012803</ndc>
    <ndc_label_name>Bactoshield CHG 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086001101</ndc>
    <ndc_label_name>Tarsum Professional 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086001102</ndc>
    <ndc_label_name>Tarsum Professional 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086002201</ndc>
    <ndc_label_name>Rezamid 2 %-5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086002801</ndc>
    <ndc_label_name>LIQUIMAT MEDIUM LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086003010</ndc>
    <ndc_label_name>Keralyt Rx 6 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086003060</ndc>
    <ndc_label_name>Keralyt Scalp 6 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086003201</ndc>
    <ndc_label_name>Vanoxide-HC 5 %-0.5 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086003701</ndc>
    <ndc_label_name>Drithocreme HP 1 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086003801</ndc>
    <ndc_label_name>Keralyt 3 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086004306</ndc>
    <ndc_label_name>Keralyt 6 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086005801</ndc>
    <ndc_label_name>HypoCyn Dermal 0.012 %-0.002 %-0.046 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086005901</ndc>
    <ndc_label_name>HypoCyn Antipruritic 0.012 % topical spray gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11086010501</ndc>
    <ndc_label_name>Cutar 7.5 % topical emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11110035353</ndc>
    <ndc_label_name>Prenatal 28 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003001</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003002</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003004</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003005</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003008</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003011</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003039</ndc>
    <ndc_label_name>Kate Farms Peptide 1.5  0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003040</ndc>
    <ndc_label_name>Kate Farms Peptide 1.5  0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003042</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003043</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003044</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003045</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003048</ndc>
    <ndc_label_name>Kate Farms Peptide 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003049</ndc>
    <ndc_label_name>Kate Farms Peptide 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003052</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.0  0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003053</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.0  0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003054</ndc>
    <ndc_label_name>Kate Farms Peptide 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003055</ndc>
    <ndc_label_name>Kate Farms Peptide 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003064</ndc>
    <ndc_label_name>Kate Farms Renal Support 1.8  0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003065</ndc>
    <ndc_label_name>Kate Farms Renal Support 1.8  0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003066</ndc>
    <ndc_label_name>Kate Farms Glucose Support 1.2  0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003067</ndc>
    <ndc_label_name>Kate Farms Glucose Support 1.2  0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003068</ndc>
    <ndc_label_name>Kate Farms Pediatric Standard 1.2  0.05 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003069</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.5  0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003070</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.5  0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003071</ndc>
    <ndc_label_name>Kate Farms Pediatric Standard 1.2  0.05 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003074</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003075</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003076</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003077</ndc>
    <ndc_label_name>Kate Farms Pediatric Blended Meal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003080</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003081</ndc>
    <ndc_label_name>Kate Farms Standard 1.4  0.06 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003094</ndc>
    <ndc_label_name>Kate Farms Glucose Support 1.2  0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003096</ndc>
    <ndc_label_name>Kate Farms Renal Support 1.8  0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003119</ndc>
    <ndc_label_name>Kate Farms Kids Nutrition 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003121</ndc>
    <ndc_label_name>Kate Farms Kids Nutrition 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003123</ndc>
    <ndc_label_name>Kate Farms Kids Nutrition 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003131</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.0  0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11112003132</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.0  0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169000004</ndc>
    <ndc_label_name>Yager's 3.1 %-8.2 % topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169000008</ndc>
    <ndc_label_name>Yager's 3.1 %-8.2 % topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169001206</ndc>
    <ndc_label_name>GETS-IT CORN-CALLUS REMOVE LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169004904</ndc>
    <ndc_label_name>Father John's Cough Suppressant 10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169004908</ndc>
    <ndc_label_name>Father John's Cough Suppressant 10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169005040</ndc>
    <ndc_label_name>Father John's Medicine Plus 4 mg-10 mg-10 mg/30 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169010012</ndc>
    <ndc_label_name>Soltice 5.1 %-5.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169010216</ndc>
    <ndc_label_name>Unguentine 6.6%-3 %-2.5 %-2.2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11169020011</ndc>
    <ndc_label_name>Blis-To-Sol (tolnaftate) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11169020012</ndc>
    <ndc_label_name>Blis-To-Sol (tolnaftate) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11169060451</ndc>
    <ndc_label_name>Nose Better 0.5 %-0.75 %-0.5 % nasal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11169061569</ndc>
    <ndc_label_name>Evac-U-Gen (sennosides) 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11344021830</ndc>
    <ndc_label_name>Clear Anti-Itch 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383001111</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383001126</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383001811</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383001821</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383001830</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383005011</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383005026</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383006811</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383006821</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383006850</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383007930</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383008911</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383008950</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383009749</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383009796</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383011825</ndc>
    <ndc_label_name>Sleeping 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383011850</ndc>
    <ndc_label_name>Sleeping 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013711</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013750</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013811</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013826</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013851</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383013917</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383014811</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383014851</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383015111</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383015121</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383015150</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383015814</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383015826</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383016008</ndc>
    <ndc_label_name>Ultra A-D 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383016406</ndc>
    <ndc_label_name>Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383016560</ndc>
    <ndc_label_name>Pain and Sleep 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383016808</ndc>
    <ndc_label_name>Expectorant 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383017001</ndc>
    <ndc_label_name>Long Acting Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383017808</ndc>
    <ndc_label_name>Expectorant DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383017908</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383018551</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383018552</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383019031</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383019204</ndc>
    <ndc_label_name>Solarhist 1 %-2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383022111</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383022150</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383023211</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383023232</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383023411</ndc>
    <ndc_label_name>Laxative Stool Softener With Senna 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383023460</ndc>
    <ndc_label_name>Laxative Stool Softener With Senna 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023550</ndc>
    <ndc_label_name>G-Fenesin 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023604</ndc>
    <ndc_label_name>Expectorant DM 20 mg-300 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023608</ndc>
    <ndc_label_name>Expectorant DM 20 mg-300 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023750</ndc>
    <ndc_label_name>Sinutrol PE 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023850</ndc>
    <ndc_label_name>G-Fenesin DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383023950</ndc>
    <ndc_label_name>Congest-Eze PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383024409</ndc>
    <ndc_label_name>Allergy Relief and Nasal Decongestant 10 mg-240 mg tablet,extended rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383024527</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383024543</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383024604</ndc>
    <ndc_label_name>Pharmacist Pain Relief 0.05 %-20 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383024723</ndc>
    <ndc_label_name>Long Acting Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383025236</ndc>
    <ndc_label_name>Children's Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383025408</ndc>
    <ndc_label_name>Expectorant DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383025716</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383025743</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11383025761</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11383027104</ndc>
    <ndc_label_name>Bio-Therm 0.002 %-20 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030100</ndc>
    <ndc_label_name>BreatheRite MDI Spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030101</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Neonate</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030102</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Infant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030103</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Small Child</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030104</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Child</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030105</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Adult</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030200</ndc>
    <ndc_label_name>BreatheRite MDI Spacer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BreatheRite Spacer and Mask, Neonate</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030202</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Infant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BreatheRite Spacer and Mask, Small Child</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030204</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11391030205</ndc>
    <ndc_label_name>BreatheRite Spacer and Mask, Adult</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423000329</ndc>
    <ndc_label_name>Repel Sportsmen 29 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423000338</ndc>
    <ndc_label_name>Repel Sportsmen Max 40 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423000402</ndc>
    <ndc_label_name>Repel 100  98.11 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094079</ndc>
    <ndc_label_name>Repel Sportsmen Max 40 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094095</ndc>
    <ndc_label_name>Repel Sportsmen Max 40 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094098</ndc>
    <ndc_label_name>Repel 100  98.11 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094100</ndc>
    <ndc_label_name>Repel 30 % towelette</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094101</ndc>
    <ndc_label_name>Repel Sportsmen Max 40 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094108</ndc>
    <ndc_label_name>Repel 100  98.11 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094109</ndc>
    <ndc_label_name>Repel Lemon Eucalyptus 30 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094120</ndc>
    <ndc_label_name>Repel Family 10 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094133</ndc>
    <ndc_label_name>Repel Sportsmen Dry 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094136</ndc>
    <ndc_label_name>Repel Family 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094137</ndc>
    <ndc_label_name>Repel Sportsmen 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094138</ndc>
    <ndc_label_name>Repel Tick Defense 15 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11423094139</ndc>
    <ndc_label_name>Repel Hunter's 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11444000104</ndc>
    <ndc_label_name>Absorbine Jr. Original topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11444000106</ndc>
    <ndc_label_name>Absorbine Jr. Original topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11444022701</ndc>
    <ndc_label_name>Absorbine Pain Relieving 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11505003003</ndc>
    <ndc_label_name>Ivenix LVP Blood Product Administration Set blood set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11505003007</ndc>
    <ndc_label_name>Ivenix LVP Administration Set Dual-Inlet Y-site</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11505003010</ndc>
    <ndc_label_name>Ivenix LVP Administration Set Single-Inlet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ivenix LVP Epidural Admin Set infusion set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ivenix LVP Epidural Set NRFit infusion set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ivenix LVP Administration Set Dual-Inlet Dual Y-site</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ivenix LVP Administration Set Dual-Inlet Dual Y-site</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11505003023</ndc>
    <ndc_label_name>Ivenix LVP Administration Set Single-Inlet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509000367</ndc>
    <ndc_label_name>Vagisil 5 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509000372</ndc>
    <ndc_label_name>Vagisil 20 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509000392</ndc>
    <ndc_label_name>Vagisil topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509000401</ndc>
    <ndc_label_name>Johnson's Foot topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509006002</ndc>
    <ndc_label_name>Vagisil Anti-Itch 1 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11509006003</ndc>
    <ndc_label_name>Vagisil Anti-Itch 1 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000005</ndc>
    <ndc_label_name>Dona 750 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11511000040</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000310</ndc>
    <ndc_label_name>InvigoFlex GS 750 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000320</ndc>
    <ndc_label_name>InvigoFlex CS 600 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000330</ndc>
    <ndc_label_name>InvigoFlex AMPM 750 mg-600 mg-50 mg-125 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000340</ndc>
    <ndc_label_name>InvigoFlex D 750 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000345</ndc>
    <ndc_label_name>InvigoFlex D 1,500 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11511000801</ndc>
    <ndc_label_name>DermaZinc Shampoo 2 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523010202</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523016503</ndc>
    <ndc_label_name>Tinactin 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523044402</ndc>
    <ndc_label_name>Tinactin 1 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523054402</ndc>
    <ndc_label_name>Lotrimin AF Powder 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523072688</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523077101</ndc>
    <ndc_label_name>Gyne-Lotrimin 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523077702</ndc>
    <ndc_label_name>Tinactin 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523088709</ndc>
    <ndc_label_name>Gyne-Lotrimin 7 1 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523091901</ndc>
    <ndc_label_name>Lotrimin AF 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523096301</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523096305</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523115901</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523116703</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523116705</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523116706</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523119001</ndc>
    <ndc_label_name>Tinactin 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523119002</ndc>
    <ndc_label_name>Tinactin 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523170201</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523178301</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523314201</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523360101</ndc>
    <ndc_label_name>Coricidin HBP Cough and Cold 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523411201</ndc>
    <ndc_label_name>Afrin Sinus (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523414002</ndc>
    <ndc_label_name>LOTRIMIN AF 2% SPRAY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523416102</ndc>
    <ndc_label_name>Tinactin 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523431101</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523432202</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523432204</ndc>
    <ndc_label_name>Oxytrol For Women 3.9 mg/24 hour transdermal patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523432501</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523432502</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523432601</ndc>
    <ndc_label_name>Coricidin HBP Cough and Cold 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523432701</ndc>
    <ndc_label_name>Lotrimin AF 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523433201</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523433202</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523433203</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523433804</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523700202</ndc>
    <ndc_label_name>Lotrimin AF 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715403</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715404</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715702</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715703</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715708</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523715802</ndc>
    <ndc_label_name>Coricidin HBP Chest Congestion-Cough 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716001</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716002</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716003</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716005</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716201</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716202</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523716203</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11523716301</ndc>
    <ndc_label_name>Claritin 5 mg/5 mL oral solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523719701</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523719702</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523719704</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523719706</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523720001</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523720002</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523720003</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523720008</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523720201</ndc>
    <ndc_label_name>Claritin RediTabs 5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723402</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723701</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723703</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723705</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723706</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523723708</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726501</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726502</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726503</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726803</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726804</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11523726808</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527005140</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527005641</ndc>
    <ndc_label_name>Hemorrhoidal (pramoxine-zinc) 1 %-12.5 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527005740</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527005841</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527006247</ndc>
    <ndc_label_name>Oral Pain Relief 20 % mucosal gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527006904</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527007140</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527014055</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527014351</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527016251</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11527016255</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527070442</ndc>
    <ndc_label_name>SODIUM FLUORIDE SENSTV 5000PPM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527073044</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527073516</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.2% RINSE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11527074534</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sodium Fluoride 5000 Dry Mouth 1.1 % dental paste</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11528002001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534015903</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016501</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534016615</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534016616</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534016644</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016709</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016710</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016809</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016810</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016909</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534016910</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534017601</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534017603</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534018028</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534018050</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534018701</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534018704</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534018801</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534019601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11534019701</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020001</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020004</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020007</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020401</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020403</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020404</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020501</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020503</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020504</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020601</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020603</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11534020604</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584003001</ndc>
    <ndc_label_name>Tencon 50 mg-325 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584047703</ndc>
    <ndc_label_name>Relagesic 29 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584104604</ndc>
    <ndc_label_name>Despec-DM (phenylephrine-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584104706</ndc>
    <ndc_label_name>Despec DM-G 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584110101</ndc>
    <ndc_label_name>Despec-DM (pseudoeph-DM-guaif) 30 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11584111001</ndc>
    <ndc_label_name>Despec EDA Cough and Cold Drops 2.5 mg-5 mg-50 mg/mL oral</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673000334</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Digestive Relief 262 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673000771</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Natural Herb Cough Drops 4.8 mg</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PSYLLIUM FIBER 0.52 G CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673008002</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673010301</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673010302</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673010303</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673010526</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673011001</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673011428</ndc>
    <ndc_label_name>12-Hour Cough Relief 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673011625</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673011703</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673012405</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673012520</ndc>
    <ndc_label_name>Digestive Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673013026</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673013034</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673017002</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673018001</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673018383</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019005</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019402</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019502</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019602</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019703</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673019900</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673020264</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673021062</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673025510</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673027953</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673030602</ndc>
    <ndc_label_name>Powderlax 17 gram/dose oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673030603</ndc>
    <ndc_label_name>Powderlax 17 gram/dose oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673030652</ndc>
    <ndc_label_name>Powderlax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673034414</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673034416</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673036578</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673036871</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673036878</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673036882</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673040564</ndc>
    <ndc_label_name>Antibiotic(neomy-bacit-polym) 3.5 mg-400 unit-5,000 unit/gram top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673040701</ndc>
    <ndc_label_name>Cold Sore Treatment (benzalkonium-camphor) 0.13 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673043421</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673044478</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673044805</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673045115</ndc>
    <ndc_label_name>Redness Reliever Lubricant 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673045415</ndc>
    <ndc_label_name>Lubricant (propylene glycol-glycerin) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673045678</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673046162</ndc>
    <ndc_label_name>IBUPROFEN JR STR 100 MG TB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673046278</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673048471</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673048478</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673048483</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673050206</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673050287</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673050458</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673051010</ndc>
    <ndc_label_name>Medicated Foot Powder (menthol) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673051778</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673051912</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673051915</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673051920</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673052162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673055050</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673057122</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673057139</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673058603</ndc>
    <ndc_label_name>Antifungal Spray 1 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673060340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673060462</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673060471</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673060478</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673061048</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673061246</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673061265</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673061282</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673062090</ndc>
    <ndc_label_name>Fiber Therapy (ca polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673062167</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673062170</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673062264</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673063740</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673065422</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673066026</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673066890</ndc>
    <ndc_label_name>Fiber (psyllium husk-sugar) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673066991</ndc>
    <ndc_label_name>Fiber (with aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673067552</ndc>
    <ndc_label_name>Dairy Digestive 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673068534</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673069062</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673069078</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673070526</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673072024</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673073092</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673073402</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673075926</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673081736</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11673081801</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673082529</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673087314</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673087316</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673088210</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673088426</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673090224</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673090228</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673090234</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673090317</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673091202</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673091503</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673091836</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673095702</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673098509</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11673099548</ndc>
    <ndc_label_name>Laxative (sennosides) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000216</ndc>
    <ndc_label_name>Sween Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000221</ndc>
    <ndc_label_name>Sween topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000235</ndc>
    <ndc_label_name>Sween Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000403</ndc>
    <ndc_label_name>Xtracare lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000404</ndc>
    <ndc_label_name>Xtracare lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000405</ndc>
    <ndc_label_name>Xtracare lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000421</ndc>
    <ndc_label_name>Xtracare lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000426</ndc>
    <ndc_label_name>Xtracare lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000505</ndc>
    <ndc_label_name>Fordustin topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000516</ndc>
    <ndc_label_name>Fordustin topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000703</ndc>
    <ndc_label_name>Sween Prep 0.5 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701000720</ndc>
    <ndc_label_name>Sween Prep Wipes 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701001826</ndc>
    <ndc_label_name>Gentle Rain 0.3 % soap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002004</ndc>
    <ndc_label_name>Bedside-Care topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002005</ndc>
    <ndc_label_name>Bedside-Care topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002009</ndc>
    <ndc_label_name>Bedside-Care topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002214</ndc>
    <ndc_label_name>Atrac-Tain (with AHA) 10 %-4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002221</ndc>
    <ndc_label_name>Atrac-Tain (with AHA) 10 %-4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002223</ndc>
    <ndc_label_name>Atrac-Tain (with AHA) 10 %-4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002504</ndc>
    <ndc_label_name>Isagel No Rinse 60 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002526</ndc>
    <ndc_label_name>Isagel No Rinse 60 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002545</ndc>
    <ndc_label_name>Isagel No Rinse 60 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002904</ndc>
    <ndc_label_name>O.A.D. topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002905</ndc>
    <ndc_label_name>O.A.D. topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701002919</ndc>
    <ndc_label_name>O.A.D. topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701003132</ndc>
    <ndc_label_name>Triad Wound Dressing paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701003133</ndc>
    <ndc_label_name>Triad Wound Dressing paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701003298</ndc>
    <ndc_label_name>Isagel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701003816</ndc>
    <ndc_label_name>Micro-Guard 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701004514</ndc>
    <ndc_label_name>Baza Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701004522</ndc>
    <ndc_label_name>Baza Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701004523</ndc>
    <ndc_label_name>Baza Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701004705</ndc>
    <ndc_label_name>Baza Cleanse and Protect 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701004722</ndc>
    <ndc_label_name>Baza Cleanse and Protect 2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701004814</ndc>
    <ndc_label_name>BAZA CLEAR 96 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701004822</ndc>
    <ndc_label_name>BAZA CLEAR 96 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701004824</ndc>
    <ndc_label_name>BAZA CLEAR 96 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701005032</ndc>
    <ndc_label_name>Critic-Aid 20 %-51 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701005033</ndc>
    <ndc_label_name>Critic-Aid 20 %-51 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701005904</ndc>
    <ndc_label_name>Bedside-Care Perineal 0.1 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701005905</ndc>
    <ndc_label_name>Bedside-Care Perineal 0.1 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701005909</ndc>
    <ndc_label_name>Bedside-Care Perineal 0.1 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006205</ndc>
    <ndc_label_name>Baza Cleanse and Protect 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006313</ndc>
    <ndc_label_name>SWEEN 24 6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006314</ndc>
    <ndc_label_name>SWEEN 24 6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006323</ndc>
    <ndc_label_name>SWEEN 24 6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006371</ndc>
    <ndc_label_name>SWEEN 24 6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006591</ndc>
    <ndc_label_name>Baza Cleanse and Protect 2 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006622</ndc>
    <ndc_label_name>Critic-Aid Clear 71.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006632</ndc>
    <ndc_label_name>Critic-Aid Clear 71.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701006633</ndc>
    <ndc_label_name>Critic-Aid Clear 71.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701006714</ndc>
    <ndc_label_name>Critic-Aid Clear AF (miconazole) 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701006722</ndc>
    <ndc_label_name>Critic-Aid Clear AF (miconazole) 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11701006723</ndc>
    <ndc_label_name>Critic-Aid Clear AF (miconazole) 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701008203</ndc>
    <ndc_label_name>Baza Protect (zinc oxide) 12 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701008224</ndc>
    <ndc_label_name>Baza Protect (zinc oxide) 12 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701008333</ndc>
    <ndc_label_name>Critic-Aid Clear 86.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701012303</ndc>
    <ndc_label_name>Hex-On Light Odor topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701013396</ndc>
    <ndc_label_name>Baza Cream Hospital Care Pack topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701015935</ndc>
    <ndc_label_name>Sea-Clens Wound Cleanser irrigation solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701015936</ndc>
    <ndc_label_name>Sea-Clens Wound Cleanser irrigation solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701016116</ndc>
    <ndc_label_name>Woun'Dres Hydrogel Wound Dress topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701016195</ndc>
    <ndc_label_name>Woun'Dres Hydrogel Wound Dress topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040580</ndc>
    <ndc_label_name>Comfeel Plus Ulcer Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040590</ndc>
    <ndc_label_name>Comfeel Plus Ulcer Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040591</ndc>
    <ndc_label_name>Comfeel Plus Ulcer Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040674</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 2" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040675</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 3 1/2" X 5 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040680</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040685</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040690</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040691</ndc>
    <ndc_label_name>Comfeel Plus Clear Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040772</ndc>
    <ndc_label_name>Comfeel Plus Triangle Dressing 7" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040777</ndc>
    <ndc_label_name>Comfeel Plus Contour Dressing 24" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040778</ndc>
    <ndc_label_name>Comfeel Plus Contour Dressing 42" X 42"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040860</ndc>
    <ndc_label_name>Comfeel Plus Pressure Relief 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040861</ndc>
    <ndc_label_name>Comfeel Plus Pressure Relief Round 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040862</ndc>
    <ndc_label_name>Comfeel Plus Pressure Relief Round 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040973</ndc>
    <ndc_label_name>Comfeel Ulcer Care Dressing 1 1/2" X 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040980</ndc>
    <ndc_label_name>Comfeel Ulcer Care Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040990</ndc>
    <ndc_label_name>Comfeel Ulcer Care Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701040991</ndc>
    <ndc_label_name>Comfeel Ulcer Care Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701062246</ndc>
    <ndc_label_name>Gentle Rain 0.3 % soap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701071901</ndc>
    <ndc_label_name>Self-Catheter, Female 14 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701071902</ndc>
    <ndc_label_name>Self-Catheter, Female 8 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080080</ndc>
    <ndc_label_name>Coloplast Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080090</ndc>
    <ndc_label_name>Coloplast Skin Barrier 6" X 6" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080091</ndc>
    <ndc_label_name>Coloplast Skin Barrier 8" X 8" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080123</ndc>
    <ndc_label_name>Coloplast Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080151</ndc>
    <ndc_label_name>Ostomy Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080210</ndc>
    <ndc_label_name>Coloplast Barrier Ring 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080215</ndc>
    <ndc_label_name>Coloplast Barrier Ring 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080220</ndc>
    <ndc_label_name>Coloplast Barrier Ring 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080225</ndc>
    <ndc_label_name>Coloplast Barrier Ring 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080230</ndc>
    <ndc_label_name>Coloplast Barrier Ring 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080240</ndc>
    <ndc_label_name>Coloplast Barrier Ring 1 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701080250</ndc>
    <ndc_label_name>Coloplast Barrier Ring 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082010</ndc>
    <ndc_label_name>Coloplast Irrigation Set kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082015</ndc>
    <ndc_label_name>Coloplast Irrigation Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082025</ndc>
    <ndc_label_name>Coloplast Irrigation Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082120</ndc>
    <ndc_label_name>Assura Irrig Fce Plt 1/2-2 1/4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082235</ndc>
    <ndc_label_name>Assura 2pc Irrigation Sleeve kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082310</ndc>
    <ndc_label_name>Filtrodor Pouch Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701082410</ndc>
    <ndc_label_name>Pouch Clamp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083010</ndc>
    <ndc_label_name>Assura Pediatric Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083110</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-2 3/4 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083115</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-4" 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083120</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-2 3/4 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083125</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-2 3/4 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083130</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-4" 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083135</ndc>
    <ndc_label_name>Assura Wound Manager 1/2-2 3/4 12" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083320</ndc>
    <ndc_label_name>Assura Convex Uropouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083410</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083415</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083420</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083425</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083430</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083435</ndc>
    <ndc_label_name>Assura Convex Skin Barrier Flange Pre-Cut 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083440</ndc>
    <ndc_label_name>Assura Flange Convex 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083445</ndc>
    <ndc_label_name>Assura Flange Convex 1 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083450</ndc>
    <ndc_label_name>Assura Flange Convex 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083510</ndc>
    <ndc_label_name>Assura Ostomy Belt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083615</ndc>
    <ndc_label_name>Comfeel Seasorb 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083620</ndc>
    <ndc_label_name>Comfeel Seasorb 16" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083710</ndc>
    <ndc_label_name>Assura Pediatric Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701083721</ndc>
    <ndc_label_name>Assura Ped Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084021</ndc>
    <ndc_label_name>Assura Standard Wear Urostomy Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084211</ndc>
    <ndc_label_name>Assura Urostomy Pouch 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084216</ndc>
    <ndc_label_name>Assura Urostomy Pouch 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084221</ndc>
    <ndc_label_name>Assura Urostomy Pouch 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084310</ndc>
    <ndc_label_name>Assura Skin Barrier Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084315</ndc>
    <ndc_label_name>Assura Skin Barrier Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084320</ndc>
    <ndc_label_name>Assura Skin Barrier Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084410</ndc>
    <ndc_label_name>Assura Convex Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084415</ndc>
    <ndc_label_name>Assura Convex Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084515</ndc>
    <ndc_label_name>Assura Skin Barrier Flange 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084520</ndc>
    <ndc_label_name>Assura Skin Barrier Flange 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084525</ndc>
    <ndc_label_name>Assura Skin Barrier Flange 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084530</ndc>
    <ndc_label_name>Assura Skin Barrier Flange 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084535</ndc>
    <ndc_label_name>Assura Flange 1 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084540</ndc>
    <ndc_label_name>Assura Flange 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084610</ndc>
    <ndc_label_name>Assura 2pc Drainable</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084811</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084816</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084871</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701084876</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701085015</ndc>
    <ndc_label_name>Assura Standard Wear 11 1/4" 760 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701085410</ndc>
    <ndc_label_name>Assura Pediatric Pouch 8 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701085421</ndc>
    <ndc_label_name>Assura Pediatric Pouch 8 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701085510</ndc>
    <ndc_label_name>Comfeel Purilon topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701085515</ndc>
    <ndc_label_name>Comfeel Purilon topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701086810</ndc>
    <ndc_label_name>Conveen Drip Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087410</ndc>
    <ndc_label_name>Assura Ileo Night Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087415</ndc>
    <ndc_label_name>Assura Ileo Night Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087450</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087455</ndc>
    <ndc_label_name>Assura Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087524</ndc>
    <ndc_label_name>Assura EasiClose Mini Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087564</ndc>
    <ndc_label_name>Assura Easiclose Midi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087565</ndc>
    <ndc_label_name>Assura Easiclose Midi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087575</ndc>
    <ndc_label_name>Assura EasiClose Maxi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087576</ndc>
    <ndc_label_name>Assura EasiClose Maxi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087585</ndc>
    <ndc_label_name>Assura Easiclose Drainable 11 1/4" 600 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087586</ndc>
    <ndc_label_name>Assura EasiClose Maxi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087640</ndc>
    <ndc_label_name>Assura EasiClose Mini Pouch 10 1/4" 470 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087660</ndc>
    <ndc_label_name>Assura Non-Convex Drainable misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087670</ndc>
    <ndc_label_name>Assura Easiclose Drainable 11 1/4" 600 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087682</ndc>
    <ndc_label_name>Assura Non-Convex Drainable misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701087870</ndc>
    <ndc_label_name>Urostomy Night Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088050</ndc>
    <ndc_label_name>Biatain Heel Adh Foam Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088085</ndc>
    <ndc_label_name>Biatain Adhesive Foam Dressing 5" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088089</ndc>
    <ndc_label_name>Biatain Adhesive Foam Dressing 7" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088170</ndc>
    <ndc_label_name>Biatain Non-Adhesive Foam Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088171</ndc>
    <ndc_label_name>Biatain Non-Adhesive Foam Round Dressing 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088180</ndc>
    <ndc_label_name>Biatain 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088190</ndc>
    <ndc_label_name>Biatain 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088191</ndc>
    <ndc_label_name>Biatain Non-Adhesive Foam Round Dressing 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088401</ndc>
    <ndc_label_name>Assura Extra Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088411</ndc>
    <ndc_label_name>Assura Extra Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088501</ndc>
    <ndc_label_name>Assura Extra Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088502</ndc>
    <ndc_label_name>Assura Extra Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088551</ndc>
    <ndc_label_name>Assura Extra Non-Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088561</ndc>
    <ndc_label_name>Assura Extra Non-Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088562</ndc>
    <ndc_label_name>Assura Extra Non-Convex Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088601</ndc>
    <ndc_label_name>Assura Extra Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088602</ndc>
    <ndc_label_name>Assura Extra Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088603</ndc>
    <ndc_label_name>Assura Extra Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088651</ndc>
    <ndc_label_name>Assura Extra Non-Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088652</ndc>
    <ndc_label_name>Assura Extra Non-Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088653</ndc>
    <ndc_label_name>Assura Extra Non-Convex Flange</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088661</ndc>
    <ndc_label_name>Assura Convex Light Standard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088662</ndc>
    <ndc_label_name>Assura Convex Light Standard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088663</ndc>
    <ndc_label_name>Assura Convex Light Standard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088671</ndc>
    <ndc_label_name>Assura Convex Light Standard 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701088672</ndc>
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    <otc>True</otc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Urostomy Micro-Pouch</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090550</ndc>
    <ndc_label_name>Urostomy Micro-Pouch</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090560</ndc>
    <ndc_label_name>Urostomy Micro-Pouch</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090610</ndc>
    <ndc_label_name>Assura EasiClose Wide Outlet Maxi Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090611</ndc>
    <ndc_label_name>Assura EasiClose Wide Outlet Maxi Pouch</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090612</ndc>
    <ndc_label_name>Assura EasiClose Wide Outlet Maxi Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090613</ndc>
    <ndc_label_name>Assura EasiClose Wide Outlet Maxi Pouch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090614</ndc>
    <ndc_label_name>Assura EasiClose Wide Outlet Maxi Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090650</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc 10 1/2"-485 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090651</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc 10 1/2"-485 mL misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090652</ndc>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090653</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc misc</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090654</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090655</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090656</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc 11 1/2" 655 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090657</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc misc</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701090658</ndc>
    <ndc_label_name>EasiClose Wide Outlet 2-pc 11 1/2" 655 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701091003</ndc>
    <ndc_label_name>Coloplast Paste strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701092052</ndc>
    <ndc_label_name>Assura Convex One-Piece Drainable</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093001</ndc>
    <ndc_label_name>SenSura EasiClose Wide Outlet 11 1/2" 655 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093030</ndc>
    <ndc_label_name>SenSura Easiclose Wide Outlet (Non-Sterile) 11 1/2" 655 mL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093104</ndc>
    <ndc_label_name>SenSura Click Ostomy Pouch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093212</ndc>
    <ndc_label_name>SenSura Flex Ostomy Base Plate</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093250</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11701093445</ndc>
    <ndc_label_name>SenSura Flex Ostomy Pouch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704010401</ndc>
    <ndc_label_name>AtroPen 0.5 mg/0.7 mL intramuscular pen injector</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704010501</ndc>
    <ndc_label_name>AtroPen 1 mg/0.7 mL intramuscular pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704023501</ndc>
    <ndc_label_name>MORPHINE 10 MG/0.7 ML AUTO-INJ</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704025101</ndc>
    <ndc_label_name>PRALIDOXIME CHLORIDE 300 MG/ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704060001</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11704062001</ndc>
    <ndc_label_name>Duodote 600 mg/2 mL-2.1 mg/0.7 mL intramuscular pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11743002275</ndc>
    <ndc_label_name>SugarUp 6 gram/15 mL oral gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11743002281</ndc>
    <ndc_label_name>SugarUp 6 gram/15 mL oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11743002285</ndc>
    <ndc_label_name>SugarUp 900 mg/2.25 mL oral gel in syringe (ORAL USE ONLY)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788000801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788000805</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788000901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788001001</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788001101</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SOTALOL 240 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788006005</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788006105</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788006160</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007710</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007810</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788007910</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788008001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788008101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788008201</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788009800</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788009900</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010010</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010030</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010090</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010110</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010130</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010190</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010210</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010230</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788010290</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011260</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011301</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011305</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011401</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011405</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788011560</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788011607</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788012813</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788012913</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788012914</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11788012915</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11788013430</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11797011001</ndc>
    <ndc_label_name>Duvyzat 8.86 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11797011002</ndc>
    <ndc_label_name>Duvyzat 8.86 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822000178</ndc>
    <ndc_label_name>RA COL-RITE 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822000207</ndc>
    <ndc_label_name>Allergy Medicine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822000230</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822000262</ndc>
    <ndc_label_name>Belted Shields</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822000396</ndc>
    <ndc_label_name>RA COL-RITE 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822000850</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822000930</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822000983</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822001100</ndc>
    <ndc_label_name>Expectorant 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822001110</ndc>
    <ndc_label_name>RA EXPECTORANT COUGH SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822001150</ndc>
    <ndc_label_name>RA ST. JOHN'S WORT 300 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822001290</ndc>
    <ndc_label_name>RA HEMORRHOIDAL H SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822001310</ndc>
    <ndc_label_name>RA HEMORRHOIDAL H SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822001740</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822001780</ndc>
    <ndc_label_name>RA COL-RITE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822001820</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822001887</ndc>
    <ndc_label_name>RA PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822002050</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822002090</ndc>
    <ndc_label_name>RA ALLERGY MED CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822002120</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822002601</ndc>
    <ndc_label_name>RA VITAMIN D3 1,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822002870</ndc>
    <ndc_label_name>Antifungal 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822003220</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822003340</ndc>
    <ndc_label_name>Vitamin B-12 ER 2,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822003355</ndc>
    <ndc_label_name>RA PRENATAL FORMULA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822003360</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822003849</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822003960</ndc>
    <ndc_label_name>RA COL-RITE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822004130</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822004174</ndc>
    <ndc_label_name>RA SINUS PRES-CNG RLF PE 10 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822004370</ndc>
    <ndc_label_name>RA BALANCED B-100 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822005680</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822005958</ndc>
    <ndc_label_name>RA WRIST BLOOD PRESSURE MONTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822006546</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822008130</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822008355</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822008650</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822009230</ndc>
    <ndc_label_name>RA ONE DAILY WOMEN'S TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822009550</ndc>
    <ndc_label_name>RA OMEGA 3-6-9 SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822009803</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822009870</ndc>
    <ndc_label_name>RA BRIEFS FOR MEN &amp; WOMEN XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822009965</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822010035</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822010233</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822011391</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822011585</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822011737</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822013729</ndc>
    <ndc_label_name>RA COL-RITE 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822014780</ndc>
    <ndc_label_name>RA FISH OIL 600 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822015794</ndc>
    <ndc_label_name>RA HIGH POTENCY IRON 27 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822015796</ndc>
    <ndc_label_name>RA VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822017790</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822017954</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822020568</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822021155</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822023770</ndc>
    <ndc_label_name>RA VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822025115</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822027750</ndc>
    <ndc_label_name>RA PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822029003</ndc>
    <ndc_label_name>RA ANTIFUNGAL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822029233</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822030059</ndc>
    <ndc_label_name>RA VITAMIN C 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822030241</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822030300</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822030568</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822031299</ndc>
    <ndc_label_name>Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822031378</ndc>
    <ndc_label_name>RA BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822031525</ndc>
    <ndc_label_name>Lice Solution 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822031577</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822031650</ndc>
    <ndc_label_name>RA COL-RITE 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822031691</ndc>
    <ndc_label_name>RA ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822032010</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822032300</ndc>
    <ndc_label_name>RA MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822032343</ndc>
    <ndc_label_name>Children's Chewable Vitamin Complete 18 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822032438</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822033111</ndc>
    <ndc_label_name>Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822033209</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822033233</ndc>
    <ndc_label_name>RA HEMORRHOIDAL MEDICATED PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822033502</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822033670</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822033711</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822034163</ndc>
    <ndc_label_name>RA PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822034952</ndc>
    <ndc_label_name>Sinus 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822035340</ndc>
    <ndc_label_name>RA INFANT FEVER-PAIN 160 MG/5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822035790</ndc>
    <ndc_label_name>RA HIGH POTENCY IRON 27 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822035870</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822035872</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822035873</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822036054</ndc>
    <ndc_label_name>DAYLOGIC ACNE FOAMING 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822036187</ndc>
    <ndc_label_name>RA NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822036693</ndc>
    <ndc_label_name>RA MILK THISTLE 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822036803</ndc>
    <ndc_label_name>RA ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037000</ndc>
    <ndc_label_name>Liquid Bandage with Antiseptic 0.75 %-0.2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037030</ndc>
    <ndc_label_name>Bandages 3/4 "</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037040</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037050</ndc>
    <ndc_label_name>RA MULTI-USE COLD PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037060</ndc>
    <ndc_label_name>RA BACK &amp; NECK COLD PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037070</ndc>
    <ndc_label_name>RA CLOTH FIRST AID TAPE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037080</ndc>
    <ndc_label_name>Scar Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822037090</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822037270</ndc>
    <ndc_label_name>RA P-COL RITE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822037971</ndc>
    <ndc_label_name>RA NASAL RELIEF SINUS WASH KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039230</ndc>
    <ndc_label_name>RA ANTI-ITCH SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039240</ndc>
    <ndc_label_name>RA ANTI-ITCH GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039260</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822039380</ndc>
    <ndc_label_name>RA EAR SYRINGE 3OZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039940</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039970</ndc>
    <ndc_label_name>RA BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822039980</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822040192</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822040230</ndc>
    <ndc_label_name>RA SUPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822040280</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822040350</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822041240</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822041250</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822041560</ndc>
    <ndc_label_name>RA COLD RLF MULTI-SYMPTOM CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822041593</ndc>
    <ndc_label_name>Self-Adhering Bandage 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822041680</ndc>
    <ndc_label_name>RA SUPHEDRINE PE SINUS 5-325MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822041720</ndc>
    <ndc_label_name>RA SUPHEDRINE PE COLD 4-10 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822041750</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822041760</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822041923</ndc>
    <ndc_label_name>RA ACETAMINOPHEN ER 650 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822042030</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822042092</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822042093</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822042345</ndc>
    <ndc_label_name>RA FEVER FLASH TEMPLE THERMMTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822043098</ndc>
    <ndc_label_name>RA MULTIHEALTH FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822043237</ndc>
    <ndc_label_name>RA ANTACID 500 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822043529</ndc>
    <ndc_label_name>RA CALAMINE SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822044386</ndc>
    <ndc_label_name>RA ETHYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822044719</ndc>
    <ndc_label_name>RA VITAMIN D3 1,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822044958</ndc>
    <ndc_label_name>RA COENZYME Q-10 100 MG SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822045347</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822045348</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822046713</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822047279</ndc>
    <ndc_label_name>RA ANTACID 1,000 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822047962</ndc>
    <ndc_label_name>RA ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822048932</ndc>
    <ndc_label_name>RA BLOOD PRESSURE CUFF MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822048933</ndc>
    <ndc_label_name>RA BLOOD PRESSURE CUFF MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822048943</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822048988</ndc>
    <ndc_label_name>RA CAL 600-VIT D3-MIN CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822051115</ndc>
    <ndc_label_name>RA VITAMIN B12 TR 1,000 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822051133</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen-aspirin-caff) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822051409</ndc>
    <ndc_label_name>RA SERIES 600 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822051913</ndc>
    <ndc_label_name>RA TUGABOOS DIAPERS SIZE 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822052214</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822053040</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822053605</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822053812</ndc>
    <ndc_label_name>RA ANTIFUNGAL RINGWORM 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054179</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054253</ndc>
    <ndc_label_name>RA LATEX GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054269</ndc>
    <ndc_label_name>RA PAIN RELIEF HOT-COLD SLEEVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054270</ndc>
    <ndc_label_name>Finger Injury Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054283</ndc>
    <ndc_label_name>RA TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054292</ndc>
    <ndc_label_name>One Daily Men's 50 Plus with D3 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054298</ndc>
    <ndc_label_name>RA EXTRA LONG FABRIC BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054299</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822054306</ndc>
    <ndc_label_name>RA VITAMIN B-12 5,000 MCG LOZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822054311</ndc>
    <ndc_label_name>RA MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822054316</ndc>
    <ndc_label_name>RA FIRST AID KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822055348</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822055671</ndc>
    <ndc_label_name>RA MOUTH PAIN 20% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822055793</ndc>
    <ndc_label_name>RA PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822056557</ndc>
    <ndc_label_name>Antifungal 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822056561</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822057363</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822057605</ndc>
    <ndc_label_name>RA VIT B-12 1,000 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822057625</ndc>
    <ndc_label_name>Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822057913</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822058225</ndc>
    <ndc_label_name>RA POTASSIUM-MAGNESIUM ASP 250</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822058229</ndc>
    <ndc_label_name>RA ESTROPLUS MAX STRENGTH CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822058236</ndc>
    <ndc_label_name>RA CRANBERRY 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822058911</ndc>
    <ndc_label_name>RA MULTIHEALTH FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822058994</ndc>
    <ndc_label_name>RA BLOOD PRESSURE MANUAL KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822059042</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822059043</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822059186</ndc>
    <ndc_label_name>RA TURMERIC 1,053 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822059187</ndc>
    <ndc_label_name>RA PROBIOTIC COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822059868</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822060537</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822060539</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822061072</ndc>
    <ndc_label_name>Probiotic Digestive System Support 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061283</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061559</ndc>
    <ndc_label_name>RA BUDESONIDE 32 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061675</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061676</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061677</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061678</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061679</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061680</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822061908</ndc>
    <ndc_label_name>Allergy and Congestion Relief 5 mg-120 mg tablet,extend release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822062235</ndc>
    <ndc_label_name>RA SERIES 600W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822062242</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822062914</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822064168</ndc>
    <ndc_label_name>RA PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822064222</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822064230</ndc>
    <ndc_label_name>RA HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822064240</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822064414</ndc>
    <ndc_label_name>RA PAIN RELIEF 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822064460</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822065030</ndc>
    <ndc_label_name>RA ACNE CLEANSER OIL-FREE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822065200</ndc>
    <ndc_label_name>RA COL-RITE 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822065587</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822065595</ndc>
    <ndc_label_name>Overnight Pad For Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822065893</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822065896</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822066422</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822066542</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067095</ndc>
    <ndc_label_name>RA TUGABOOS DIAPERS SIZE 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822067180</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822067181</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067227</ndc>
    <ndc_label_name>RA MUCUS RELIEF COLD-SINUS MAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067230</ndc>
    <ndc_label_name>Mucus Relief Sev Congest-Cold 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067244</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067294</ndc>
    <ndc_label_name>Nasal Mist 0.9 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822067511</ndc>
    <ndc_label_name>TRUEplus Glucose 15 gram/32 mL oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068180</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068181</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068594</ndc>
    <ndc_label_name>Nasal Strips Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068595</ndc>
    <ndc_label_name>Daytime-Nighttime 10-5-325mg(d)/15-325-6.25mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068596</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068597</ndc>
    <ndc_label_name>Daytime-Cold Nighttime-Cold-Flu 10 mg-650 mg/20 mL(dy-nt) oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068598</ndc>
    <ndc_label_name>RA DAYTIME-COLD NIGHT-COLD-FLU</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068599</ndc>
    <ndc_label_name>Tussin Nighttime Cough DM 12.5 mg-30 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068600</ndc>
    <ndc_label_name>RA SINUS RELIEF MAX DY-NT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068607</ndc>
    <ndc_label_name>RA INFANT FEVER-PAIN 160 MG/5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068615</ndc>
    <ndc_label_name>Hot and Cold Pain Relief 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068617</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068618</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068619</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822068620</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068621</ndc>
    <ndc_label_name>RA ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068622</ndc>
    <ndc_label_name>RA ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822068623</ndc>
    <ndc_label_name>RA ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822069126</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822069301</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822070538</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822072940</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822073297</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822073300</ndc>
    <ndc_label_name>RA MENTHOL NASAL INHALER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822073311</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822073426</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822073569</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822073635</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822073637</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822073887</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D (fexo) 60 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822073997</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822074140</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822075569</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822077007</ndc>
    <ndc_label_name>DAYLOGIC ADVANCED HEALING OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822077013</ndc>
    <ndc_label_name>DAYLOGIC ACNE TREATMNT 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822077095</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822077336</ndc>
    <ndc_label_name>RA LIDOCAINE ANORECTAL 5% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822077340</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 250 million cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822078616</ndc>
    <ndc_label_name>RA PAIN RELIEF DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822078948</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822079060</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822079868</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822080020</ndc>
    <ndc_label_name>RA ANTIFUNGAL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822083090</ndc>
    <ndc_label_name>RA COENZYME Q10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822083350</ndc>
    <ndc_label_name>RA SUPHEDRINE PE SINUS 5-325MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822083553</ndc>
    <ndc_label_name>Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822084422</ndc>
    <ndc_label_name>RA CENTRAL-VITE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822088440</ndc>
    <ndc_label_name>RA B-COMPLEX-VITAMIN B-12 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822088556</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088572</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088601</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088605</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088611</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088612</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088613</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088614</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822088643</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822093832</ndc>
    <ndc_label_name>RA FEVER FLASH EAR THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822095412</ndc>
    <ndc_label_name>RA NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822095413</ndc>
    <ndc_label_name>RA NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822096430</ndc>
    <ndc_label_name>RA COUGH DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822098001</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822098214</ndc>
    <ndc_label_name>RA PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822098850</ndc>
    <ndc_label_name>RA VITAMIN C 53 MG DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822098947</ndc>
    <ndc_label_name>RA ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822098955</ndc>
    <ndc_label_name>RA CHILD FEVER-PAIN 160 MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822099713</ndc>
    <ndc_label_name>DAYLOGIC MINOXIDIL 5% FOAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822110100</ndc>
    <ndc_label_name>RA VITAMIN E 268 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822110505</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822110990</ndc>
    <ndc_label_name>iron 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822123410</ndc>
    <ndc_label_name>RA DAIRY AID 3,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822145760</ndc>
    <ndc_label_name>RA 12HR NASAL SPRAY 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154500</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154510</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154520</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154530</ndc>
    <ndc_label_name>RA CHILD FEVER-PAIN 160 MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154540</ndc>
    <ndc_label_name>RA CHILD FEVER-PAIN 160 MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822154550</ndc>
    <ndc_label_name>RA CHILD FEVER-PAIN 160 MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822159870</ndc>
    <ndc_label_name>RA ANTI-ITCH 1% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822165230</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822169120</ndc>
    <ndc_label_name>RA SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822196430</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822218830</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822222590</ndc>
    <ndc_label_name>RA NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822222600</ndc>
    <ndc_label_name>RA NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822222610</ndc>
    <ndc_label_name>RA NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822228090</ndc>
    <ndc_label_name>RA MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822228100</ndc>
    <ndc_label_name>RA FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822239630</ndc>
    <ndc_label_name>Stomach Relief Max Strength 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822239960</ndc>
    <ndc_label_name>Laxative (sennosides) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822239990</ndc>
    <ndc_label_name>RA IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822241750</ndc>
    <ndc_label_name>Cough Drops 5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822242740</ndc>
    <ndc_label_name>RA OVULATION PREDICTOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822256680</ndc>
    <ndc_label_name>RA SALINE WOUND WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822280130</ndc>
    <ndc_label_name>RA TUGABOOS OVERNIGHTS S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822280140</ndc>
    <ndc_label_name>RA TUGABOOS OVERNIGHTS L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822289020</ndc>
    <ndc_label_name>RA VAGICAINE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822291070</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822300120</ndc>
    <ndc_label_name>RA ESSENCE C 1,000 MG PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822300130</ndc>
    <ndc_label_name>RA ESSENCE C 1,000 MG PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822300230</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822300240</ndc>
    <ndc_label_name>RA ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822300760</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822300930</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822302510</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822302940</ndc>
    <ndc_label_name>RA DECONGESTANT INHALER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822303990</ndc>
    <ndc_label_name>Allergy Medicine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822304000</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822304050</ndc>
    <ndc_label_name>RA DIPHEDRYL 12.5 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822304570</ndc>
    <ndc_label_name>RA COD LIVER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822305800</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822306500</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822306640</ndc>
    <ndc_label_name>RA PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822307480</ndc>
    <ndc_label_name>RA DENTAL TRAVEL PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822307820</ndc>
    <ndc_label_name>RA CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822308800</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822308910</ndc>
    <ndc_label_name>Prenatal Tablet 28 mg iron-800 mcg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822309680</ndc>
    <ndc_label_name>RA NON-ASPIRIN 160 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822309880</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822310690</ndc>
    <ndc_label_name>Acetaminophen PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822310920</ndc>
    <ndc_label_name>RA ANESTHETIC ORAL GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822310980</ndc>
    <ndc_label_name>RA SORE THROAT SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822311060</ndc>
    <ndc_label_name>RA COTTON, STERILE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312580</ndc>
    <ndc_label_name>Gauze Pad 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312590</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312600</ndc>
    <ndc_label_name>Gauze Pad 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312680</ndc>
    <ndc_label_name>RA ADHESIVE TAPE 1/2"X5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312690</ndc>
    <ndc_label_name>RA ADHESIVE TAPE 1/2"X10YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822312760</ndc>
    <ndc_label_name>RA LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312920</ndc>
    <ndc_label_name>RA GAUZE BANDAGE 2" X 2YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822312930</ndc>
    <ndc_label_name>Protective Underwear Small-Med</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822313000</ndc>
    <ndc_label_name>RA PRO SPORTS TAPE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822313490</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822313540</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822313550</ndc>
    <ndc_label_name>RA HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822313820</ndc>
    <ndc_label_name>RA ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822313830</ndc>
    <ndc_label_name>RA ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822313870</ndc>
    <ndc_label_name>RA ZINC OXIDE OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822314320</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822314780</ndc>
    <ndc_label_name>RA WATER BOTTLE-FOUNTAIN SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822315230</ndc>
    <ndc_label_name>RA LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822315400</ndc>
    <ndc_label_name>RA ARTHRICREME 10% RUB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822315920</ndc>
    <ndc_label_name>Jock Itch 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316450</ndc>
    <ndc_label_name>RA LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316500</ndc>
    <ndc_label_name>RA COL-RITE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316510</ndc>
    <ndc_label_name>Fiber (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316900</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316910</ndc>
    <ndc_label_name>RA ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822316940</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822317060</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822317290</ndc>
    <ndc_label_name>RA SLEEP TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822317370</ndc>
    <ndc_label_name>RA TUSSIN COUGH LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822317450</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822317510</ndc>
    <ndc_label_name>RA ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822317540</ndc>
    <ndc_label_name>RA ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822317640</ndc>
    <ndc_label_name>RA ATHENOL 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822318000</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822318460</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822318800</ndc>
    <ndc_label_name>RA SUPER MOLESKIN STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822319200</ndc>
    <ndc_label_name>Fiber Therapy Laxative (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822319720</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822319750</ndc>
    <ndc_label_name>RA CHLORPHENIRAMINE 4 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822319860</ndc>
    <ndc_label_name>RA SUPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822320240</ndc>
    <ndc_label_name>RA NOSE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822320300</ndc>
    <ndc_label_name>RA SALINE 0.65% NOSE SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822321100</ndc>
    <ndc_label_name>Menstrual Relief 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822321570</ndc>
    <ndc_label_name>RA INS SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822321580</ndc>
    <ndc_label_name>RA INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822321680</ndc>
    <ndc_label_name>Protective Underwear Small-Med</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822321690</ndc>
    <ndc_label_name>RA PROTECTIVE UNDERWEAR LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822322100</ndc>
    <ndc_label_name>CRANBERRY 425 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822322860</ndc>
    <ndc_label_name>One Daily Maximum 18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822323530</ndc>
    <ndc_label_name>RA PERSONAL LUBRICANT JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822323600</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822323900</ndc>
    <ndc_label_name>RA NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822323910</ndc>
    <ndc_label_name>RA NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822323970</ndc>
    <ndc_label_name>RA PEDIATRIC FREEZER POPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822324000</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822325350</ndc>
    <ndc_label_name>RA ANTI-TUSSIVE DM SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822328110</ndc>
    <ndc_label_name>RA CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822329400</ndc>
    <ndc_label_name>RA PROTECTIVE UNDERWEAR LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822330080</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822330270</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822330300</ndc>
    <ndc_label_name>Nasal Strips Medium-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822330410</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822330670</ndc>
    <ndc_label_name>RA MINERAL OIL EXTRA-HEAVY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822330810</ndc>
    <ndc_label_name>Woman's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822331100</ndc>
    <ndc_label_name>Senna Lax 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822331370</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822331450</ndc>
    <ndc_label_name>Backache Relief Extra Strength 580 mg (467 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822331520</ndc>
    <ndc_label_name>RA LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822331550</ndc>
    <ndc_label_name>RA LORATA-D 24-HOUR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332050</ndc>
    <ndc_label_name>Diphedryl 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332150</ndc>
    <ndc_label_name>RA GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332180</ndc>
    <ndc_label_name>RA GLYCERIN PEDIATRIC SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332190</ndc>
    <ndc_label_name>RA GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822332330</ndc>
    <ndc_label_name>RA HEMORRHOIDAL MEDICATED PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332470</ndc>
    <ndc_label_name>RA ANTACID-ANTIGAS LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822332980</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822333000</ndc>
    <ndc_label_name>RA CITRATE OF MAGNESIA SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822333030</ndc>
    <ndc_label_name>RA CITRATE OF MAGNESIA SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333060</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333080</ndc>
    <ndc_label_name>RA PINK BISMUTH 262 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333100</ndc>
    <ndc_label_name>RA TRAVEL SICKNESS 50 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333120</ndc>
    <ndc_label_name>RA NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822333180</ndc>
    <ndc_label_name>Hemorrhoidal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333230</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822333550</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822333560</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822333780</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822334070</ndc>
    <ndc_label_name>RA BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822334220</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822334410</ndc>
    <ndc_label_name>RA BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822334910</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822334950</ndc>
    <ndc_label_name>RA ALLERGY MED 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822335540</ndc>
    <ndc_label_name>RA CALCIUM CITRATE-VIT D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822338820</ndc>
    <ndc_label_name>Pink Bismuth 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822339190</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822339200</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822340070</ndc>
    <ndc_label_name>RA CORN STARCH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822347990</ndc>
    <ndc_label_name>RA WART REMOVER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822348010</ndc>
    <ndc_label_name>RA WOMEN'S CUSHION INSOLES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822349520</ndc>
    <ndc_label_name>Suphedrine 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822350380</ndc>
    <ndc_label_name>RA STERILE PADS 2"X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822350640</ndc>
    <ndc_label_name>Vaporizing Steam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822350870</ndc>
    <ndc_label_name>RA NASAL RELIEF SINUS WASH KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822350920</ndc>
    <ndc_label_name>RA EFFERVESCENT FORMULA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822351930</ndc>
    <ndc_label_name>Pink Bismuth 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822351980</ndc>
    <ndc_label_name>Women's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822351990</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822353410</ndc>
    <ndc_label_name>RA INFANT FEVER-PAIN 160 MG/5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822353540</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822356470</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822358090</ndc>
    <ndc_label_name>RA NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822358240</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822358700</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822358770</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822358780</ndc>
    <ndc_label_name>RA HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822358790</ndc>
    <ndc_label_name>Anti-Itch Medicated 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822359150</ndc>
    <ndc_label_name>RA VINYL MEDICAL GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822359160</ndc>
    <ndc_label_name>RA LATEX MEDICAL GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822360510</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822360620</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822361530</ndc>
    <ndc_label_name>RA ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822361570</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822361580</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822361590</ndc>
    <ndc_label_name>RA IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822361600</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822362140</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822363260</ndc>
    <ndc_label_name>RA VIT B-12 1,000 MCG/ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822363280</ndc>
    <ndc_label_name>RA L-ARGININE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822363850</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822364610</ndc>
    <ndc_label_name>RA CALAHIST CLEAR LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822365010</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822365030</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822365070</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822365080</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822365230</ndc>
    <ndc_label_name>Fish Oil 300 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822365670</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822366920</ndc>
    <ndc_label_name>RA PROBIOTIC COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822368930</ndc>
    <ndc_label_name>RA WITCH HAZEL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822370201</ndc>
    <ndc_label_name>RA 2-IN-1 LAXATIVE 8.6-50MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822370590</ndc>
    <ndc_label_name>Alcohol Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822370680</ndc>
    <ndc_label_name>RA UNDERPADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822370920</ndc>
    <ndc_label_name>RA SILKY LUBRICAT MOISTURIZER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822371310</ndc>
    <ndc_label_name>RA ONE DAILY ENERGY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372130</ndc>
    <ndc_label_name>RA FLAXSEED 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372270</ndc>
    <ndc_label_name>RA SENSITIVE ANTI-ITCH LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372280</ndc>
    <ndc_label_name>RA EAR WAX CLEANSING SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372290</ndc>
    <ndc_label_name>RA EAR DRYING AGENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372300</ndc>
    <ndc_label_name>RA ALOE BURN RELIEF SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372310</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372320</ndc>
    <ndc_label_name>RA FIRST AID SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372340</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372380</ndc>
    <ndc_label_name>RA ADV ANTIBACTERIAL BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372390</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372400</ndc>
    <ndc_label_name>Antibiotic-Pain Relief(bacit)3.5 mg-500 unit-10,000 unit/gram ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372410</ndc>
    <ndc_label_name>Antibiotic Plus (pramoxine) 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372450</ndc>
    <ndc_label_name>RA HOT &amp; COLD THERAPY BRACE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372740</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372760</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372780</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822372830</ndc>
    <ndc_label_name>RA PROBIOTIC COLON CARE CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822372980</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822373000</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822373010</ndc>
    <ndc_label_name>RA PERSONAL LUBRICANT SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822373020</ndc>
    <ndc_label_name>Personal Lubricating Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822374930</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822377540</ndc>
    <ndc_label_name>RA RENEWAL BATH TREATMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822377570</ndc>
    <ndc_label_name>RA ANTISEPTIC 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822379960</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822382270</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822382300</ndc>
    <ndc_label_name>RA MENSTRUAL PAIN RELIEF CAPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822386560</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822386880</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822388960</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROIT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822389470</ndc>
    <ndc_label_name>RA COMPLETE ALLERGY 25 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822393550</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822393560</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822393580</ndc>
    <ndc_label_name>RA ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822395280</ndc>
    <ndc_label_name>RA DISPOSABLE PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822396970</ndc>
    <ndc_label_name>RA PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822397340</ndc>
    <ndc_label_name>Miconazole-3 prefilled,cream,wipes 4 %(200 mg)-2 %(9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822407940</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822422240</ndc>
    <ndc_label_name>RA NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822428510</ndc>
    <ndc_label_name>Fever Flash Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822433640</ndc>
    <ndc_label_name>RA SEVERE COLD-SINUS PE CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822433650</ndc>
    <ndc_label_name>RA CLD-COUGH SINUS RLF PE CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822434130</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822439430</ndc>
    <ndc_label_name>Alkaline Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822439460</ndc>
    <ndc_label_name>Alkaline Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822439600</ndc>
    <ndc_label_name>RA B-COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822440980</ndc>
    <ndc_label_name>RA LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822444700</ndc>
    <ndc_label_name>Daytime-Nighttime 10-5-325mg(d)/15-325-6.25mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822447100</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822453580</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822454350</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822460760</ndc>
    <ndc_label_name>Fish Oil 120 mg-180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822471250</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822478530</ndc>
    <ndc_label_name>RA MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489090</ndc>
    <ndc_label_name>Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489200</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489220</ndc>
    <ndc_label_name>COL-RITE 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489250</ndc>
    <ndc_label_name>Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489380</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822489760</ndc>
    <ndc_label_name>RA KRILL OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489780</ndc>
    <ndc_label_name>RA CENTRAL-VITE WOMEN'S TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822489800</ndc>
    <ndc_label_name>RA ONE DAILY PRENATAL DHA PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822489810</ndc>
    <ndc_label_name>RA RESVERATROL 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489910</ndc>
    <ndc_label_name>RA HI-CAL PLUS VITAMIN D TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822489940</ndc>
    <ndc_label_name>RA EAR CARE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489950</ndc>
    <ndc_label_name>RA BIOTIN 2,500 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822489990</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822490000</ndc>
    <ndc_label_name>RA VITAMIN D3 5,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822490010</ndc>
    <ndc_label_name>RA NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822490020</ndc>
    <ndc_label_name>RA NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822504320</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822504690</ndc>
    <ndc_label_name>RA MULTI-SYMPTOM COLD CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822504860</ndc>
    <ndc_label_name>RA LORATA-D 24-HOUR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822504870</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822505190</ndc>
    <ndc_label_name>RA SALINE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822505230</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505250</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505260</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505270</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505370</ndc>
    <ndc_label_name>RA CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505380</ndc>
    <ndc_label_name>RA CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505390</ndc>
    <ndc_label_name>RA CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505400</ndc>
    <ndc_label_name>RA CETIRI-D ER TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505410</ndc>
    <ndc_label_name>RA CETIRI-D ER TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505530</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505540</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505950</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822505960</ndc>
    <ndc_label_name>RA NIGHTTIME SLEEP GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822505990</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822506040</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822506050</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822509680</ndc>
    <ndc_label_name>RA CHILDREN'S FLU RELIEF SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822510630</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511070</ndc>
    <ndc_label_name>RA ONE DAILY ESSENTIAL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822511110</ndc>
    <ndc_label_name>RA OMEGA 3-6-9 SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511120</ndc>
    <ndc_label_name>RA MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511140</ndc>
    <ndc_label_name>Vitamin C ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511160</ndc>
    <ndc_label_name>RA NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511210</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511220</ndc>
    <ndc_label_name>RA VITAMIN D3 5,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822511250</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822511260</ndc>
    <ndc_label_name>RA FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822511320</ndc>
    <ndc_label_name>RA ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822512220</ndc>
    <ndc_label_name>RA ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822512660</ndc>
    <ndc_label_name>Motion Sickness Relief 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822512670</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822513600</ndc>
    <ndc_label_name>GLUCOSAMIN-CHONDROITIN-MSM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822513610</ndc>
    <ndc_label_name>RA COENZYME Q-10 100 MG SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822513880</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822513890</ndc>
    <ndc_label_name>Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822514090</ndc>
    <ndc_label_name>RA BLOOD PRESSURE CUFF MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822515260</ndc>
    <ndc_label_name>RA PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822515660</ndc>
    <ndc_label_name>RA ALCOHOL SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822515800</ndc>
    <ndc_label_name>RA SINUS CONG-PAIN 200-10MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822517450</ndc>
    <ndc_label_name>RA GLUCOSAMINE-VIT D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822517490</ndc>
    <ndc_label_name>RA FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822517520</ndc>
    <ndc_label_name>RA COENZYME Q10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822517530</ndc>
    <ndc_label_name>RA NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822517540</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822517550</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822517570</ndc>
    <ndc_label_name>RA MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822517600</ndc>
    <ndc_label_name>RA BLACK COHOSH 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822522250</ndc>
    <ndc_label_name>RA NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822527930</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822527940</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822527950</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822527980</ndc>
    <ndc_label_name>Surgical Dressing Extr protct 5" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822536660</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822538130</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822538150</ndc>
    <ndc_label_name>Saline Wound Wash 0.9 % solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822538160</ndc>
    <ndc_label_name>Sheer Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822538170</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822540600</ndc>
    <ndc_label_name>RA CALCIUM CITRATE - VIT D TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822540730</ndc>
    <ndc_label_name>Child Plus Cough and Runny Nose 1 mg-5 mg-160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822545810</ndc>
    <ndc_label_name>RA SODIUM CHLORIDE 5% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822545860</ndc>
    <ndc_label_name>RA CLEANING-DISINFECTING SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822545870</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822546080</ndc>
    <ndc_label_name>Wart Remover 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822546090</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822546200</ndc>
    <ndc_label_name>RA CALLUS CUSHIONS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822546250</ndc>
    <ndc_label_name>RA PLNTR FASCIITIS ARCH SLEEVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822546260</ndc>
    <ndc_label_name>RA GEL BUNION CUSHION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822547890</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822549870</ndc>
    <ndc_label_name>RA VITAMIN D3 5,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822554410</ndc>
    <ndc_label_name>RA TRIPLE ANTIBIOTIC SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822564750</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822571760</ndc>
    <ndc_label_name>RA FEVER REDUCER-PAIN 160 MG/5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822573130</ndc>
    <ndc_label_name>RA COUGH-COLD MUCUS RLF CF LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822573280</ndc>
    <ndc_label_name>RA NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822573290</ndc>
    <ndc_label_name>RA NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822573510</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822573520</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822573530</ndc>
    <ndc_label_name>RA OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822573640</ndc>
    <ndc_label_name>Clear Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822573650</ndc>
    <ndc_label_name>RA PAIN FREE TAPE 3" X 2.3 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822573660</ndc>
    <ndc_label_name>RA ADHESIVE PADS 3"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822574070</ndc>
    <ndc_label_name>RA LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822574200</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822574210</ndc>
    <ndc_label_name>RA PROBIOTIC DIGESTIVE CARE CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822574280</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen-aspirin-caff) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822574300</ndc>
    <ndc_label_name>RA TENSION HEADACHE PAIN CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822574480</ndc>
    <ndc_label_name>RA CAPSICUM 0.025% HOT PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822576020</ndc>
    <ndc_label_name>RA ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822576030</ndc>
    <ndc_label_name>RA MAGNESIUM 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576090</ndc>
    <ndc_label_name>RA MSM 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576130</ndc>
    <ndc_label_name>RA SOFT-TIP THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576430</ndc>
    <ndc_label_name>RA INS SYR 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576440</ndc>
    <ndc_label_name>RA INS SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576450</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822576460</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822578050</ndc>
    <ndc_label_name>RA NASAL RLF SINUS WASH REFILL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822590010</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822604230</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822619070</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822619080</ndc>
    <ndc_label_name>Allergy and Congestion Relief 5 mg-120 mg tablet,extend release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822620570</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822621370</ndc>
    <ndc_label_name>RA HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822622240</ndc>
    <ndc_label_name>RA NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822622250</ndc>
    <ndc_label_name>RA NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822644390</ndc>
    <ndc_label_name>RA ADHESIVE TAPE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822650390</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS MEDIUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822669490</ndc>
    <ndc_label_name>RA FEMININE CARE DOUCHE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822705390</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822748430</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822770050</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822771100</ndc>
    <ndc_label_name>Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822772930</ndc>
    <ndc_label_name>RA ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822775350</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822801550</ndc>
    <ndc_label_name>RA ESSENCE C 1,000 MG PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822845330</ndc>
    <ndc_label_name>Advanced Eye Health 250 mg-2.5 mg-0.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822846310</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822850980</ndc>
    <ndc_label_name>RA EFFERVESCENT FORMULA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822855640</ndc>
    <ndc_label_name>RA P-COL RITE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822865020</ndc>
    <ndc_label_name>RA IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822867410</ndc>
    <ndc_label_name>RA NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822867420</ndc>
    <ndc_label_name>RA NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822874560</ndc>
    <ndc_label_name>Antibiotic-Pain Relief(bacit)3.5 mg-500 unit-10,000 unit/gram ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880000</ndc>
    <ndc_label_name>RA VITAMIN A 10,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880070</ndc>
    <ndc_label_name>RA VIT B12 1,000 MCG TAB SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880100</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880140</ndc>
    <ndc_label_name>RA BALANCED B-50 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880150</ndc>
    <ndc_label_name>RA B-COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880170</ndc>
    <ndc_label_name>RA B-COMPLEX WITH VIT C TAB SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880200</ndc>
    <ndc_label_name>RA BLACK COHOSH 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880230</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880240</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880250</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880260</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880270</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880280</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880300</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880310</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880320</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880330</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880370</ndc>
    <ndc_label_name>RA CALCIUM-MAG-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880380</ndc>
    <ndc_label_name>RA CALCIUM-BORON TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880400</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880440</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880470</ndc>
    <ndc_label_name>RA CALCIUM 600-MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880560</ndc>
    <ndc_label_name>RA COD LIVER OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880730</ndc>
    <ndc_label_name>RA ECHINACEA-GOLDENSEAL CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880770</ndc>
    <ndc_label_name>RA FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880780</ndc>
    <ndc_label_name>RA FOLIC ACID 0.4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880800</ndc>
    <ndc_label_name>RA GARLIC 580 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880900</ndc>
    <ndc_label_name>RA GLUCOSAMINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880940</ndc>
    <ndc_label_name>RA L-LYSINE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822880950</ndc>
    <ndc_label_name>L-Lysine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822880980</ndc>
    <ndc_label_name>RA MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822881060</ndc>
    <ndc_label_name>RA NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822881070</ndc>
    <ndc_label_name>RA POTASSIUM GLUC 595 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822881080</ndc>
    <ndc_label_name>RA POTASSIUM GLUC 2.5 MEQ TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822881230</ndc>
    <ndc_label_name>RA ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822881240</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822881250</ndc>
    <ndc_label_name>RA GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822897730</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822928120</ndc>
    <ndc_label_name>RA ANTI-ITCH SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822935050</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS MEDIUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822935080</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822935090</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS X-LG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822935100</ndc>
    <ndc_label_name>RA TUGABOOS TRAIN PANTS X-LG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822935160</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822964200</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 6.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822985210</ndc>
    <ndc_label_name>RA NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822985410</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822985490</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822985580</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822985620</ndc>
    <ndc_label_name>Flexible Fabric Bandages 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822985630</ndc>
    <ndc_label_name>Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822985680</ndc>
    <ndc_label_name>Sterile Pads 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822986080</ndc>
    <ndc_label_name>RA STERILE EYE WASH SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822986510</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11822987730</ndc>
    <ndc_label_name>RA DRAW OUT SALVE OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822989180</ndc>
    <ndc_label_name>RA LICE PYRINYL SHAMPOO</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822989470</ndc>
    <ndc_label_name>RA ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11822989540</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11836002261</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>11836002262</ndc>
    <ndc_label_name>NightTime Sleep Aid (acetaminopehn-diphenhydramine) 25 mg-500 mg tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11836002262</ndc>
    <ndc_label_name>NightTime Sleep Aid (acetaminopehn-diphenhydramine) 25 mg-500 mg tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11836002268</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11836002482</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845000003</ndc>
    <ndc_label_name>Mini Multivitamins-Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005041</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005049</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005051</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005061</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005171</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005291</ndc>
    <ndc_label_name>LECITHIN 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005321</ndc>
    <ndc_label_name>GARLIC OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005331</ndc>
    <ndc_label_name>Probiotic Acidophilus-Pectin 100 million cell-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005341</ndc>
    <ndc_label_name>cod liver oil 1,250 unit-135 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005351</ndc>
    <ndc_label_name>B Complex Plus Vitamin C 15 mg-10 mg-50 mg-5 mg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005421</ndc>
    <ndc_label_name>ALFALFA 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005471</ndc>
    <ndc_label_name>Papaya Digestive Enzyme Complex chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005621</ndc>
    <ndc_label_name>Super Multiple - Low Iron 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005651</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005661</ndc>
    <ndc_label_name>Vitamin B-1 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005701</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005711</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005731</ndc>
    <ndc_label_name>Vitamin B-12 50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005741</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005751</ndc>
    <ndc_label_name>VITAMIN B-12 250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005761</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845005921</ndc>
    <ndc_label_name>VITAMIN A 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005971</ndc>
    <ndc_label_name>COD LIVER OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845005981</ndc>
    <ndc_label_name>LECITHIN-KELP-B6-APP CIDER CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006011</ndc>
    <ndc_label_name>VITAMIN B COMPLEX SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845006171</ndc>
    <ndc_label_name>MAGNESIUM GLUC 550 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006181</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE 595 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006291</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006441</ndc>
    <ndc_label_name>Ultra B-100 Complex (with foodbase) 400 mcg-100 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006445</ndc>
    <ndc_label_name>Ultra B-100 Complex (with foodbase) 400 mcg-100 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006531</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006761</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006911</ndc>
    <ndc_label_name>ZINC GLUCONATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845006935</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845006991</ndc>
    <ndc_label_name>garlic oil 1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845007011</ndc>
    <ndc_label_name>ACIDOPHILUS 1 MG WAFER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007141</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007161</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845007211</ndc>
    <ndc_label_name>L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845007231</ndc>
    <ndc_label_name>GARLIC 1,500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845007285</ndc>
    <ndc_label_name>B-6 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007365</ndc>
    <ndc_label_name>BIOTIN 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007455</ndc>
    <ndc_label_name>Stress B With Zinc tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007551</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007552</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007555</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007625</ndc>
    <ndc_label_name>VITAMIN B-12 2,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007751</ndc>
    <ndc_label_name>ZINC GLUCONATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845007791</ndc>
    <ndc_label_name>VITAMIN K 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845007875</ndc>
    <ndc_label_name>CHARCOAL 260 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845008051</ndc>
    <ndc_label_name>VITAMIN B-12 ER 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845008117</ndc>
    <ndc_label_name>VITAMIN E 6,000 UNIT CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845008239</ndc>
    <ndc_label_name>AMINO ACIDS 700 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845008531</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845008891</ndc>
    <ndc_label_name>SUPER CALCIUM 600-VIT D3 400</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845008892</ndc>
    <ndc_label_name>SUPER CALCIUM 600-VIT D3 400</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009151</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009185</ndc>
    <ndc_label_name>Little Animals chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009555</ndc>
    <ndc_label_name>Daily Multivitamin-Minerals 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009611</ndc>
    <ndc_label_name>MAGNESIUM 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009661</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009662</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845009681</ndc>
    <ndc_label_name>CAL-MAG-ZINC 334-134-5 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845009932</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011135</ndc>
    <ndc_label_name>MELATONIN-VIT B6 3 MG-1 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011142</ndc>
    <ndc_label_name>Melatonin (with B6) 5 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011145</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011308</ndc>
    <ndc_label_name>DHEA 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011355</ndc>
    <ndc_label_name>DONG QUAI 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011395</ndc>
    <ndc_label_name>GINGER 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011415</ndc>
    <ndc_label_name>Korean Ginseng 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011505</ndc>
    <ndc_label_name>MILK THISTLE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011515</ndc>
    <ndc_label_name>SAW PALMETTO 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011519</ndc>
    <ndc_label_name>SAW PALMETTO 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011525</ndc>
    <ndc_label_name>VALERIAN ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011699</ndc>
    <ndc_label_name>FOLIC ACID-B6-B12 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845011729</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845011735</ndc>
    <ndc_label_name>C-1000 with Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845011739</ndc>
    <ndc_label_name>C-1000 with Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011765</ndc>
    <ndc_label_name>E-400 C-500 and Beta Carotene tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845011831</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011869</ndc>
    <ndc_label_name>Digestive Enzyme (acidophilus, pectin, bromelain) 50 million cell-100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845011965</ndc>
    <ndc_label_name>Super Energy Herbal Complex 300 mg-162.5 mg-8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012025</ndc>
    <ndc_label_name>Mens Potent Formula 25 mg-400 mcg-27 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012049</ndc>
    <ndc_label_name>WOMEN'S DAILY FORMULA CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845012065</ndc>
    <ndc_label_name>Body, Hair, Skin and Nails 3 mg-133 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012098</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012175</ndc>
    <ndc_label_name>ALOE VERA 5,000 (25) MG SFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012221</ndc>
    <ndc_label_name>Herbal Colon Cleanser 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012230</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012232</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012235</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012241</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012281</ndc>
    <ndc_label_name>BETA CAROTENE 7,500 MCG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845012375</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845012377</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845012385</ndc>
    <ndc_label_name>Liquid Calcium with Vitamin D 600 mg-5 mcg (200 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012481</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845012495</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012545</ndc>
    <ndc_label_name>MACA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012618</ndc>
    <ndc_label_name>Soy Isoflavones 40 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012639</ndc>
    <ndc_label_name>Glucosamine Complex-MSM capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012645</ndc>
    <ndc_label_name>L-ARGININE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012791</ndc>
    <ndc_label_name>Masonatal Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012805</ndc>
    <ndc_label_name>GINKGO BILOBA 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012815</ndc>
    <ndc_label_name>ECHINACEA 80 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012845</ndc>
    <ndc_label_name>EVENING PRIMROSE 500 MG SFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012875</ndc>
    <ndc_label_name>GINSENG 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012905</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012957</ndc>
    <ndc_label_name>BILBERRY 80 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012969</ndc>
    <ndc_label_name>Cranberry Urinary Comfort 140 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845012995</ndc>
    <ndc_label_name>MILK THISTLE 150 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013005</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013021</ndc>
    <ndc_label_name>CALCIUM 600 MG PLUS VIT D TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013031</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPSUL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013035</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPSUL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013037</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPSUL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013038</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPSUL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013045</ndc>
    <ndc_label_name>BLACK COHOSH HOT FLASH CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013095</ndc>
    <ndc_label_name>Fat Burner tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013131</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845013195</ndc>
    <ndc_label_name>Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845013198</ndc>
    <ndc_label_name>Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013378</ndc>
    <ndc_label_name>Leg Veins-Circulation 120 mg-100 mg-50 mg-150 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013438</ndc>
    <ndc_label_name>Blood Sugar Balance 300 mcg-75 mg-25 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013498</ndc>
    <ndc_label_name>Veinerect 12.5 mg-625 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013515</ndc>
    <ndc_label_name>Liver-Kidney Cleanser capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013665</ndc>
    <ndc_label_name>LUTEIN 6 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013705</ndc>
    <ndc_label_name>Desire-X with Horny Goat Weed 250 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845013751</ndc>
    <ndc_label_name>FERROUS GLUCONATE 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013789</ndc>
    <ndc_label_name>GLUCOSAMINE CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013799</ndc>
    <ndc_label_name>Flexi Joint 500 mg-400 mg-166.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013855</ndc>
    <ndc_label_name>BURN CALORIES TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013865</ndc>
    <ndc_label_name>APPETITE CONTROL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845013951</ndc>
    <ndc_label_name>APPLE CIDER VINEGR 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014028</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014031</ndc>
    <ndc_label_name>Calcium 600 with Vitamin D3 600 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014041</ndc>
    <ndc_label_name>CASCARA SAGRADA 450 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014075</ndc>
    <ndc_label_name>Vision Plus Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014115</ndc>
    <ndc_label_name>Co Q-10-Vitamin E-Fish Oil 25 mg-150 (90-60) mg-200 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014128</ndc>
    <ndc_label_name>VITATRUM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014131</ndc>
    <ndc_label_name>VITRUM 50 PLUS SENIOR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014135</ndc>
    <ndc_label_name>VITRUM SENIOR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014149</ndc>
    <ndc_label_name>Glucosamine-Fish Oil 500 mg-400 mg-5 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014165</ndc>
    <ndc_label_name>APPLE CIDER VINEGAR PLUS TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014288</ndc>
    <ndc_label_name>BLACK COHOSH-FLAXSEED-SOY CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014435</ndc>
    <ndc_label_name>Prostate Therapy capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014479</ndc>
    <ndc_label_name>Fish Oil 60 mg-90 mg-500 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014539</ndc>
    <ndc_label_name>GLUCOSAMINE CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014562</ndc>
    <ndc_label_name>COLLAGEN PLUS VIT C CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014628</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014638</ndc>
    <ndc_label_name>Super Omega-3 1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014651</ndc>
    <ndc_label_name>Cinnamon 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014662</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014665</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014765</ndc>
    <ndc_label_name>CRANBERRY CONC 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014770</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014772</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014775</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014781</ndc>
    <ndc_label_name>Men's Daily 0.4 mg-600 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014818</ndc>
    <ndc_label_name>B-12 Plus 5,000 mcg-100 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014825</ndc>
    <ndc_label_name>POMEGRANATE-EGCG &amp; GRAPE SEED</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014868</ndc>
    <ndc_label_name>Fruit and Vegetable Daily 5 mg-6 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014871</ndc>
    <ndc_label_name>SENNOSIDES-DOCUSATE SODIUM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014905</ndc>
    <ndc_label_name>SOUTH AFRICAN HOODIA PLUS CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014911</ndc>
    <ndc_label_name>Ultra Collagen-Horsetail Conc 1,250 mcg-362.5 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014922</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014935</ndc>
    <ndc_label_name>L-TRYPTOPHAN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014941</ndc>
    <ndc_label_name>EAR HEALTH FORMULA CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014951</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014965</ndc>
    <ndc_label_name>DIETER'S DETOX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014971</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845014989</ndc>
    <ndc_label_name>Relax and Sleep 65 mg-65 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845014995</ndc>
    <ndc_label_name>NIACIN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015009</ndc>
    <ndc_label_name>Tart Cherry 30 mg-250 mg-75 mg-75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015010</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015012</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015015</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015065</ndc>
    <ndc_label_name>HEARTBURN &amp; ACID REFLUX TABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015071</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015121</ndc>
    <ndc_label_name>KIDS COD LIVER OIL +D TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015131</ndc>
    <ndc_label_name>Ear Health Formula 200 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015175</ndc>
    <ndc_label_name>TOXIN CONTROL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015189</ndc>
    <ndc_label_name>CLA 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015225</ndc>
    <ndc_label_name>KIDS MULTIVIT-MINERALS GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015265</ndc>
    <ndc_label_name>Slow Release Iron 168 mg (50 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015325</ndc>
    <ndc_label_name>EVENING PRIMROSE OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015331</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015339</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015341</ndc>
    <ndc_label_name>B-50 Complex (with herbs) 400 mcg-0.05 mg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015355</ndc>
    <ndc_label_name>ACAI BERRY 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015365</ndc>
    <ndc_label_name>KIDS VITAMIN D3 TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015405</ndc>
    <ndc_label_name>MINUS WEIGHT PLUS ENERGY CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015415</ndc>
    <ndc_label_name>SOOTHING PUREWAY-C 500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015451</ndc>
    <ndc_label_name>ANAMU 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015469</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015475</ndc>
    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015481</ndc>
    <ndc_label_name>XANTHIUM FRUIT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015569</ndc>
    <ndc_label_name>FLAXSEED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015571</ndc>
    <ndc_label_name>FERRACTIV IRON 27 MG FORMULA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015615</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015625</ndc>
    <ndc_label_name>NIACIN FLUSH FREE 750 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015631</ndc>
    <ndc_label_name>PINEAPPLE EXTRACT CHEW TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015651</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015661</ndc>
    <ndc_label_name>RAPID B-12 ENERGY SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015678</ndc>
    <ndc_label_name>KRILL OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015699</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015725</ndc>
    <ndc_label_name>Horny Goat Weed Plus 250 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015762</ndc>
    <ndc_label_name>VITAMIN E OIL DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015778</ndc>
    <ndc_label_name>VITAMIN C 500 MG/15 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845015798</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015801</ndc>
    <ndc_label_name>TEA TREE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015829</ndc>
    <ndc_label_name>OMEGA-3-FISH OIL-VIT D3 SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015845</ndc>
    <ndc_label_name>CHIA OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015856</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-D3(C-manganese) 500 mg-400 mg-667 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015884</ndc>
    <ndc_label_name>Probiotic with Prebiotic 1 billion cell-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845015995</ndc>
    <ndc_label_name>BRAIN MIGHT-DHA-CO Q10 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016011</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016079</ndc>
    <ndc_label_name>CO Q-10 WITH L-CARNITINE SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016162</ndc>
    <ndc_label_name>FISH OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016175</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016185</ndc>
    <ndc_label_name>LIQUID CALCIUM-VIT D SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016191</ndc>
    <ndc_label_name>Men's Daily Formula 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016215</ndc>
    <ndc_label_name>ALOE VERA-VIT E CREAM SNIP CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016235</ndc>
    <ndc_label_name>VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016238</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016245</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016261</ndc>
    <ndc_label_name>K2 Plus D3 1,000 unit-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016275</ndc>
    <ndc_label_name>Megavite 18 mg iron-800 mcg-150 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016305</ndc>
    <ndc_label_name>ASTAXANTHIN 4 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016325</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016335</ndc>
    <ndc_label_name>Cranberry-Probiotic 480 mg-20 mg-100 million cell tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016385</ndc>
    <ndc_label_name>CRANBERRY 12,600 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016407</ndc>
    <ndc_label_name>Coconut Oil Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016459</ndc>
    <ndc_label_name>Women's Daily Formula 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016481</ndc>
    <ndc_label_name>FLAX SEED OIL 1,300 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016491</ndc>
    <ndc_label_name>B-12 3,000 MCG TABLET SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016518</ndc>
    <ndc_label_name>KRILL OIL 1,500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016525</ndc>
    <ndc_label_name>ULTRA DIET AID CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016535</ndc>
    <ndc_label_name>COCONUT OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016555</ndc>
    <ndc_label_name>CINNAMON ALPHA LIPOIC ACID CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845016565</ndc>
    <ndc_label_name>MELATONIN 500 MCG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016635</ndc>
    <ndc_label_name>MAGNESIUM-VIT D3-TURMERIC TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016645</ndc>
    <ndc_label_name>MEGAVITE GOLDEN YEARS CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016668</ndc>
    <ndc_label_name>LUTEIN 40 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016671</ndc>
    <ndc_label_name>FERRACTIV IRON 27 MG FORMULA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016775</ndc>
    <ndc_label_name>MORINGA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016799</ndc>
    <ndc_label_name>Mega Biotin 10,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016825</ndc>
    <ndc_label_name>VITAMIN D3 COMPLETE CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016835</ndc>
    <ndc_label_name>HEALTHY HEART COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016845</ndc>
    <ndc_label_name>BEAUTY &amp; SKIN THERAPY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016865</ndc>
    <ndc_label_name>GARCINIA CAMBOGIA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016891</ndc>
    <ndc_label_name>ACIDOPHILUS-BIFIDUS WAFER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016905</ndc>
    <ndc_label_name>Lutein Plus With Zeaxanthin 1,500 mcg-60 mg-20 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016911</ndc>
    <ndc_label_name>PRUNE AND SENNA CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845016995</ndc>
    <ndc_label_name>Omega 3-6-9 1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017012</ndc>
    <ndc_label_name>Collagen 1500 Plus C 500 mg-800 mcg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017105</ndc>
    <ndc_label_name>NAC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017115</ndc>
    <ndc_label_name>Healthy Kids Probiotic-Fiber 100 million cell-1,000 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845017131</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845017132</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845017135</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017199</ndc>
    <ndc_label_name>PEPPERMINT OIL EC 50 MG SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017228</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017489</ndc>
    <ndc_label_name>Water Pill-Potassium 50.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845017605</ndc>
    <ndc_label_name>Vitamin B Complex-Electrolytes 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017615</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 2.5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017639</ndc>
    <ndc_label_name>TART CHERRY-TURMERIC CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017655</ndc>
    <ndc_label_name>BIOTIN PLUS KERATIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017681</ndc>
    <ndc_label_name>VITAMIN K2 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017735</ndc>
    <ndc_label_name>GINKGO BILOBA 125 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017737</ndc>
    <ndc_label_name>GINKGO BILOBA 125 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017739</ndc>
    <ndc_label_name>GINKGO BILOBA 125 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017745</ndc>
    <ndc_label_name>ECHINACEA 125 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017778</ndc>
    <ndc_label_name>HYALURONIC ACID 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017875</ndc>
    <ndc_label_name>ASHWAGANDHA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845017901</ndc>
    <ndc_label_name>Beet Root-Magnesium 150 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018025</ndc>
    <ndc_label_name>ULTRA DIGESTIVE ENZYMES TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018081</ndc>
    <ndc_label_name>Ear Health Plus 100 mg-200 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018105</ndc>
    <ndc_label_name>MELATONIN-VIT B6 10 MG-1 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018111</ndc>
    <ndc_label_name>VITAMIN C 500 MG DR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018121</ndc>
    <ndc_label_name>Vitamin C-Rose Hips-Zinc 1,000 mg-5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018145</ndc>
    <ndc_label_name>Brain Power 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845018151</ndc>
    <ndc_label_name>Vitrum 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845018157</ndc>
    <ndc_label_name>Vitrum 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845018166</ndc>
    <ndc_label_name>Vitatrum Complete 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018175</ndc>
    <ndc_label_name>Eazzzy Sleep 200 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018315</ndc>
    <ndc_label_name>Turmeric with BioPerine 450 mg-50 mg-2.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018335</ndc>
    <ndc_label_name>Daily Bladder Comfort 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018345</ndc>
    <ndc_label_name>APPLE CIDER VINEGAR-GINGER CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018465</ndc>
    <ndc_label_name>Mushroom Power-Matcha 300 mg-10 mg-300 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018475</ndc>
    <ndc_label_name>Quercetin Complex 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018512</ndc>
    <ndc_label_name>Osteo-Joint Complex 750 mg-137.5 mg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018591</ndc>
    <ndc_label_name>Neuro Complx-Alpha Lipoic Acid 100 mg-100 mg-1,000 mcg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018601</ndc>
    <ndc_label_name>Renal Multivitamin 800 mcg-60 mg-25 mcg-8mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018615</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 125 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018715</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE-BIOPERINE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018725</ndc>
    <ndc_label_name>BERBERINE-CEYLON-BIOPERINE CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018749</ndc>
    <ndc_label_name>POTASSIUM GLYCINATE 99 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845018765</ndc>
    <ndc_label_name>ULTRA MAX OMEGA-3 600 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845054501</ndc>
    <ndc_label_name>HIGH PROTEIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845054701</ndc>
    <ndc_label_name>PAPAYA TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845054809</ndc>
    <ndc_label_name>AMINO ACID CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845055502</ndc>
    <ndc_label_name>KELP TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845056001</ndc>
    <ndc_label_name>MEDTYCHOLL-B COMP-LIVER CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845056205</ndc>
    <ndc_label_name>SUPER MULTIVITAMIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845056601</ndc>
    <ndc_label_name>THIAMINE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057001</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057101</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057301</ndc>
    <ndc_label_name>Vitamin B-12 50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057401</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057501</ndc>
    <ndc_label_name>Vitamin B-12 250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057601</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845057801</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845059030</ndc>
    <ndc_label_name>VITAMIN E 28,000 UNIT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845059301</ndc>
    <ndc_label_name>VITAMIN A 10,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845059701</ndc>
    <ndc_label_name>COD LIVER OIL CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845059801</ndc>
    <ndc_label_name>KELP-LECITHIN-VIT B-6 CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845061701</ndc>
    <ndc_label_name>MAGNESIUM GLUC 550 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845062301</ndc>
    <ndc_label_name>KELP-LECITHIN-VIT B-6 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845062901</ndc>
    <ndc_label_name>C-500  500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845064209</ndc>
    <ndc_label_name>KOREAN GINSENG 518 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845065301</ndc>
    <ndc_label_name>FOLIC ACID 0.4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845066201</ndc>
    <ndc_label_name>CALCIUM GLUCONATE 650 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845066305</ndc>
    <ndc_label_name>ENZYMATIC DIGESTANT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845067601</ndc>
    <ndc_label_name>FOLIC ACID 0.8 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845068409</ndc>
    <ndc_label_name>NATURAL HERBAL DIURETIC TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845069101</ndc>
    <ndc_label_name>ZINC GLUCONATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845069901</ndc>
    <ndc_label_name>GARLIC 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845070405</ndc>
    <ndc_label_name>STRESS-C WITH IRON TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845070801</ndc>
    <ndc_label_name>SELENIUM 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845071301</ndc>
    <ndc_label_name>RIBOFLAVIN 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845071401</ndc>
    <ndc_label_name>RIBOFLAVIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845071601</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072101</ndc>
    <ndc_label_name>L-Lysine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072205</ndc>
    <ndc_label_name>HAIR VITAMINS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072209</ndc>
    <ndc_label_name>HAIR VITAMINS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072501</ndc>
    <ndc_label_name>GARLIC &amp; PARSLEY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072805</ndc>
    <ndc_label_name>PYRIDOXINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845072905</ndc>
    <ndc_label_name>PYRIDOXINE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845073001</ndc>
    <ndc_label_name>RUTIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845073105</ndc>
    <ndc_label_name>THIAMINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845074201</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845074505</ndc>
    <ndc_label_name>Stress Formula with Zinc tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845075001</ndc>
    <ndc_label_name>CALCIUM WITH MAGNESIUM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845076601</ndc>
    <ndc_label_name>SPIRULINA 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845077501</ndc>
    <ndc_label_name>ZINC GLUCONATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845077901</ndc>
    <ndc_label_name>VITAMIN K 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845078109</ndc>
    <ndc_label_name>NATURAL VEG LAXATIVE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845078609</ndc>
    <ndc_label_name>CALMME TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845078705</ndc>
    <ndc_label_name>CHARCOAL 260 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845079201</ndc>
    <ndc_label_name>MAXEPA CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845079405</ndc>
    <ndc_label_name>ACEROLA C 500 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845079601</ndc>
    <ndc_label_name>SELENIUM 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845079805</ndc>
    <ndc_label_name>ROYAL JELLY 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845080505</ndc>
    <ndc_label_name>VITAMIN B12 1,000 MCG TAB SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845082201</ndc>
    <ndc_label_name>KELP-LECITHIN-VIT B-6 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845085301</ndc>
    <ndc_label_name>SUPER CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845088205</ndc>
    <ndc_label_name>NIACIN SA 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091501</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091502</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091505</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091805</ndc>
    <ndc_label_name>Little Animals chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091816</ndc>
    <ndc_label_name>Little Animals chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091905</ndc>
    <ndc_label_name>LITTLE ANIMALS-IRON TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845091916</ndc>
    <ndc_label_name>LITTLE ANIMALS-IRON TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845094105</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845095505</ndc>
    <ndc_label_name>DAILY MULTIVIT-MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845096309</ndc>
    <ndc_label_name>Vitamin C ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845096801</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845098101</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845098501</ndc>
    <ndc_label_name>GARLIC ODOR FREE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845099005</ndc>
    <ndc_label_name>ULTRA ANTIOXIDANT FORM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845099302</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845113205</ndc>
    <ndc_label_name>BILBERRY 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845113605</ndc>
    <ndc_label_name>ECHINACEA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845113609</ndc>
    <ndc_label_name>ECHINACEA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845113705</ndc>
    <ndc_label_name>SUPER GINSENG MULTIVIT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845113905</ndc>
    <ndc_label_name>GINGER 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845114105</ndc>
    <ndc_label_name>Korean Ginseng 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845114705</ndc>
    <ndc_label_name>GUARANA 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845114805</ndc>
    <ndc_label_name>HAWTHORN BERRY 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845115005</ndc>
    <ndc_label_name>MILK THISTLE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845115105</ndc>
    <ndc_label_name>SAW PALMETTO 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845115109</ndc>
    <ndc_label_name>SAW PALMETTO 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845115205</ndc>
    <ndc_label_name>VALERIAN ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845115805</ndc>
    <ndc_label_name>GRAPE SEED EXTRACT 60 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845116909</ndc>
    <ndc_label_name>FOLIC ACID-VIT B6-VIT B12 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845117209</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845117505</ndc>
    <ndc_label_name>VITAMIN C 1,500 MG TABLET SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845118205</ndc>
    <ndc_label_name>KAVA KAVA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845119105</ndc>
    <ndc_label_name>DAILY AMINO 6,000 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845119605</ndc>
    <ndc_label_name>SUPER ENERGY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845120205</ndc>
    <ndc_label_name>MEN'S POTENT FORMULA TABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845121405</ndc>
    <ndc_label_name>NAT HERBAL DIURETIC TAB SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845121505</ndc>
    <ndc_label_name>KOREAN GINSENG COMPLEX CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845121805</ndc>
    <ndc_label_name>MAXIMUM ENERGY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845122201</ndc>
    <ndc_label_name>COLON HERBAL CLEANSER CAPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845122401</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845122605</ndc>
    <ndc_label_name>ULTRA ANTIOXIDANT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845122905</ndc>
    <ndc_label_name>VISION VITAMINS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845123401</ndc>
    <ndc_label_name>ODORLESS GARLIC 300 MG CAPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845124905</ndc>
    <ndc_label_name>SELENOMAX 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845125100</ndc>
    <ndc_label_name>MAXEPA 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845125205</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845125502</ndc>
    <ndc_label_name>HOMOCYSTEINE FORMULA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11845127301</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845127805</ndc>
    <ndc_label_name>ZINC-VIT C-ECHINACEA LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11845131709</ndc>
    <ndc_label_name>ZINC-VIT C-ECHINACEA LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11868000901</ndc>
    <ndc_label_name>Nullo 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11868000960</ndc>
    <ndc_label_name>Nullo 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11868081401</ndc>
    <ndc_label_name>Tronolane 1 %-5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11877001126</ndc>
    <ndc_label_name>ID NOW COVID-19 Test Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11877001129</ndc>
    <ndc_label_name>BinaxNOW COVID-19 Ag Card kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11877001133</ndc>
    <ndc_label_name>BinaxNOW COVID-19 Ag Card Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11877001140</ndc>
    <ndc_label_name>BinaxNOW COVID-19 Ag Self Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000028</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000058</ndc>
    <ndc_label_name>Pre-Moistened Hemorrhoidal topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000257</ndc>
    <ndc_label_name>Disposable Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000258</ndc>
    <ndc_label_name>Disposable Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000259</ndc>
    <ndc_label_name>Disposable Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000365</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000451</ndc>
    <ndc_label_name>ZINC OXIDE OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000555</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000616</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000703</ndc>
    <ndc_label_name>Stool Softener (docusate calcium) 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917000803</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000872</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917000873</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001006</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001009</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001052</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001053</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001146</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001168</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001170</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001238</ndc>
    <ndc_label_name>echinacea 125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001257</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001271</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001338</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001339</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001403</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001404</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001406</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001413</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001414</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001440</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001487</ndc>
    <ndc_label_name>INSULIN 1 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001489</ndc>
    <ndc_label_name>INSULIN 1/2 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001492</ndc>
    <ndc_label_name>INSULIN 3/10 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001513</ndc>
    <ndc_label_name>ETHYL ALCOHOL 70% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001514</ndc>
    <ndc_label_name>ISOPROPYL 70% ALCOHOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001515</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917001517</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001520</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001526</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917001957</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002057</ndc>
    <ndc_label_name>Probiotic Digestive Health 30 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002059</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002103</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002266</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002354</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002361</ndc>
    <ndc_label_name>Nutritional Drink Plus oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002391</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002514</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002527</ndc>
    <ndc_label_name>INSULIN 3/10 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002528</ndc>
    <ndc_label_name>INSULIN 1/2 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002529</ndc>
    <ndc_label_name>INSULIN 1 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002536</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002600</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002603</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002613</ndc>
    <ndc_label_name>PEDIATRIC ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002615</ndc>
    <ndc_label_name>PEDIATRIC ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002642</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002690</ndc>
    <ndc_label_name>VITAMIN E 56,000 UNIT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002710</ndc>
    <ndc_label_name>PEDIATRIC ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917002717</ndc>
    <ndc_label_name>Ephrine 1 % nasal drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002801</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002918</ndc>
    <ndc_label_name>Laxative Pills Regular 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002958</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917002961</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003010</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003194</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003277</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003360</ndc>
    <ndc_label_name>Disposable Brief Jumbo Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003361</ndc>
    <ndc_label_name>Disposable Brief Jumbo X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003512</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003576</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003586</ndc>
    <ndc_label_name>Clotrimazole-3 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003657</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003658</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003688</ndc>
    <ndc_label_name>Artificial Tears (dextran 70-hypromellose) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003692</ndc>
    <ndc_label_name>Rewetting Drops solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003693</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.025 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003728</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003730</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003741</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003747</ndc>
    <ndc_label_name>Wal-Profen Cold-Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003910</ndc>
    <ndc_label_name>MULTIPLE VITAMIN WITH IRON TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003912</ndc>
    <ndc_label_name>Multiple Vitamins tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003913</ndc>
    <ndc_label_name>Multiple Vitamins tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003916</ndc>
    <ndc_label_name>FERROUS GLUCONATE 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003929</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003939</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003940</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003941</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003949</ndc>
    <ndc_label_name>VITAMIN B COMPLEX-VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003952</ndc>
    <ndc_label_name>COD LIVER OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003958</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003960</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917003961</ndc>
    <ndc_label_name>FISH OIL CONC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003964</ndc>
    <ndc_label_name>ZINC 50 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917003969</ndc>
    <ndc_label_name>POTASSIUM GLUC 595 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004049</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004074</ndc>
    <ndc_label_name>Non-Aspirin 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004075</ndc>
    <ndc_label_name>Non-Aspirin 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004108</ndc>
    <ndc_label_name>Artificial Tears (PF) drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004109</ndc>
    <ndc_label_name>Redness Reliever Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004110</ndc>
    <ndc_label_name>Lubricant Redness Reliever 0.05 %-1 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004161</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004165</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004166</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004173</ndc>
    <ndc_label_name>Sleep II 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004204</ndc>
    <ndc_label_name>Heartburn Antacid 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004231</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004289</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004293</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004295</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004297</ndc>
    <ndc_label_name>Wal-Finate-D 4 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004300</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004301</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004305</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004306</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004307</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004330</ndc>
    <ndc_label_name>Wal-Som (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004335</ndc>
    <ndc_label_name>Wal-Tussin DM Clear 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004336</ndc>
    <ndc_label_name>Wal-Tussin DM Clear 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004363</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004384</ndc>
    <ndc_label_name>Wal-Finate 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004388</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004389</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004394</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004396</ndc>
    <ndc_label_name>Backache Relief Extra Strength 580 mg (467 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004397</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004403</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004406</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004416</ndc>
    <ndc_label_name>B-complex with vitamin C 400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004424</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004433</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004460</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004463</ndc>
    <ndc_label_name>Sleep II 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004481</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004523</ndc>
    <ndc_label_name>FISH OIL CONC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004542</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004546</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004547</ndc>
    <ndc_label_name>Laxative Pills 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004583</ndc>
    <ndc_label_name>Vaporizing Steam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004588</ndc>
    <ndc_label_name>Wal-Four 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004592</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004619</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004624</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004625</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004629</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004637</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004644</ndc>
    <ndc_label_name>VITAMIN E 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004659</ndc>
    <ndc_label_name>Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004660</ndc>
    <ndc_label_name>Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004661</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004662</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004663</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004681</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004682</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004695</ndc>
    <ndc_label_name>Wal-Dram 2 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004725</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004727</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004731</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004738</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004739</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004772</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004774</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004775</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004776</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004801</ndc>
    <ndc_label_name>Calcium for Women 500 mg-100 unit-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004802</ndc>
    <ndc_label_name>Calcium for Women 500 mg-100 unit-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004813</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004815</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004865</ndc>
    <ndc_label_name>TOLNAFTATE 1% SPRAY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004916</ndc>
    <ndc_label_name>One Step Ovulation Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004917</ndc>
    <ndc_label_name>Wal-Profen 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004918</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004929</ndc>
    <ndc_label_name>One Daily Womens 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004938</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004942</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004945</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004952</ndc>
    <ndc_label_name>Pre-Moistened Hemorrhoidal topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004954</ndc>
    <ndc_label_name>HYDROCORTISONE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004955</ndc>
    <ndc_label_name>HYDROCORTISONE 0.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004956</ndc>
    <ndc_label_name>Hydrocortisone Plus 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004957</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004960</ndc>
    <ndc_label_name>Lubricating Jelly (with chlorhexidine) topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004962</ndc>
    <ndc_label_name>Calahist 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004964</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004966</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004972</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004973</ndc>
    <ndc_label_name>Acetaminophen PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004980</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004981</ndc>
    <ndc_label_name>Calahist with Pramoxine 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004983</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917004988</ndc>
    <ndc_label_name>Analgesic Creme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004991</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004994</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004995</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917004997</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine) 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005003</ndc>
    <ndc_label_name>Wal-Profen 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005004</ndc>
    <ndc_label_name>Wal-Profen 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005014</ndc>
    <ndc_label_name>CALCIUM CITRATE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005015</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005020</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005022</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005024</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005025</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005026</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005037</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 125 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005059</ndc>
    <ndc_label_name>TrueTrack Smart System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005067</ndc>
    <ndc_label_name>Bandages Flexible Fabric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005069</ndc>
    <ndc_label_name>BANDAGES WATER SHIELD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005072</ndc>
    <ndc_label_name>BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005075</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005076</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005092</ndc>
    <ndc_label_name>First Aid Antibiotic 3.5 mg-500 unit-10,000 unit topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005093</ndc>
    <ndc_label_name>Pain Relieving (benzocaine) 20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005095</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005097</ndc>
    <ndc_label_name>Multi Antibiotic Plus 3.5 mg-10,000 unit-10 mg/gram topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005099</ndc>
    <ndc_label_name>Wal-Sporin 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005100</ndc>
    <ndc_label_name>Bandages 3/4 "</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005118</ndc>
    <ndc_label_name>Tubular Gauze 7/8" X 9" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005128</ndc>
    <ndc_label_name>Ocutabs tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005133</ndc>
    <ndc_label_name>Antacid M 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005135</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005138</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005140</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005202</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005204</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005205</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005206</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005217</ndc>
    <ndc_label_name>Acetaminophen PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005218</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005219</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005223</ndc>
    <ndc_label_name>Antifungal 12.5 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005261</ndc>
    <ndc_label_name>Gauze Roll 2" X 2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005262</ndc>
    <ndc_label_name>ADHESIVE TAPE 1/2" X 6 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005269</ndc>
    <ndc_label_name>Children's Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005315</ndc>
    <ndc_label_name>Tablet Cutter misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005347</ndc>
    <ndc_label_name>Latex Gloves, Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005348</ndc>
    <ndc_label_name>Latex Gloves, Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005356</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005357</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005358</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005374</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005377</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005392</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005393</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005426</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005427</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005445</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005446</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005463</ndc>
    <ndc_label_name>Bladder Control Pad Extra Plus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005465</ndc>
    <ndc_label_name>Bladder Control Pad Ultra Plus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005466</ndc>
    <ndc_label_name>Bladder Control Pad Extra Plus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005467</ndc>
    <ndc_label_name>Bladder Control Pads Ex Absorb</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005468</ndc>
    <ndc_label_name>Underpads Regular</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005469</ndc>
    <ndc_label_name>Underpad-Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005472</ndc>
    <ndc_label_name>Bladder Control Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005478</ndc>
    <ndc_label_name>Protective Underwear Small-Med</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005483</ndc>
    <ndc_label_name>Belted Undergarments</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005488</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005491</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005505</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005507</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005508</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005509</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005510</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005537</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005538</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005539</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005574</ndc>
    <ndc_label_name>LYSINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005575</ndc>
    <ndc_label_name>LECITHIN 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005580</ndc>
    <ndc_label_name>LYSINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005585</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005586</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005591</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005592</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005594</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005640</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005654</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005655</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005660</ndc>
    <ndc_label_name>Wal-phed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005663</ndc>
    <ndc_label_name>Heatwraps Back and Hip Pads bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005670</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005673</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005674</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005675</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005679</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005691</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005748</ndc>
    <ndc_label_name>STRONG STRIPS BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005749</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005750</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005812</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005814</ndc>
    <ndc_label_name>BASAL DIGITAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005829</ndc>
    <ndc_label_name>TIOCONAZOLE-1 6.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005831</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005858</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005880</ndc>
    <ndc_label_name>PRENATAL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005881</ndc>
    <ndc_label_name>Prenatal Tablet 28 mg iron-800 mcg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005894</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005895</ndc>
    <ndc_label_name>Fish Oil Extra Strength 435 mg-880 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005897</ndc>
    <ndc_label_name>Fish Oil 120 mg-180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005898</ndc>
    <ndc_label_name>Ora Relief 1.4 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005899</ndc>
    <ndc_label_name>Ora Relief 1.4 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005903</ndc>
    <ndc_label_name>Protective Underwear-Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005934</ndc>
    <ndc_label_name>EstroNatural 15 unit-0.2 mg-40 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005935</ndc>
    <ndc_label_name>L-CARNITINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005946</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005953</ndc>
    <ndc_label_name>Laxative Pills 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005958</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005959</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005966</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917005967</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005972</ndc>
    <ndc_label_name>Wal-Tussin Cough 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917005975</ndc>
    <ndc_label_name>Wal-Tussin Max Strength Cough 15 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006044</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006073</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006084</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006085</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006086</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006089</ndc>
    <ndc_label_name>COVID-19 AND FLU ANTIGEN TEST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006092</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006093</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006094</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006114</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006184</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006196</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006197</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006202</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG RAPID TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006203</ndc>
    <ndc_label_name>ACETAMINOPHEN 80 MG RAPID TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006204</ndc>
    <ndc_label_name>ACETAMINOPHEN 80 MG RAPID TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006209</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006210</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006226</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006227</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006228</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006238</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006239</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006240</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006244</ndc>
    <ndc_label_name>iodine 2 % topical tincture</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006246</ndc>
    <ndc_label_name>Cure Chrome 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006252</ndc>
    <ndc_label_name>Soothe (bismuth subsalicylate) 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006260</ndc>
    <ndc_label_name>Wal-Profen 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006269</ndc>
    <ndc_label_name>Artificial Tears (dextran 70-hypromellose) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006275</ndc>
    <ndc_label_name>ETHYL ALCOHOL 70% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006276</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006277</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006278</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006281</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006282</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006289</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006290</ndc>
    <ndc_label_name>Jock Itch 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006299</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006300</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006302</ndc>
    <ndc_label_name>BANDAGES ADHESIVE PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006307</ndc>
    <ndc_label_name>INFANT IBUPROFEN 50 MG/1.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006333</ndc>
    <ndc_label_name>Cotton Balls</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006343</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006354</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006355</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 6.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006356</ndc>
    <ndc_label_name>Cough Drops 5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006357</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006359</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 3.1 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006360</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006361</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006385</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006398</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006411</ndc>
    <ndc_label_name>Tablet Cutter misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006440</ndc>
    <ndc_label_name>Antacid Liquid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006442</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006483</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006498</ndc>
    <ndc_label_name>Lubricating Jelly (with chlorhexidine) topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006504</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006505</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006506</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006507</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006512</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006513</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006545</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006546</ndc>
    <ndc_label_name>B-complex with vitamin C 400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006547</ndc>
    <ndc_label_name>Vitamin B-12 ER 2,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006548</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006550</ndc>
    <ndc_label_name>Flax, Fish and Borage Oil 400 mg-5 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006552</ndc>
    <ndc_label_name>ACIDOPHILUS 16 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006559</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006560</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 6.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006562</ndc>
    <ndc_label_name>Severe Allergy 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006563</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006574</ndc>
    <ndc_label_name>Woman's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006581</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006585</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006632</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006653</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006654</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006655</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006685</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006687</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006707</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006708</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006719</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006720</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006721</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006722</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006727</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006729</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006730</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006767</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006769</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006772</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006799</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006803</ndc>
    <ndc_label_name>Wal-phed PE Severe Cold 12.5 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006806</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006809</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006812</ndc>
    <ndc_label_name>Wal-Dryl-D Allergy and Sinus 25 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006813</ndc>
    <ndc_label_name>Wal-Phed PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006829</ndc>
    <ndc_label_name>Anti-Itch Vaginal (benzocaine-resorcinol) 5 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006840</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006844</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006845</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006877</ndc>
    <ndc_label_name>Blood Pressure Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006879</ndc>
    <ndc_label_name>Latex Gloves, Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006880</ndc>
    <ndc_label_name>LATEX GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006881</ndc>
    <ndc_label_name>LATEX GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006883</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006884</ndc>
    <ndc_label_name>VINYL GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006888</ndc>
    <ndc_label_name>Latex Gloves, Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006895</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006896</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006897</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006898</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006901</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006902</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006914</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006938</ndc>
    <ndc_label_name>Arthritis Pain Relief (capsaicin) 0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917006941</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917006994</ndc>
    <ndc_label_name>Tender Tape 2" X 6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007002</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3-MIN CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007006</ndc>
    <ndc_label_name>Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007007</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007029</ndc>
    <ndc_label_name>Hemorrhoidal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007035</ndc>
    <ndc_label_name>First Aid Antiseptic (lidoc-benzalk) 2.5 %-0.13 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007037</ndc>
    <ndc_label_name>Skin Closure Strips 1/4" X 4" topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007038</ndc>
    <ndc_label_name>SHEER BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007039</ndc>
    <ndc_label_name>Water Shield Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007040</ndc>
    <ndc_label_name>FLEX FABRIC BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007043</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007056</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007057</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007058</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007059</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007060</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007061</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007068</ndc>
    <ndc_label_name>Premium Comfort-Stretch misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007069</ndc>
    <ndc_label_name>Premium Comfort-Stretch misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007070</ndc>
    <ndc_label_name>COMFORT-STRETCH DIAPERS SIZE 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007071</ndc>
    <ndc_label_name>Premium Comfort-Stretch misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007114</ndc>
    <ndc_label_name>GAUZE DRESSING 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007139</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007142</ndc>
    <ndc_label_name>Wal-Proxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007147</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007157</ndc>
    <ndc_label_name>FISH OIL CONC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007159</ndc>
    <ndc_label_name>BANDAGE ROLL 4.5"X144"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007171</ndc>
    <ndc_label_name>Oral Analgesic 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007172</ndc>
    <ndc_label_name>Oral Analgesic 20 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007181</ndc>
    <ndc_label_name>Multi-Purpose Soft Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007188</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007190</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007191</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007192</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007193</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007194</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007195</ndc>
    <ndc_label_name>Wal-Act D Cold and Allergy 2.5 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007196</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007197</ndc>
    <ndc_label_name>Wal-phed 4 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007209</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007219</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007220</ndc>
    <ndc_label_name>Headache Relief PM 38 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007225</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007226</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007227</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007228</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007344</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007350</ndc>
    <ndc_label_name>Woman's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007352</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007354</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007356</ndc>
    <ndc_label_name>Cold-Flu Relief 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007359</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007360</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007366</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007367</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007369</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007373</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007378</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007395</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007404</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007406</ndc>
    <ndc_label_name>ACIDOPHILUS 16 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007422</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE 595 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007424</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007439</ndc>
    <ndc_label_name>ZINC 50 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007440</ndc>
    <ndc_label_name>ZINC 50 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007445</ndc>
    <ndc_label_name>MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007450</ndc>
    <ndc_label_name>MULTIPLE VITAMIN WITH IRON TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007452</ndc>
    <ndc_label_name>Multiple Vitamins tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007453</ndc>
    <ndc_label_name>Multiple Vitamins tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007454</ndc>
    <ndc_label_name>FERROUS GLUCONATE 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007462</ndc>
    <ndc_label_name>VITAMIN E 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007463</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007468</ndc>
    <ndc_label_name>VITAMIN E 200 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007472</ndc>
    <ndc_label_name>VITAMIN E 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007492</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007499</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007501</ndc>
    <ndc_label_name>L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007506</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007508</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007509</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007510</ndc>
    <ndc_label_name>One Daily For Men 50 Plus Adv 400 mcg-600 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007513</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007514</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007518</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007521</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007522</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007523</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007534</ndc>
    <ndc_label_name>One Daily Women 50 Plus 400 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007538</ndc>
    <ndc_label_name>CALCIUM CITRATE 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007539</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007541</ndc>
    <ndc_label_name>CALCIUM 600+D PLUS MINERALS TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007546</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007548</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007550</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007552</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007559</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007568</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007569</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007573</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007574</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007575</ndc>
    <ndc_label_name>Prenatal Vitamins with Minerals 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007592</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007597</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007602</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007621</ndc>
    <ndc_label_name>Ocutabs tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007630</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007635</ndc>
    <ndc_label_name>Flu HBP 2 mg-15 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007637</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007645</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007653</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007655</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007656</ndc>
    <ndc_label_name>Wal-Mucil with Calcium 1 gram-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007658</ndc>
    <ndc_label_name>Wal-Mucil Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007663</ndc>
    <ndc_label_name>Nasal Strips Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007664</ndc>
    <ndc_label_name>Nasal Strips Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007676</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007688</ndc>
    <ndc_label_name>Wal-Dram 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007693</ndc>
    <ndc_label_name>Vitamin B-12 ER 2,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007694</ndc>
    <ndc_label_name>FISH OIL CONC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007696</ndc>
    <ndc_label_name>Prenatal Complete 14 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007749</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007770</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007772</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007787</ndc>
    <ndc_label_name>Bladder Control Pads Ex Absorb</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007790</ndc>
    <ndc_label_name>Wal-Flu Night Time 20 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007846</ndc>
    <ndc_label_name>Odor Control Foot-Sneaker 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007847</ndc>
    <ndc_label_name>Clotrimazole 3 Day 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007848</ndc>
    <ndc_label_name>MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007860</ndc>
    <ndc_label_name>Hemorrhoidal 0.25 %-3 %-12 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007873</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007874</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007889</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007890</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007893</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007909</ndc>
    <ndc_label_name>Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007910</ndc>
    <ndc_label_name>Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007913</ndc>
    <ndc_label_name>Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007914</ndc>
    <ndc_label_name>Co Q-10 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007926</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007928</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007929</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007930</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007931</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007932</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007933</ndc>
    <ndc_label_name>Vitamin B-12 ER 2,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007935</ndc>
    <ndc_label_name>Balanced B-100 Complex 100 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007941</ndc>
    <ndc_label_name>B-complex with vitamin C 400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007952</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007957</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007963</ndc>
    <ndc_label_name>Children's Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007966</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007968</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007969</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007970</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007971</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007972</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917007975</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007995</ndc>
    <ndc_label_name>Fitted Briefs Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917007996</ndc>
    <ndc_label_name>Fitted Briefs Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008000</ndc>
    <ndc_label_name>Fitted Briefs X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008019</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008027</ndc>
    <ndc_label_name>Thermometer Covers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008053</ndc>
    <ndc_label_name>Wal-Phed PE Sinus Headache 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008076</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008081</ndc>
    <ndc_label_name>Wal-phed 12 hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008091</ndc>
    <ndc_label_name>Blister Relief Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008099</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008124</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008151</ndc>
    <ndc_label_name>Wal-Mucil Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008154</ndc>
    <ndc_label_name>FINGER SPLINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008155</ndc>
    <ndc_label_name>TUBULAR GAUZE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008163</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008173</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008196</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008233</ndc>
    <ndc_label_name>Wal-Phed PE Cold-Cough 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008247</ndc>
    <ndc_label_name>Wal-Tap 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008248</ndc>
    <ndc_label_name>Wal-tap DM 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008288</ndc>
    <ndc_label_name>Ultra-Soft Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008294</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008298</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008300</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008301</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008302</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008303</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008337</ndc>
    <ndc_label_name>Premium Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008370</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 40 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008382</ndc>
    <ndc_label_name>Rolled Gauze bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008387</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008389</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008390</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008391</ndc>
    <ndc_label_name>Soothe Regular Strength 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008421</ndc>
    <ndc_label_name>PEDIATRIC ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008499</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008501</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008502</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008503</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008504</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008510</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008511</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008512</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008513</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008516</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008528</ndc>
    <ndc_label_name>Gluco Shot 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008530</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008543</ndc>
    <ndc_label_name>Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008579</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008581</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008584</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008594</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008603</ndc>
    <ndc_label_name>Jr. Strength Pain Reliever 160 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008604</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008608</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008609</ndc>
    <ndc_label_name>Gummi Bear Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008621</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008622</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008632</ndc>
    <ndc_label_name>Wal-Phed PE Nighttime Cold 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008636</ndc>
    <ndc_label_name>Wal-Dryl Severe Allergy-Sinus 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008665</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008667</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008678</ndc>
    <ndc_label_name>Wal-Tussin Max Strength Cough 15 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008680</ndc>
    <ndc_label_name>Allergy Sinus-D 2 mg-30 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008701</ndc>
    <ndc_label_name>Wal-Flu Night Severe Cold 25 mg-10 mg-650 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008703</ndc>
    <ndc_label_name>Child Plus Cough and Runny Nose 1 mg-5 mg-160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008707</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008708</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008723</ndc>
    <ndc_label_name>Nite Time-D Cold-Flu Relief 6.25 mg-30 mg-15mg-500mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008744</ndc>
    <ndc_label_name>Pain Relieving (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008747</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008767</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008778</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008790</ndc>
    <ndc_label_name>Quick Read Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008799</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008809</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008816</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008829</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008830</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008863</ndc>
    <ndc_label_name>One-Per-Day Omega-3 684 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008895</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008896</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008917</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008934</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008944</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008946</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008947</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008950</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008951</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917008959</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008970</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917008974</ndc>
    <ndc_label_name>Redness Reliever Lubricant 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009059</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009100</ndc>
    <ndc_label_name>Vitamin A and D Diaper Rash topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009102</ndc>
    <ndc_label_name>Baby Wash topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009113</ndc>
    <ndc_label_name>CAPSAICIN 0.025% HOT PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009124</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009125</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009126</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009127</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009128</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009129</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009130</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009131</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009135</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009137</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 750 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009139</ndc>
    <ndc_label_name>GLUCOSAMINE-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009140</ndc>
    <ndc_label_name>GLUCOSAMINE-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009141</ndc>
    <ndc_label_name>GLUCOSAMINE-CHOND-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009153</ndc>
    <ndc_label_name>A Thru Z Select tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009163</ndc>
    <ndc_label_name>A Thru Z 18 mg-500 mcg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009166</ndc>
    <ndc_label_name>A Thru Z 18 mg-500 mcg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009167</ndc>
    <ndc_label_name>A Thru Z High Potency tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009170</ndc>
    <ndc_label_name>A Thru Z Select 500 mcg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009171</ndc>
    <ndc_label_name>A Thru Z Select tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009172</ndc>
    <ndc_label_name>A Thru Z Select tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009187</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009198</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009199</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-MSM Complex 375 mg-500 mg-15 mg-0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009200</ndc>
    <ndc_label_name>Glucosamine Chondroit Complx Advan 750 mg-100 mg-125 mg-1.65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009201</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDR COMPLEX TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009215</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009216</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009241</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009245</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009246</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009247</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009248</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009273</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009280</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009297</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009298</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009311</ndc>
    <ndc_label_name>Prenatal + DHA 28 mg iron-975 mcg-200 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009324</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009349</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009350</ndc>
    <ndc_label_name>Lactase Fast Acting 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009374</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009401</ndc>
    <ndc_label_name>Certainty Regular misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009404</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009405</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009406</ndc>
    <ndc_label_name>Certainty Regular misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009407</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009409</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009412</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009418</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009420</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009421</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009422</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009427</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009429</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009430</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009431</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009433</ndc>
    <ndc_label_name>Certainty X-Small misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009434</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009435</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009436</ndc>
    <ndc_label_name>Certainty Guards misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009437</ndc>
    <ndc_label_name>Certainty Belted Shields</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009441</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009443</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009444</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009445</ndc>
    <ndc_label_name>Certainty Regular misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009447</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009481</ndc>
    <ndc_label_name>One Daily Energy 9 mg iron-400 mcg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009484</ndc>
    <ndc_label_name>One Daily Healthy Weight 200 mg-18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009485</ndc>
    <ndc_label_name>One Daily For Men 0.4 mg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009486</ndc>
    <ndc_label_name>One Daily For Women 18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009487</ndc>
    <ndc_label_name>One Daily For Men 0.4 mg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009488</ndc>
    <ndc_label_name>One Daily For Women 18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009499</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009500</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009502</ndc>
    <ndc_label_name>Theragran-M Premier 50 Plus 400 mcg-250 mcg-375 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009531</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009540</ndc>
    <ndc_label_name>Comfort-Stretch Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009543</ndc>
    <ndc_label_name>Comfort-Stretch Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009544</ndc>
    <ndc_label_name>Comfort-Stretch Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009545</ndc>
    <ndc_label_name>Comfort-Stretch Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009546</ndc>
    <ndc_label_name>Comfort-Stretch Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009552</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009554</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009564</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009565</ndc>
    <ndc_label_name>Comfort-Stretch Training Pants Size 2T/3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009579</ndc>
    <ndc_label_name>Cool 'N Heat Extra Strength 30 %-10 % topical stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009587</ndc>
    <ndc_label_name>Poison Ivy Dual Action topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009588</ndc>
    <ndc_label_name>Arthritis Pain Relief (capsaicin) 0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009589</ndc>
    <ndc_label_name>Analgesic Creme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009592</ndc>
    <ndc_label_name>Ice Blue Gel 2 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009596</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009597</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009601</ndc>
    <ndc_label_name>Gel Toe Spacers topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009602</ndc>
    <ndc_label_name>Gel Toe Protector topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009603</ndc>
    <ndc_label_name>Arch Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009604</ndc>
    <ndc_label_name>Gel Corn Protectors topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009612</ndc>
    <ndc_label_name>Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009648</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009707</ndc>
    <ndc_label_name>Children's Wal-Zyr 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009725</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009741</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009752</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009753</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009754</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009759</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009760</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009777</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009784</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009805</ndc>
    <ndc_label_name>Bronchial Asthma Relief 12.5 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009838</ndc>
    <ndc_label_name>Baby Chest Rub topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009843</ndc>
    <ndc_label_name>ADULT EAR SYRINGE 3OZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009863</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009864</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009865</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009866</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009887</ndc>
    <ndc_label_name>DHA Algal-900 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009899</ndc>
    <ndc_label_name>5-HTP 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009900</ndc>
    <ndc_label_name>BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009905</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009908</ndc>
    <ndc_label_name>CHROMIUM PICO 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009921</ndc>
    <ndc_label_name>Truetrack Blood Glucose System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009960</ndc>
    <ndc_label_name>Truetest Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009961</ndc>
    <ndc_label_name>Truetest Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009967</ndc>
    <ndc_label_name>Heat Therapy bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917009968</ndc>
    <ndc_label_name>Heat Therapy bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917009986</ndc>
    <ndc_label_name>Fiber (dextrin) 3 gram/3.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010002</ndc>
    <ndc_label_name>True2Go Blood Glucose System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010003</ndc>
    <ndc_label_name>Trueresult Blood Glucose System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010009</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010010</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010012</ndc>
    <ndc_label_name>Nutritional Drink Plus oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010013</ndc>
    <ndc_label_name>Nutritional Drink Plus oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010014</ndc>
    <ndc_label_name>Nutritional Drink Plus oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010045</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010064</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010085</ndc>
    <ndc_label_name>Children's Multi-Vitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010086</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010088</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010091</ndc>
    <ndc_label_name>Wal-Zyr D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010108</ndc>
    <ndc_label_name>ZINC OXIDE 40% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010121</ndc>
    <ndc_label_name>Adult Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010128</ndc>
    <ndc_label_name>Adult Wal-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010129</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010130</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010131</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010132</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010133</ndc>
    <ndc_label_name>Wal-Tussin Cough and Cold CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010135</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010136</ndc>
    <ndc_label_name>Wal-Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010146</ndc>
    <ndc_label_name>Children's Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010147</ndc>
    <ndc_label_name>Children's Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010163</ndc>
    <ndc_label_name>CHEWABLE CALCIUM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010164</ndc>
    <ndc_label_name>CHEWABLE CALCIUM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010165</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010167</ndc>
    <ndc_label_name>Bone Density Calcium Plus D 300 mg-200 unit-37.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010168</ndc>
    <ndc_label_name>Cholesterol Relief 650 mg-400 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010170</ndc>
    <ndc_label_name>Liquid B-12  1,000 mcg/15 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010200</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010202</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010203</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010205</ndc>
    <ndc_label_name>Fish-Flax-Borage Oil 800 mg-200 mg-150 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010208</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010219</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010220</ndc>
    <ndc_label_name>Artificial Tears (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010232</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010238</ndc>
    <ndc_label_name>Ear Health Formula 200 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010244</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010248</ndc>
    <ndc_label_name>Children's Wal-Tap Cold-Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010249</ndc>
    <ndc_label_name>Wal-tap DM 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010264</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010265</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010266</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010268</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010270</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010271</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010272</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010273</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010281</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010282</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010284</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010285</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010288</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010290</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010300</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010301</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010302</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010303</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010304</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010305</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010307</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010308</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010309</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010310</ndc>
    <ndc_label_name>Wal-phed 12 hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010335</ndc>
    <ndc_label_name>Wal-Mucil Natural Fiber Laxative 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010336</ndc>
    <ndc_label_name>Wal-Mucil Fiber (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010337</ndc>
    <ndc_label_name>Wal-Mucil Fiber (sugar) 3.4 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010341</ndc>
    <ndc_label_name>Wal-Mucil Fiber (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010352</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010354</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 40 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010356</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010357</ndc>
    <ndc_label_name>Children's Plus Multi-Symp Cold 1 mg-2.5 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010358</ndc>
    <ndc_label_name>Children's Plus Flu 1 mg-2.5 mg-5 mg-160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010360</ndc>
    <ndc_label_name>Childrens Plus Cold 1 mg-2.5 mg-160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010362</ndc>
    <ndc_label_name>Cold Multi-Symptom Day/Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010363</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010365</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010366</ndc>
    <ndc_label_name>Head Congestion Day-Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010387</ndc>
    <ndc_label_name>Fiber Select Gummies 2 gram-100 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010398</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010412</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010413</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010419</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010427</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010432</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010451</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010473</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010488</ndc>
    <ndc_label_name>Truetrack Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010503</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010504</ndc>
    <ndc_label_name>Artificial Tears (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010510</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010533</ndc>
    <ndc_label_name>Saline Solution,Sterile Presrv</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010546</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010552</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010556</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010573</ndc>
    <ndc_label_name>Super Probiotic 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010591</ndc>
    <ndc_label_name>PLASTIC ADHESIVE BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010592</ndc>
    <ndc_label_name>Flexible Fabric Bandages 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010596</ndc>
    <ndc_label_name>Sheer Strips 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010622</ndc>
    <ndc_label_name>Heartburn Antacid 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010644</ndc>
    <ndc_label_name>Wal-Profen Cold-Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010653</ndc>
    <ndc_label_name>Phosphate Laxative 7.2 gram-2.7 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010655</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010656</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010657</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010658</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010670</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010673</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010675</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010704</ndc>
    <ndc_label_name>glucosamine-chondroitin 900 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010715</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010720</ndc>
    <ndc_label_name>Diabetes Health Formula 500 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010729</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010730</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010731</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010734</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010737</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010741</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010743</ndc>
    <ndc_label_name>DHEA 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010744</ndc>
    <ndc_label_name>Niacin Flush Free 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010757</ndc>
    <ndc_label_name>Co Q-10  50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010758</ndc>
    <ndc_label_name>Wal-Flu Severe Cold and Cough 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010783</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010788</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010810</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010811</ndc>
    <ndc_label_name>Multi-Purpose Soft Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010822</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010829</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010830</ndc>
    <ndc_label_name>Anefrin 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010841</ndc>
    <ndc_label_name>Nausea Control oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010873</ndc>
    <ndc_label_name>Ketone Urine Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010881</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010897</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010898</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010899</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010900</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010901</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010902</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010903</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010904</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010912</ndc>
    <ndc_label_name>Stool Softener-Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010913</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010914</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010927</ndc>
    <ndc_label_name>Glucose Gel 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010943</ndc>
    <ndc_label_name>Pediatric Electrolyte 10.6 mEq-4.7mEq/8.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010948</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010949</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917010950</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917010964</ndc>
    <ndc_label_name>TEMPLE TOUCH PREM THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011007</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011016</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011017</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011018</ndc>
    <ndc_label_name>SmoothLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011024</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011025</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011026</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011027</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011028</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011048</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011049</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011055</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011056</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011059</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011060</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011061</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011062</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011069</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011070</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011072</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011073</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011077</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011096</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011097</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011099</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011108</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011109</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011129</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011144</ndc>
    <ndc_label_name>Surgical Dressing Extr protct 5" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011158</ndc>
    <ndc_label_name>Truetest Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011173</ndc>
    <ndc_label_name>ADHESIVE TAPE 1/2" X 12 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011174</ndc>
    <ndc_label_name>PAPER TAPE BANDAGE 1"X12 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011175</ndc>
    <ndc_label_name>Tender Tape 1" X 6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011176</ndc>
    <ndc_label_name>Tender Tape 2" X 6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011178</ndc>
    <ndc_label_name>ADHESIVE TAPE 1/2" X 6 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011201</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011202</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011208</ndc>
    <ndc_label_name>Deluxe Arm Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011210</ndc>
    <ndc_label_name>PREMIUM ARM BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011211</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011213</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011225</ndc>
    <ndc_label_name>Co Q-10  400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011250</ndc>
    <ndc_label_name>A Thru Z Select Women's tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011251</ndc>
    <ndc_label_name>A Thru Z Select 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011270</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011291</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011292</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011293</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011294</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011295</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011296</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011297</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011298</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011299</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011300</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011301</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011302</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011303</ndc>
    <ndc_label_name>Premium Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011320</ndc>
    <ndc_label_name>Urinary Pain Relief 97.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011322</ndc>
    <ndc_label_name>Cleansing Eyelid topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011327</ndc>
    <ndc_label_name>Wal-Zyr (ketotifen) 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011328</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011329</ndc>
    <ndc_label_name>CALCIUM CIT 250 MG-D3 200 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011330</ndc>
    <ndc_label_name>Calcium Citrate Plus (pyridoxine) 250 mg-40 mg-5 mg-125 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011331</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011333</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011334</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011335</ndc>
    <ndc_label_name>CALCIUM CIT-VIT D 315-200 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011344</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011345</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011354</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011364</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011367</ndc>
    <ndc_label_name>Bronchial Asthma Relief 12.5 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011370</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011372</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011375</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011383</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011384</ndc>
    <ndc_label_name>Certainty Large-Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011385</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011388</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011400</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011404</ndc>
    <ndc_label_name>Intense Toothache Pain Relief 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011434</ndc>
    <ndc_label_name>Face Mask,Earloop-Style</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011439</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011452</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011462</ndc>
    <ndc_label_name>Adult One Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011470</ndc>
    <ndc_label_name>Poison Ivy Dual Action topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011496</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011497</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011500</ndc>
    <ndc_label_name>Comfort Gel Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011505</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011514</ndc>
    <ndc_label_name>GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011516</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011519</ndc>
    <ndc_label_name>Super Probiotic 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011522</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011523</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011524</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011525</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011529</ndc>
    <ndc_label_name>Fish Oil 900 mg-1,400 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011531</ndc>
    <ndc_label_name>SAW PALMETTO 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011540</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011542</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011544</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 750 mg-625 mg-1,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011546</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011548</ndc>
    <ndc_label_name>Calcium with Vit D3 600 mg (as carbonate)-12.5 mcg (500 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011549</ndc>
    <ndc_label_name>Cranberry Plus Vitamin C 140 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011553</ndc>
    <ndc_label_name>Saline Wound Wash 0.9 % solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011564</ndc>
    <ndc_label_name>Pre-Moistened Medicated Wipes topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011566</ndc>
    <ndc_label_name>Pre-Moistened Medicated Wipes topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011568</ndc>
    <ndc_label_name>GAUZE PADS 2"X2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011569</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011570</ndc>
    <ndc_label_name>GAUZE PADS 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011572</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011593</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011597</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011600</ndc>
    <ndc_label_name>Complete Multivitamin-Multimineral 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011602</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011635</ndc>
    <ndc_label_name>A Thru Z Advanced Formula 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011636</ndc>
    <ndc_label_name>A Thru Z Select 50 Plus Formula 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011640</ndc>
    <ndc_label_name>A Thru Z Select 50 Plus Formula 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011643</ndc>
    <ndc_label_name>A Thru Z Select 50 Plus Formula 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011644</ndc>
    <ndc_label_name>A Thru Z Select 50 Plus Formula 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011646</ndc>
    <ndc_label_name>A Thru Z Advanced Formula 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011648</ndc>
    <ndc_label_name>A Thru Z Advanced Formula 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011651</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011652</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011655</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011658</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011676</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011677</ndc>
    <ndc_label_name>Eye Drops (with povidone) 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011678</ndc>
    <ndc_label_name>Artificial Tears (dextran 70-hypromellose) 0.1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011701</ndc>
    <ndc_label_name>Artificial Tears (dextran 70-hypromellose) 0.1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011785</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011807</ndc>
    <ndc_label_name>CALCIUM-VIT D3-VIT K SOFT CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011808</ndc>
    <ndc_label_name>CALCIUM-VIT D3-VIT K SOFT CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011810</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011811</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011815</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011816</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011817</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011818</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011819</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011820</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011822</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011823</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011828</ndc>
    <ndc_label_name>Advanced Travel Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011838</ndc>
    <ndc_label_name>Multi Vitamin 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011857</ndc>
    <ndc_label_name>CHROMIUM PICO 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011867</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011868</ndc>
    <ndc_label_name>Adult Wal-Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011879</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011881</ndc>
    <ndc_label_name>Premium Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011893</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011907</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011917</ndc>
    <ndc_label_name>High-Protein Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011918</ndc>
    <ndc_label_name>High-Protein Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011919</ndc>
    <ndc_label_name>High-Protein Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011922</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011925</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917011933</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011934</ndc>
    <ndc_label_name>TEMPLE TOUCH MINI THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917011996</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012013</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012014</ndc>
    <ndc_label_name>Hemorrhoid ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012053</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012054</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012057</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012058</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012068</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012069</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012079</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012080</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012081</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012082</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012084</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012085</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012086</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012089</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012090</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012091</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012092</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012093</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012104</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012106</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012122</ndc>
    <ndc_label_name>Premium Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012143</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012144</ndc>
    <ndc_label_name>Glucosamine Chondroitin PLUS 375 mg-100 mg-36 mg-54 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012164</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012181</ndc>
    <ndc_label_name>Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012182</ndc>
    <ndc_label_name>Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012183</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012184</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012185</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012195</ndc>
    <ndc_label_name>Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012204</ndc>
    <ndc_label_name>COVID-19 At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012210</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012211</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012239</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012245</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012246</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012258</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012262</ndc>
    <ndc_label_name>ETHYL RUBBING ALCOHOL 70% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012263</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012267</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012268</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012269</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012270</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012271</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012273</ndc>
    <ndc_label_name>Wal-Fex Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012276</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012312</ndc>
    <ndc_label_name>Wal-Flu Cold and Sore Throat 20 mg-10 mg-325 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012314</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012318</ndc>
    <ndc_label_name>Wal-Phed PE Triple Relief 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012322</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012325</ndc>
    <ndc_label_name>Wal-Phed PE Day-Night 5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012353</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012354</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012408</ndc>
    <ndc_label_name>Children's Soothe 160 mg (as calcium carbonate 400 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012409</ndc>
    <ndc_label_name>Soothe (bismuth subsalicylate) 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012419</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012420</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012471</ndc>
    <ndc_label_name>Ultra-Light Rollator misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012473</ndc>
    <ndc_label_name>Antacid (calcium carb-magnesium hyd) 550 mg-110 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012474</ndc>
    <ndc_label_name>Antacid (calcium carb-magnesium hyd) 550 mg-110 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012475</ndc>
    <ndc_label_name>Antacid Multi-Symptom 675 mg-135 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012480</ndc>
    <ndc_label_name>Children's Pain Reliever and Fever Reducer 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012483</ndc>
    <ndc_label_name>Tri-Buffered Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012488</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012498</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012512</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012580</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012605</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012607</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012608</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012610</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012639</ndc>
    <ndc_label_name>Cool 'N Heat 16 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012644</ndc>
    <ndc_label_name>Scar Treatment 1.5" X 3" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012647</ndc>
    <ndc_label_name>Cloth Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012656</ndc>
    <ndc_label_name>Tender Tape 2" X 6 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012691</ndc>
    <ndc_label_name>A Thru Z Men's Ultimate 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012696</ndc>
    <ndc_label_name>VITAMIN E NATURAL OIL DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012697</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012698</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012699</ndc>
    <ndc_label_name>Vitamin B-12 5,000 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012703</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012709</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012710</ndc>
    <ndc_label_name>Super-D3+ 5,000 unit-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012711</ndc>
    <ndc_label_name>krill oil 300 mg-90 mg-24 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012714</ndc>
    <ndc_label_name>Probiotic 4X 10 mg-15 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012736</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012737</ndc>
    <ndc_label_name>Anti-Gas 600 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012758</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012760</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012761</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012764</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012774</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012777</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012780</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012781</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012805</ndc>
    <ndc_label_name>ALCOHOL SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012807</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012814</ndc>
    <ndc_label_name>Nasal Mist 0.9 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012841</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917012943</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012945</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012946</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012947</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012956</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012990</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012991</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917012992</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013002</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013003</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013004</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013005</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013006</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013036</ndc>
    <ndc_label_name>Vitamin C Drops 60 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013059</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL prefilled spoon</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013086</ndc>
    <ndc_label_name>Hemorrhoidal Cooling 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013088</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013111</ndc>
    <ndc_label_name>IODINE 2% TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013120</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013122</ndc>
    <ndc_label_name>Wal-Tussin Cough 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013153</ndc>
    <ndc_label_name>Wal-Profen D Cold and Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013187</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013202</ndc>
    <ndc_label_name>Daytime Cold and Cough 1,000 mg-30 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013220</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013223</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013224</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013226</ndc>
    <ndc_label_name>Oral Anesthetic 20 % mucosal paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013229</ndc>
    <ndc_label_name>Infants' Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013230</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013234</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013235</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013237</ndc>
    <ndc_label_name>Thick Now oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013238</ndc>
    <ndc_label_name>Thick Now oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013249</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013264</ndc>
    <ndc_label_name>Oral Relief Sore Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013266</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013271</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013272</ndc>
    <ndc_label_name>Oral Relief Sore Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013287</ndc>
    <ndc_label_name>Sinus Daytime-Nightime 5-325 mg(dy)/6.25-5-325mg(nt) capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013288</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013296</ndc>
    <ndc_label_name>INFANT &amp; CHILD GLYCERIN SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013297</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013298</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013302</ndc>
    <ndc_label_name>Medicated Wipes 50 % (pads)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013303</ndc>
    <ndc_label_name>Medicated Wipes 50 % (pads)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013313</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013315</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013319</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013325</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDR-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013327</ndc>
    <ndc_label_name>NIACIN ER 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013329</ndc>
    <ndc_label_name>Children's Saline Nasal Spray 0.65 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013345</ndc>
    <ndc_label_name>ACIDOPHILUS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013353</ndc>
    <ndc_label_name>L-Carnitine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013368</ndc>
    <ndc_label_name>VITAMIN B-12 TR 2,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013374</ndc>
    <ndc_label_name>BALANCED B-COMPLEX CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013395</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013396</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013400</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013409</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013415</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013416</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013417</ndc>
    <ndc_label_name>TRUEplus Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013418</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013427</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013435</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013451</ndc>
    <ndc_label_name>GLUCOSAMINE-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013481</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013510</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013513</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013514</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013520</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013522</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013531</ndc>
    <ndc_label_name>Whey Protein 20 gram-140 kcal/39 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013538</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013546</ndc>
    <ndc_label_name>CRANBERRY PLUS VITAMIN C SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013588</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013597</ndc>
    <ndc_label_name>Cran-Max 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013605</ndc>
    <ndc_label_name>VITAMIN E OIL DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013663</ndc>
    <ndc_label_name>CALCIUM + D3 ER TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013676</ndc>
    <ndc_label_name>GLUCOSAMINE COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013688</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013700</ndc>
    <ndc_label_name>Cold Multi-Symptom (chlorpheniramine) 2 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013746</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013748</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013753</ndc>
    <ndc_label_name>Nutritional Shake 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013754</ndc>
    <ndc_label_name>Nutritional Shake 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013755</ndc>
    <ndc_label_name>Nutritional Shake 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013756</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013757</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013758</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013780</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013781</ndc>
    <ndc_label_name>Certainty Large-Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013782</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013783</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013784</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013785</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013786</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013787</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013790</ndc>
    <ndc_label_name>Certainty Liners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013805</ndc>
    <ndc_label_name>Wal-phed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013819</ndc>
    <ndc_label_name>Certainty Large-Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013828</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013835</ndc>
    <ndc_label_name>Mucus Relief Cold and Sinus 10 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013837</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013838</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013839</ndc>
    <ndc_label_name>Diabetes Health Formula 500 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013842</ndc>
    <ndc_label_name>Omega-3 Plus Vitamin D3 150 mg-500 mg-200 unit capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013845</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013852</ndc>
    <ndc_label_name>Liquid B-12  1,000 mcg/15 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013853</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013854</ndc>
    <ndc_label_name>MELATONIN TR 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013858</ndc>
    <ndc_label_name>B-COMPLEX WITH VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013861</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013863</ndc>
    <ndc_label_name>CINNAMON 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013868</ndc>
    <ndc_label_name>FISH OIL DR 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013869</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013874</ndc>
    <ndc_label_name>FISH OIL EC 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013875</ndc>
    <ndc_label_name>FISH OIL EC 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013879</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013885</ndc>
    <ndc_label_name>CRANBERRY PLUS VITAMIN C SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013888</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013889</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013892</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013893</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013894</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013899</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN-MSM TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013900</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013901</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013902</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013903</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013904</ndc>
    <ndc_label_name>GLUCOSAMINE HCL 1,500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013905</ndc>
    <ndc_label_name>GLUCOSAMINE-MSM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013906</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013907</ndc>
    <ndc_label_name>GRAPE SEED 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013911</ndc>
    <ndc_label_name>L-Carnitine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013912</ndc>
    <ndc_label_name>L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013913</ndc>
    <ndc_label_name>MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013916</ndc>
    <ndc_label_name>MELATONIN TR 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013919</ndc>
    <ndc_label_name>NIACIN TR 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013922</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE 595 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013926</ndc>
    <ndc_label_name>SAW PALMETTO 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013930</ndc>
    <ndc_label_name>Total Body Cleanse 548 mg-558 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013935</ndc>
    <ndc_label_name>B-COMPLEX WITH VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013938</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013940</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013941</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013942</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013944</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013948</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013949</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013953</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013954</ndc>
    <ndc_label_name>Fish, Flax and Borage Oil (Primrose) 400 mg-400 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013956</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013959</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013961</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013962</ndc>
    <ndc_label_name>B-100 Complex ER 100 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013963</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013964</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013967</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013970</ndc>
    <ndc_label_name>SAM-e (Enteric Coated) 200 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013971</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013973</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013975</ndc>
    <ndc_label_name>VITAMIN E 200 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013977</ndc>
    <ndc_label_name>GINKGO BILOBA 120 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013978</ndc>
    <ndc_label_name>GINKGO BILOBA 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013980</ndc>
    <ndc_label_name>MILK THISTLE 175 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013981</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013983</ndc>
    <ndc_label_name>LUTEIN-ZEAXANTHIN 25-5 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917013984</ndc>
    <ndc_label_name>Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013985</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013987</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013988</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013989</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013990</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917013991</ndc>
    <ndc_label_name>VITAMIN E 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014054</ndc>
    <ndc_label_name>B-12 5,000 MCG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014057</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014066</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014067</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014090</ndc>
    <ndc_label_name>Rolled Gauze bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014104</ndc>
    <ndc_label_name>Double Antibiotic-Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014111</ndc>
    <ndc_label_name>Rolled Gauze 4" X 2.5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014115</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 1 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014124</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014130</ndc>
    <ndc_label_name>WITCH HAZEL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014131</ndc>
    <ndc_label_name>Selfgrip 2" X 1.9 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014142</ndc>
    <ndc_label_name>MELATONIN 5 MG/15 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014144</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014145</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL 500 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014164</ndc>
    <ndc_label_name>MULTI-VITAMIN GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014165</ndc>
    <ndc_label_name>CALCIUM PHOS-D3 250 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014166</ndc>
    <ndc_label_name>OMEGA-3 GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014171</ndc>
    <ndc_label_name>Stay Cool 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014177</ndc>
    <ndc_label_name>Pain Free Wrap 2" X 2.3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014179</ndc>
    <ndc_label_name>Fish Oil Pearls 300 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014180</ndc>
    <ndc_label_name>Fish Oil Pearls 150 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014181</ndc>
    <ndc_label_name>Fish Oil Pearls 180 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014190</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014192</ndc>
    <ndc_label_name>Surgical Dressing 8" X 10"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014218</ndc>
    <ndc_label_name>UBIQUINOL 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014219</ndc>
    <ndc_label_name>CHIA OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014220</ndc>
    <ndc_label_name>VEGETARIAN GLUCOSAMINE 750 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014268</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014269</ndc>
    <ndc_label_name>Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014296</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014352</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014360</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014365</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014366</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014377</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014378</ndc>
    <ndc_label_name>Artificial Tears (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014379</ndc>
    <ndc_label_name>Lubricant Eye 57.7 %-31.9 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014380</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014382</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014390</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014391</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014447</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014449</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014455</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014472</ndc>
    <ndc_label_name>Liquid Corn and Callus Remover 17 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014484</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014485</ndc>
    <ndc_label_name>Deluxe Arm Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014487</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014511</ndc>
    <ndc_label_name>Self Adherent Wrap 1" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014512</ndc>
    <ndc_label_name>Self Adherent Wrap 2" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014513</ndc>
    <ndc_label_name>Self Adherent Wrap 2" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014569</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014570</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014571</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014572</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014586</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014587</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014592</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014611</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014622</ndc>
    <ndc_label_name>Day-Time Cough 5 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014623</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014624</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014627</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014628</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014629</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014630</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014631</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014632</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014633</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014635</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014647</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014652</ndc>
    <ndc_label_name>Redness Relief 0.03 %-0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014653</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014663</ndc>
    <ndc_label_name>One Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014664</ndc>
    <ndc_label_name>One Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014665</ndc>
    <ndc_label_name>One Daily Multivitamin with Iron (folic acid) 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014666</ndc>
    <ndc_label_name>FERROUS GLUCONATE 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014667</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014668</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014669</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014671</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014673</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014674</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014675</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014678</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014679</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014681</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014682</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014685</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014689</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014690</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014694</ndc>
    <ndc_label_name>Wal-Phed PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014707</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014712</ndc>
    <ndc_label_name>Daytime-Nighttime Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014716</ndc>
    <ndc_label_name>Daytime-Nighttime Cough 15mg/15 mL(d)/12.5-30mg(nt)/30 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014721</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014722</ndc>
    <ndc_label_name>DHA Algal-900 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014730</ndc>
    <ndc_label_name>A Thru Z Select 50 Plus Formula 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014732</ndc>
    <ndc_label_name>CALCIUM + D SOFT CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014733</ndc>
    <ndc_label_name>CALCIUM + D SOFT CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014734</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014735</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014763</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014764</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014765</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014767</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014775</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014776</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014777</ndc>
    <ndc_label_name>MINERAL OIL ENEMA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014778</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014788</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014789</ndc>
    <ndc_label_name>Antifungal 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014790</ndc>
    <ndc_label_name>Wart Remover 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014791</ndc>
    <ndc_label_name>Gel Bunion Guard pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014796</ndc>
    <ndc_label_name>Cold Sore Treatment (camphor-phenol) 10.8 %-4.7 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014798</ndc>
    <ndc_label_name>Sorespot bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014801</ndc>
    <ndc_label_name>Wal-Profen Cold-Sinus 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014805</ndc>
    <ndc_label_name>Cough Drops 10 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014834</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014837</ndc>
    <ndc_label_name>Arthritis Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014849</ndc>
    <ndc_label_name>Advantage with Iron 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014850</ndc>
    <ndc_label_name>Premium Infant Formula 2.1 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014860</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014868</ndc>
    <ndc_label_name>MELATONIN 3 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014886</ndc>
    <ndc_label_name>All Gel Bunion Toe Spreader pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014903</ndc>
    <ndc_label_name>Cool Heat (methyl salicylate-menthol) 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014904</ndc>
    <ndc_label_name>Pain Relieving (camphor-m.salicyl-menth) topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014910</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014919</ndc>
    <ndc_label_name>OVULATION PREDICTOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014925</ndc>
    <ndc_label_name>OVULATION PREDICTOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014926</ndc>
    <ndc_label_name>Early Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014929</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917014931</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917014991</ndc>
    <ndc_label_name>Wal-itin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015018</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015019</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015021</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015040</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015054</ndc>
    <ndc_label_name>Bead Back Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015071</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015072</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015096</ndc>
    <ndc_label_name>Oral Saline Laxative 7.2 gram-2.7 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015099</ndc>
    <ndc_label_name>Feminine Moisturizer and Lubricating (glycern-hec) gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015104</ndc>
    <ndc_label_name>Scar Treatment 1.5" X 3" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015107</ndc>
    <ndc_label_name>Nutritional Drink Mix oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015108</ndc>
    <ndc_label_name>Nutritional Drink Mix oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015116</ndc>
    <ndc_label_name>Comfort Gel 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015134</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015136</ndc>
    <ndc_label_name>SAM-e 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015158</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015159</ndc>
    <ndc_label_name>Sinus Relief (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015168</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015198</ndc>
    <ndc_label_name>Well Beginnings Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015204</ndc>
    <ndc_label_name>Well Beginnings Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015205</ndc>
    <ndc_label_name>Well Beginnings Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015207</ndc>
    <ndc_label_name>Well Beginnings Sleep Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015220</ndc>
    <ndc_label_name>Well Beginnings Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015293</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015327</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015340</ndc>
    <ndc_label_name>Children's Fiber Select Gummies 1.5 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015350</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015383</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015386</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015387</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015395</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015396</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015399</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015401</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015402</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015404</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015430</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015431</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015432</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015461</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015462</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015468</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015469</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015470</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015471</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015472</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015491</ndc>
    <ndc_label_name>Fiber With Probiotic 4 gram-500 million cell/6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015492</ndc>
    <ndc_label_name>Probiotic 15 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015504</ndc>
    <ndc_label_name>Diaper Rash 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015505</ndc>
    <ndc_label_name>Diaper Rash 40 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015510</ndc>
    <ndc_label_name>Probiotic 5 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015517</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015518</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015519</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015521</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015522</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015524</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015525</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015526</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015549</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015553</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015554</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015577</ndc>
    <ndc_label_name>Certainty Underpads 30" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015580</ndc>
    <ndc_label_name>Certainty Underpads 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015588</ndc>
    <ndc_label_name>Cooling Burn 20 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015591</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015592</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015593</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015595</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015603</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015607</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015625</ndc>
    <ndc_label_name>Selfgrip 3" X 1.9 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015626</ndc>
    <ndc_label_name>Cold Sore Treatment (benzalkonium-camphor) 0.13 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015657</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015658</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015663</ndc>
    <ndc_label_name>B-12 5,000 MCG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015664</ndc>
    <ndc_label_name>MELATONIN 3 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015666</ndc>
    <ndc_label_name>Advanced Eye Health 250 mg-2.5 mg-0.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015670</ndc>
    <ndc_label_name>Prenatal Multi-DHA (algal oil) 27 mg iron-800 mcg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015683</ndc>
    <ndc_label_name>Antacid Extra Strength (calcium-mag hyd) 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015686</ndc>
    <ndc_label_name>Whole Body Joint Support capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015690</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015691</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015692</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015693</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015742</ndc>
    <ndc_label_name>Children's Wal-Fex 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015750</ndc>
    <ndc_label_name>COOL MIST HUMIDIFIER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015774</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015793</ndc>
    <ndc_label_name>Arthritis Relief With Aloe 10 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015794</ndc>
    <ndc_label_name>Wal-Fex D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015801</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015802</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015808</ndc>
    <ndc_label_name>Children's Multi-Symptom Cold 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015812</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015816</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015817</ndc>
    <ndc_label_name>All Day Pain Relief Sinus and Cold 220 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015824</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015827</ndc>
    <ndc_label_name>Cold MultiSymptom NighTime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015834</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015837</ndc>
    <ndc_label_name>Butterfly Closures 1 3/4" X 3/8" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015838</ndc>
    <ndc_label_name>BANDAGE ROLL 4.5"X144"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015841</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015842</ndc>
    <ndc_label_name>Clear Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015843</ndc>
    <ndc_label_name>ADHESIVE TAPE 1/2" X 5 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015844</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015845</ndc>
    <ndc_label_name>ADHESIVE TAPE 1/2" X 10 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015846</ndc>
    <ndc_label_name>TRANSPARENT 2.38"X2.75" DRSSNG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015847</ndc>
    <ndc_label_name>Child Wal-Tussin Cough Relief 7.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015853</ndc>
    <ndc_label_name>One Daily Men's 50 Plus with D3 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015871</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015872</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015877</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015884</ndc>
    <ndc_label_name>Allergy Eye (naphazoline-pheniramine) 0.025 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015907</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015909</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015910</ndc>
    <ndc_label_name>Cough Drops 2.7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015911</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015912</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015913</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015925</ndc>
    <ndc_label_name>Wal-Sleep Z 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015938</ndc>
    <ndc_label_name>Wal-Flu Severe Cold-Cough 10 mg-20 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015940</ndc>
    <ndc_label_name>Lip Treatment topical jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015948</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015949</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015950</ndc>
    <ndc_label_name>Mucus Relief Cold and Sinus 10 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015951</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015953</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015954</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015964</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015965</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015966</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015967</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015969</ndc>
    <ndc_label_name>Wal-Sleep Z 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015971</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015973</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917015975</ndc>
    <ndc_label_name>Wal-Dryl Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015980</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015983</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917015990</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016001</ndc>
    <ndc_label_name>Wal-Sleep Z 25 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016002</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016003</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016015</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016017</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016035</ndc>
    <ndc_label_name>Wal-Nadol PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016047</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016049</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016050</ndc>
    <ndc_label_name>Green Tea (with Metabolic Enhancer Blend) 250 mcg-775 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016081</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016082</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016111</ndc>
    <ndc_label_name>Calcium Citrate Plus 250 mg-40 mg-125 unit-3.75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016145</ndc>
    <ndc_label_name>Pediatric Enema 9.5 gram-3.5 gram/59 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016167</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016168</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016172</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016173</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016174</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016175</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016176</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016177</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016178</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016184</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016186</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016187</ndc>
    <ndc_label_name>Certainty Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016188</ndc>
    <ndc_label_name>Certainty Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016189</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016191</ndc>
    <ndc_label_name>Analgesic Creme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016194</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016195</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016196</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016197</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016202</ndc>
    <ndc_label_name>TEA TREE OIL 100% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016216</ndc>
    <ndc_label_name>Face Mask,Earloop-Style</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016227</ndc>
    <ndc_label_name>Well Beginnings Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016232</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016233</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016241</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016251</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016255</ndc>
    <ndc_label_name>GLUCOSE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016262</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016276</ndc>
    <ndc_label_name>Wal-Zyr (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016295</ndc>
    <ndc_label_name>Nutritional Shake 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016298</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016299</ndc>
    <ndc_label_name>Nutritional Shake Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016309</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL 1,000 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016331</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016332</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016334</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016341</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016348</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016349</ndc>
    <ndc_label_name>Lactose Fast Acting Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016352</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016354</ndc>
    <ndc_label_name>Mucus Relief Severe Sinus Congestion 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016356</ndc>
    <ndc_label_name>Wal-Phed PE Cold-Cough 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016357</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016358</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016359</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016360</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016361</ndc>
    <ndc_label_name>Cold Multi-Symptom Day/Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016366</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016367</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016368</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016369</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016370</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016371</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016372</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016373</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016374</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016375</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016376</ndc>
    <ndc_label_name>Sleep II 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016377</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016378</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016379</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016380</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016381</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016389</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016390</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg/5 mL prefilled spoon</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016394</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016404</ndc>
    <ndc_label_name>Certainty Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016406</ndc>
    <ndc_label_name>Children's Wal-Dryl Allergy 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016407</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016408</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016409</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016410</ndc>
    <ndc_label_name>Wal-Dryl (diphenhydramine-Zn acetate) 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016411</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016431</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016436</ndc>
    <ndc_label_name>First Aid Antiseptic (triclosan) 20 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016437</ndc>
    <ndc_label_name>Eczema 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016438</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016439</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016440</ndc>
    <ndc_label_name>Poison Ivy Treatment 0.25 %-0.5 %-10 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016445</ndc>
    <ndc_label_name>Wal-Fex Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016459</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016463</ndc>
    <ndc_label_name>BIOTIN PLUS KERATIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016466</ndc>
    <ndc_label_name>Wart Remover 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016475</ndc>
    <ndc_label_name>Stop Lice 0.5 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016480</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016481</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016482</ndc>
    <ndc_label_name>Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016483</ndc>
    <ndc_label_name>Probiotic-Digestive Enzymes 5 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016488</ndc>
    <ndc_label_name>Cold and Flu Relief (diphen-pe) 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016504</ndc>
    <ndc_label_name>SODIUM CHLORIDE 5% EYE OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016535</ndc>
    <ndc_label_name>Ear Health Plus 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016537</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016538</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016539</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016540</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016564</ndc>
    <ndc_label_name>50 Plus Adult Eye Health 250 mg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016570</ndc>
    <ndc_label_name>Wal-Fex D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016577</ndc>
    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016578</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016579</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016580</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016630</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016631</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016636</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016659</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016660</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016663</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016665</ndc>
    <ndc_label_name>Men's Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016666</ndc>
    <ndc_label_name>Women's Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016667</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016674</ndc>
    <ndc_label_name>Antacid Extra Strength (calcium-mag hyd) 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016683</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016684</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016687</ndc>
    <ndc_label_name>Cleansing Eyelid Moist Pads topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016690</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016695</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016699</ndc>
    <ndc_label_name>Antacid (calcium carb-magnesium hyd) 1,000 mg-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016708</ndc>
    <ndc_label_name>Athletic Tape 1 1/2" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016712</ndc>
    <ndc_label_name>Pain Relieving (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016713</ndc>
    <ndc_label_name>Cool and Heat 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016716</ndc>
    <ndc_label_name>ALOE-LIDOCAINE 0.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016717</ndc>
    <ndc_label_name>First Aid Antiseptic (lidoc-benzalk) 2.5 %-0.13 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016727</ndc>
    <ndc_label_name>GLUCOSE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016733</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016734</ndc>
    <ndc_label_name>Fiber Gummies (with chromium) 2 gram-100 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016735</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016736</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016737</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016740</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016741</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016742</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016743</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016744</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016745</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016746</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016752</ndc>
    <ndc_label_name>Feminine Moisturizer and Lubricating(glyc-mnOil) vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016754</ndc>
    <ndc_label_name>Miconazole-3 prefilled,cream,wipes 4 %(200 mg)-2 %(9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016764</ndc>
    <ndc_label_name>Wal-Som (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016771</ndc>
    <ndc_label_name>ZINC OXIDE 40% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016787</ndc>
    <ndc_label_name>Athlete's Foot 2 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016788</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016795</ndc>
    <ndc_label_name>Saline Nasal (aloe vera) gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016807</ndc>
    <ndc_label_name>Personal Lubricating Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016812</ndc>
    <ndc_label_name>OVULATION PREDICTOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016813</ndc>
    <ndc_label_name>Cold and Flu Relief Plus(Day/Night) 6.25 mg-5 mg-10 mg-325 mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016814</ndc>
    <ndc_label_name>No-Stick Glucose test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016818</ndc>
    <ndc_label_name>PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016820</ndc>
    <ndc_label_name>Children's Cough and Cold Relief 2 mg-15 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016825</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016839</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016841</ndc>
    <ndc_label_name>Severe Cold and Flu (Day/Night) 6.25 mg-5 mg-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016842</ndc>
    <ndc_label_name>Lubricant Eye (cmc-glycerin) 0.5 %-0.9 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016843</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016845</ndc>
    <ndc_label_name>Child Cold-Cough Day-Night 6.25 mg-2.5 mg-5 mg/5 mL oral solutions</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016846</ndc>
    <ndc_label_name>Children's Cold-Cough-Sore Throat 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016853</ndc>
    <ndc_label_name>Wal-Dryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016854</ndc>
    <ndc_label_name>Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016858</ndc>
    <ndc_label_name>Mucus Relief Severe Cold 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016859</ndc>
    <ndc_label_name>Children Mult-Sympt Cold Day-Nite 325 mg-12.5 mg-5 mg/10 mL(nt) liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016860</ndc>
    <ndc_label_name>Mucus Relief Sinus Pressure and Pain 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016863</ndc>
    <ndc_label_name>Lubricant Eye (cmc-glycerin) (PF) 0.5 %-0.9 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016866</ndc>
    <ndc_label_name>Lubricant Eye (propylene glycol) 0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016887</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016889</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016898</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016899</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016900</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016901</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016902</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016903</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016904</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016906</ndc>
    <ndc_label_name>Wal-itin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016913</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016914</ndc>
    <ndc_label_name>Wal-Sleep Z 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016915</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016916</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016917</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016918</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016919</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016923</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016930</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016931</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016945</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016946</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016962</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917016991</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917016995</ndc>
    <ndc_label_name>Probiotic 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017006</ndc>
    <ndc_label_name>Oral Relief Sore Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017014</ndc>
    <ndc_label_name>Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017016</ndc>
    <ndc_label_name>Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017023</ndc>
    <ndc_label_name>MELATONIN-LEMON BALM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017040</ndc>
    <ndc_label_name>Wal-Phed PE Pressure+Pain+Cold 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017041</ndc>
    <ndc_label_name>Wal-Phed PE Day-Night 5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017043</ndc>
    <ndc_label_name>Wal-Flu Day-Night Sev. Cold-Cough 25 mg-10 mg-20 mg-650mg powder packs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017045</ndc>
    <ndc_label_name>Moisture Barrier Ointment 0.44 %-20.6 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017054</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017055</ndc>
    <ndc_label_name>Women's Multivitamin 18 mg-400 mcg-500 mg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017057</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017059</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL 300 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017060</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017062</ndc>
    <ndc_label_name>Slow Release Iron 144 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017064</ndc>
    <ndc_label_name>RESVERATROL 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017065</ndc>
    <ndc_label_name>VITAMIN B-12 TR 2,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017067</ndc>
    <ndc_label_name>B-COMPLEX WITH VIT C TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017068</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017072</ndc>
    <ndc_label_name>Adults Multivitamin 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017075</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017079</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017080</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017081</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017082</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017088</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017089</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017090</ndc>
    <ndc_label_name>VITAMIN C 500 MG WAFER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017091</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017093</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017094</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017096</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017102</ndc>
    <ndc_label_name>Prenatal Multivitamins 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017122</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017124</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017126</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017127</ndc>
    <ndc_label_name>Prenatal Multivitamins 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017157</ndc>
    <ndc_label_name>Children Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017168</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017169</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017170</ndc>
    <ndc_label_name>VITAMIN B-12 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017172</ndc>
    <ndc_label_name>Co Q-10  50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017173</ndc>
    <ndc_label_name>50 Plus Adult Eye Health 250 mg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017177</ndc>
    <ndc_label_name>CALCIUM CIT 200-VIT D3 250 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017181</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017182</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017183</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017184</ndc>
    <ndc_label_name>Prenatal Multi-DHA (algal oil) 27 mg iron-800 mcg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017186</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL 500 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017187</ndc>
    <ndc_label_name>OMEGA-3 KRILL OIL 300 MG SFTG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017194</ndc>
    <ndc_label_name>Calcium Plus MenaQ7 Adult 500 mg-200 unit-90 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017195</ndc>
    <ndc_label_name>Calcium Plus MenaQ7 Senior 600 mg-1,000 unit-90 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017198</ndc>
    <ndc_label_name>Joint Health 40 mg-10 mg-5 mg-3.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017208</ndc>
    <ndc_label_name>MELATONIN-LEMON BALM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017228</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017248</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017279</ndc>
    <ndc_label_name>Children's Multi-Symptom Cold 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017294</ndc>
    <ndc_label_name>Wal-Flu Severe Cold and Cough 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017303</ndc>
    <ndc_label_name>Nighttime Allergy Relief 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017353</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017371</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017389</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017390</ndc>
    <ndc_label_name>Ketone Urine Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017395</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017513</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017566</ndc>
    <ndc_label_name>Daily Probiotic (S. boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017608</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017612</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017620</ndc>
    <ndc_label_name>GLUCOSAMINE-VITAMIN D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017624</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017639</ndc>
    <ndc_label_name>TENS Replacement Back Pads 3.74" X 7.48"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017640</ndc>
    <ndc_label_name>TENS Replacement Body Pads 2.08" X 2.87"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017650</ndc>
    <ndc_label_name>Adult Multivitamin (w-lutein) 200 mcg-137.5 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017652</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017653</ndc>
    <ndc_label_name>Child's Omega-3 DHA Multivitamin 250 unit-3 mg-50 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017654</ndc>
    <ndc_label_name>Prenatal with DHA and Folic Acid 400 mcg-32.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017657</ndc>
    <ndc_label_name>MELATONIN-VIT B6  5-10 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017658</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017659</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017661</ndc>
    <ndc_label_name>Women's Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017665</ndc>
    <ndc_label_name>Men's Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017668</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017669</ndc>
    <ndc_label_name>Tart Cherry Extract 1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017670</ndc>
    <ndc_label_name>Liver Complex 250 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017677</ndc>
    <ndc_label_name>MAGNESIUM 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017685</ndc>
    <ndc_label_name>VITAMIN E 24,000 UNIT SKIN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017686</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017699</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017727</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017735</ndc>
    <ndc_label_name>Baby Vitamin D3 10 mcg/drop (400 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017781</ndc>
    <ndc_label_name>Cool Mist Humidifier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017783</ndc>
    <ndc_label_name>Wal-Phed D 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917017785</ndc>
    <ndc_label_name>Wal-Itin D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017842</ndc>
    <ndc_label_name>Moisturizing Lubricant 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017916</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017934</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017956</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017959</ndc>
    <ndc_label_name>Children's Wal-Zyr 1 mg/mL oral solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917017976</ndc>
    <ndc_label_name>Multivitamin Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018069</ndc>
    <ndc_label_name>SmoothLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917018149</ndc>
    <ndc_label_name>Wal-itin D 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018202</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917018205</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11917018206</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018247</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018251</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018294</ndc>
    <ndc_label_name>Pinworm Treatment 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>11917018360</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>True</otc>
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    <drug_tier>0</drug_tier>
    <ndc>11917018412</ndc>
    <ndc_label_name>CALCIUM-VIT D3-K1 650 MG CHEW</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018625</ndc>
    <ndc_label_name>Wal-Fex Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>11917018635</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>11917018705</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Mobile Lancets 30 gauge</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>11917019809</ndc>
    <ndc_label_name>Certainty X-Large misc</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pain Relief Instant Antiseptic 10.8 %-4.7 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>STERILE 33G LANCET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>11917021979</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>11940001036</ndc>
    <ndc_label_name>Aquaphilic topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11980017405</ndc>
    <ndc_label_name>Pred Mild 0.12 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pred Mild 0.12 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11980018005</ndc>
    <ndc_label_name>Pred Forte 1 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pred Forte 1 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FML Liquifilm 0.1 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11980022805</ndc>
    <ndc_label_name>FML Forte 0.25 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FML Forte 0.25 % eye drops,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>11980077905</ndc>
    <ndc_label_name>Ocuflox 0.3 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Sublocade 300 mg/1.5 mL solution,extended release subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120201</ndc>
    <ndc_label_name>Suboxone 2 mg-0.5 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120203</ndc>
    <ndc_label_name>Suboxone 2 mg-0.5 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120401</ndc>
    <ndc_label_name>Suboxone 4 mg-1 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120403</ndc>
    <ndc_label_name>Suboxone 4 mg-1 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120801</ndc>
    <ndc_label_name>Suboxone 8 mg-2 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496120803</ndc>
    <ndc_label_name>Suboxone 8 mg-2 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496121201</ndc>
    <ndc_label_name>Suboxone 12 mg-3 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12496121203</ndc>
    <ndc_label_name>Suboxone 12 mg-3 mg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12539001101</ndc>
    <ndc_label_name>Support-500 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002002</ndc>
    <ndc_label_name>LEUCINE 100 MG POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002003</ndc>
    <ndc_label_name>HCU Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002004</ndc>
    <ndc_label_name>MSUD Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002005</ndc>
    <ndc_label_name>GA Gel 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002006</ndc>
    <ndc_label_name>MMA-PA Gel 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002007</ndc>
    <ndc_label_name>MMA-PA EXPRESS15 PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002010</ndc>
    <ndc_label_name>GA Express15 60 gram-297 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002022</ndc>
    <ndc_label_name>PKU Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002024</ndc>
    <ndc_label_name>PKU Gel Powder 41.7 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002026</ndc>
    <ndc_label_name>PKU Gel Powder 41.7 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002036</ndc>
    <ndc_label_name>PKU Cooler 10 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002037</ndc>
    <ndc_label_name>PKU Cooler 15 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002038</ndc>
    <ndc_label_name>PKU Cooler 20 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002040</ndc>
    <ndc_label_name>PKU Cooler 15 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002041</ndc>
    <ndc_label_name>PKU Cooler 20 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002043</ndc>
    <ndc_label_name>PKU Cooler 15 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002044</ndc>
    <ndc_label_name>PKU Cooler 20 0.12 gram-0.75 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002055</ndc>
    <ndc_label_name>MSUD Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002057</ndc>
    <ndc_label_name>MSUD Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002064</ndc>
    <ndc_label_name>HCU Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002065</ndc>
    <ndc_label_name>GLYCINE 500 MG POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002066</ndc>
    <ndc_label_name>HCU Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002069</ndc>
    <ndc_label_name>TYR Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002073</ndc>
    <ndc_label_name>TYR Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002075</ndc>
    <ndc_label_name>TYR Cooler15 15 gram-97 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002077</ndc>
    <ndc_label_name>MMA-PA Cooler15 11.5 gram-75 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002082</ndc>
    <ndc_label_name>ARGININE 500 MG POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002083</ndc>
    <ndc_label_name>ARGININE 2000 POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002089</ndc>
    <ndc_label_name>Citrulline 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002091</ndc>
    <ndc_label_name>Citrulline 200 200 mg/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002093</ndc>
    <ndc_label_name>CREATINE 5000 POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002095</ndc>
    <ndc_label_name>CYSTINE 500 MG POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002100</ndc>
    <ndc_label_name>Isoleucine Amino Acid Supplement 50 mg/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002101</ndc>
    <ndc_label_name>Isoleucine 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002108</ndc>
    <ndc_label_name>methionine 100 mg/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002111</ndc>
    <ndc_label_name>PKU Sphere20  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002112</ndc>
    <ndc_label_name>PKU Sphere20  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002113</ndc>
    <ndc_label_name>PKU Sphere15  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002115</ndc>
    <ndc_label_name>PHENYLALANINE 50 POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002116</ndc>
    <ndc_label_name>TYROSINE 1,000 MG POWD PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002118</ndc>
    <ndc_label_name>Valine 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002120</ndc>
    <ndc_label_name>Valine Amino Acid Supplement 50 mg/4 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002133</ndc>
    <ndc_label_name>Lipistart 12 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002134</ndc>
    <ndc_label_name>Glycosade 212 kcal/60 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002140</ndc>
    <ndc_label_name>S.O.S. 25 200 kcal/52 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002141</ndc>
    <ndc_label_name>Fruitivits oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002143</ndc>
    <ndc_label_name>PKU Sphere15  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002147</ndc>
    <ndc_label_name>Lipistart 12 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002148</ndc>
    <ndc_label_name>Renastart 7.5 gram-494 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002149</ndc>
    <ndc_label_name>Renastart 7.5 gram-494 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002158</ndc>
    <ndc_label_name>MCT Pro-Cal oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002169</ndc>
    <ndc_label_name>PKU AIR20 LIQUID POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002170</ndc>
    <ndc_label_name>PKU AIR20 LIQUID POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002171</ndc>
    <ndc_label_name>PKU AIR20 LIQUID POUCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002205</ndc>
    <ndc_label_name>PKU Sphere20  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002209</ndc>
    <ndc_label_name>TYR Sphere20 56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002465</ndc>
    <ndc_label_name>PKU Explore5 40 gram-342 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002466</ndc>
    <ndc_label_name>PKU Explore10 40 gram-330 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002467</ndc>
    <ndc_label_name>PKU Explore10 40 gram-330 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002476</ndc>
    <ndc_label_name>Glycosade 212 kcal/60 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002484</ndc>
    <ndc_label_name>Rena Step 0.04 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002487</ndc>
    <ndc_label_name>PKU Express15 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002488</ndc>
    <ndc_label_name>PKU Express15 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002489</ndc>
    <ndc_label_name>PKU Express15 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002490</ndc>
    <ndc_label_name>PKU Express15 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002491</ndc>
    <ndc_label_name>PKU Express20 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002492</ndc>
    <ndc_label_name>PKU Express20 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002493</ndc>
    <ndc_label_name>PKU Express20 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002494</ndc>
    <ndc_label_name>PKU Express20 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002495</ndc>
    <ndc_label_name>TYR Express15 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002496</ndc>
    <ndc_label_name>TYR Express20 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002497</ndc>
    <ndc_label_name>HCU Express15 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002498</ndc>
    <ndc_label_name>HCU Express20 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002499</ndc>
    <ndc_label_name>MSUD Express15 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002500</ndc>
    <ndc_label_name>MSUD Express20 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002502</ndc>
    <ndc_label_name>GA Express15 Plus 60 gram-316 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002519</ndc>
    <ndc_label_name>EAA UCD 40 gram-310 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002522</ndc>
    <ndc_label_name>PKU Express20 Plus 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002575</ndc>
    <ndc_label_name>K-Quik 21 gram-189 kcal/100 mL oral emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002577</ndc>
    <ndc_label_name>K-Flo 3.4 gram-150 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002580</ndc>
    <ndc_label_name>PKU Sphere20  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002582</ndc>
    <ndc_label_name>PKU Sphere20  56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002584</ndc>
    <ndc_label_name>PKU Sphere20 20 gram-120 kcal/237 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002587</ndc>
    <ndc_label_name>TYR Sphere20 56 gram-337 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002590</ndc>
    <ndc_label_name>PKU Start 14.3 gram-490 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002594</ndc>
    <ndc_label_name>PKU Air20 0.115 gram-0.62 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002595</ndc>
    <ndc_label_name>PKU Air20 0.115 gram-0.62 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002596</ndc>
    <ndc_label_name>PKU Air20 0.115 gram-0.62 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002597</ndc>
    <ndc_label_name>Renastart 7.5 gram-496 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002598</ndc>
    <ndc_label_name>Renastart 7.5 gram-496 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002600</ndc>
    <ndc_label_name>PKU Sphere Next 15 8.4 gram-90 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002603</ndc>
    <ndc_label_name>PKU Cooler 15 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002604</ndc>
    <ndc_label_name>PKU Cooler 20 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002605</ndc>
    <ndc_label_name>PKU Cooler 15 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002606</ndc>
    <ndc_label_name>PKU Cooler 20 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002607</ndc>
    <ndc_label_name>PKU Cooler 10 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002608</ndc>
    <ndc_label_name>PKU Cooler 15 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002609</ndc>
    <ndc_label_name>PKU Cooler 20 0.115 gram-0.78 kcal/mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002610</ndc>
    <ndc_label_name>PKU Sphere20 20 gram-120 kcal/237 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002611</ndc>
    <ndc_label_name>PKU Sphere20 20 gram-125 kcal/237 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002613</ndc>
    <ndc_label_name>HCU Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002614</ndc>
    <ndc_label_name>HCU Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002615</ndc>
    <ndc_label_name>MMA-PA Cooler15 11.5 gram-78 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002616</ndc>
    <ndc_label_name>MSUD Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002617</ndc>
    <ndc_label_name>MSUD Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002618</ndc>
    <ndc_label_name>TYR Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539002619</ndc>
    <ndc_label_name>TYR Cooler15 15 gram-100 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539008308</ndc>
    <ndc_label_name>Support oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539010830</ndc>
    <ndc_label_name>Intestinex 680 mg (750 million cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539013030</ndc>
    <ndc_label_name>FloraVance 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539014401</ndc>
    <ndc_label_name>Uretron D-S 81.6 mg-10.8 mg-40.8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539036060</ndc>
    <ndc_label_name>SIDEROL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539049760</ndc>
    <ndc_label_name>HYPROST SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12539050001</ndc>
    <ndc_label_name>Actical capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539053104</ndc>
    <ndc_label_name>Exoderm 25 %-1 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12539053301</ndc>
    <ndc_label_name>Prevent capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539055516</ndc>
    <ndc_label_name>Neo-Tuss 30 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539077916</ndc>
    <ndc_label_name>NeoTuss Plus 4 mg-7.5 mg-30 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12539089916</ndc>
    <ndc_label_name>NEOTUSS-D LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062213</ndc>
    <ndc_label_name>Halls Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062380</ndc>
    <ndc_label_name>Halls Cough Drops 3.2 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062542</ndc>
    <ndc_label_name>Halls Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062544</ndc>
    <ndc_label_name>Halls Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062749</ndc>
    <ndc_label_name>Halls Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062754</ndc>
    <ndc_label_name>Halls Defense 60 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12546062869</ndc>
    <ndc_label_name>Halls Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547003423</ndc>
    <ndc_label_name>Desitin 40 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547003436</ndc>
    <ndc_label_name>Desitin Daily Defense 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547003491</ndc>
    <ndc_label_name>Desitin Multi-Purpose 71.3 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017004</ndc>
    <ndc_label_name>Benadryl Itch Cooling 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017021</ndc>
    <ndc_label_name>Benadryl 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017031</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017136</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547017140</ndc>
    <ndc_label_name>Benadryl Itch Relief Stick 2 %-0.1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017157</ndc>
    <ndc_label_name>Benadryl 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017162</ndc>
    <ndc_label_name>Benadryl Itch Stopping 1 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547017167</ndc>
    <ndc_label_name>Benadryl Extra Strength 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547020430</ndc>
    <ndc_label_name>Zyrtec 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547020432</ndc>
    <ndc_label_name>Zyrtec 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547020436</ndc>
    <ndc_label_name>Zyrtec 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547023779</ndc>
    <ndc_label_name>Neosporin Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547023808</ndc>
    <ndc_label_name>Neosporin-Pain Itch Scar 3.5 mg-500 unit-10,000 unit/gram topical oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547023813</ndc>
    <ndc_label_name>Polysporin 500 unit-10,000 unit/gram topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547023836</ndc>
    <ndc_label_name>Neosporin Plus Burn Relief 3.5 mg-500 unit-10,000 unit/g topical oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547040740</ndc>
    <ndc_label_name>Neosporin Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547049309</ndc>
    <ndc_label_name>Visine Tired Eye Relief 1 %-0.36 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547049362</ndc>
    <ndc_label_name>Visine Dry Eye Relief 1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12547049380</ndc>
    <ndc_label_name>Visine 0.05 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547049383</ndc>
    <ndc_label_name>Visine Red Eye Hydrating Comfort 0.05 %-1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547049384</ndc>
    <ndc_label_name>Visine Red Eye Hydrating Comfort 0.05 %-1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547070020</ndc>
    <ndc_label_name>Rogaine Extra Strength for Men 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547070060</ndc>
    <ndc_label_name>Rogaine Extra Strength for Men 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078020</ndc>
    <ndc_label_name>Rogaine 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078021</ndc>
    <ndc_label_name>Rogaine 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078022</ndc>
    <ndc_label_name>Rogaine 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078060</ndc>
    <ndc_label_name>Rogaine 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078130</ndc>
    <ndc_label_name>Rogaine 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12547078135</ndc>
    <ndc_label_name>Rogaine 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12608003001</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12608003002</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12608003005</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12622000601</ndc>
    <ndc_label_name>Nutrasentials oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12622000603</ndc>
    <ndc_label_name>Nutrasentials oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12622000605</ndc>
    <ndc_label_name>Nutrasentials oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12622000606</ndc>
    <ndc_label_name>Nutrasentials oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12622000607</ndc>
    <ndc_label_name>Nutrasentials oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830076216</ndc>
    <ndc_label_name>Chlo Tuss 1 mg-30 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830081616</ndc>
    <ndc_label_name>M-End DMX 0.667 mg-20 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830082401</ndc>
    <ndc_label_name>EZFE 200 200 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830082430</ndc>
    <ndc_label_name>EZFE 200 200 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830086404</ndc>
    <ndc_label_name>Chlo Hist 1 mg-12.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12830086416</ndc>
    <ndc_label_name>Chlo Hist 1 mg-12.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843002471</ndc>
    <ndc_label_name>Midol Max St Menstrual 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843003520</ndc>
    <ndc_label_name>Phillips' Liqui-Gels 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843006132</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843007640</ndc>
    <ndc_label_name>Bayer PM 500 mg-38.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010105</ndc>
    <ndc_label_name>Bayer Chewable Low Dose Aspirin 81 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010110</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010111</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010112</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010113</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010117</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010120</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010238</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010239</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843010349</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843012422</ndc>
    <ndc_label_name>Bayer Plus Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843013105</ndc>
    <ndc_label_name>Bayer Chewable Low Dose Aspirin 81 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843013231</ndc>
    <ndc_label_name>Bayer Chewable Low Dose Aspirin 81 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843015859</ndc>
    <ndc_label_name>Midol Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843016128</ndc>
    <ndc_label_name>Extra Strength Bayer 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843017148</ndc>
    <ndc_label_name>Vanquish 227 mg-194 mg-33 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843017253</ndc>
    <ndc_label_name>Midol Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843020234</ndc>
    <ndc_label_name>Extra Strength Bayer 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843020235</ndc>
    <ndc_label_name>Extra Strength Bayer 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843035301</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843035302</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843035303</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843036304</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843036305</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843036306</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843037312</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 311 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843039322</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843039324</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843039325</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843050090</ndc>
    <ndc_label_name>Women's Aspirin with Calcium 81 mg-300 mg calcium (777 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843050132</ndc>
    <ndc_label_name>Midol Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843051051</ndc>
    <ndc_label_name>Bayer Back and Body 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843051673</ndc>
    <ndc_label_name>Phillips 500 mg magnesium tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843052580</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843053430</ndc>
    <ndc_label_name>Phillips' Colon Health 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843053635</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843053636</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843053637</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843053640</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843053642</ndc>
    <ndc_label_name>Bayer Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843053690</ndc>
    <ndc_label_name>Bayer Aspirin (with caffeine) 850 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843053711</ndc>
    <ndc_label_name>Midol PM 38 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843054109</ndc>
    <ndc_label_name>Phillips' Colon Health 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843054120</ndc>
    <ndc_label_name>Phillips' Colon Health 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843054350</ndc>
    <ndc_label_name>Phillips' Colon Health 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843054435</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843054575</ndc>
    <ndc_label_name>Bayer Advanced 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843054576</ndc>
    <ndc_label_name>Bayer Advanced 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843055104</ndc>
    <ndc_label_name>Phillips Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843055507</ndc>
    <ndc_label_name>Extra Strength Bayer 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843055519</ndc>
    <ndc_label_name>Midol Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843055536</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>12843055565</ndc>
    <ndc_label_name>Bayer Aspirin 325 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843055854</ndc>
    <ndc_label_name>Bayer Back and Body 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12843056801</ndc>
    <ndc_label_name>Phillips' Fiber Good 2 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12870000101</ndc>
    <ndc_label_name>SILVER NITRATE APPLICATOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12870000102</ndc>
    <ndc_label_name>SILVER NITRATE APPLICATOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12980002000</ndc>
    <ndc_label_name>Ilex Skin Protectant topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12980002001</ndc>
    <ndc_label_name>Ilex Skin Protectant topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>12980002002</ndc>
    <ndc_label_name>Ilex Skin Protectant topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13034078795</ndc>
    <ndc_label_name>Alfamino Junior 15 gram-460 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13034078821</ndc>
    <ndc_label_name>Alfamino Infant 2.8-5-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000105</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000130</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000305</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000330</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000334</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000401</ndc>
    <ndc_label_name>HYDROCODONE-IBUPROFEN 7.5-200</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000501</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000505</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000601</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000605</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000701</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107000705</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107001401</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107001501</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107001901</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107001905</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107002001</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107002005</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107002101</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107002105</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107002199</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003105</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003130</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003134</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003205</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003234</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003501</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107003601</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004401</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004405</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004501</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004505</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004601</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107004605</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005501</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005601</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005701</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005801</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #2 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005901</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107005999</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006001</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006005</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006099</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006101</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006199</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107006801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107007501</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007701</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007901</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107007905</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008001</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008005</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008101</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008105</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008201</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008301</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008305</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008401</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008405</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008499</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008501</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107008505</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107008801</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107008901</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107010301</ndc>
    <ndc_label_name>OXYMORPHONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107010401</ndc>
    <ndc_label_name>OXYMORPHONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107010501</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107010601</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107010701</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107010801</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107010901</ndc>
    <ndc_label_name>HYDROMORPHONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107011530</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107011630</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014201</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014205</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014301</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014305</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014401</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014405</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014501</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107014505</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015405</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015430</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015490</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015505</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015530</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015590</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015599</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015605</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015630</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015690</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015699</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015705</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015730</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015790</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107015799</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107019590</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107019630</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107019690</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107019790</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021101</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021105</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021201</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021205</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021301</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13107021305</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107026947</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107028201</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107028205</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107028301</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107028305</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107028401</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107031901</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107031905</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107032001</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107032005</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13107032101</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13267034556</ndc>
    <ndc_label_name>FLUORODOPA F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13267034657</ndc>
    <ndc_label_name>FLUORODOPA F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13273010803</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13273020903</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13273021003</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13287010606</ndc>
    <ndc_label_name>Alfamino Junior 14 gram-480 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13310014501</ndc>
    <ndc_label_name>Bactrim 400 mg-80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13310014601</ndc>
    <ndc_label_name>Bactrim DS 800 mg-160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13310015307</ndc>
    <ndc_label_name>Qualaquin 324 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001019</ndc>
    <ndc_label_name>Theracran 650 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001020</ndc>
    <ndc_label_name>TheraCal D2000 250 mg-500 unit-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001021</ndc>
    <ndc_label_name>TheraCal D4000 250 mg-1,000 unit-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001022</ndc>
    <ndc_label_name>Thera-D 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001023</ndc>
    <ndc_label_name>Thera-D 4000 100 mcg (4,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001024</ndc>
    <ndc_label_name>OptiFlex-G 750 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001025</ndc>
    <ndc_label_name>OptiFlex-C 400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001026</ndc>
    <ndc_label_name>TherOmega 250 mg-350 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001028</ndc>
    <ndc_label_name>TherOmega 250 mg-350 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001029</ndc>
    <ndc_label_name>MTX Support 0.5 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001030</ndc>
    <ndc_label_name>TheraNatal 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001031</ndc>
    <ndc_label_name>Essentia 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001032</ndc>
    <ndc_label_name>Theralogix Companion 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001034</ndc>
    <ndc_label_name>Prostate 2.4 1,200 unit-15 unit-35 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001035</ndc>
    <ndc_label_name>Prostate SR 160 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001036</ndc>
    <ndc_label_name>Prosteon 250 mg-500 unit-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001037</ndc>
    <ndc_label_name>Bladder 2.2  200 mcg-5 mg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001038</ndc>
    <ndc_label_name>Theralith XR 3.75 mg-45 mg-45 mg-49.5 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001039</ndc>
    <ndc_label_name>IsoRel 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001040</ndc>
    <ndc_label_name>Theranatal Complete 27 mg iron-1 mg-150 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001042</ndc>
    <ndc_label_name>ConceptionXR Reproductive 250 mg-200 unit-500 mcg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001043</ndc>
    <ndc_label_name>Optiflex Complete 750 mg-400 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001044</ndc>
    <ndc_label_name>TheraCal 250 mg-500 unit-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001045</ndc>
    <ndc_label_name>Thera-D 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001046</ndc>
    <ndc_label_name>TheraNatal 9 mg iron-400 mcg-90 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001047</ndc>
    <ndc_label_name>Solo 400 mcg-80 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001048</ndc>
    <ndc_label_name>CalMag Thins 200 mg (as calcium carbonate,citrate)-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001049</ndc>
    <ndc_label_name>ProCerv HP 9 mg iron-300 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001050</ndc>
    <ndc_label_name>ConceptionXR Motility 250 mg-500 unit-200 unit oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001051</ndc>
    <ndc_label_name>TherOmega Sport 250 mg-350 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001052</ndc>
    <ndc_label_name>TheraNatal Plus 27 mg iron-1 mg-300 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001053</ndc>
    <ndc_label_name>TheraNatal OvaVite 18 mg-1 mg-125 unit oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001054</ndc>
    <ndc_label_name>TheraCran HP for Kids 50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001055</ndc>
    <ndc_label_name>NeoQ10 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001056</ndc>
    <ndc_label_name>DHEA 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001078</ndc>
    <ndc_label_name>Thera-D 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001083</ndc>
    <ndc_label_name>Ovasitol 2,000 mg-50 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13349001087</ndc>
    <ndc_label_name>TheraNatal One 27 mg iron-1,000 mcg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001088</ndc>
    <ndc_label_name>Prostate PQ 500 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13349001143</ndc>
    <ndc_label_name>TheraCran Max 157.5 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13486726201</ndc>
    <ndc_label_name>diachrome 2 mg-600 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13517010030</ndc>
    <ndc_label_name>DIAZOXIDE 50 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517010716</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011001</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011010</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011101</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011110</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011201</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011210</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011301</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517011310</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517020716</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062501</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062510</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062601</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062610</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062701</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062710</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062801</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517062810</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069101</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069105</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069201</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069205</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069301</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069305</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069401</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517069405</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075501</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075505</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075601</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075605</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075701</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075705</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075801</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13517075805</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533000006</ndc>
    <ndc_label_name>STERILE WATER FOR PROLASTIN-C</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533010070</ndc>
    <ndc_label_name>STERILE WATER FOR PROLASTIN-C</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13533013100</ndc>
    <ndc_label_name>TDVAX VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13533013101</ndc>
    <ndc_label_name>TDVAX VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533020020</ndc>
    <ndc_label_name>STERILE WATER FOR PROLASTIN-C</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031801</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031803</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031805</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031810</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031830</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533031850</ndc>
    <ndc_label_name>HyperRAB (PF) 300 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533033504</ndc>
    <ndc_label_name>GamaSTAN 15 %-18 % range intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533033512</ndc>
    <ndc_label_name>GamaSTAN 15 %-18 % range intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533033513</ndc>
    <ndc_label_name>GamaSTAN 15 %-18 % range intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533033540</ndc>
    <ndc_label_name>GamaSTAN 15 %-18 % range intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533060250</ndc>
    <ndc_label_name>Thrombate III 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533060521</ndc>
    <ndc_label_name>Thrombate III 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533060612</ndc>
    <ndc_label_name>Thrombate III 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063102</ndc>
    <ndc_label_name>HyperRHO 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063103</ndc>
    <ndc_label_name>HyperRHO 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063111</ndc>
    <ndc_label_name>HyperRHO 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063120</ndc>
    <ndc_label_name>HyperRHO 1,500 unit (300 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063402</ndc>
    <ndc_label_name>HyperTET (PF) 250 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063420</ndc>
    <ndc_label_name>HyperTET (PF) 250 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063601</ndc>
    <ndc_label_name>HyperHEP B 220 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063603</ndc>
    <ndc_label_name>HyperHEP B Neonatal 110 unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063605</ndc>
    <ndc_label_name>HyperHEP B 220 unit/mL (5 mL) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063610</ndc>
    <ndc_label_name>HyperHEP B 220 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063630</ndc>
    <ndc_label_name>HyperHEP B Neonatal 110 unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533063650</ndc>
    <ndc_label_name>HyperHEP B 220 unit/mL (5 mL) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533066106</ndc>
    <ndc_label_name>HyperRHO 250 unit (50 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533066160</ndc>
    <ndc_label_name>HyperRHO 250 unit (50 mcg) intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533070501</ndc>
    <ndc_label_name>Prolastin-C 1,000  mg (+/-)/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533070511</ndc>
    <ndc_label_name>Prolastin-C 1,000  mg (+/-)/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080012</ndc>
    <ndc_label_name>Gamunex-C 1 gram/10 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080013</ndc>
    <ndc_label_name>Gamunex-C 1 gram/10 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080015</ndc>
    <ndc_label_name>Gamunex-C 2.5 gram/25 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080016</ndc>
    <ndc_label_name>Gamunex-C 2.5 gram/25 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080020</ndc>
    <ndc_label_name>Gamunex-C 5 gram/50 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080021</ndc>
    <ndc_label_name>Gamunex-C 5 gram/50 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080024</ndc>
    <ndc_label_name>Gamunex-C 20 gram/200 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080025</ndc>
    <ndc_label_name>Gamunex-C 20 gram/200 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080040</ndc>
    <ndc_label_name>Gamunex-C 40 gram/400 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080041</ndc>
    <ndc_label_name>Gamunex-C 40 gram/400 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080071</ndc>
    <ndc_label_name>Gamunex-C 10 gram/100 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533080072</ndc>
    <ndc_label_name>Gamunex-C 10 gram/100 mL (10 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081005</ndc>
    <ndc_label_name>Xembify 1 gram/5 mL (20 %) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081006</ndc>
    <ndc_label_name>Xembify 1 gram/5 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081010</ndc>
    <ndc_label_name>Xembify 2 gram/10 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081011</ndc>
    <ndc_label_name>Xembify 2 gram/10 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081020</ndc>
    <ndc_label_name>Xembify 4 gram/20 mL (20 %) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081021</ndc>
    <ndc_label_name>Xembify 4 gram/20 mL (20 %) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081050</ndc>
    <ndc_label_name>Xembify 10 gram/50 mL (20 %) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13533081051</ndc>
    <ndc_label_name>Xembify 10 gram/50 mL (20 %) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13548007045</ndc>
    <ndc_label_name>Atralin 0.05 % topical gel</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13548013250</ndc>
    <ndc_label_name>Acanya 1.2 %-2.5 % topical gel with pump</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000107</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000130</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000207</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13551000307</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668000901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668000905</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668000909</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001001</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001005</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001006</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001101</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001105</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001108</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001512</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001612</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001890</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668001990</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668002090</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003560</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003605</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003660</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003705</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003760</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003805</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003860</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003905</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668003960</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004005</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004060</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004501</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004505</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004701</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004705</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004801</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004805</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004860</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004905</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668004960</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668007905</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668007930</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668007990</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008005</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008030</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008090</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008105</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008130</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008190</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008630</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008830</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668008930</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009030</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009105</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009190</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009205</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009290</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009305</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009390</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009405</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009490</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009505</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009590</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668009690</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010210</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010230</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010290</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010310</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010330</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010390</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010401</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010410</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010501</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010510</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010601</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668010730</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668010790</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668010960</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011005</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011030</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011105</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011130</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011710</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011730</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011810</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668011830</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013201</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013205</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013210</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013301</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013305</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013310</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013401</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013405</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668013410</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013501</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013505</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013510</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013601</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013605</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013610</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013701</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013705</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668013710</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668014105</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668014130</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668014190</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668015430</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668015490</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668015530</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668015590</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668017905</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668017930</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668017990</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018005</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018030</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018090</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018130</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018205</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018230</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018405</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018490</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668018590</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018630</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018701</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018730</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018801</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018830</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018905</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018930</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668018990</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668019005</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668019030</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668019090</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668020130</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668020230</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668020290</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668020330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668020390</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021690</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021790</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021805</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021830</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021890</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021930</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668021990</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668022030</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668022090</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668022190</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668026805</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668026810</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668027105</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668028401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668028501</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668031001</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668033205</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668033301</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668033930</ndc>
    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668034030</ndc>
    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LAMOTRIGINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035330</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035430</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035490</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035530</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035590</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035630</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035690</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035805</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668035905</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036005</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036105</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036205</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036305</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036405</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668036505</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668038230</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668038530</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668038630</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668039730</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668042905</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668042990</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668043801</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668043901</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044001</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044101</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044201</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044205</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044310</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044330</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044370</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044391</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044630</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668044730</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668045301</ndc>
    <ndc_label_name>ANAGRELIDE HCL 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668046201</ndc>
    <ndc_label_name>ANAGRELIDE HCL 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668046330</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668046430</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668046530</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668046630</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668046730</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668047310</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668047330</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668047370</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668047391</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048201</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048301</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048405</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048450</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048501</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048601</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668048750</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668050930</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668051501</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668051502</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668052701</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668052704</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668053111</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668053194</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668053401</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668053402</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668053830</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668053930</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054060</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054130</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054694</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 2.5 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054794</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 5 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054894</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 10 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668054994</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668055088</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668055094</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668056530</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668056630</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668056730</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668056830</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668056901</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668056902</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668056904</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668056905</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668057408</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668057412</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058008</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058130</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058601</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058630</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058730</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 333 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058801</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668058830</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059180</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059181</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059182</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059283</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059284</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059285</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059286</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059380</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059386</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668059487</ndc>
    <ndc_label_name>APREPITANT 125-80-80 MG PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668059501</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668059502</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668060505</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668060508</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668060630</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668060701</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668060730</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063260</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063433</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063460</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063533</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063560</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063633</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668063660</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668066110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668067211</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668067264</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668067601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668069103</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668069290</ndc>
    <ndc_label_name>TIOPRONIN DR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668071057</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668071070</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668071091</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668071170</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668071191</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072005</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072090</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072205</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072290</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072305</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668072330</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668073530</ndc>
    <ndc_label_name>PAZOPANIB HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668074521</ndc>
    <ndc_label_name>FIDAXOMICIN 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668074633</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668074660</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668074733</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13668074760</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668075442</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13668075701</ndc>
    <ndc_label_name>ERGOCALCIFEROL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010130</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010131</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010132</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 27 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010150</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010151</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010152</ndc>
    <ndc_label_name>VanishPoint Tuberculin Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010160</ndc>
    <ndc_label_name>VanishPoint Syringe 1 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010161</ndc>
    <ndc_label_name>SYRINGE W-NEEDLE 1 ML 25X1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010162</ndc>
    <ndc_label_name>SYRINGE W-NEEDLE 1 ML 25X1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010210</ndc>
    <ndc_label_name>VanishPoint Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010211</ndc>
    <ndc_label_name>VanishPoint Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010212</ndc>
    <ndc_label_name>VanishPoint Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010291</ndc>
    <ndc_label_name>VanishPoint Insulin Syringe 1 mL 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010300</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010301</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010302</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010310</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010311</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010312</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010320</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010321</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010322</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010330</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010331</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010332</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010340</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010341</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010342</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010350</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010351</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010352</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010360</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010361</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010362</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010370</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010371</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010372</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010390</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010391</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010392</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010540</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010541</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010542</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010550</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010551</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010552</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010560</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703010561</ndc>
    <ndc_label_name>VanishPoint Syringe 5 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703011060</ndc>
    <ndc_label_name>VanishPoint Syringe 10 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703011061</ndc>
    <ndc_label_name>VanishPoint Syringe 10 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703013010</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703013011</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703013020</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 27 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703013021</ndc>
    <ndc_label_name>VanishPoint Syringe 3 mL 27 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703015220</ndc>
    <ndc_label_name>VanishPoint Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703015221</ndc>
    <ndc_label_name>VanishPoint Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703015222</ndc>
    <ndc_label_name>VanishPoint Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082010</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082011</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082030</ndc>
    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082031</ndc>
    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082090</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082091</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082310</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082311</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082330</ndc>
    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082331</ndc>
    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082390</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703082391</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085010</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085011</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085012</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085020</ndc>
    <ndc_label_name>EasyPoint Needle 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085021</ndc>
    <ndc_label_name>EasyPoint Needle 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085030</ndc>
    <ndc_label_name>EasyPoint Needle 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085031</ndc>
    <ndc_label_name>EasyPoint Needle 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085040</ndc>
    <ndc_label_name>EasyPoint Needle 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085041</ndc>
    <ndc_label_name>EasyPoint Needle 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085050</ndc>
    <ndc_label_name>EasyPoint Needle 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085051</ndc>
    <ndc_label_name>EasyPoint Needle 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085060</ndc>
    <ndc_label_name>EasyPoint Needle 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085061</ndc>
    <ndc_label_name>EasyPoint Needle 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085070</ndc>
    <ndc_label_name>EasyPoint Needle 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085071</ndc>
    <ndc_label_name>EasyPoint Needle 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085080</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085081</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085090</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085091</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085210</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085211</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085231</ndc>
    <ndc_label_name>EasyPoint Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085290</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085291</ndc>
    <ndc_label_name>EasyPoint Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085380</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085381</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085390</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13703085391</ndc>
    <ndc_label_name>EasyPoint Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13709023001</ndc>
    <ndc_label_name>Clearcanal Earwax Softener 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13709023010</ndc>
    <ndc_label_name>Clearcanal Ear Wax 6.5 %-0.9 % ear pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13709031401</ndc>
    <ndc_label_name>Clearcanal Ear Wax 6.5 %-0.9 % otic kit, drops and solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733001776</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733001777</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733027007</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733029697</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733029699</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733031315</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733031316</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733031318</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13733031374</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>13733045509</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13733045510</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13757046480</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774001250</ndc>
    <ndc_label_name>SafeSnap Syringe 1 mL 25 gauge x 5/8"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774001270</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774010700</ndc>
    <ndc_label_name>SafeSnap Syringe 10 mL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774010751</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013700</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SafeSnap Syringe 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013720</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013721</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013730</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013731</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013740</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013741</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013750</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774013751</ndc>
    <ndc_label_name>SafeSnap Syringe 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774015700</ndc>
    <ndc_label_name>SafeSnap Syringe 5 mL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774015710</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SafeSnap Syringe 5 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SafeSnap Syringe 5 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SafeSnap Syringe 5 mL 21 gauge x 1"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774015751</ndc>
    <ndc_label_name>SafeSnap Syringe 5 mL 21 gauge x 1 1/2"</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020202</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020210</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020212</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020220</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13774020226</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811004210</ndc>
    <ndc_label_name>Taron Forte 150 mg-60 mg-25 mcg-1 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811006610</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811009001</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811070030</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13811070910</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHYLPHENIDATE ER 72 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071130</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 45 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071290</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071390</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071430</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071490</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071530</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071590</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071710</ndc>
    <ndc_label_name>CHLORZOXAZONE 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13811071810</ndc>
    <ndc_label_name>CHLORZOXAZONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13811071910</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13845120202</ndc>
    <ndc_label_name>CYCLOSERINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13874002003</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13874002037</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13874002051</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13897010104</ndc>
    <ndc_label_name>Polar Freeze 0.8 %-3.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13913000811</ndc>
    <ndc_label_name>Zipsor 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13913000812</ndc>
    <ndc_label_name>Zipsor 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13913001201</ndc>
    <ndc_label_name>Cambia 50 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13913001203</ndc>
    <ndc_label_name>Cambia 50 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925011601</ndc>
    <ndc_label_name>Se-Natal 19 29 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13925011701</ndc>
    <ndc_label_name>Se-Natal 19 Chewable 29 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13925011890</ndc>
    <ndc_label_name>Se-Tan Plus 162 mg-115.2 mg (106 mg)-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925015707</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925015901</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925015903</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925016001</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925016003</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925016407</ndc>
    <ndc_label_name>LIDOCAINE-HYDROCORT 3-2.5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925016420</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-2.5% GEL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925016520</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>13925016604</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925050604</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925050704</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925050820</ndc>
    <ndc_label_name>FLUOCINOLONE OIL 0.01% EAR DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925051501</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925051510</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925052201</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INHAL POWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925053601</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>13925054012</ndc>
    <ndc_label_name>MEMANTINE HCL 2 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14007002600</ndc>
    <ndc_label_name>Instant Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14362011103</ndc>
    <ndc_label_name>TDVAX VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14362011104</ndc>
    <ndc_label_name>TDVAX VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14428000003</ndc>
    <ndc_label_name>Bacitraycin Plus 500 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14428000555</ndc>
    <ndc_label_name>Bacitraycin Plus 500 unit-10 mg/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14428000611</ndc>
    <ndc_label_name>Zinc-Oxyde Plus 0.44 %-20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14428000888</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14428000944</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14537081775</ndc>
    <ndc_label_name>Anticoagulant Citrate Dextrose(ACD) Soln A 2.45-2.2 gram-800 mg/100 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14537088125</ndc>
    <ndc_label_name>ANTICOAG SODIUM CITRATE 4% SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14537096775</ndc>
    <ndc_label_name>Anticoagulant Citrate Dextrose(ACD) Soln A 2.45-2.2 gram-800 mg/100 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539065301</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539065305</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539065310</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14539067301</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14539067306</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539067401</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539067405</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539067501</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539067505</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070001</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070005</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070101</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070105</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070201</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>14539070205</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011008</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011505</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011508</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011605</ndc>
    <ndc_label_name>ERYTHROMYCIN LACT 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011607</ndc>
    <ndc_label_name>ERYTHROMYCIN LACT 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011905</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789011907</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012105</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012107</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012205</ndc>
    <ndc_label_name>FLUORESCEIN SODIUM 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012207</ndc>
    <ndc_label_name>FLUORESCEIN SODIUM 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012305</ndc>
    <ndc_label_name>FLUORESCEIN 25% 500 MG/2 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012307</ndc>
    <ndc_label_name>FLUORESCEIN 25% 500 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012505</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG/2.5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012605</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM/5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012607</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012705</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789012807</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>14789013407</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370015004</ndc>
    <ndc_label_name>Ryclora 2 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370017030</ndc>
    <ndc_label_name>Relafen DS 1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370017060</ndc>
    <ndc_label_name>Relafen DS 1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370018060</ndc>
    <ndc_label_name>Lofena 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370018530</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370018560</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15370021060</ndc>
    <ndc_label_name>QUFLORA 0.125 MG GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370025030</ndc>
    <ndc_label_name>TriStart DHA 31 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370026530</ndc>
    <ndc_label_name>NUFERA TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370028060</ndc>
    <ndc_label_name>Natal PNV 6 mg iron-833.5 mcg DFE tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030501</ndc>
    <ndc_label_name>Pokonza 10 mEq oral packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030530</ndc>
    <ndc_label_name>Pokonza 10 mEq oral packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030560</ndc>
    <ndc_label_name>Pokonza 10 mEq oral packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030601</ndc>
    <ndc_label_name>Pokonza 15 mEq oral packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030630</ndc>
    <ndc_label_name>Pokonza 15 mEq oral packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370030708</ndc>
    <ndc_label_name>Pokonza 10 mEq/15 mL oral liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040101</ndc>
    <ndc_label_name>Opipza 2 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040130</ndc>
    <ndc_label_name>Opipza 2 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040201</ndc>
    <ndc_label_name>Opipza 5 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040230</ndc>
    <ndc_label_name>Opipza 5 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040301</ndc>
    <ndc_label_name>Opipza 10 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370040330</ndc>
    <ndc_label_name>Opipza 10 mg oral film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15370050116</ndc>
    <ndc_label_name>Vyscoxa 10 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455095683</ndc>
    <ndc_label_name>BasaDrox topical gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455095703</ndc>
    <ndc_label_name>AzaDrox topical gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455950401</ndc>
    <ndc_label_name>Livixil Pak 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455952801</ndc>
    <ndc_label_name>AgonEaze 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455956601</ndc>
    <ndc_label_name>KamDoy topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15455956604</ndc>
    <ndc_label_name>KamDoy topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482023229</ndc>
    <ndc_label_name>TechLITE Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482023423</ndc>
    <ndc_label_name>Techlite Plus Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482023432</ndc>
    <ndc_label_name>TechLITE Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482023531</ndc>
    <ndc_label_name>TechLITE Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482023632</ndc>
    <ndc_label_name>TechLITE Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482023831</ndc>
    <ndc_label_name>TechLITE Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026303</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026305</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026311</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026312</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026313</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026314</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026315</ndc>
    <ndc_label_name>TechLITE Insulin Syringe (half unit) 0.5 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482026316</ndc>
    <ndc_label_name>TechLITE Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482027653</ndc>
    <ndc_label_name>Assure ID Pro Pen Needle 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482027753</ndc>
    <ndc_label_name>Assure ID Duo Pro Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482027830</ndc>
    <ndc_label_name>Assure ID Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482041012</ndc>
    <ndc_label_name>Hypolance AST Lancing kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482050001</ndc>
    <ndc_label_name>Assure Platinum Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482050005</ndc>
    <ndc_label_name>Assure Dose Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482050006</ndc>
    <ndc_label_name>Assure Dose Normal-High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482050050</ndc>
    <ndc_label_name>Assure Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482050100</ndc>
    <ndc_label_name>Assure Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482051006</ndc>
    <ndc_label_name>Assure Control Solution L2-L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482053001</ndc>
    <ndc_label_name>Assure Prism Multi Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482053006</ndc>
    <ndc_label_name>Assure Prism Control 1-2 Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482053050</ndc>
    <ndc_label_name>Assure Prism Multi Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482053100</ndc>
    <ndc_label_name>Assure Prism Multi Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482053250</ndc>
    <ndc_label_name>Assure Prism Multi Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054001</ndc>
    <ndc_label_name>Glucocard Shine Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054005</ndc>
    <ndc_label_name>Glucocard Shine solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054050</ndc>
    <ndc_label_name>Glucocard Shine Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054100</ndc>
    <ndc_label_name>Glucocard Shine Meter Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054210</ndc>
    <ndc_label_name>Glucocard Shine XL Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054310</ndc>
    <ndc_label_name>Glucocard Shine Connex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482054410</ndc>
    <ndc_label_name>Glucocard Shine Express Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482056006</ndc>
    <ndc_label_name>Assure 4 Control Solution combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482056050</ndc>
    <ndc_label_name>Assure 4 Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482056100</ndc>
    <ndc_label_name>Assure 4 Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482057000</ndc>
    <ndc_label_name>Glucocard Expression solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482057005</ndc>
    <ndc_label_name>Glucocard Expression strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482057010</ndc>
    <ndc_label_name>Glucocard Expression</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482057110</ndc>
    <ndc_label_name>Glucocard Expression kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482057205</ndc>
    <ndc_label_name>Glucocard Expression strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482060001</ndc>
    <ndc_label_name>Assure Titanium Glucose System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482060050</ndc>
    <ndc_label_name>Assure Titanium Test Strip</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482060100</ndc>
    <ndc_label_name>Assure Titanium Test Strip</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482072005</ndc>
    <ndc_label_name>Glucocard 01 Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482072050</ndc>
    <ndc_label_name>Glucocard 01 Sensor Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482074001</ndc>
    <ndc_label_name>Glucocard 01 Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482074006</ndc>
    <ndc_label_name>Glucocard 01 High-Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482074050</ndc>
    <ndc_label_name>Glucocard 01 Sensor Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482074110</ndc>
    <ndc_label_name>Glucocard 01 Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076001</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076002</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076003</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076050</ndc>
    <ndc_label_name>Glucocard Vital Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076110</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076112</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076113</ndc>
    <ndc_label_name>Glucocard Vital kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15482076205</ndc>
    <ndc_label_name>Glucocard Vital Sensor strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482088013</ndc>
    <ndc_label_name>TechLITE Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482088016</ndc>
    <ndc_label_name>TechLITE Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482088018</ndc>
    <ndc_label_name>TechLITE Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482098018</ndc>
    <ndc_label_name>Assure Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482098028</ndc>
    <ndc_label_name>Assure Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482098121</ndc>
    <ndc_label_name>Assure Lance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482099125</ndc>
    <ndc_label_name>Assure Lance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15482099130</ndc>
    <ndc_label_name>Assure Lance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15584010101</ndc>
    <ndc_label_name>ATRIPLA TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15622000001</ndc>
    <ndc_label_name>Ziks Arthritis Pain Relief 0.025 %-12 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718010330</ndc>
    <ndc_label_name>OcuSoft Lid Scrub topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718010340</ndc>
    <ndc_label_name>OcuSoft Lid Scrub Compliance topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718010350</ndc>
    <ndc_label_name>Ocusoft Lid Scrub Original topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718010430</ndc>
    <ndc_label_name>OcuSoft Lid Scrub Plus topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718010450</ndc>
    <ndc_label_name>OcuSoft Lid Scrub Plus topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718030220</ndc>
    <ndc_label_name>Ocusoft Baby towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718030330</ndc>
    <ndc_label_name>OCuSOFT Lid Scrub Allergy topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718030350</ndc>
    <ndc_label_name>Ocusoft Eyelid Cleansing Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718035002</ndc>
    <ndc_label_name>Ocusoft HypoChlor Solution 0.02 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718089020</ndc>
    <ndc_label_name>Retaine VISION 125 mg-100 unit-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718089120</ndc>
    <ndc_label_name>Retaine FLAX 250 mg-125 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718089260</ndc>
    <ndc_label_name>Retaine OM3 650 mg-150 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15718089305</ndc>
    <ndc_label_name>Retaine PM 80 %-20 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718091705</ndc>
    <ndc_label_name>Zytaze 25 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718091730</ndc>
    <ndc_label_name>Retaine MGD (PF) 0.5 %-0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15718091820</ndc>
    <ndc_label_name>Tears Again Hydrate 250 mg-125 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>15749082510</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15821050190</ndc>
    <ndc_label_name>Tozal 3.33 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15832002001</ndc>
    <ndc_label_name>Insupen Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15832002004</ndc>
    <ndc_label_name>Insupen Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15832002006</ndc>
    <ndc_label_name>Insupen Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>15832002008</ndc>
    <ndc_label_name>Insupen Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001017</ndc>
    <ndc_label_name>ForaCare GD20 Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001018</ndc>
    <ndc_label_name>ForaCare GD20 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001020</ndc>
    <ndc_label_name>Fora V10 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001024</ndc>
    <ndc_label_name>Fora G20 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001026</ndc>
    <ndc_label_name>Fora Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001039</ndc>
    <ndc_label_name>FORA V30A BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001040</ndc>
    <ndc_label_name>Fora Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001053</ndc>
    <ndc_label_name>FORACARE GD40A GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001054</ndc>
    <ndc_label_name>ForaCare GD40b Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001055</ndc>
    <ndc_label_name>ForaCare GD40 test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001058</ndc>
    <ndc_label_name>Premium V10</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001059</ndc>
    <ndc_label_name>Premium V10 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001075</ndc>
    <ndc_label_name>MEDPOINT CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001083</ndc>
    <ndc_label_name>Test N'Go Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001088</ndc>
    <ndc_label_name>Test N'Go Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001094</ndc>
    <ndc_label_name>Fora V12 Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001095</ndc>
    <ndc_label_name>FORA V12 GLUCOSE TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001100</ndc>
    <ndc_label_name>Fora D40d Glucose-BP Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001114</ndc>
    <ndc_label_name>SootheNeb Mesh Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001115</ndc>
    <ndc_label_name>SootheNeb Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001121</ndc>
    <ndc_label_name>Fora GD50 Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001122</ndc>
    <ndc_label_name>Fora GD50 Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001135</ndc>
    <ndc_label_name>Fora Test N'Go Voice Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001144</ndc>
    <ndc_label_name>SootheNeb NBL100 Adult Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001145</ndc>
    <ndc_label_name>SootheNeb NBL100 Child Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001146</ndc>
    <ndc_label_name>SootheNeb NBL100 Mesh Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001147</ndc>
    <ndc_label_name>SootheNeb NBL100 Med Cup misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001160</ndc>
    <ndc_label_name>Fora Test N'GO BP System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001166</ndc>
    <ndc_label_name>Fora D40-G31 Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001183</ndc>
    <ndc_label_name>FORA V10-V12-D10-D20 STRP-LNCT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001197</ndc>
    <ndc_label_name>Fora TN'G Voice meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001198</ndc>
    <ndc_label_name>Fora TN'G Voice Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001199</ndc>
    <ndc_label_name>Fora Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001200</ndc>
    <ndc_label_name>Fora Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16042001201</ndc>
    <ndc_label_name>FORA 30G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001202</ndc>
    <ndc_label_name>Fora V10-V12-D10-D20 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16042001203</ndc>
    <ndc_label_name>Fora Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001204</ndc>
    <ndc_label_name>Fora D40g Glucose-BP Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001224</ndc>
    <ndc_label_name>Fora P50 Blood Pressur Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001271</ndc>
    <ndc_label_name>Fora Premium V10 glucose meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001272</ndc>
    <ndc_label_name>PRO VOICE V8 GLUCOSE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001273</ndc>
    <ndc_label_name>Pro Voice V9 Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001274</ndc>
    <ndc_label_name>Pro Voice V8-V9 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001305</ndc>
    <ndc_label_name>Fora P30 Plus BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001306</ndc>
    <ndc_label_name>FORA 6 CONNECT MULTIFUNCTN MTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001307</ndc>
    <ndc_label_name>Fora 6 Connect Glucose Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001311</ndc>
    <ndc_label_name>Fora 6 Connect-GTel-Test N'GO Advance-Voice Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001313</ndc>
    <ndc_label_name>Fora Ketone Control Solution-L1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001315</ndc>
    <ndc_label_name>Fora 6 Connect Ketone Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001316</ndc>
    <ndc_label_name>Fora Test N'GO Advance Voice Blood Ketone Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001317</ndc>
    <ndc_label_name>Fora Test N'GO Advance Multi-Function Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001333</ndc>
    <ndc_label_name>Fora GTel Multi-functional Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001339</ndc>
    <ndc_label_name>Fora GTel Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001340</ndc>
    <ndc_label_name>Fora GTel Ketone Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001364</ndc>
    <ndc_label_name>Fora Test N'GO Advance Pro Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001365</ndc>
    <ndc_label_name>Fora Test N'GO Advance Pro Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001366</ndc>
    <ndc_label_name>Fora Test N'GO Advance Pro Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001386</ndc>
    <ndc_label_name>Fora P30 Plus BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001403</ndc>
    <ndc_label_name>Fora GTel Ketone Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001461</ndc>
    <ndc_label_name>Fora Test N'GO Adv Mobile Multi-Function Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001482</ndc>
    <ndc_label_name>FORA P20 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001483</ndc>
    <ndc_label_name>FORA P20 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001484</ndc>
    <ndc_label_name>FORA P20 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001485</ndc>
    <ndc_label_name>FORA P20 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001489</ndc>
    <ndc_label_name>FORA P50-P30 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001525</ndc>
    <ndc_label_name>FORA 6CON-TNG URIC ACID STRIP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16042001635</ndc>
    <ndc_label_name>FORA P50-P30 Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034611</ndc>
    <ndc_label_name>Pharbechlor 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034711</ndc>
    <ndc_label_name>Pharbedryl 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034799</ndc>
    <ndc_label_name>Pharbedryl 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034803</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034808</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034811</ndc>
    <ndc_label_name>Pharbedryl 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103034899</ndc>
    <ndc_label_name>Pharbedryl 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035004</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035008</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035011</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035099</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035307</ndc>
    <ndc_label_name>Pharbetol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035308</ndc>
    <ndc_label_name>Pharbetol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035311</ndc>
    <ndc_label_name>Pharbetol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035399</ndc>
    <ndc_label_name>Pharbetol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035508</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035511</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035609</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035611</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035708</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035711</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035799</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035908</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103035911</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036008</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036011</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036099</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036108</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036111</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036199</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036308</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036311</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036399</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036508</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036511</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036599</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036605</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036611</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036807</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036899</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036907</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036911</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103036999</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103037606</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103037608</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103037611</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103037699</ndc>
    <ndc_label_name>Pharbetol 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103037811</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16103038104</ndc>
    <ndc_label_name>Pharbinex-DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038208</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038211</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038608</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038611</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038708</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103038711</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103039808</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103039817</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103039908</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103039911</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103039999</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16103040299</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110002660</ndc>
    <ndc_label_name>CORDRAN 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110003412</ndc>
    <ndc_label_name>CORDRAN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110003512</ndc>
    <ndc_label_name>CORDRAN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110004210</ndc>
    <ndc_label_name>Tazorac 0.1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110004230</ndc>
    <ndc_label_name>Tazorac 0.1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110005212</ndc>
    <ndc_label_name>CORDRAN 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110007130</ndc>
    <ndc_label_name>Veltin 1.2 %-0.025 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110007160</ndc>
    <ndc_label_name>Veltin 1.2 %-0.025 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110008045</ndc>
    <ndc_label_name>XOLEGEL 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110011100</ndc>
    <ndc_label_name>Verdeso 0.05 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110024530</ndc>
    <ndc_label_name>Seysara 60 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110024630</ndc>
    <ndc_label_name>Seysara 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110024730</ndc>
    <ndc_label_name>Seysara 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110036760</ndc>
    <ndc_label_name>Aczone 5 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110036790</ndc>
    <ndc_label_name>Aczone 5 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110039105</ndc>
    <ndc_label_name>Klisyri 1 % (250 mg) topical ointment in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110039125</ndc>
    <ndc_label_name>Klisyri 1 % (250 mg) topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110039135</ndc>
    <ndc_label_name>Klisyri 1 % (350 mg) topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110039155</ndc>
    <ndc_label_name>Klisyri 1 % (350 mg) topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110051815</ndc>
    <ndc_label_name>Altabax 1 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110051830</ndc>
    <ndc_label_name>Altabax 1 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110052660</ndc>
    <ndc_label_name>Aczone 7.5 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110052690</ndc>
    <ndc_label_name>Aczone 7.5 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110058780</ndc>
    <ndc_label_name>Cordran Tape Large Roll 4 mcg/cm2</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110081230</ndc>
    <ndc_label_name>FLUOROPLEX 1% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110083310</ndc>
    <ndc_label_name>Tazorac 0.05 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110083330</ndc>
    <ndc_label_name>Tazorac 0.05 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110086930</ndc>
    <ndc_label_name>Azelex 20 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110086950</ndc>
    <ndc_label_name>Azelex 20 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110091530</ndc>
    <ndc_label_name>Tazorac 0.05 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110091560</ndc>
    <ndc_label_name>Tazorac 0.05 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110091630</ndc>
    <ndc_label_name>Tazorac 0.1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16110091660</ndc>
    <ndc_label_name>Tazorac 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169001012</ndc>
    <ndc_label_name>Kimono Thin Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169003012</ndc>
    <ndc_label_name>Kimono Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169005003</ndc>
    <ndc_label_name>Kimono MicroThin Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169005012</ndc>
    <ndc_label_name>Kimono MicroThin Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169005024</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169006003</ndc>
    <ndc_label_name>Kimono MicroThin Aqua Lube Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169006012</ndc>
    <ndc_label_name>Kimono MicroThin Aqua Lube Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169006024</ndc>
    <ndc_label_name>Kimono MicroThin Aqua Lube Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kimono Textured Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kimono Textured Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16169008003</ndc>
    <ndc_label_name>Kimono MicroThin Large Condoms</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kimono MicroThin Large Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16169051002</ndc>
    <ndc_label_name>Aqua Lube topical lubricant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aqua Lube topical lubricant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16252054001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16417078184</ndc>
    <ndc_label_name>Eggs-Apples-Oats oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16417078185</ndc>
    <ndc_label_name>Turkey-Sweet Potatoes-Peaches oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16417078186</ndc>
    <ndc_label_name>Turkey-Sweet Potatoes-Peaches oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477010116</ndc>
    <ndc_label_name>Rondec-D 30 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477020101</ndc>
    <ndc_label_name>Hemmorex-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477020112</ndc>
    <ndc_label_name>Hemmorex-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477020124</ndc>
    <ndc_label_name>Hemmorex-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477020199</ndc>
    <ndc_label_name>Hemmorex-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477020212</ndc>
    <ndc_label_name>Hemmorex-HC 30 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477034001</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477034003</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477034007</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477034108</ndc>
    <ndc_label_name>UREA 41% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477041006</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477041012</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477041108</ndc>
    <ndc_label_name>SOD SULFACETAMIDE 10% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477042206</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.25% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477042306</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.3% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477050256</ndc>
    <ndc_label_name>B and C topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477050260</ndc>
    <ndc_label_name>B and C topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16477073801</ndc>
    <ndc_label_name>HYOSCYAMINE ER 0.375 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16490002573</ndc>
    <ndc_label_name>Clinitest COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16490002574</ndc>
    <ndc_label_name>Clinitest COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16490002594</ndc>
    <ndc_label_name>Clinitest COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16490002597</ndc>
    <ndc_label_name>Clinitest COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500002005</ndc>
    <ndc_label_name>Bactine (with alcohol) 2.5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500002007</ndc>
    <ndc_label_name>Bactine (with alcohol) 2.5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500002009</ndc>
    <ndc_label_name>Bactine (with alcohol) topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500002322</ndc>
    <ndc_label_name>Domeboro 952 mg-1,347 mg topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500002324</ndc>
    <ndc_label_name>Domeboro 952 mg-1,347 mg topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500004011</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500004012</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500004019</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500004108</ndc>
    <ndc_label_name>Alka-Seltzer Gold 344 mg-1,050 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500004404</ndc>
    <ndc_label_name>Alka-Seltzer Extra Strength 500 mg-1,985 mg-1,000 mg effervesc. tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007303</ndc>
    <ndc_label_name>One-A-Day Essential tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007406</ndc>
    <ndc_label_name>One-A-Day Womens Formula 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007410</ndc>
    <ndc_label_name>One-A-Day Womens Formula 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007412</ndc>
    <ndc_label_name>One-A-Day Womens Formula 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007511</ndc>
    <ndc_label_name>One-A-Day Maximum Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007513</ndc>
    <ndc_label_name>One-A-Day Maximum Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500007706</ndc>
    <ndc_label_name>Flintstones Plus Calcium chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007814</ndc>
    <ndc_label_name>Flintstones Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500007818</ndc>
    <ndc_label_name>Flintstones Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500008004</ndc>
    <ndc_label_name>One-A-Day Men's Multivitamin 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500008012</ndc>
    <ndc_label_name>One-A-Day Men's Multivitamin 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500008014</ndc>
    <ndc_label_name>One-A-Day Men's Multivitamin 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500008619</ndc>
    <ndc_label_name>Flintstones/Extra C chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500009713</ndc>
    <ndc_label_name>Flintstones Complete (ferrous sulfate) 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500050379</ndc>
    <ndc_label_name>One-A-Day Women's Active 18 mg iron-400 mcg-180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500050492</ndc>
    <ndc_label_name>RID Complete Lice Elimination Kit 4 %-0.33 %-0.5 % Topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500050603</ndc>
    <ndc_label_name>Scooby-Doo One A Day chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500050827</ndc>
    <ndc_label_name>Bactine Pain Relieving Cleansing 2.5 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500051020</ndc>
    <ndc_label_name>Cutter 10 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500051328</ndc>
    <ndc_label_name>One-A-Day WeightSmart 200 mg-18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500051329</ndc>
    <ndc_label_name>One-A-Day WeightSmart 200 mg-18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500051447</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500051627</ndc>
    <ndc_label_name>Flintstones Multivitamin 300 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500052128</ndc>
    <ndc_label_name>One-A-Day Cholesterol Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500052227</ndc>
    <ndc_label_name>Flintstones Multi-Vitamins Gummies 100 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500052309</ndc>
    <ndc_label_name>Flintstones Multi-Vitamins Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500052424</ndc>
    <ndc_label_name>Flintstones Tab Chew 100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500052426</ndc>
    <ndc_label_name>Scooby-Doo One A Day Kids chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500052586</ndc>
    <ndc_label_name>One-A-Day Energy 9 mg iron-400 mcg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500052916</ndc>
    <ndc_label_name>One-A-Day Men's 50 Plus (with ginkgo) 400 mcg-300 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500052990</ndc>
    <ndc_label_name>RID Complete Lice Elimination Kit 4 %-0.33 %-0.5 % Topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053025</ndc>
    <ndc_label_name>One-A-Day Energy 9 mg iron-400 mcg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053082</ndc>
    <ndc_label_name>Flintstones/Extra C 100 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053454</ndc>
    <ndc_label_name>Citracal Plus Bone Density Builder 300 mg-200 unit-13.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053455</ndc>
    <ndc_label_name>Citracal Plus Bone Density Builder 300 mg-200 unit-13.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053457</ndc>
    <ndc_label_name>Citracal + Vitamin D Maximum 315 mg-6.25 mcg (250 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500053499</ndc>
    <ndc_label_name>Flintstones Sour Gummies Complete chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053502</ndc>
    <ndc_label_name>Citracal-D3 Petites 200 mg (as citrate)-6.25 mcg (250 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053503</ndc>
    <ndc_label_name>Citracal-D3 Petites 200 mg (as citrate)-6.25 mcg (250 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053505</ndc>
    <ndc_label_name>Citracal-D3 Maximum Plus 325 mg-12.5 mcg-2.75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053506</ndc>
    <ndc_label_name>Citracal Regular 250 mg (as citrate)-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053507</ndc>
    <ndc_label_name>Citracal-D3 Plus Magnesium 250 mg-40 mg-125 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053536</ndc>
    <ndc_label_name>Citracal-D3 Maximum Plus 325 mg-12.5 mcg-2.75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500053539</ndc>
    <ndc_label_name>One-A-Day Teen Advantage 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500053540</ndc>
    <ndc_label_name>One-A-Day Teen Advantage 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053728</ndc>
    <ndc_label_name>Flintstones/Extra C 100 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500053729</ndc>
    <ndc_label_name>One-A-Day Kid's chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053758</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053759</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053760</ndc>
    <ndc_label_name>Alka-Seltzer Plus C/C(PE,DM) 2 mg-7.8 mg-10 mg-325 mg efferves. tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053761</ndc>
    <ndc_label_name>Alka-Seltzer Plus Night 6.25 mg-7.8 mg-10 mg-500 mg efferves. tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053764</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053765</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053766</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053768</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053769</ndc>
    <ndc_label_name>Alka-Seltzer Plus Day-Night 7.8-325 mg(dy)/6.25-500 mg(nt) efferv.tabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053775</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold Night 6.25 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053778</ndc>
    <ndc_label_name>Alka-Seltzer Plus Mucus-Congestion 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053781</ndc>
    <ndc_label_name>Alka-Seltzer Plus Day 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053872</ndc>
    <ndc_label_name>One-A-Day VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500053873</ndc>
    <ndc_label_name>One-A-Day VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500053879</ndc>
    <ndc_label_name>Flintstones Gummies chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054010</ndc>
    <ndc_label_name>Cutter Skinsations 7 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054043</ndc>
    <ndc_label_name>Citracal-D3 Plus Heart Health 315 mg-250 unit-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500054099</ndc>
    <ndc_label_name>Citracal-D3 Slow Release 600 mg-12.5 mcg (500 unit) tablet,extend. rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500054118</ndc>
    <ndc_label_name>One-A-Day Men's Pro Edge 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054137</ndc>
    <ndc_label_name>One-A-Day Menopause Formula 400 mcg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054148</ndc>
    <ndc_label_name>One-A-Day VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054207</ndc>
    <ndc_label_name>One-A-Day Women's Healthy Skin 18 mg iron-400 mcg-6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500054256</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054264</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold/Cough Formula 2 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054269</ndc>
    <ndc_label_name>One-A-Day Vitacraves Immunity 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500054286</ndc>
    <ndc_label_name>One-A-Day Womens Formula 18 mg iron-400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054347</ndc>
    <ndc_label_name>Alka-Seltzer Plus Flu 2 mg-5 mg-10 mg-250 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054489</ndc>
    <ndc_label_name>One-A-Day Vitacraves Immunity 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054544</ndc>
    <ndc_label_name>Alka-Seltzer Plus Sinus-Cough 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054569</ndc>
    <ndc_label_name>Flintstones Gummies Omega-3 DHA 16 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054583</ndc>
    <ndc_label_name>One-A-Day Vitacraves Omega-3 200 mcg-16 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500054589</ndc>
    <ndc_label_name>One-A-Day Women's Petites 9 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054605</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054738</ndc>
    <ndc_label_name>Alka-Seltzer Plus Sinus-Allergy-Cgh 6.25 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054765</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold/Cough Formula 2 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054852</ndc>
    <ndc_label_name>One-A-Day Trubiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054876</ndc>
    <ndc_label_name>One-A-Day Women VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054877</ndc>
    <ndc_label_name>One-A-Day Men VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054901</ndc>
    <ndc_label_name>Alka-Seltzer Plus Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500054928</ndc>
    <ndc_label_name>Alka-Seltzer Plus Sinus-Allergy-Cgh 6.25 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055080</ndc>
    <ndc_label_name>One-A-Day Trubiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055281</ndc>
    <ndc_label_name>One A Day Women's Prenatal DHA 28 mg iron-800 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055282</ndc>
    <ndc_label_name>One A Day Women's Prenatal DHA 28 mg iron-800 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055283</ndc>
    <ndc_label_name>One A Day Women's Prenatal DHA 28 mg iron-800 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055405</ndc>
    <ndc_label_name>Citracal-D3 Soft Chew 500 mg-1,000 unit-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500055434</ndc>
    <ndc_label_name>Flintstones Complete chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055448</ndc>
    <ndc_label_name>Alka-Seltzer Plus-D Sinus-Cold 2 mg-30 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055486</ndc>
    <ndc_label_name>Flintstones Bone Support 125 mg-3.125 mcg (125 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055529</ndc>
    <ndc_label_name>Alka-Seltzer Plus Sinus-Cough 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055531</ndc>
    <ndc_label_name>Alka-Seltzer Plus Day-Night (acetam) 6.25 mg-5 mg-10 mg-325mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055591</ndc>
    <ndc_label_name>One-A-Day Women VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055592</ndc>
    <ndc_label_name>One-A-Day Women VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055594</ndc>
    <ndc_label_name>One-A-Day Men VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055595</ndc>
    <ndc_label_name>One-A-Day Men VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055606</ndc>
    <ndc_label_name>One-A-Day Trubiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055614</ndc>
    <ndc_label_name>One-A-Day VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055615</ndc>
    <ndc_label_name>One-A-Day VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055642</ndc>
    <ndc_label_name>Berocca (FA-guarana-caff) 400 mcg-89.45 mg-44 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055644</ndc>
    <ndc_label_name>Berocca (FA-guarana-caff) 400 mcg-89.45 mg-44 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055709</ndc>
    <ndc_label_name>One-A-Day Vitacraves Immunity 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055710</ndc>
    <ndc_label_name>One-A-Day Vitacraves Immunity 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055711</ndc>
    <ndc_label_name>One-A-Day Vitacraves Omega-3 200 mcg-16 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055742</ndc>
    <ndc_label_name>Berocca (FA-guarana-caff) 400 mcg-89.45 mg-44 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055796</ndc>
    <ndc_label_name>Alka-Seltzer Heartburn-Gas 750 mg-80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500055817</ndc>
    <ndc_label_name>One-A-Day Prenatal-1  27 mg iron-800 mcg-235 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055818</ndc>
    <ndc_label_name>One-A-Day Teen for Her VitaCraves 300 unit-37.5 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055819</ndc>
    <ndc_label_name>One-A-Day Teen for Him VitaCraves 300 unit-37.5 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055827</ndc>
    <ndc_label_name>One-A-Day VitaCraves Energy 100 mcg-22.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055841</ndc>
    <ndc_label_name>One A Day Men Complete 240 mcg-25 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055939</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold-Flu 12.5 mg-10 mg-20 mg-650 mg oral powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500055940</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold Day-Nt 12.5mg-10 mg-20mg-650mg(nt) powder packs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056010</ndc>
    <ndc_label_name>One-A-Day Prenatal-1  27 mg iron-800 mcg-235 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056015</ndc>
    <ndc_label_name>Citracal-D3 Gummies 250 mg-12.5 mcg (500 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056164</ndc>
    <ndc_label_name>One-A-Day Proactive 65 Plus 200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056390</ndc>
    <ndc_label_name>One-A-Day Prenatal-1  27 mg iron-800 mcg-235 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056417</ndc>
    <ndc_label_name>Alka-Seltzer Original 325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056502</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold (PE) 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056531</ndc>
    <ndc_label_name>One-A-Day Women's 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056533</ndc>
    <ndc_label_name>One-A-Day Men's 50 Plus 400 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056675</ndc>
    <ndc_label_name>Alka-Seltzer Gold 344 mg-1,050 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056676</ndc>
    <ndc_label_name>Alka-Seltzer Heartburn 1,976 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056723</ndc>
    <ndc_label_name>One-A-Day Trubiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500056730</ndc>
    <ndc_label_name>Alka-Seltzer Heartburn 1,650 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056870</ndc>
    <ndc_label_name>One-A-Day Prenatal 400 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500056871</ndc>
    <ndc_label_name>One-A-Day Prenatal 400 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500057428</ndc>
    <ndc_label_name>Alka-Seltzer PM (with melatonin) 250 mg-1.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500057608</ndc>
    <ndc_label_name>Flintstones Complete (ferrous sulfate) 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500057682</ndc>
    <ndc_label_name>Alka-Seltzer Plus Cold Night 6.25 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500057978</ndc>
    <ndc_label_name>One-A-Day Men's 50 Plus 400 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500058295</ndc>
    <ndc_label_name>Citracal-D3 Slow Release 600 mg-12.5 mcg (500 unit) tablet,extend. rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058347</ndc>
    <ndc_label_name>Alka-Seltzer Plus Day-Night (acetam) 6.25 mg-5 mg-10 mg-325mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058657</ndc>
    <ndc_label_name>One-A-Day Prenatal Advanced 27 mg iron-800 mcg-110 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058658</ndc>
    <ndc_label_name>One-A-Day Prenatal Advanced 27 mg iron-800 mcg-110 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058659</ndc>
    <ndc_label_name>One-A-Day Prenatal Advanced 27 mg iron-800 mcg-110 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058683</ndc>
    <ndc_label_name>One-A-Day Women VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058684</ndc>
    <ndc_label_name>One-A-Day Men VitaCraves 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500058694</ndc>
    <ndc_label_name>One-A-Day Men's Complete 240 mcg-30 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058695</ndc>
    <ndc_label_name>One A Day Men Complete 240 mcg-25 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058702</ndc>
    <ndc_label_name>One-A-Day Men's 50 Plus 400 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500058703</ndc>
    <ndc_label_name>One-A-Day Women's 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500058745</ndc>
    <ndc_label_name>One-A-Day Women's 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058758</ndc>
    <ndc_label_name>Alka-Seltzer Plus Day-Night 7.8-325 mg(dy)/6.25-500 mg(nt) efferv.tabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500058759</ndc>
    <ndc_label_name>Alka-Seltzer Plus Night 6.25 mg-7.8 mg-10 mg-500 mg efferves. tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059283</ndc>
    <ndc_label_name>Alka-Seltzer Heartburn Relief 300 mg (as carbonate 750 mg) chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500059286</ndc>
    <ndc_label_name>Alka-Seltzer Heartburn-Gas 750 mg-80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500059309</ndc>
    <ndc_label_name>ONE-A-DAY TRIPLE IMMUNE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500059565</ndc>
    <ndc_label_name>One-A-Day Postnatal 3 mg-500 mcg-215 mg-180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059580</ndc>
    <ndc_label_name>One-A-Day Women's Complete 18 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500059642</ndc>
    <ndc_label_name>One-A-Day Men's 50 Plus 400 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059643</ndc>
    <ndc_label_name>One-A-Day Women's 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16500059885</ndc>
    <ndc_label_name>Alka-Seltzer Severe Cold 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059916</ndc>
    <ndc_label_name>Flintstones Complete (ferrous sulfate) 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059917</ndc>
    <ndc_label_name>Flintstones Complete (ferrous sulfate) 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059918</ndc>
    <ndc_label_name>Flintstones Complete (ferrous sulfate) 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059919</ndc>
    <ndc_label_name>Flintstones with Extra Iron 18 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059920</ndc>
    <ndc_label_name>Flintstones with Extra Iron 18 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16500059921</ndc>
    <ndc_label_name>Flintstones Immunity Support 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514022900</ndc>
    <ndc_label_name>Baby's Only Organic Dairy 2 gram-80 kcal/17 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514022902</ndc>
    <ndc_label_name>Baby's Only Organic Dairy 2 gram-80 kcal/17 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514022903</ndc>
    <ndc_label_name>Baby's Only Org LactoRelief 2 gram-80 kcal/17 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514022927</ndc>
    <ndc_label_name>Baby's Only Organic Dairy Whey 2 gram-80 kcal/17 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514022930</ndc>
    <ndc_label_name>Baby's Only Dairy 2 gram-80 kcal/17 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514053950</ndc>
    <ndc_label_name>Baby's Only Organic Soy 2 gram-80 kcal/17.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514053952</ndc>
    <ndc_label_name>Baby's Only Organic Soy 2 gram-80 kcal/17.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514088101</ndc>
    <ndc_label_name>Organic PediaSmart 7 gram-237 kcal/52 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514088103</ndc>
    <ndc_label_name>Organic PediaSmart 7 gram-237 kcal/52 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16514088201</ndc>
    <ndc_label_name>Organic PediaSmart 7 gram-237 kcal/52 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16514091463</ndc>
    <ndc_label_name>PediaVance 5.3 mEq-2.35 mEq-4.15 mEq oral concentrate in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16514092460</ndc>
    <ndc_label_name>PediaVance 5.3 mEq-2.35 mEq-4.15 mEq oral concentrate in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16526001000</ndc>
    <ndc_label_name>St. Joseph Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16526001001</ndc>
    <ndc_label_name>St. Joseph Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16526001002</ndc>
    <ndc_label_name>St. Joseph Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16526001022</ndc>
    <ndc_label_name>St. Joseph Aspirin 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16533058621</ndc>
    <ndc_label_name>Phlexy-Vits 15 mg-700 mcg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16533063123</ndc>
    <ndc_label_name>XMet XCys Maxamaid 25 gram-309 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16533063184</ndc>
    <ndc_label_name>XMet XCys Maxamaid 25 gram-309 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16563001701</ndc>
    <ndc_label_name>Magnesium Complex 300 mg magnesium tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571007112</ndc>
    <ndc_label_name>CEFACLOR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571007211</ndc>
    <ndc_label_name>CEFACLOR 375 MG/5 ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010009</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010010</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010501</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010510</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010601</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010610</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010710</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571010901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011112</ndc>
    <ndc_label_name>CHLORHEXIDINE 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011124</ndc>
    <ndc_label_name>CHLORHEXIDINE 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011148</ndc>
    <ndc_label_name>CHLORHEXIDINE 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011201</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011250</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011301</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011350</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011401</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011410</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011450</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011501</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011510</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011550</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011601</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011650</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011701</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571011750</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571012606</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571012706</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571012750</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571012815</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571012848</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571012852</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013412</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013448</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013609</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013610</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013650</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013709</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013710</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013750</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013809</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013810</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013850</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013909</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013910</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571013950</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571015701</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 10-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571015801</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571015901</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-250 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571016501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571016601</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571016701</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571016801</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571016901</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017101</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017110</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017150</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017201</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017210</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571017250</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571017303</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571017309</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571017403</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571017409</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020106</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020110</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020111</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020150</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020206</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020210</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020211</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571020310</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571021010</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571022301</ndc>
    <ndc_label_name>TIMOLOL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571022401</ndc>
    <ndc_label_name>TIMOLOL MALEATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571022501</ndc>
    <ndc_label_name>TIMOLOL MALEATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571022601</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571022650</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571024201</ndc>
    <ndc_label_name>DICHLORPHENAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571024503</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571024603</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571024616</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571025901</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571025910</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571026001</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571026010</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571030116</ndc>
    <ndc_label_name>Guaifenesin DAC 30 mg-10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571030216</ndc>
    <ndc_label_name>Guaifenesin AC 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571040110</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571040210</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571040250</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571041110</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571041210</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571041250</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571041305</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571060096</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571065710</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571065906</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066001</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066050</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066101</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066110</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066201</ndc>
    <ndc_label_name>MECLIZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066401</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066450</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066501</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066550</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066701</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066710</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066801</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066901</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571066950</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067050</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067101</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067110</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067201</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067250</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067301</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067310</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067401</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067450</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067516</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571067616</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571067621</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571067642</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067701</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067801</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571067901</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068001</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068101</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068201</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068303</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068309</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068403</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068409</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068503</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068509</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571068607</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG LOZENGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571068614</ndc>
    <ndc_label_name>CLOTRIMAZOLE 10 MG LOZENGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571068809</ndc>
    <ndc_label_name>FENOPROFEN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571068901</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 50 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069001</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 75 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 100 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069201</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 125 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069301</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 150 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069401</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 200 MG-ENTA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069503</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069516</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069581</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571069603</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571069703</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571069803</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571069809</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571069850</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071601</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071610</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071650</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071710</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071810</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571071910</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072010</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072101</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072106</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072110</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571072250</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072348</ndc>
    <ndc_label_name>Sulfamylon 85 mg/g topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072360</ndc>
    <ndc_label_name>Sulfamylon 85 mg/g topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072501</ndc>
    <ndc_label_name>CHLORZOXAZONE 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072601</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072701</ndc>
    <ndc_label_name>CHLORZOXAZONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571072812</ndc>
    <ndc_label_name>One-Daily Multi 800 mcg-1 mg-500 mcg-500 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571073521</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571073528</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571073606</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571073706</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571073806</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571074242</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571074309</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571074409</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571075453</ndc>
    <ndc_label_name>NEOMYC-BACIT-POLYMIX EYE OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075501</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075510</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075601</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075610</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075701</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075710</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075809</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571075909</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076209</ndc>
    <ndc_label_name>LEVOCARNITINE 330 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076703</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076709</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076803</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076809</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571076924</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077301</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077350</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077401</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077450</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077501</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077550</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077803</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077809</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077810</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077850</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077903</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077909</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077910</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571077950</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571078001</ndc>
    <ndc_label_name>CARISOPRODOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571078101</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571078110</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571078150</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078201</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078210</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078250</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078301</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078310</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078350</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078406</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078450</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078501</ndc>
    <ndc_label_name>LAMOTRIGINE 5 MG DISPER TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078601</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG DISPER TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078712</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078750</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078812</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078850</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078912</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571078950</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571079006</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571080316</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571080413</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571080501</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571080510</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571080606</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571080901</ndc>
    <ndc_label_name>QUETIAPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081001</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081205</ndc>
    <ndc_label_name>TRIENTINE HCL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571081320</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571081450</ndc>
    <ndc_label_name>Denta 5000 Plus 1.1 % cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571081560</ndc>
    <ndc_label_name>DentaGel 1.1 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081641</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081651</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081741</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081751</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081841</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081851</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081941</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571081951</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082041</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082051</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082151</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571082201</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571082203</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571082230</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082310</ndc>
    <ndc_label_name>Denta 5000 Plus Sensitive 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571082401</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571082410</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082709</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 25-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082809</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 25-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571082909</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 50-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571083009</ndc>
    <ndc_label_name>CAPTOPRIL-HCTZ 50-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083101</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083110</ndc>
    <ndc_label_name>PROBENECID 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083201</ndc>
    <ndc_label_name>PROBENECID-COLCHICINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571083316</ndc>
    <ndc_label_name>PYRIDOSTIGMINE 60 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083401</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083450</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571083501</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571084201</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571084250</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571084301</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571084350</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085203</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085303</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085309</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085403</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085503</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571085509</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571085601</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571085650</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086125</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086203</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086209</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086212</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086250</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086303</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086309</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086350</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086401</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086501</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086701</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086710</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086750</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086801</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086810</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086850</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086901</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086910</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571086950</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571087201</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571087290</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571087301</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571087501</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571087601</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571088042</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088101</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088110</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088205</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088309</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088310</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571088409</ndc>
    <ndc_label_name>ALLOPURINOL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088509</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088550</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16571088806</ndc>
    <ndc_label_name>NITROFURANTOIN 50 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088909</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571088950</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089009</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089050</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089109</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089150</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089209</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16571089250</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714000101</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714000601</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714000610</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714000701</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714000801</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714000901</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001001</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001401</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001402</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714001501</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001601</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001610</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001805</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001830</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001905</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714001930</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002005</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002030</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002601</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002610</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714002701</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002901</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714002903</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714003001</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003401</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003402</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003501</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003502</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003601</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003610</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714003701</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714003710</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714003801</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714003802</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003901</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714003902</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004001</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004002</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004107</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004110</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004112</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004210</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004211</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004301</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004401</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004501</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004601</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004610</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004701</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004801</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714004901</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005001</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005101</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005201</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005202</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005203</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005204</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005210</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005211</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714005501</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714005502</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005601</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714005610</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714005901</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714006001</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714006301</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714006401</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714006501</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714006601</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714006610</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714006701</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007001</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007002</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714007104</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714007106</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714007204</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714007205</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007401</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007402</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007501</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007601</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714007701</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008111</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008210</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008211</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008212</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008310</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008311</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008401</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008402</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008403</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008501</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008502</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008601</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008602</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008603</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008604</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714008701</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714009801</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714009901</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714010001</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714010102</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714010105</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011001</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011002</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714011201</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714011202</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714011301</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714011302</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714011401</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011501</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011502</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011601</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011602</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011701</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011702</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011902</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714011903</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012101</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012201</ndc>
    <ndc_label_name>PILOCARPINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012301</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012302</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012303</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012801</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714012901</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714013001</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714013025</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714013101</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714013201</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714013301</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714013401</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714013501</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714013601</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714013701</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714014001</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014101</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014201</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014301</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014401</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014501</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714014601</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714015001</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714015501</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714015503</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714015601</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714015701</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714015801</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714015901</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016001</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016101</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016102</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714016401</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714016410</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714016501</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714016525</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016601</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016701</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714016801</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714017001</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017101</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017201</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017202</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017301</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017302</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017303</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017401</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017402</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017403</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017501</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017502</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017503</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017601</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017602</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017603</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714017801</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018101</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018102</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018103</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018104</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018105</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018201</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018202</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018203</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018204</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018301</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018302</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018303</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018401</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018402</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018403</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018404</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018405</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714018501</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714018502</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714018601</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714018602</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018701</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018801</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714018901</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019001</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019101</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019201</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019301</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019401</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019501</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019601</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714019701</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714019801</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714019901</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714020010</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714020030</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714020110</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714020130</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714021301</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714021302</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714021303</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022401</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022402</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022403</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022501</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022502</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022504</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022601</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022602</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714022604</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714022701</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714022801</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714022901</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714023001</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714023401</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714023402</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714023501</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714023502</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024401</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024501</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024530</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024601</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714024701</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714024710</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714024801</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024901</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714024902</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025001</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025002</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025702</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025802</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714025902</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714026001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714026101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714026703</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714026801</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714027001</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714027002</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714027601</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714027602</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714027603</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029201</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029202</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029203</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029301</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029302</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029303</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029402</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029403</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029701</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029702</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029801</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029902</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029903</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714029904</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030101</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030110</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030201</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030210</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030901</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714030910</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714031001</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714033001</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714033002</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714033201</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714033202</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034001</ndc>
    <ndc_label_name>Levonest (28) 50-30 (6)/75-40(5)/125-30(10) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034004</ndc>
    <ndc_label_name>Levonest (28) 50-30 (6)/75-40(5)/125-30(10) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034601</ndc>
    <ndc_label_name>Dasetta 7/7/7 (28) 0.5 mg(7)/0.75 mg(7)/1 mg(7)-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034604</ndc>
    <ndc_label_name>Dasetta 7/7/7 (28) 0.5 mg(7)/0.75 mg(7)/1 mg(7)-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034701</ndc>
    <ndc_label_name>Philith 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034704</ndc>
    <ndc_label_name>Philith 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034801</ndc>
    <ndc_label_name>Dasetta 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714034804</ndc>
    <ndc_label_name>Dasetta 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035201</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035401</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035402</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035501</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035502</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035601</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035602</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035701</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035801</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035901</ndc>
    <ndc_label_name>Falmina (28) 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035903</ndc>
    <ndc_label_name>Falmina (28) 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714035904</ndc>
    <ndc_label_name>Falmina (28) 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036001</ndc>
    <ndc_label_name>Mono-Linyah 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036004</ndc>
    <ndc_label_name>Mono-Linyah 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036301</ndc>
    <ndc_label_name>Tri-Linyah (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036304</ndc>
    <ndc_label_name>Tri-Linyah (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036501</ndc>
    <ndc_label_name>Elinest 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036504</ndc>
    <ndc_label_name>Elinest 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036601</ndc>
    <ndc_label_name>Setlakin 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714036603</ndc>
    <ndc_label_name>Setlakin 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037001</ndc>
    <ndc_label_name>Wera (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037003</ndc>
    <ndc_label_name>Wera (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037502</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037602</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037702</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714037901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714038001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714038801</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714038802</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714038901</ndc>
    <ndc_label_name>CEFADROXIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039001</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039002</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714039401</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714039501</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039602</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039603</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039701</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039702</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039703</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039801</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714039901</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040001</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040002</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040101</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040102</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714040201</ndc>
    <ndc_label_name>CEFPODOXIME 50 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714040202</ndc>
    <ndc_label_name>CEFPODOXIME 50 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714040301</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714040302</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040401</ndc>
    <ndc_label_name>Pimtrea (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040404</ndc>
    <ndc_label_name>Pimtrea (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040501</ndc>
    <ndc_label_name>Larin Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040504</ndc>
    <ndc_label_name>Larin Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040601</ndc>
    <ndc_label_name>Larin Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040604</ndc>
    <ndc_label_name>Larin Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040701</ndc>
    <ndc_label_name>Larin 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040703</ndc>
    <ndc_label_name>Larin 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040801</ndc>
    <ndc_label_name>Larin 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714040803</ndc>
    <ndc_label_name>Larin 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714041601</ndc>
    <ndc_label_name>Larin 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714041603</ndc>
    <ndc_label_name>Larin 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714043901</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044001</ndc>
    <ndc_label_name>Deblitane 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044004</ndc>
    <ndc_label_name>Deblitane 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044101</ndc>
    <ndc_label_name>Sharobel 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044104</ndc>
    <ndc_label_name>Sharobel 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044201</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044202</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044301</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044302</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044401</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044402</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044501</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044502</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044601</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044602</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714044802</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045202</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045301</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045302</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045401</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045402</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714045701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714046401</ndc>
    <ndc_label_name>Juleber 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714046404</ndc>
    <ndc_label_name>Juleber 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714046701</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714046801</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714047601</ndc>
    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714047701</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714047802</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048301</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048302</ndc>
    <ndc_label_name>CLINDAMYCIN (PEDI) 75 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048401</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048402</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048501</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714048502</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714049601</ndc>
    <ndc_label_name>CLOTRIMAZOLE-BETAMETHASONE CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714049602</ndc>
    <ndc_label_name>CLOTRIMAZOLE-BETAMETHASONE CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049701</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049702</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049801</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049802</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049901</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714049902</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714051701</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052301</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052302</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052401</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052402</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052501</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052502</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714052601</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714052701</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714052801</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714052810</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714052820</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052901</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714052902</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714053001</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714053002</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714053401</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714053501</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714053601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714053625</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714053701</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714053702</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714054001</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714054801</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714054901</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055001</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055201</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055301</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055401</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055501</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714055601</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055701</ndc>
    <ndc_label_name>METRONIDAZOLE VAGINAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055801</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055802</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055901</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714055902</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056001</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056002</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056401</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056501</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056601</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056701</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714056901</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057001</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057002</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714057201</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057601</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057602</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057603</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057604</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057701</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714057702</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714059001</ndc>
    <ndc_label_name>DIGOXIN 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714059002</ndc>
    <ndc_label_name>DIGOXIN 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714059101</ndc>
    <ndc_label_name>DIGOXIN 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714059102</ndc>
    <ndc_label_name>DIGOXIN 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714060102</ndc>
    <ndc_label_name>SERTRALINE 20 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714060901</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714060905</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061101</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061104</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061105</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061106</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061201</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061204</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061205</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061206</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061301</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061304</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061305</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714061306</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714062001</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714062025</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062101</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062102</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062201</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062202</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062301</ndc>
    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062401</ndc>
    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062501</ndc>
    <ndc_label_name>LAMOTRIGINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062601</ndc>
    <ndc_label_name>LAMOTRIGINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062701</ndc>
    <ndc_label_name>LAMOTRIGINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714062801</ndc>
    <ndc_label_name>CIPROFLOX-DEXAMETH OTIC SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063101</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063102</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063201</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063202</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063301</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063302</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063401</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063402</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063403</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714063601</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064301</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064401</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064410</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064501</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064502</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064503</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064601</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064602</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064603</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064701</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064702</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714064703</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714065501</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714065601</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714065701</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714065801</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714065901</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066101</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066102</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066201</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066202</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066301</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714066302</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714067102</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714067401</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714067601</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714067701</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714067801</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714067901</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068101</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068102</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068201</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068202</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068203</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068301</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068302</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068303</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068401</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068402</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068403</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068501</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068502</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714068503</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714069001</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714069010</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069101</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069102</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069210</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069211</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069301</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069302</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069401</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069501</ndc>
    <ndc_label_name>FLUCONAZOLE 10 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069601</ndc>
    <ndc_label_name>FLUCONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069703</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714069803</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714069901</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714070001</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714070101</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714070201</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714070301</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071301</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071302</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071401</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071502</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071503</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071701</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714071801</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072002</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072003</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072102</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072103</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072202</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072203</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714072204</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714072901</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714072902</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073101</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073201</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073202</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073301</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073302</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714073401</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714074201</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714074302</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714075501</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714075601</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714075701</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714075801</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714075901</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076001</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076101</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076301</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076302</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076901</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076902</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714076903</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077001</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077101</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077501</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077502</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077801</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077802</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077901</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714077902</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714078001</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714078002</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714078101</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714078102</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714078201</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714078202</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714078203</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714078204</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079501</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079502</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079601</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079701</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079801</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079901</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079902</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079903</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714079904</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714080501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714080801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714080901</ndc>
    <ndc_label_name>New Day 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081301</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081302</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081303</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081401</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714081501</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081601</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714081602</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714082001</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714082101</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714082201</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714082301</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714082501</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714082601</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714082701</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714082801</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714082802</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714082901</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714083001</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714083401</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714083501</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714083601</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714083701</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714083801</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714084001</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714084101</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714084201</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714084901</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714084902</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714084903</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085001</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085002</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085003</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085101</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085102</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085103</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085202</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085203</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085302</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085303</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085402</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085403</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085501</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714085502</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714085601</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714085701</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714085801</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714085901</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714086001</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714086601</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714086701</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714086801</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714086901</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714087002</ndc>
    <ndc_label_name>RISEDRONATE SOD DR 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714087801</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714087802</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714088401</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714088501</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714088502</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714088601</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 15 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714088701</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714088801</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714088901</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714088910</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714089101</ndc>
    <ndc_label_name>SUMATRIPTAN-NAPROXEN 85-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714089201</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089301</ndc>
    <ndc_label_name>LAMOTRIGINE ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089401</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089501</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089502</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089601</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089602</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089701</ndc>
    <ndc_label_name>PERMETHRIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089801</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089802</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089803</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089901</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714089902</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714090001</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714090401</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714090402</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714090501</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714090801</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 30 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714090901</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714091601</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714091701</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714091801</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714091901</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 2.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714092001</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714092201</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 4.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714092701</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714093001</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714093601</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714093701</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714094801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714094901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095501</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095502</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714095503</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714095601</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714095602</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096301</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096401</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714096701</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096801</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096802</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096901</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714096902</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097302</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714097401</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097501</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097502</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097701</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097720</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097901</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714097902</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714098001</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714098002</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714098003</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714098425</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714098450</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098501</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098502</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098601</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098602</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098603</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098604</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098701</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098801</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714098901</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714099001</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16714099101</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714099601</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714099602</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16714099701</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000101</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000116</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000201</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000216</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000301</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000316</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000415</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000417</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000515</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000517</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000615</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000617</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000715</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000717</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000815</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000816</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000915</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000916</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729000917</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729001017</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729001115</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729001901</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729001916</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002015</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002016</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002115</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002116</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002215</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002216</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002301</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729002310</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729003410</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729003415</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729003510</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729003515</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729003516</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004101</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004201</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004301</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004415</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004417</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004515</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004517</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004615</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004617</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004715</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729004716</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729004853</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729004854</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729004953</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729004954</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729005053</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729005054</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729005153</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729007212</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729007329</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729007801</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729007901</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729007917</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729008101</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729008110</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729008915</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009001</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009010</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009015</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009016</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009401</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009416</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009512</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009612</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729009712</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729010811</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729010912</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729011408</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729011411</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729011431</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729011505</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729011638</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729011910</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729011915</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729011917</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729012953</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729012954</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729013053</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729013054</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729013130</ndc>
    <ndc_label_name>FLUDARABINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013212</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013401</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013416</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013501</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013516</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013600</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013616</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013700</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013716</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013800</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729013816</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014101</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014116</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014201</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014216</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014517</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014617</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014717</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014817</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014912</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729014917</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729015001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729015016</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729015131</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729015615</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729015617</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729016801</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729016817</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729016901</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729016917</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017001</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017017</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017117</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017201</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017217</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017301</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017317</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017401</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017501</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729017601</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018201</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018217</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018301</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018317</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018401</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729018929</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020001</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020016</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020101</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020201</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020216</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020301</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729020312</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021101</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021117</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021317</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021515</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021516</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021615</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021616</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021715</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729021716</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729022130</ndc>
    <ndc_label_name>TEMSIROLIMUS 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729022230</ndc>
    <ndc_label_name>DILUENT FOR TEMSIROLIMUS VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729022361</ndc>
    <ndc_label_name>TEMSIROLIMUS 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729022405</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022501</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022516</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022517</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022601</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022616</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022701</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729022716</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729022903</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729023011</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023201</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023301</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023401</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023601</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023701</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729023801</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729023930</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729023993</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729024231</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729024331</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729024438</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729024711</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729024838</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729025003</ndc>
    <ndc_label_name>BENDAMUSTINE 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729025105</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729026003</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729026129</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729026231</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729026763</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729026764</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729026765</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027210</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027310</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027503</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027567</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027603</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027605</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027611</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027638</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027667</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729027668</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027703</ndc>
    <ndc_label_name>METHOTREXATE 250 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027730</ndc>
    <ndc_label_name>METHOTREXATE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027735</ndc>
    <ndc_label_name>METHOTREXATE 1 GRAM/40 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027801</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027810</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027901</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729027910</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028001</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028010</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028101</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028110</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028201</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028210</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028301</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028310</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028415</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028417</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028515</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028517</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028710</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028715</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028717</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729028811</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729028838</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729028912</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729029212</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029310</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029315</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029410</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029415</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029512</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029531</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029533</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029534</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729029805</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729029901</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729029917</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030001</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030017</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030101</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030116</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030201</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030301</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030316</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030401</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030416</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030501</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729030516</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729030610</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031008</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031063</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031108</ndc>
    <ndc_label_name>PARICALCITOL 5 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031130</ndc>
    <ndc_label_name>PARICALCITOL 10 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031163</ndc>
    <ndc_label_name>PARICALCITOL 5 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729031193</ndc>
    <ndc_label_name>PARICALCITOL 10 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729031701</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729031716</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729031801</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729031816</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729031901</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032010</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032015</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032110</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032115</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032117</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032210</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032215</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729032217</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729033101</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729033203</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729033205</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729034210</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729034610</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729034710</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729034810</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729034910</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729035010</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729035103</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729035192</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729035210</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729035310</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729035410</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729036403</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729036468</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729036615</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729036715</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729036815</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729036910</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037010</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037016</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037110</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037116</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037210</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729037216</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729039130</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729039910</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729040010</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041417</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041517</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041604</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041712</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729041759</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729041903</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042101</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042110</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042112</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042201</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042210</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729042212</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729042333</ndc>
    <ndc_label_name>GEMCITABINE HCL 1.5 GRAM/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729042605</ndc>
    <ndc_label_name>GEMCITABINE HCL 2 GRAM/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043011</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043043</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043230</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043293</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729043310</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729043315</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729043316</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043405</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043445</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043505</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043630</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729043631</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044010</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044015</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044110</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044115</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044210</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044215</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044310</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044315</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044316</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044410</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044415</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044416</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044715</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044717</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044815</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044817</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044915</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729044917</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045015</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045017</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045115</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045117</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045215</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045217</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045315</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045317</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045415</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045417</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045515</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045517</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045615</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045617</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045715</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045717</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729045815</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729046715</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729046785</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729046815</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047108</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047163</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047208</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047230</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047303</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047331</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047403</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047405</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729047731</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729047801</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729047901</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729048001</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729048303</ndc>
    <ndc_label_name>ATROPINE 0.25 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729048331</ndc>
    <ndc_label_name>ATROPINE 0.25 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729048403</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729048445</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729048490</ndc>
    <ndc_label_name>ATROPINE 0.5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729048501</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729048516</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729048601</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729049012</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729049212</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050008</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050030</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050143</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050164</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050203</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729050243</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729051205</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729051243</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052205</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500MG/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052228</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 850MG/34ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052235</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052264</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG/4ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052508</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052563</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052608</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729052663</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729053303</ndc>
    <ndc_label_name>Dodex 1,000 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729053308</ndc>
    <ndc_label_name>Dodex 1,000 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729053310</ndc>
    <ndc_label_name>Dodex 1,000 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729053363</ndc>
    <ndc_label_name>Dodex 1,000 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729054235</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054305</ndc>
    <ndc_label_name>CARMUSTINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054485</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054563</ndc>
    <ndc_label_name>CARMUSTINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054601</ndc>
    <ndc_label_name>CARMUSTINE 300 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054719</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 9 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729054863</ndc>
    <ndc_label_name>CARMUSTINE 300 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729054910</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729055010</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729056101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729056201</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16729056301</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069209</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069309</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069409</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069506</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069606</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729069706</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729071031</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729071045</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729072344</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16729072351</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16781038445</ndc>
    <ndc_label_name>LOCOID 0.1% LIPOCREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16781039202</ndc>
    <ndc_label_name>LOCOID 0.1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16781039204</ndc>
    <ndc_label_name>LOCOID 0.1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16781046275</ndc>
    <ndc_label_name>Clindagel 1 % topical gel, once daily</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784011132</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784011142</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784011571</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784012161</ndc>
    <ndc_label_name>Lemon Glycerin 7.5 % mucosal swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784012712</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784012713</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014012</ndc>
    <ndc_label_name>AMMONIA INHALANT AMPULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014412</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014413</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014441</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014443</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014471</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784014473</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030111</ndc>
    <ndc_label_name>Curafoam 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030112</ndc>
    <ndc_label_name>Curafoam 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030113</ndc>
    <ndc_label_name>Curafoam 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030121</ndc>
    <ndc_label_name>Curafoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030122</ndc>
    <ndc_label_name>Curafoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030123</ndc>
    <ndc_label_name>Curafoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030131</ndc>
    <ndc_label_name>Curafoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030132</ndc>
    <ndc_label_name>Curafoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030133</ndc>
    <ndc_label_name>Curafoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030141</ndc>
    <ndc_label_name>DynaDerm 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030142</ndc>
    <ndc_label_name>DynaDerm 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030143</ndc>
    <ndc_label_name>DynaDerm 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030151</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030152</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030153</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030161</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030162</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030163</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030171</ndc>
    <ndc_label_name>DynaDerm 6" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030172</ndc>
    <ndc_label_name>DynaDerm 6" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030173</ndc>
    <ndc_label_name>DynaDerm 6" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030181</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030182</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030183</ndc>
    <ndc_label_name>DynaDerm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030191</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030192</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030193</ndc>
    <ndc_label_name>DynaDerm 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030201</ndc>
    <ndc_label_name>DynaDerm Hydrocolloid Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030202</ndc>
    <ndc_label_name>DynaDerm Hydrocolloid Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030203</ndc>
    <ndc_label_name>DynaDerm Hydrocolloid Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030211</ndc>
    <ndc_label_name>DynaLevin 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030212</ndc>
    <ndc_label_name>DynaLevin 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030213</ndc>
    <ndc_label_name>DynaLevin 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030221</ndc>
    <ndc_label_name>DynaLevin 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030222</ndc>
    <ndc_label_name>DynaLevin 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030223</ndc>
    <ndc_label_name>DynaLevin 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030231</ndc>
    <ndc_label_name>FoamFlex 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030232</ndc>
    <ndc_label_name>FoamFlex 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030233</ndc>
    <ndc_label_name>FoamFlex 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030241</ndc>
    <ndc_label_name>FoamFlex 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030242</ndc>
    <ndc_label_name>FoamFlex 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030243</ndc>
    <ndc_label_name>FoamFlex 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030251</ndc>
    <ndc_label_name>FoamFlex 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030252</ndc>
    <ndc_label_name>FoamFlex 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030253</ndc>
    <ndc_label_name>FoamFlex 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030261</ndc>
    <ndc_label_name>DynaGinate 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030262</ndc>
    <ndc_label_name>DynaGinate 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030263</ndc>
    <ndc_label_name>DynaGinate 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030271</ndc>
    <ndc_label_name>DynaGinate 4 1/4" X 4 1/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030272</ndc>
    <ndc_label_name>DynaGinate 4 1/4" X 4 1/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030273</ndc>
    <ndc_label_name>DynaGinate 4 1/4" X 4 1/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030281</ndc>
    <ndc_label_name>DynaGinate Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030282</ndc>
    <ndc_label_name>DynaGinate Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030283</ndc>
    <ndc_label_name>DynaGinate Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030291</ndc>
    <ndc_label_name>DynaGinate 2 gram X 30 cm bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030292</ndc>
    <ndc_label_name>DynaGinate 2 gram X 30 cm bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030293</ndc>
    <ndc_label_name>DynaGinate 2 gram X 30 cm bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030302</ndc>
    <ndc_label_name>DynaGinate AG 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030303</ndc>
    <ndc_label_name>DynaGinate AG 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030311</ndc>
    <ndc_label_name>DynaGinate AG 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030312</ndc>
    <ndc_label_name>DynaGinate AG 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030313</ndc>
    <ndc_label_name>DynaGinate AG 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030321</ndc>
    <ndc_label_name>DynaGinate AG 4" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030322</ndc>
    <ndc_label_name>DynaGinate AG 4" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030323</ndc>
    <ndc_label_name>DynaGinate AG 4" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030331</ndc>
    <ndc_label_name>DynaGinate AG 12" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030332</ndc>
    <ndc_label_name>DynaGinate AG 12" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030333</ndc>
    <ndc_label_name>DynaGinate AG 12" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030351</ndc>
    <ndc_label_name>DynaGuard 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030352</ndc>
    <ndc_label_name>DynaGuard 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030353</ndc>
    <ndc_label_name>DynaGuard 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030361</ndc>
    <ndc_label_name>DynaGuard 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030362</ndc>
    <ndc_label_name>DynaGuard 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030363</ndc>
    <ndc_label_name>DynaGuard 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030371</ndc>
    <ndc_label_name>DynaFoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030372</ndc>
    <ndc_label_name>DynaFoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030373</ndc>
    <ndc_label_name>DynaFoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030381</ndc>
    <ndc_label_name>DynaFoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030382</ndc>
    <ndc_label_name>DynaFoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030383</ndc>
    <ndc_label_name>DynaFoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030391</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030392</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030393</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030401</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030402</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030403</ndc>
    <ndc_label_name>Petroleum Gauze bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030471</ndc>
    <ndc_label_name>Curafoam AG 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030472</ndc>
    <ndc_label_name>Curafoam AG 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030493</ndc>
    <ndc_label_name>Dynafoam AG 4" X 4" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030532</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030533</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 4"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030541</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030542</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030543</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030551</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030552</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030553</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030561</ndc>
    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030562</ndc>
    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030571</ndc>
    <ndc_label_name>SiliGentle 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030572</ndc>
    <ndc_label_name>SiliGentle 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030573</ndc>
    <ndc_label_name>SiliGentle 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030581</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030582</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030583</ndc>
    <ndc_label_name>SiliGentle 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030591</ndc>
    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030592</ndc>
    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030593</ndc>
    <ndc_label_name>SiliGentle 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030602</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SiliGentle 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030611</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030612</ndc>
    <ndc_label_name>SiliGentle Heel Bandage 10" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030613</ndc>
    <ndc_label_name>SiliGentle Heel Bandage 10" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030622</ndc>
    <ndc_label_name>SiliGentle Sacral Bandage 7" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030623</ndc>
    <ndc_label_name>SiliGentle Sacral Bandage 7" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784030632</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SiliGentle AG 4" X 5" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069573</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 29G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069581</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069582</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069583</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069591</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31G 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069592</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31G 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069593</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31G 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069612</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 18G 1-1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069613</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 18G 1-1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069752</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 27G 1-1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069753</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 27G 1-1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069762</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 27G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069763</ndc>
    <ndc_label_name>HYPODERMIC NEEDLE 27G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069902</ndc>
    <ndc_label_name>SYRINGE LUER LOCK 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784069903</ndc>
    <ndc_label_name>SYRINGE LUER LOCK 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070012</ndc>
    <ndc_label_name>SYRINGE WITH NEEDLE 3ML 23G 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070013</ndc>
    <ndc_label_name>SYRINGE WITH NEEDLE 3ML 23G 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070102</ndc>
    <ndc_label_name>SYRINGE LUER LOCK 10 ML 20G 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070103</ndc>
    <ndc_label_name>SYRINGE LUER LOCK 10 ML 20G 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070242</ndc>
    <ndc_label_name>PEN NEEDLE 30G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070243</ndc>
    <ndc_label_name>PEN NEEDLE 30G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070252</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070253</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070262</ndc>
    <ndc_label_name>PEN NEEDLE 30G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070263</ndc>
    <ndc_label_name>PEN NEEDLE 30G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070272</ndc>
    <ndc_label_name>PEN NEEDLE 31G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070273</ndc>
    <ndc_label_name>PEN NEEDLE 31G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070282</ndc>
    <ndc_label_name>PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784070283</ndc>
    <ndc_label_name>PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071122</ndc>
    <ndc_label_name>SensiLance 21 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071123</ndc>
    <ndc_label_name>SensiLance 21 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071142</ndc>
    <ndc_label_name>SensiLance 26 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071143</ndc>
    <ndc_label_name>SensiLance 26 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071152</ndc>
    <ndc_label_name>SensiLance 28 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071153</ndc>
    <ndc_label_name>SensiLance 28 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071222</ndc>
    <ndc_label_name>SensiLance 21 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071223</ndc>
    <ndc_label_name>SensiLance 21 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071242</ndc>
    <ndc_label_name>SensiLance 26 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071243</ndc>
    <ndc_label_name>SensiLance 26 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071252</ndc>
    <ndc_label_name>SensiLance 28 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071253</ndc>
    <ndc_label_name>SensiLance 28 gauge misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071342</ndc>
    <ndc_label_name>Advantage Safety Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>16784071343</ndc>
    <ndc_label_name>Advantage Safety Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784089012</ndc>
    <ndc_label_name>SecureSafe Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784089013</ndc>
    <ndc_label_name>SecureSafe Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784089042</ndc>
    <ndc_label_name>SecureSafe Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784089043</ndc>
    <ndc_label_name>SecureSafe Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784096562</ndc>
    <ndc_label_name>SecureSafe Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16784096563</ndc>
    <ndc_label_name>SecureSafe Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837024625</ndc>
    <ndc_label_name>Pepcid Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837029112</ndc>
    <ndc_label_name>Pepcid Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837029812</ndc>
    <ndc_label_name>Pepcid Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837029850</ndc>
    <ndc_label_name>Pepcid Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085514</ndc>
    <ndc_label_name>Pepcid AC Maximum Strength 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085516</ndc>
    <ndc_label_name>Pepcid AC 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085520</ndc>
    <ndc_label_name>Pepcid AC 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085525</ndc>
    <ndc_label_name>Pepcid AC 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085550</ndc>
    <ndc_label_name>Pepcid AC 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837085590</ndc>
    <ndc_label_name>Pepcid AC Maximum Strength 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>16837087220</ndc>
    <ndc_label_name>Pepcid AC 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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    <ndc>20525095603</ndc>
    <ndc_label_name>Move Free Ultra Triple Action (boron) 40 mg-5 mg-3.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525096098</ndc>
    <ndc_label_name>MegaRed Advanced 4-in-1 339 mg-314 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525096099</ndc>
    <ndc_label_name>MegaRed Advanced 4-in-1 339 mg-314 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525096399</ndc>
    <ndc_label_name>MegaRed Advanced 4-in-1 700 mg-600 mg-900 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525097022</ndc>
    <ndc_label_name>Digestive Advantage Probiotics Plus Gas 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525097412</ndc>
    <ndc_label_name>MegaRed Advanced 6x Absorption 476 mg-800 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525097413</ndc>
    <ndc_label_name>MegaRed Advanced 6x Absorption 476 mg-800 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525098093</ndc>
    <ndc_label_name>MegaRed Omega-3 Krill Oil 500 mg-115 mg-30 mg-64 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525098225</ndc>
    <ndc_label_name>Digestive Advantage Lactose Supprt 500 million cell-3,000 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>20525099549</ndc>
    <ndc_label_name>MegaRed Omega-3 Krill Oil 1,000 mg-230 mg-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000100</ndc>
    <ndc_label_name>VITAMIN C 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000300</ndc>
    <ndc_label_name>OYSTER SHELL CALCIUM 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000301</ndc>
    <ndc_label_name>OYSTER SHELL CALCIUM 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000400</ndc>
    <ndc_label_name>High Potency Multivitamin (w-iron) 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000500</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555000600</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555001600</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555001700</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555001900</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555002101</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555002200</ndc>
    <ndc_label_name>HIGH POTENCY MULTIVITAMIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555002500</ndc>
    <ndc_label_name>OYSTER SHELL 250 MG-D3 3.12MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555002700</ndc>
    <ndc_label_name>Tab-A-Vite 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003200</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003300</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003600</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003601</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003900</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555003901</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>20555004000</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG (50MG) CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130005452</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21130008358</ndc>
    <ndc_label_name>Cold and Sinus Pain Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21130008360</ndc>
    <ndc_label_name>Cold and Sinus Pain Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130017653</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130027001</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130027013</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130030602</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130030603</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130034405</ndc>
    <ndc_label_name>SW NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130035278</ndc>
    <ndc_label_name>SW NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130045678</ndc>
    <ndc_label_name>SW NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130045839</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130053278</ndc>
    <ndc_label_name>SW NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130076062</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130076303</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130077877</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130077878</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078028</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cold and Sinus Pain Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21130078078</ndc>
    <ndc_label_name>Cold and Sinus Pain Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078116</ndc>
    <ndc_label_name>SW NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078117</ndc>
    <ndc_label_name>SW NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078125</ndc>
    <ndc_label_name>SW NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078126</ndc>
    <ndc_label_name>SW NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078158</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078159</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078163</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078204</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078232</ndc>
    <ndc_label_name>SW NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130078233</ndc>
    <ndc_label_name>SW NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130079540</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130085478</ndc>
    <ndc_label_name>SW NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130087305</ndc>
    <ndc_label_name>SW NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130091530</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130091555</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21130091574</ndc>
    <ndc_label_name>SW OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000146</ndc>
    <ndc_label_name>TRUEplus Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000431</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000432</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000434</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000435</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000437</ndc>
    <ndc_label_name>TRUEplus Glucose 15 gram/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000441</ndc>
    <ndc_label_name>TRUEplus Glucose 15 gram/32 mL oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000495</ndc>
    <ndc_label_name>TRUEplus Insulin 1/2 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000496</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000497</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000498</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000499</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000500</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000501</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000502</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000503</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000504</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292000505</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000605</ndc>
    <ndc_label_name>True Metrix Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000611</ndc>
    <ndc_label_name>True Metrix Go Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000616</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000617</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000618</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000619</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000621</ndc>
    <ndc_label_name>True Metrix Pro Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000623</ndc>
    <ndc_label_name>True Metrix Level 1 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000624</ndc>
    <ndc_label_name>True Metrix Level 2 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000625</ndc>
    <ndc_label_name>True Metrix Level 3 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000701</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000717</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000720</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000749</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292000791</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292001052</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292001053</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292001076</ndc>
    <ndc_label_name>TRUEplus Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292001077</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292001078</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292001079</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21292001080</ndc>
    <ndc_label_name>TRUEplus Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21292014201</ndc>
    <ndc_label_name>TRUEdraw Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21586001101</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21586001102</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21586001201</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21586001202</ndc>
    <ndc_label_name>CEFOTAXIME SODIUM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21599034562</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21599034563</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21599034564</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21724010041</ndc>
    <ndc_label_name>Nitrolingual 400 mcg/spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21724010050</ndc>
    <ndc_label_name>Nitrolingual 400 mcg/spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21724070105</ndc>
    <ndc_label_name>ProCentra 5 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21888010972</ndc>
    <ndc_label_name>Prenatal One (with food blend) 27 mg-360 mcg-125 mg-32 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21888012062</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21888030221</ndc>
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  <Drug_Information>
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    <ndc>21888060006</ndc>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922000301</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922000404</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922000407</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922000704</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922000706</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001109</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001604</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001605</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001606</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001607</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001704</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001705</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001706</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001707</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922001807</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922001808</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922001902</ndc>
    <ndc_label_name>TESTOSTERONE 1% (50 MG/5 G) PK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922001947</ndc>
    <ndc_label_name>TESTOSTERONE 12.5 MG/1.25 GRAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922001952</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922002012</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PERMETHRIN 5% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922002206</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PEROX 1.2-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922002411</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922002804</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922003020</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922003104</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922003316</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922003814</ndc>
    <ndc_label_name>AZELAIC ACID 15% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922003923</ndc>
    <ndc_label_name>METRONIDAZOLE VAGINAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004112</ndc>
    <ndc_label_name>FLUOROURACIL 5% TOPICAL SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922004340</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.08% PUMP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004409</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004501</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004547</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004549</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922004641</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922004805</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922004917</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005005</ndc>
    <ndc_label_name>CLINDA-TRETINOIN 1.2%-0.025%</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005007</ndc>
    <ndc_label_name>CLINDA-TRETINOIN 1.2%-0.025%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005106</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005150</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005250</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.1-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922005351</ndc>
    <ndc_label_name>CICLOPIROX 8% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005405</ndc>
    <ndc_label_name>NITROGLYCERIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005447</ndc>
    <ndc_label_name>NITROGLYCERIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005459</ndc>
    <ndc_label_name>NITROGLYCERIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005604</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005606</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005704</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922005706</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006122</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006127</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006204</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006205</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006215</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006230</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006304</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006305</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006315</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922006330</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006403</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006404</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006405</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006407</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006843</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006845</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922006952</ndc>
    <ndc_label_name>HALCINONIDE 0.1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007006</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007201</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007221</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007304</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007325</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922007440</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PERO 1.2-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007504</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007505</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007507</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007605</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007906</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922007925</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922008506</ndc>
    <ndc_label_name>ESTRADIOL 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922008652</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922008752</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922008852</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922008952</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922009052</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009104</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009105</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009205</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009305</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009404</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009405</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009506</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009705</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922009805</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>21922010105</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922010401</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922010421</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>21922010552</ndc>
    <ndc_label_name>CICLOPIROX 1% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22383011667</ndc>
    <ndc_label_name>Pediatric Aerosol Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22383012723</ndc>
    <ndc_label_name>Adult Aerosol Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22383057913</ndc>
    <ndc_label_name>Medneb Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22383057921</ndc>
    <ndc_label_name>Pediatric Panda Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22495028579</ndc>
    <ndc_label_name>FILTER NEEDLE 19G 1.5"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22495076982</ndc>
    <ndc_label_name>FILTER NEEDLE 19G 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051142</ndc>
    <ndc_label_name>Berberine with InSea2 500 mg-250 mg-7.5 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051143</ndc>
    <ndc_label_name>Prebiomax 1.4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051145</ndc>
    <ndc_label_name>Buffered C Powder 3,000 mg oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051148</ndc>
    <ndc_label_name>OptiCleanse GHI 26 gram-210 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051150</ndc>
    <ndc_label_name>OptiCleanse GHI 26 gram-230 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051152</ndc>
    <ndc_label_name>OptiCleanse PLUS 24 gram-250 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051153</ndc>
    <ndc_label_name>OptiCleanse GHI 26 gram-230 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051156</ndc>
    <ndc_label_name>BERBERINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051158</ndc>
    <ndc_label_name>RED YEAST RICE 55 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051159</ndc>
    <ndc_label_name>RED YEAST RICE 55 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051160</ndc>
    <ndc_label_name>Prenatal Essentials 6 mg iron-272 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051163</ndc>
    <ndc_label_name>OptiCleanse PLUS 24 gram-240 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051167</ndc>
    <ndc_label_name>OptiCleanse GHI 26 gram-230 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051176</ndc>
    <ndc_label_name>ASHWAGANDHA-35  120 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051179</ndc>
    <ndc_label_name>Adeno-Hydroxo B12 2,500 mcg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051187</ndc>
    <ndc_label_name>GI Balance 3.2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051189</ndc>
    <ndc_label_name>GI Balance 16 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051195</ndc>
    <ndc_label_name>SynovX Relief 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051203</ndc>
    <ndc_label_name>Activnutrients Performance 72.25 mcg DFE-22.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051204</ndc>
    <ndc_label_name>FITFood LEAN Collagen 15 gram-3 gram-12.5 mcg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051207</ndc>
    <ndc_label_name>HMB Pro 0.5 gram-2.08 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051208</ndc>
    <ndc_label_name>Berbemycin 125 mg-195 mg-175 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051211</ndc>
    <ndc_label_name>ProbioMax Serenity 17.5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051212</ndc>
    <ndc_label_name>OptiMag Neuro 66.7 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051222</ndc>
    <ndc_label_name>OmegaPure PRM 590 mg-195 mg-245 mg-800 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051224</ndc>
    <ndc_label_name>Berberine ES-5 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051225</ndc>
    <ndc_label_name>MitoPrime 12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051226</ndc>
    <ndc_label_name>K2-D3 Max 125 mcg (5,000 unit)-180 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051228</ndc>
    <ndc_label_name>MYROSINASE 287.5 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051229</ndc>
    <ndc_label_name>OncoPLEX Plus Myrosinase 30 mg-170 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051234</ndc>
    <ndc_label_name>Immune Essentials Daily 750 mcg-150 mg-31.25 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22537051235</ndc>
    <ndc_label_name>SynovX Relief 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600000104</ndc>
    <ndc_label_name>Replens vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600000107</ndc>
    <ndc_label_name>Replens vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600000111</ndc>
    <ndc_label_name>RepHresh vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600000112</ndc>
    <ndc_label_name>RepHresh Pro-B 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600000127</ndc>
    <ndc_label_name>Replens External Comfort vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600002915</ndc>
    <ndc_label_name>Simply Saline 0.9 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600002950</ndc>
    <ndc_label_name>Simply Saline 0.9 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600008552</ndc>
    <ndc_label_name>Simply Saline Wound Wash 0.9 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600064203</ndc>
    <ndc_label_name>Trojan Magnum Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600090125</ndc>
    <ndc_label_name>First Response Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600090126</ndc>
    <ndc_label_name>First Response Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22600090133</ndc>
    <ndc_label_name>First Response Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600092050</ndc>
    <ndc_label_name>Trojan-Enz (Non-lubricated) Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600092620</ndc>
    <ndc_label_name>Trojan Very Thin Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600092661</ndc>
    <ndc_label_name>Trojan Ultra Thin device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600092720</ndc>
    <ndc_label_name>Trojan Ultra Thin Spermicidal Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600093050</ndc>
    <ndc_label_name>Trojan-Enz Lubricated Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600093150</ndc>
    <ndc_label_name>Trojan-Enz/Spermicidal Condoms</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600094050</ndc>
    <ndc_label_name>Trojan Ultra Ribbed Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600095338</ndc>
    <ndc_label_name>Trojan Pleasure Pack device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600097252</ndc>
    <ndc_label_name>Trojan Extended Pleasure device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>22600099965</ndc>
    <ndc_label_name>Trojan Bareskin device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010290</ndc>
    <ndc_label_name>Palforzia (Level  2) 6 mg (1 mg x 6) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010345</ndc>
    <ndc_label_name>Palforzia (Level  3) 12 mg (1 mg x 2, 10 mg x 1) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010415</ndc>
    <ndc_label_name>Palforzia (Level  4) 20 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010530</ndc>
    <ndc_label_name>Palforzia (Level  5) 40 mg (20 mg x 2) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010660</ndc>
    <ndc_label_name>Palforzia (Level  6) 80 mg (20 mg x 4) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010730</ndc>
    <ndc_label_name>Palforzia (Level  7) 120 mg (20 mg x 1, 100 mg x1) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010860</ndc>
    <ndc_label_name>Palforzia (Level  8) 160 mg (20 mg x 3, 100 mg x1) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840010930</ndc>
    <ndc_label_name>Palforzia (Level  9) 200 mg (100 mg x 2) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840011060</ndc>
    <ndc_label_name>Palforzia (Level 10) 240 mg(20 mg x 2, 100 mg x 2) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840011115</ndc>
    <ndc_label_name>Palforzia (Level 11 Up-Dose) 300 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840011130</ndc>
    <ndc_label_name>Palforzia (Level 11 Maintenance) 300 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840011313</ndc>
    <ndc_label_name>Palforzia Initial(4-17yrs) 0.5 mg/1 mg/1.5 mg/3 mg/6 mg sprnk capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840011407</ndc>
    <ndc_label_name>Palforzia Initial (1-3 yrs) 0.5 mg/1 mg/1.5 mg/3 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840012615</ndc>
    <ndc_label_name>Palforzia (Level  0) 1 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840012745</ndc>
    <ndc_label_name>Palforzia (Level  1) 3 mg (1 mg x 3) sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>22840164601</ndc>
    <ndc_label_name>CANDIDA ALBICANS 1:1,000 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000101</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000110</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000201</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000210</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000301</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000310</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000401</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000801</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000810</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000818</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000901</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155000910</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001001</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001010</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001101</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001105</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001701</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155001801</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155001901</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002301</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002305</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002401</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002405</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002501</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002505</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002506</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002508</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002601</ndc>
    <ndc_label_name>VERAPAMIL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002701</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002801</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002810</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002901</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155002910</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155003001</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155003003</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155003005</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155003010</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004303</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004403</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004501</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004505</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004601</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004610</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155004701</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155004801</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155004901</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155005001</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005101</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT ORAL TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155005419</ndc>
    <ndc_label_name>NARATRIPTAN HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155005519</ndc>
    <ndc_label_name>NARATRIPTAN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005601</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005701</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005801</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005810</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155005901</ndc>
    <ndc_label_name>VERAPAMIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155006001</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155006101</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155007001</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155007101</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009201</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009705</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155009706</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010201</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010205</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010206</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010209</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010210</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010301</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010305</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010306</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010309</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010310</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010401</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010405</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010406</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010409</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010410</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010501</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010505</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010510</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010601</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010605</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010610</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010701</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010705</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155010710</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011001</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011010</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011101</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011110</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011201</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011210</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011301</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011401</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155011405</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155011501</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155011601</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155011701</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155012001</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013301</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013401</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013505</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013525</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013603</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155013701</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014101</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014106</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014201</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014301</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155014501</ndc>
    <ndc_label_name>CARISOPRODL-ASPIRIN 200-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014601</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014701</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014705</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014710</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014801</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014805</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014810</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014901</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014905</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155014910</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016031</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016032</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016041</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016042</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016631</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016641</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155016831</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155017031</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155017401</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155017403</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155017801</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155017805</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155017931</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155017932</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155018631</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 5 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155019101</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155019201</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155019331</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155019341</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155019401</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155019501</ndc>
    <ndc_label_name>NIFEDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155019631</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155019642</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155019643</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155020131</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155020132</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155021331</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155021431</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155021631</ndc>
    <ndc_label_name>CIDOFOVIR 375 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022701</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022705</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022801</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022805</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022901</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155022905</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023301</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023305</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023401</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023405</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023501</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155023505</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024031</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024041</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024422</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024446</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024522</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024546</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024601</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024609</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024701</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024709</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024801</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024809</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024901</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155024909</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155025001</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155025009</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155025831</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155025832</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026131</ndc>
    <ndc_label_name>BiCNU 100 mg intravenous powder for solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026141</ndc>
    <ndc_label_name>BiCNU 100 mg intravenous powder for solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026231</ndc>
    <ndc_label_name>Diluent for BiCNU intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026331</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 500 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026431</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155026441</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155028701</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155028801</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029031</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029032</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029041</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029042</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155029251</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029431</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029441</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155029442</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155031331</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155031751</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155032631</ndc>
    <ndc_label_name>IBUTILIDE FUM 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034031</ndc>
    <ndc_label_name>RIFAMPIN IV 600 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034531</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034532</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034533</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034541</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034542</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034543</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155034544</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155035331</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155035541</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155036201</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155036205</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155037731</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047331</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047332</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047333</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047341</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047342</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155047344</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155048331</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155048431</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155048551</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155048601</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155048901</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155049001</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155049731</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155049742</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050001</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050005</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050010</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050105</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050201</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050205</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155050210</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051200</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051211</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051230</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051731</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051741</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051831</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155051841</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155051901</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155051905</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052131</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052132</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052133</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052141</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052142</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052144</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052331</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052341</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052431</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052441</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052831</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155052931</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155053005</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155053006</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155053102</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155053201</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155053825</ndc>
    <ndc_label_name>DOXERCALCIFEROL 0.5 MCG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155053925</ndc>
    <ndc_label_name>DOXERCALCIFEROL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054025</ndc>
    <ndc_label_name>DOXERCALCIFEROL 2.5 MCG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054731</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054741</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054742</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054831</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054841</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054842</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155054931</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155055031</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155057801</ndc>
    <ndc_label_name>DESIPRAMINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155057901</ndc>
    <ndc_label_name>DESIPRAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155058001</ndc>
    <ndc_label_name>DESIPRAMINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155058101</ndc>
    <ndc_label_name>DESIPRAMINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155058201</ndc>
    <ndc_label_name>DESIPRAMINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155058325</ndc>
    <ndc_label_name>DESIPRAMINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155058931</ndc>
    <ndc_label_name>BiCNU 100 mg intravenous powder for solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155059431</ndc>
    <ndc_label_name>AMPHOTERICIN B LIPOSOME 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060031</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060041</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060131</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060132</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060141</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155060142</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060351</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060403</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060409</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060503</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060509</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155060701</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155061106</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155062031</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155062041</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155062102</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155062801</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064403</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064409</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064410</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064503</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064509</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064510</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064603</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064609</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155064610</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155064731</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155064831</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155064941</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065101</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065105</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065201</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065205</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065406</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065503</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065509</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065510</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065603</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065609</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155065610</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155066031</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155066043</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155066131</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155066142</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155066201</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155066203</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155066301</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068531</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068631</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068731</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068741</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068831</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068841</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068931</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155068941</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155069301</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155069310</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155069401</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155069405</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155070301</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155070401</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155070410</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155070501</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155070510</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072301</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072305</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072401</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072405</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072501</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155072505</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073101</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073201</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073501</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073510</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073601</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073610</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073701</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073710</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073801</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155073810</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155074101</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155074201</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155074603</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155074703</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155074831</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155074841</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155074901</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155074905</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075001</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075005</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075101</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075105</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075201</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075205</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075703</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075705</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075709</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075803</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075805</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075809</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075903</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075905</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155075909</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155076301</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155076401</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155076410</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155076601</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155076701</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155077131</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BTTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155077201</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155077210</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155077301</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155077310</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078531</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078541</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078631</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078641</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155078701</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078831</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155078931</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155079041</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079401</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079501</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079601</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079701</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079801</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155079901</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080001</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080101</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080201</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080301</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080401</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080501</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080601</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080701</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155080801</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155080901</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155081001</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155081005</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155081010</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155082373</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083001</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083005</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155083131</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083201</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083210</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083301</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083310</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083401</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083410</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083501</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083601</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083605</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083711</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083730</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083811</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083830</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083911</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155083930</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155084012</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084101</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084105</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084110</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084201</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084205</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084210</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084301</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084305</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084310</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084403</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084409</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084503</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084509</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084603</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084609</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084703</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155084709</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155084851</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085074</ndc>
    <ndc_label_name>CHLOROQUINE PH 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085501</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085503</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155085675</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155085676</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155085677</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085703</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085705</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085709</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085825</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085878</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085925</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155085978</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086001</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086003</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086101</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086103</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086203</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086209</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086301</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086401</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086501</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086601</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086605</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086610</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086701</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086705</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086710</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086801</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086805</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155086810</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086931</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155086941</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155087031</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155087041</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087101</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087201</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087301</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087401</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087503</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087509</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087510</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087601</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087605</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087701</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087710</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087801</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087810</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087901</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155087910</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088001</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088005</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088101</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088110</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155088231</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155088331</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155088431</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088601</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088603</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088703</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088709</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088803</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088809</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088903</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155088909</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089003</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089009</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089103</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089105</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155089331</ndc>
    <ndc_label_name>METHOHEXITAL SODIUM 500MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089406</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155089506</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155089801</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155089805</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155089901</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155089905</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155090101</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155090105</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155090201</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155090205</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090331</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090431</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090531</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090631</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090641</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090731</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090741</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090931</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155090941</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091031</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091041</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091131</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091141</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091142</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091231</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091241</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091531</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091541</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091631</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091641</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091731</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155091741</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092001</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092201</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092501</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155092651</ndc>
    <ndc_label_name>HYDROCORTISONE 100 MG/60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155092681</ndc>
    <ndc_label_name>HYDROCORTISONE 100 MG/60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092751</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092752</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155092952</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155093331</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155093341</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093401</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093501</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093601</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093701</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093863</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23155093963</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155094031</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23155094041</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>23359001204</ndc>
    <ndc_label_name>Wee Care 15 mg/1.25 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23359002316</ndc>
    <ndc_label_name>Rydex 1.3 mg-10 mg-6.3 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23359003216</ndc>
    <ndc_label_name>Ninjacof 12.5 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23359003316</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ninjacof-D 12.5 mg-30 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
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  <Drug_Information>
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    <ndc_label_name>Centratex 106 mg iron-1 mg capsule</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23797010572</ndc>
    <ndc_label_name>Hurriview II dental swab</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23797080644</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900000361</ndc>
    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900000617</ndc>
    <ndc_label_name>Vicks Babyrub topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001035</ndc>
    <ndc_label_name>Vicks Vaposteam liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001051</ndc>
    <ndc_label_name>Vicks Vaporub 4.7 %-1.2 %-2.6 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001076</ndc>
    <ndc_label_name>Vicks VapoDrops 1.7 mg</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks VapoDrops 3.3 mg</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001252</ndc>
    <ndc_label_name>Vicks Sinex 12-Hour 0.05 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001398</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ZzzQuil 25 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001424</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001432</ndc>
    <ndc_label_name>Vicks NyQuil Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Children's NyQuil Cold and Cough 2 mg-15 mg/15 mL oral liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cold/Flu (cpm) 4 mg-30 mg-650 mg/30 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil Cough 5 mg/5 mL oral syrup</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Dayquil Mucus Control DM 10 mg-200 mg/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>23900001452</ndc>
    <ndc_label_name>Vicks DayQuil-NyQuil 10-5-325mg(d)/15-325-6.25mg capsules</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil-NyQuil Sinex 5-325 mg(dy)/6.25-5-325mg(nt) capsules</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil-NyQuil Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil-NyQuil Severe 6.25 mg-5 mg-325 mg/15 mL(nt) oral liquids</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Muro 128 5 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208038760</ndc>
    <ndc_label_name>Ocuvite with Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208038762</ndc>
    <ndc_label_name>Ocuvite with Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208039830</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208039915</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208040319</ndc>
    <ndc_label_name>Ocuvite Lutein and Zeaxanthin 60 mg-13.5 mg-15 mg-2 mg-6 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208041005</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208041010</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208041105</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208041110</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208041115</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208041601</ndc>
    <ndc_label_name>Retisert 0.59 mg intravitreal implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208043015</ndc>
    <ndc_label_name>Opcon-A 0.02675 %-0.315 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208043262</ndc>
    <ndc_label_name>PreserVision AREDS 2,148 mcg-113 mg-45 mg-17.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208043272</ndc>
    <ndc_label_name>PreserVision AREDS 2,148 mcg-113 mg-45 mg-17.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208043405</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208043410</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208044335</ndc>
    <ndc_label_name>Lotemax 0.5 % eye ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208044605</ndc>
    <ndc_label_name>Besivance 0.6 % eye drops,suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208045705</ndc>
    <ndc_label_name>DICLOFENAC 0.1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208046325</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208046410</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208046415</ndc>
    <ndc_label_name>BRINZOLAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208046530</ndc>
    <ndc_label_name>Ocuvite Adult 50 Plus 250 mg (90 mg-160 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208046535</ndc>
    <ndc_label_name>Ocuvite Eye Health with Vit D3 250 mg (90 mg-160 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208046545</ndc>
    <ndc_label_name>Ocuvite Eye Performance 250 mg (90 mg-160 mg)-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208046570</ndc>
    <ndc_label_name>Ocuvite Adult 50 Plus 250 mg (90 mg-160 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208048510</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208048610</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208049834</ndc>
    <ndc_label_name>Timoptic Ocudose (PF) 0.25 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208049968</ndc>
    <ndc_label_name>Timoptic Ocudose (PF) 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208050307</ndc>
    <ndc_label_name>Lotemax 0.5 % eye gel drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208050402</ndc>
    <ndc_label_name>Vyzulta 0.024 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208050405</ndc>
    <ndc_label_name>Vyzulta 0.024 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208050505</ndc>
    <ndc_label_name>LEVOBUNOLOL 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208050707</ndc>
    <ndc_label_name>Lotemax SM 0.38 % eye gel drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208050801</ndc>
    <ndc_label_name>LOTEPREDNOL 0.5% OPHTHALMC GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208052100</ndc>
    <ndc_label_name>Blink NutriTears 15 mcg-20 mg-4 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053210</ndc>
    <ndc_label_name>PreserVision AREDS 4,296 mcg-226 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053230</ndc>
    <ndc_label_name>PreserVision AREDS 4,296 mcg-226 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053293</ndc>
    <ndc_label_name>PreserVision AREDS 4,296 mcg-226 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053535</ndc>
    <ndc_label_name>Zirgan 0.15 % eye gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053708</ndc>
    <ndc_label_name>Lumify 0.025 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053725</ndc>
    <ndc_label_name>Lumify 0.025 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053775</ndc>
    <ndc_label_name>Lumify 0.025 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053820</ndc>
    <ndc_label_name>Lumify (PF) 0.025 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208053920</ndc>
    <ndc_label_name>Miochol-E 1 % (10 mg/mL) intraocular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208055555</ndc>
    <ndc_label_name>BACITRACIN-POLYMYXIN EYE OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208056015</ndc>
    <ndc_label_name>Visudyne 15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208058060</ndc>
    <ndc_label_name>GENTAMICIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208058559</ndc>
    <ndc_label_name>TROPICAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208058564</ndc>
    <ndc_label_name>TROPICAMIDE 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208059064</ndc>
    <ndc_label_name>TROPICAMIDE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208060105</ndc>
    <ndc_label_name>Children's Alaway 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208060110</ndc>
    <ndc_label_name>Alaway 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208060190</ndc>
    <ndc_label_name>Alaway 0.025 % (0.035 %) eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208060203</ndc>
    <ndc_label_name>Prolensa 0.07 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208060260</ndc>
    <ndc_label_name>Ocuvite Eye Health 50 mg-15 unit-4.5 mg-2.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208061701</ndc>
    <ndc_label_name>Advanced Eye Relief (olopatadine HCl) 0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208062901</ndc>
    <ndc_label_name>Bepreve 1.5 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208062902</ndc>
    <ndc_label_name>Bepreve 1.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208063005</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208063010</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208063110</ndc>
    <ndc_label_name>NEOMYCIN-POLYMYXIN-HC EAR SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208063210</ndc>
    <ndc_label_name>PreserVision Lutein 226 mg-90 mg-0.8 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208063211</ndc>
    <ndc_label_name>PreserVision Lutein 226 mg-90 mg-0.8 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208063562</ndc>
    <ndc_label_name>NEOMYCIN-POLYMYXIN-HC EAR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208066158</ndc>
    <ndc_label_name>Ocuvite Lutein 25 25 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208067004</ndc>
    <ndc_label_name>SULFACETAMIDE 10% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069720</ndc>
    <ndc_label_name>PreserVision AREDS 2 CO Q-10 250 mg-90 mg-40 mg-1 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069721</ndc>
    <ndc_label_name>PreserVision AREDS 2 CO Q-10 250 mg-90 mg-40 mg-1 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069760</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069762</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069763</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069764</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069765</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069770</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069790</ndc>
    <ndc_label_name>PreserVision AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069864</ndc>
    <ndc_label_name>PreserVision AREDS 2 Plus Multivit 200 mcg-15 mcg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208069866</ndc>
    <ndc_label_name>PreserVision AREDS 2 Plus Multivit 200 mcg-15 mcg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208071510</ndc>
    <ndc_label_name>PREDNISOLONE SOD 1% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208072002</ndc>
    <ndc_label_name>DEXAMETHASONE 0.1% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208073501</ndc>
    <ndc_label_name>CYCLOPENTOLATE 1% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208073506</ndc>
    <ndc_label_name>CYCLOPENTOLATE 1% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ocuvite Eye Plus Multi 200 mcg-15 mcg-150 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208078055</ndc>
    <ndc_label_name>NEOMYC-BACIT-POLYMIX EYE OINT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208078555</ndc>
    <ndc_label_name>NEO-BACIT-POLY-HC EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208079062</ndc>
    <ndc_label_name>NEOMYC-POLYM-GRAMICID EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208079535</ndc>
    <ndc_label_name>NEOMYC-POLYM-DEXAMET EYE OINTM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24208080060</ndc>
    <ndc_label_name>LACRISERT 5 MG EYE INSERT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208081905</ndc>
    <ndc_label_name>TIMOLOL 0.5% GEL-SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24208083060</ndc>
    <ndc_label_name>NEOMYC-POLYM-DEXAMETH EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EVEKEO ODT 15 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338003702</ndc>
    <ndc_label_name>EVEKEO ODT 20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338003715</ndc>
    <ndc_label_name>EVEKEO ODT 20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338005008</ndc>
    <ndc_label_name>Gliadel Wafer 7.7 mg implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338005501</ndc>
    <ndc_label_name>Azmiro 200 mg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338006590</ndc>
    <ndc_label_name>Adthyza 65 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338008001</ndc>
    <ndc_label_name>Otovel 0.3 %-0.025 % (0.25 mL) ear solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338008014</ndc>
    <ndc_label_name>Otovel 0.3 %-0.025 % (0.25 mL) ear solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338009790</ndc>
    <ndc_label_name>Adthyza 97.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010003</ndc>
    <ndc_label_name>E.E.S. 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010203</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010301</ndc>
    <ndc_label_name>Arynta 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010403</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010603</ndc>
    <ndc_label_name>Erythrocin (as stearate) 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338010901</ndc>
    <ndc_label_name>Arynta 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338011003</ndc>
    <ndc_label_name>ERYTHROMYCIN ES 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338011390</ndc>
    <ndc_label_name>Adthyza 130 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338011501</ndc>
    <ndc_label_name>Javadin 0.02 mg/mL (20 mcg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338012203</ndc>
    <ndc_label_name>Ery-Tab 250 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338012403</ndc>
    <ndc_label_name>Ery-Tab 333 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338012603</ndc>
    <ndc_label_name>Ery-Tab 500 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338013013</ndc>
    <ndc_label_name>EryPed 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338013213</ndc>
    <ndc_label_name>EryPed 200 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24338013402</ndc>
    <ndc_label_name>E.E.S. Granules 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24338013610</ndc>
    <ndc_label_name>E.E.S. Granules 200 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015001</ndc>
    <ndc_label_name>Triptodur 22.5 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015020</ndc>
    <ndc_label_name>Triptodur 22.5 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015301</ndc>
    <ndc_label_name>Xifyrm 30 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015302</ndc>
    <ndc_label_name>Xifyrm 30 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015401</ndc>
    <ndc_label_name>Danziten 71 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015402</ndc>
    <ndc_label_name>Danziten 71 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015403</ndc>
    <ndc_label_name>Danziten 71 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015501</ndc>
    <ndc_label_name>Danziten 95 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015502</ndc>
    <ndc_label_name>Danziten 95 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338015503</ndc>
    <ndc_label_name>Danziten 95 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338016001</ndc>
    <ndc_label_name>Arynta 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338016201</ndc>
    <ndc_label_name>Arynta 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338018504</ndc>
    <ndc_label_name>Sklice 0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338023005</ndc>
    <ndc_label_name>Nymalize 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338023012</ndc>
    <ndc_label_name>Nymalize 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338023015</ndc>
    <ndc_label_name>Nymalize 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338023030</ndc>
    <ndc_label_name>Nymalize 30 mg/5 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338026008</ndc>
    <ndc_label_name>Nymalize 60 mg/10 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338026010</ndc>
    <ndc_label_name>Nymalize 60 mg/10 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338026012</ndc>
    <ndc_label_name>Nymalize 60 mg/10 mL oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338027001</ndc>
    <ndc_label_name>Vivimusta 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338031010</ndc>
    <ndc_label_name>Ferabright 300 mg/10 mL (31 nm to 43 nm) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24338040312</ndc>
    <ndc_label_name>CHLORPROMAZINE 30 MG/ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24338041024</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG/ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338051017</ndc>
    <ndc_label_name>Ferabright 510 mg/17 mL (31 nm to 43 nm) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338053025</ndc>
    <ndc_label_name>Sotylize 5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338053048</ndc>
    <ndc_label_name>Sotylize 5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085003</ndc>
    <ndc_label_name>Zenzedi 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085103</ndc>
    <ndc_label_name>Zenzedi 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085203</ndc>
    <ndc_label_name>Zenzedi 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085303</ndc>
    <ndc_label_name>Zenzedi 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085403</ndc>
    <ndc_label_name>Zenzedi 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085503</ndc>
    <ndc_label_name>Zenzedi 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24338085603</ndc>
    <ndc_label_name>Zenzedi 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357001113</ndc>
    <ndc_label_name>Epinephrine Professional 1 mg/mL injection kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357001212</ndc>
    <ndc_label_name>EPINEPHRINE PROFESSIONL EMS KT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357030001</ndc>
    <ndc_label_name>POTASSIUM ALUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357030030</ndc>
    <ndc_label_name>POTASSIUM ALUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070101</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070105</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070106</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357070107</ndc>
    <ndc_label_name>Anecream (with dressings) 4 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070115</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070130</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070150</ndc>
    <ndc_label_name>Anecream 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070215</ndc>
    <ndc_label_name>AneCream5 5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24357070230</ndc>
    <ndc_label_name>AneCream5 5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24357080104</ndc>
    <ndc_label_name>RADIAGUARD 1% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359031201</ndc>
    <ndc_label_name>Glytactin Build 20-20  64 gram-355 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359031301</ndc>
    <ndc_label_name>Glytactin Build 20-20  60 gram-333 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359031401</ndc>
    <ndc_label_name>Glytactin Build 20-20  63 gram-344 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359032224</ndc>
    <ndc_label_name>Enu Nutrition Shake 0.08 gram-1.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359032324</ndc>
    <ndc_label_name>Enu Nutrition Shake 0.08 gram-1.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359033501</ndc>
    <ndc_label_name>Glytactin Build 20-20  64 gram-353 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359034001</ndc>
    <ndc_label_name>Glytactin 15 PE Complete 15 gram-320 kcal/81 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359034002</ndc>
    <ndc_label_name>Glytactin 15 PE Complete (L-taurine) 15 gram-330 kcal/81 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035001</ndc>
    <ndc_label_name>Glytactin Bettermilk 15-15 38 gram-400 kcal/100 gram oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035015</ndc>
    <ndc_label_name>Glytactin Bettermilk 5-5 38 gram-400 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035103</ndc>
    <ndc_label_name>PKU Refresh AA 15 PE 3 gram-20 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035105</ndc>
    <ndc_label_name>PKU Refresh AA 15 PE 3 gram-20 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035207</ndc>
    <ndc_label_name>Glytactin Restore 10 PE Lite 53 gram-342 kcal/100 gram oral powdr pckt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359035307</ndc>
    <ndc_label_name>Glytactin Build 10-10 67 gram-335 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359036004</ndc>
    <ndc_label_name>Glytactin Swirl 15-15 34 gram-370 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359038041</ndc>
    <ndc_label_name>Essential Care Jr 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050103</ndc>
    <ndc_label_name>KetoVie 3.4 gram-159 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050203</ndc>
    <ndc_label_name>KetoVie 3.4 gram-148 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050302</ndc>
    <ndc_label_name>Glytactin Restore 10 PE 2 gram-34 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050303</ndc>
    <ndc_label_name>KetoVie Peptide 4:1  3.2 gram-149 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050403</ndc>
    <ndc_label_name>KetoVie 3:1 2.8 gram-104 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050404</ndc>
    <ndc_label_name>KetoVie 3:1 2.8 gram-104 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050502</ndc>
    <ndc_label_name>Glytactin Restore 10 PE 2 gram-34 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050603</ndc>
    <ndc_label_name>KetoVie 3.4 gram-150 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050801</ndc>
    <ndc_label_name>Glytactin Bettermilk 15-15 38 gram-400 kcal/100 gram oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359050901</ndc>
    <ndc_label_name>Glytactin Bettermilk 15-15 38 gram-400 kcal/100 gram oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359051302</ndc>
    <ndc_label_name>Glytactin Restore 10 PE Lite 2 gram-14 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359051403</ndc>
    <ndc_label_name>Glytactin RTD Lite 15 6 gram-48 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359051502</ndc>
    <ndc_label_name>Glytactin Restore 10 PE Lite 2 gram-14 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359051803</ndc>
    <ndc_label_name>Glytactin RTD Lite 15 6 gram-48 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359052107</ndc>
    <ndc_label_name>Glytactin Restore 5 PE 25 gram-363 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359052207</ndc>
    <ndc_label_name>Glytactin Restore 5 PE 25 gram-363 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359053101</ndc>
    <ndc_label_name>Glytactin Build 20-20 67 gram-335 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359054005</ndc>
    <ndc_label_name>Tylactin Complete 15 PE 19 gram-395 kcal/100 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359054107</ndc>
    <ndc_label_name>Tylactin Build 20 PE 71 gram-357 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359054403</ndc>
    <ndc_label_name>Glytactin RTD 15 PE 6 gram-80 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359055107</ndc>
    <ndc_label_name>Tylactin Restore 5 PE 25 gram-365 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359056403</ndc>
    <ndc_label_name>Glytactin RTD 10 PE 4 gram-61 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359057403</ndc>
    <ndc_label_name>Glytactin RTD 10 PE 4 gram-61 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359057502</ndc>
    <ndc_label_name>Tylactin Restore 10 PE 2 gram-34 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359057512</ndc>
    <ndc_label_name>TYR Refresh AA 15 PE 3 gram-20 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359058403</ndc>
    <ndc_label_name>Glytactin RTD 15 PE 6 gram-80 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359059203</ndc>
    <ndc_label_name>Tylactin RTD 15 PE 6 gram-80 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359059204</ndc>
    <ndc_label_name>Tylactin RTD 15 PE 6 gram-80 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359060303</ndc>
    <ndc_label_name>Ketovie Plant-Based 4:1 3.3 gram-150 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359061004</ndc>
    <ndc_label_name>Glytactin Swirl 15 PE 19 gram-390 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359070101</ndc>
    <ndc_label_name>Homactin AA Plus 15 PE 38.2 gram-376 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359070201</ndc>
    <ndc_label_name>Isovactin AA Plus 15 PE 15 gram-150 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359070401</ndc>
    <ndc_label_name>Vilactin AA Plus 15 PE 37.6 gram-375 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080112</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080113</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080212</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080213</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080312</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080313</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080412</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359080413</ndc>
    <ndc_label_name>Essential Care Jr 19 gram-476 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081108</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081110</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081208</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081210</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081308</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24359081310</ndc>
    <ndc_label_name>Equacare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385000346</ndc>
    <ndc_label_name>GENTIAN VIOLET 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385000534</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385000605</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385000926</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385000934</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385001758</ndc>
    <ndc_label_name>Pink Bismuth 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385002103</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385002465</ndc>
    <ndc_label_name>Pink Bismuth 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385002671</ndc>
    <ndc_label_name>Chest Congestion-Cough Relief 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385002868</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385003203</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385003316</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385003330</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385003434</ndc>
    <ndc_label_name>Hand Sanitizer 70 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385003662</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385005355</ndc>
    <ndc_label_name>GNP POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385005452</ndc>
    <ndc_label_name>12 Hour Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385005461</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385005878</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385006003</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385006710</ndc>
    <ndc_label_name>NASAL SPRAY 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385007026</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385007282</ndc>
    <ndc_label_name>Caldyphen 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385007505</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385007705</ndc>
    <ndc_label_name>Eye Drops (with povidone) 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385009227</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385010680</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385011009</ndc>
    <ndc_label_name>Clotrimazole-3 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385011603</ndc>
    <ndc_label_name>LICE TREATMENT SHAMPOO</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385011878</ndc>
    <ndc_label_name>Gas Relief 80 (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385012576</ndc>
    <ndc_label_name>Fiber-Tabs 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385014303</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385014626</ndc>
    <ndc_label_name>Children's Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385014976</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385015234</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385019003</ndc>
    <ndc_label_name>HYDROCORTISONE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385020501</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385020503</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385020746</ndc>
    <ndc_label_name>IODIDES TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385021003</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385021310</ndc>
    <ndc_label_name>IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385021634</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385021852</ndc>
    <ndc_label_name>Sterile Pads 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385022234</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385022540</ndc>
    <ndc_label_name>Therapeutic Blue topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385024154</ndc>
    <ndc_label_name>Cold and Hot (m.salicylate-menthol) 29 %-7.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385024343</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385024665</ndc>
    <ndc_label_name>Nasal Strips Medium-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385024916</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385027403</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385027603</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385027868</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385029440</ndc>
    <ndc_label_name>Multipurpose Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385029950</ndc>
    <ndc_label_name>Natural Fiber Laxative (sugar) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385030127</ndc>
    <ndc_label_name>Fiber Therapy (psyllium husk-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385030226</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385030630</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385030789</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385032521</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385032558</ndc>
    <ndc_label_name>Saline Nasal Mist 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385035210</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385035934</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385036126</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385036134</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385036571</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385036578</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385036638</ndc>
    <ndc_label_name>Natural Fiber Laxative (aspartame) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385037226</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385037926</ndc>
    <ndc_label_name>Diphedryl 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385038563</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385038571</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385039640</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385039740</ndc>
    <ndc_label_name>Foaming Antacid 95 mg-358 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385040796</ndc>
    <ndc_label_name>CALAMINE SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385041396</ndc>
    <ndc_label_name>CALAMINE SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385043178</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385043262</ndc>
    <ndc_label_name>SUPHEDRIN 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385043280</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385043930</ndc>
    <ndc_label_name>Caldyphen Clear 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385044164</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385046134</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385046560</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385046678</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385046843</ndc>
    <ndc_label_name>Stool Softener 50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385046943</ndc>
    <ndc_label_name>Stool Softener 60 mg/15 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385047152</ndc>
    <ndc_label_name>GNP LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385047199</ndc>
    <ndc_label_name>GNP LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385047210</ndc>
    <ndc_label_name>OVULATION PREDICTOR TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385047847</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385047978</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385048447</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385048471</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385048478</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385048490</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385048547</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385049326</ndc>
    <ndc_label_name>Tussin Cough (DM only) 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385050726</ndc>
    <ndc_label_name>Suphedrin 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385051530</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385051546</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385051926</ndc>
    <ndc_label_name>Cold and Cough Elixir 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385052403</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385052405</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385053126</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385055010</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385055408</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385055453</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385055462</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385055940</ndc>
    <ndc_label_name>K-Pec Antidiarrheal (bism sub) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385059029</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385059523</ndc>
    <ndc_label_name>Ultra Strength Antacid 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385060265</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385060271</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385060308</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385060389</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385060471</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385060478</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385060485</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385060602</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385062982</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385064771</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385064778</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385067827</ndc>
    <ndc_label_name>Scalp Relief 3 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385090426</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385090434</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385090526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385090534</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385092571</ndc>
    <ndc_label_name>CHEST-SINUS CONGST RLF TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385093191</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24385093291</ndc>
    <ndc_label_name>PEPPERMINT SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385099865</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385099874</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24385099875</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24417068130</ndc>
    <ndc_label_name>GALLIUM GA-68 DOTATOC 18.5-148</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24470090004</ndc>
    <ndc_label_name>BP Wash 5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24470090008</ndc>
    <ndc_label_name>BP Wash 5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470090108</ndc>
    <ndc_label_name>BP Wash 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470091108</ndc>
    <ndc_label_name>BP Wash 2.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24470091710</ndc>
    <ndc_label_name>ERGOTAMINE-CAFFEINE 1-100MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24470091740</ndc>
    <ndc_label_name>ERGOTAMINE-CAFFEINE 1-100MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470091960</ndc>
    <ndc_label_name>FLURANDRENOLIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470092060</ndc>
    <ndc_label_name>DESONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24470092215</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470092360</ndc>
    <ndc_label_name>CHLORZOXAZONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470092460</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470092508</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093201</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093301</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093401</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093402</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093512</ndc>
    <ndc_label_name>SOD SULFACETAM 10% CLNSNG GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093608</ndc>
    <ndc_label_name>SOD SULFACETAMIDE 10% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093706</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093808</ndc>
    <ndc_label_name>UREA 39% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093901</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093903</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470093907</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470094010</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470094050</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470094110</ndc>
    <ndc_label_name>Plexion 9.8 %-4.8 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24470094202</ndc>
    <ndc_label_name>Plexion 9.8 %-4.8 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026205</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026245</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026290</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026305</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026345</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026390</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026405</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026430</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026445</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026490</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026693</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026695</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658026697</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658027095</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658027193</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658027197</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031001</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031007</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031008</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031010</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031020</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031021</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031030</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031050</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031201</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031205</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031210</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031220</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658031250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658035012</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050010</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050030</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050090</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050110</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050130</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050145</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050190</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050210</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050230</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050245</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050290</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050310</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050330</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050345</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050390</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050410</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050430</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050445</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050490</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050710</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050790</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050810</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050890</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050910</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658050990</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658051010</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658051090</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070201</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070301</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070305</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070401</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070405</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070632</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070733</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658070834</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24658076016</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658077005</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658077105</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658078001</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658078105</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658078210</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658078310</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079001</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079301</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079310</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079401</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079410</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079501</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079510</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079601</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079610</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079701</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079705</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658079710</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24658079830</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24658079930</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 1,000 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658080130</ndc>
    <ndc_label_name>RIFAMPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24658080260</ndc>
    <ndc_label_name>RIFAMPIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24689010101</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24689010201</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24689010301</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689011901</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012001</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012201</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012202</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24689012301</ndc>
    <ndc_label_name>GUAIFENESIN-DM 400-20 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24689012302</ndc>
    <ndc_label_name>GUAIFENESIN-DM 400-20 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012401</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012902</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689012905</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689013001</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689013201</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689013701</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689013801</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689013901</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014002</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014102</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014105</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014202</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014205</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014301</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014401</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689014601</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689015901</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689015902</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016001</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016002</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016101</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016102</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016201</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689016202</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689078101</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689078105</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689078501</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689079201</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689079210</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689085501</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689085510</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689088201</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689088210</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689090701</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689090705</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689092101</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689092105</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689092106</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689093306</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689096101</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24689096110</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24909088004</ndc>
    <ndc_label_name>Stopain 8 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979000106</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979000206</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979000207</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979000406</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979000407</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979000901</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979000912</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979001001</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979001012</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979001101</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979001112</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002602</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002606</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002607</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002702</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002706</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002707</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002802</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002806</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002807</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002902</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002906</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979002907</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979003007</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979003504</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979003604</ndc>
    <ndc_label_name>CYCLOBENZAPRINE ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979004113</ndc>
    <ndc_label_name>MEGESTROL 625 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979007815</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979008504</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979008604</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979008704</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010102</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010106</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010107</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010202</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010206</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979010207</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979010907</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979011207</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979012721</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979012804</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979013026</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979013201</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979013301</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979013601</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979013701</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979013801</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979013901</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979014604</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979016044</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979016144</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979018101</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979018201</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979018301</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979018646</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979019801</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979019901</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979020001</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979020003</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979020101</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979020103</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979021004</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979021104</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979022901</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979022903</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023001</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023003</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023101</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023102</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023103</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979023201</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979023807</ndc>
    <ndc_label_name>Zestril 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979023907</ndc>
    <ndc_label_name>Zestril 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024007</ndc>
    <ndc_label_name>Zestril 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024107</ndc>
    <ndc_label_name>Zestril 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024207</ndc>
    <ndc_label_name>Zestril 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024307</ndc>
    <ndc_label_name>Zestril 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024407</ndc>
    <ndc_label_name>Tenormin 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024507</ndc>
    <ndc_label_name>Tenormin 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024607</ndc>
    <ndc_label_name>Tenormin 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024706</ndc>
    <ndc_label_name>FORFIVO XL 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979024806</ndc>
    <ndc_label_name>BUPROPION HCL XL 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979025201</ndc>
    <ndc_label_name>NAPROXEN SOD CR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979025368</ndc>
    <ndc_label_name>NAPROXEN SOD CR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979025406</ndc>
    <ndc_label_name>NAPROXEN SOD CR 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979025607</ndc>
    <ndc_label_name>Tenoretic 50  50 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979025707</ndc>
    <ndc_label_name>Tenoretic 100 100 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979053301</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979053401</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979053601</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979053801</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979071544</ndc>
    <ndc_label_name>SORAFENIB 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072204</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072304</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072404</ndc>
    <ndc_label_name>GALANTAMINE HBR 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979072606</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>24979072607</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072702</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072706</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072802</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072806</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072906</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979072969</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979073006</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>24979073044</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25010021027</ndc>
    <ndc_label_name>SODIUM EDECRIN 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25010021515</ndc>
    <ndc_label_name>Edecrin 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25010030515</ndc>
    <ndc_label_name>DEMSER 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25010070515</ndc>
    <ndc_label_name>Cuprimine 250 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25010071115</ndc>
    <ndc_label_name>Lodosyn 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25018085012</ndc>
    <ndc_label_name>Cefaly combo pack</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021000102</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021000202</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021000205</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021000610</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021000805</ndc>
    <ndc_label_name>TIMOLOL 0.25% GEL-SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021000905</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021005201</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021005205</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021005301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021005401</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010010</ndc>
    <ndc_label_name>CEFAZOLIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010066</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010110</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010167</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010269</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010299</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010510</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010610</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010667</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010720</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010768</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010869</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010899</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021010910</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011020</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011199</ndc>
    <ndc_label_name>CEFOXITIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011482</ndc>
    <ndc_label_name>CIPROFLOXACIN 200 MG/100ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011487</ndc>
    <ndc_label_name>CIPROFLOXACIN 400 MG/200ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011502</ndc>
    <ndc_label_name>CLINDAMYCIN PH 300 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011504</ndc>
    <ndc_label_name>CLINDAMYCIN PH 600 MG/4 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011506</ndc>
    <ndc_label_name>CLINDAMYCIN PH 900 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011551</ndc>
    <ndc_label_name>CLINDAMYCIN PH 9 G/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011810</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021011920</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012120</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012166</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012250</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012267</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012720</ndc>
    <ndc_label_name>CEFTAZIDIME 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012766</ndc>
    <ndc_label_name>CEFTAZIDIME 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012850</ndc>
    <ndc_label_name>CEFTAZIDIME 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012867</ndc>
    <ndc_label_name>CEFTAZIDIME 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012969</ndc>
    <ndc_label_name>CEFTAZIDIME 6 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021012999</ndc>
    <ndc_label_name>CEFTAZIDIME 6 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013182</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013281</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013282</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013283</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013410</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013510</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013610</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013720</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021013910</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014010</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014199</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014220</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014330</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014499</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014610</ndc>
    <ndc_label_name>OXACILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014720</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014830</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021014930</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015010</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015120</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015320</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015451</ndc>
    <ndc_label_name>PENICILLIN GK 20 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015799</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015899</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021015910</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016020</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016130</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016224</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016268</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016368</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016397</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016399</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016430</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016530</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016648</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021016987</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017302</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017304</ndc>
    <ndc_label_name>AMIKACIN SULF 1 GRAM/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017415</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017416</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017520</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017620</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017750</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017915</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017916</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017966</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021017967</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018010</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018066</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018199</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 40.5 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018466</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018467</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018482</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018487</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018510</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018511</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018620</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018730</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018899</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021018984</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019010</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019011</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019012</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019110</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019111</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019112</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019282</ndc>
    <ndc_label_name>CIPROFLOXACIN 200 MG/100ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019287</ndc>
    <ndc_label_name>CIPROFLOXACIN 400 MG/200ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019302</ndc>
    <ndc_label_name>LINCOMYCIN HCL 600 MG/2 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019310</ndc>
    <ndc_label_name>LINCOMYCIN HCL 3 GM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019410</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019510</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019610</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019799</ndc>
    <ndc_label_name>AMPICILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019899</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019920</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021019966</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020110</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020111</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020401</ndc>
    <ndc_label_name>VINORELBINE 10 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020405</ndc>
    <ndc_label_name>VINORELBINE 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020725</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021020751</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021021598</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021021599</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021021920</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021022320</ndc>
    <ndc_label_name>CYTARABINE 2 G/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021022610</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021022706</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021022905</ndc>
    <ndc_label_name>CYTARABINE 100 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023002</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023005</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023120</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023310</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023320</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023550</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023551</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023905</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023926</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021023952</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024110</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024202</ndc>
    <ndc_label_name>FLUDARABINE 50 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024410</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024501</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024504</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024602</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024750</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024851</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021024951</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025020</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025150</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025251</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025350</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025351</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025408</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025416</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025505</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025517</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025550</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025610</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025861</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025950</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021025951</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021026010</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021026150</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021026210</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021026310</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021026325</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030167</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030168</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030266</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030305</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030520</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030566</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030884</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021030982</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031002</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031066</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031102</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031104</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031110</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031202</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031204</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031382</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031387</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031410</ndc>
    <ndc_label_name>ESMOLOL HCL 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031501</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031598</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031599</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031604</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031720</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031740</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG/40 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031802</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031804</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031905</ndc>
    <ndc_label_name>DILTIAZEM 25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031910</ndc>
    <ndc_label_name>DILTIAZEM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021031925</ndc>
    <ndc_label_name>DILTIAZEM 125 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032002</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032004</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032010</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032104</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032110</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032210</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032302</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032401</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021032405</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021033310</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040001</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040010</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040030</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040066</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040067</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040068</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040102</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040201</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040210</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040266</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040301</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040304</ndc>
    <ndc_label_name>HEPARIN 40,000 UNIT/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040366</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040401</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040851</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021040910</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041070</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041071</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041076</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041077</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041078</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041170</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021041171</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041450</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041510</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041566</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041601</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041784</ndc>
    <ndc_label_name>TIROFIBAN 12.5 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021041882</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021045101</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021045201</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021045301</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021045405</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021045505</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046001</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046110</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046274</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046301</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046401</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046501</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046605</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046705</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046810</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021046910</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021047010</ndc>
    <ndc_label_name>LEVOTHYROXINE 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021047174</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021047302</ndc>
    <ndc_label_name>CALCITONIN-SALMON 400 UNIT/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021047401</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021047701</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021048101</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021050002</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021050201</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021050570</ndc>
    <ndc_label_name>PHYTONADIONE 1 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021060103</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021060203</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021060820</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021060850</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021060851</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061010</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061110</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061281</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061282</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061550</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061551</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061782</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021061872</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021065102</ndc>
    <ndc_label_name>ORPHENADRINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021065282</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021065287</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 1000 MG/200ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021065502</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021065905</ndc>
    <ndc_label_name>ATRACURIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021066110</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021066205</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021066210</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021066805</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021066920</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067010</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067166</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067167</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067182</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067187</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067210</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067376</ndc>
    <ndc_label_name>Glydo 2 % mucosal jelly in applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067377</ndc>
    <ndc_label_name>Glydo 2 % mucosal jelly in applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067410</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067420</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067510</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067620</ndc>
    <ndc_label_name>PENTOBARBITAL 1,000 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067650</ndc>
    <ndc_label_name>PENTOBARBITAL 2,500 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067710</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067820</ndc>
    <ndc_label_name>BACLOFEN 10 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021067920</ndc>
    <ndc_label_name>BACLOFEN 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068020</ndc>
    <ndc_label_name>BACLOFEN 20,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068171</ndc>
    <ndc_label_name>BACLOFEN 0.05 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068220</ndc>
    <ndc_label_name>KETAMINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068310</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068405</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068510</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068620</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068705</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068710</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068882</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068887</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021068910</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021070001</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021070101</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021070102</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021070582</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021070587</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075110</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075111</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075302</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075505</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075610</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021075650</ndc>
    <ndc_label_name>FAMOTIDINE 200 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021077702</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021078005</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021078305</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021078874</ndc>
    <ndc_label_name>PALONOSETRON HCL 0.25 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079002</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079003</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079120</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079382</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079482</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079582</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079602</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079605</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079705</ndc>
    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079802</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021079810</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021080166</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>25021080601</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081230</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081266</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081310</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081366</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081430</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081467</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081530</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021081630</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082005</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082010</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082105</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082273</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082687</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25021082850</ndc>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25357010001</ndc>
    <ndc_label_name>iDose TR 75 mcg intracameral implant</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866053925</ndc>
    <ndc_label_name>Aleve-D Sinus and Cold 220 mg-120 mg tablet,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866053935</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866055112</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866055306</ndc>
    <ndc_label_name>Aleve PM 220 mg-25 mg tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866056494</ndc>
    <ndc_label_name>Aleve Direct Therapy TENS Gel pads</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>25866059157</ndc>
    <ndc_label_name>AleveX 5.5 %-16 % lotion</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>27241000250</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000306</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000350</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000406</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000450</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000506</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000550</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000606</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241000650</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241001531</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241002168</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241002238</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241002931</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241002962</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003031</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003062</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003103</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003203</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003911</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241003968</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004011</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004021</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004068</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004111</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004168</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004221</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241004268</ndc>
    <ndc_label_name>ALMOTRIPTAN MALATE 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241004910</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005103</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005108</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005203</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005208</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005303</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005308</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005403</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005408</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005503</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005508</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005603</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241005608</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006203</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006303</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006703</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006705</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006803</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006805</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006903</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006905</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241006910</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241007006</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241007105</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241007106</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008303</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008309</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008403</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008409</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008503</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008509</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008603</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241008609</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009706</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009710</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009803</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009809</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009810</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009903</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241009990</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241010806</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011103</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011105</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011203</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011205</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011303</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011305</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011403</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011405</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011501</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011505</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011510</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011603</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011703</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011705</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011804</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241011904</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241012004</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012302</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012403</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012405</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012502</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012505</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012602</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241012605</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241013421</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241013436</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241013451</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241013909</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241014401</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241014501</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241014503</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015302</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015402</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015504</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015508</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015604</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015608</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015704</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241015860</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241015919</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016001</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016010</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016101</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016110</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016201</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016210</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016301</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241016430</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016701</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016710</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016801</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016810</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016901</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241016910</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017001</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017010</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017101</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017110</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017356</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017456</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241017529</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018330</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018430</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018530</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018630</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241018757</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018860</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241018960</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019105</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019130</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019190</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019205</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019230</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241019290</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241020260</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 375-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241020360</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 500-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021001</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021030</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021101</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021130</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021201</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021230</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021601</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241021701</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241022130</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241022230</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241022330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241022430</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241023701</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241023801</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241023901</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241024001</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241024190</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241024201</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241024301</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241024949</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241025201</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241025301</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241025401</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241025501</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241025611</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241025638</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241027430</ndc>
    <ndc_label_name>FLUVOXAMINE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241027530</ndc>
    <ndc_label_name>FLUVOXAMINE ER 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241027630</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241027730</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241027830</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241027930</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241028030</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241028130</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241028601</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241028701</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241028801</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241028901</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241029001</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27241029101</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241030101</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 50-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241030201</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241030401</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241030501</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241030601</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27241031601</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27293002501</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27293002514</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000122</ndc>
    <ndc_label_name>L-CYSTEINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000198</ndc>
    <ndc_label_name>MEGA TAURINE 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000211</ndc>
    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000426</ndc>
    <ndc_label_name>ACETYL L-CARNITINE 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27434000608</ndc>
    <ndc_label_name>B-12 DOTS 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000621</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000893</ndc>
    <ndc_label_name>LUTEIN 6,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434000894</ndc>
    <ndc_label_name>LUTEIN 20 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434001015</ndc>
    <ndc_label_name>Cal-Quick 500 mg-10 mcg (400 unit)/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434001017</ndc>
    <ndc_label_name>COPPER 2 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434001021</ndc>
    <ndc_label_name>MAGNESIUM 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27434001041</ndc>
    <ndc_label_name>ZINC 30 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434001226</ndc>
    <ndc_label_name>Super Twin EPA-DHA 1,250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434001524</ndc>
    <ndc_label_name>Super Enzyme 250 mg-162 mg-65 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434003162</ndc>
    <ndc_label_name>D3 Plus K2 Dots 25 mcg (1,000 unit)-90 mcg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434003217</ndc>
    <ndc_label_name>OMEGA-3 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27434003540</ndc>
    <ndc_label_name>CALCIUM CITRATE CHEWABLE WAFER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27434003665</ndc>
    <ndc_label_name>D3 DOTS 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005101</ndc>
    <ndc_label_name>Solosec 2 gram oral DR granules in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005501</ndc>
    <ndc_label_name>Brovana 15 mcg/2 mL solution for nebulization</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005504</ndc>
    <ndc_label_name>Brovana 15 mcg/2 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005530</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005560</ndc>
    <ndc_label_name>Brovana 15 mcg/2 mL solution for nebulization</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437005601</ndc>
    <ndc_label_name>Xopenex HFA 45 mcg/actuation aerosol inhaler</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437006030</ndc>
    <ndc_label_name>Brovana 15 mcg/2 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27437006060</ndc>
    <ndc_label_name>Brovana 15 mcg/2 mL solution for nebulization</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Blink Contacts eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Promolaxin 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27495001402</ndc>
    <ndc_label_name>Dendracin 0.025 %-30 %-10 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27495001404</ndc>
    <ndc_label_name>Dendracin 0.025 %-30 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27505000401</ndc>
    <ndc_label_name>APOKYN 10 mg/mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>APOKYN 10 mg/mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Onapgo 4.9 mg/mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Xadago 50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27505011130</ndc>
    <ndc_label_name>Xadago 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808000201</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003501</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003502</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003503</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003601</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003602</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003603</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003701</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003702</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808003703</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808005102</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SYRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808005801</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808005901</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808006502</ndc>
    <ndc_label_name>PROMETHAZINE-CODEINE SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808008201</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808008202</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808008501</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808008601</ndc>
    <ndc_label_name>HYDROCODONE-CHLORPHEN ER SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808008602</ndc>
    <ndc_label_name>HYDROCODONE-CHLORPHEN ER SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808008603</ndc>
    <ndc_label_name>HYDROCODONE-CHLORPHEN ER SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808009101</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808009201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808009301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808011401</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808011501</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808011601</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015501</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015503</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015601</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015603</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015701</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015703</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015801</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808015803</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808019001</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808020601</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808020701</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808022201</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808022301</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808022401</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808022501</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023301</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023302</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023401</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023402</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023501</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023601</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023701</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023801</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808023901</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024001</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024101</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024301</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024401</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024501</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808024601</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808024901</ndc>
    <ndc_label_name>DEFLAZACORT 22.75 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026301</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026302</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026401</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026402</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026501</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026502</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808026601</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027501</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027502</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027601</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027602</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027701</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808027702</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808029501</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808029601</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808029602</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808029701</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27808029702</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030101</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030102</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030103</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030202</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030203</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030402</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27808030403</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27843017246</ndc>
    <ndc_label_name>Vascazen 900 mg-110 mg-680 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27854010003</ndc>
    <ndc_label_name>Flanax (methylsalicylate-menthol) 0.01 %-10 %-5 % topical liniment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27854010201</ndc>
    <ndc_label_name>Flanax Cough Relief (menthol) 8 mg lozenges</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27854010301</ndc>
    <ndc_label_name>Flanax (naproxen) 220 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27854010304</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27854016024</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27917001890</ndc>
    <ndc_label_name>FiberWell 2.5 gram chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>27917001950</ndc>
    <ndc_label_name>Vitafusion Prenatal 180 mcg-32.5 mg(25 mg-7.5 mg) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>27917002271</ndc>
    <ndc_label_name>Vitafusion Women's Multi 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28028035387</ndc>
    <ndc_label_name>Enterade Advanced Oncology 230 mg-95 mg-5 kcal/237 mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28028035389</ndc>
    <ndc_label_name>Enterade Advanced Oncology 230 mg-95 mg-5 kcal/237 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28105042140</ndc>
    <ndc_label_name>Tolak 4 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28409084702</ndc>
    <ndc_label_name>Entertainer's Secret Throat Relief spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595003160</ndc>
    <ndc_label_name>Orudis 75 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595012012</ndc>
    <ndc_label_name>NITROGLYCERIN 400 MCG SPRAY</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595012049</ndc>
    <ndc_label_name>NITROGLYCERIN 400 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595022460</ndc>
    <ndc_label_name>URIMAR-T 120 mg-10.8 mg-40.8 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595024035</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595024036</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595025016</ndc>
    <ndc_label_name>Histex-AC 2.5 mg-10 mg-10 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595029960</ndc>
    <ndc_label_name>MB Caps 120 mg-10.8 mg-40.8 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595030060</ndc>
    <ndc_label_name>Brohist D 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595031016</ndc>
    <ndc_label_name>Histex-DM (PSE) 2.5 mg-30 mg-20 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595043330</ndc>
    <ndc_label_name>Active FE 75 mg iron-1,250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595050060</ndc>
    <ndc_label_name>DermaNIC 760 mg-500 mcg-15 mcg tablet,immediate and delay release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595050108</ndc>
    <ndc_label_name>SULFACET-SULFUR 9%-4.25% SUSP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595055012</ndc>
    <ndc_label_name>Nitrolingual 400 mcg/spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595055049</ndc>
    <ndc_label_name>Nitrolingual 400 mcg/spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595057004</ndc>
    <ndc_label_name>SPINOSAD 0.9% TOPICAL SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595070501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINCORA TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HistaFlex 325 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595080416</ndc>
    <ndc_label_name>Histex-DM (PE) 2.5 mg-10 mg-20 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595080560</ndc>
    <ndc_label_name>HISTEX 1.25 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595080830</ndc>
    <ndc_label_name>HISTEX PDX 1.25 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595080930</ndc>
    <ndc_label_name>Histex PD 1.25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595084090</ndc>
    <ndc_label_name>Hydrocortisone Lotion Complete 2 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595090060</ndc>
    <ndc_label_name>RU-HIST D 10-4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595090560</ndc>
    <ndc_label_name>Duravent PE 10 mg-395 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28595090660</ndc>
    <ndc_label_name>Duravent DM 10 mg-15 mg-395 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28785003030</ndc>
    <ndc_label_name>ThermoScan-3 Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28785025100</ndc>
    <ndc_label_name>VICKS ULTRASONIC HUMIDIFIER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>28785050900</ndc>
    <ndc_label_name>Vicks Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033000101</ndc>
    <ndc_label_name>THEOPHYLLINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033000201</ndc>
    <ndc_label_name>THEOPHYLLINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033000301</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033000305</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033000412</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033001201</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033001301</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033001305</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033001912</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033002012</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033002602</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033002801</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033002901</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033003001</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033003106</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033003206</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033003601</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033003630</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033003730</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033004530</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033004590</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033004630</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033004690</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033005501</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033005601</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033005701</ndc>
    <ndc_label_name>THEOPHYLLINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033005801</ndc>
    <ndc_label_name>THEOPHYLLINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033005901</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033006001</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033020701</ndc>
    <ndc_label_name>CARISOPRODOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033021401</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29033021501</ndc>
    <ndc_label_name>BUTALBITAL-ASPIRIN-CAFFEINE CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033040535</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 5-325/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033050034</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29033050331</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135000001</ndc>
    <ndc_label_name>Endur-Acin 250 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135000002</ndc>
    <ndc_label_name>Endur-Acin 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135012102</ndc>
    <ndc_label_name>Endur-Acin 250 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29135012502</ndc>
    <ndc_label_name>Endur-amide 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135014302</ndc>
    <ndc_label_name>Endur-C with rose hips 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135014415</ndc>
    <ndc_label_name>Endur-C with rose hips 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135015802</ndc>
    <ndc_label_name>Endur-Acin 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135015805</ndc>
    <ndc_label_name>Endur-Acin 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135016102</ndc>
    <ndc_label_name>Endur-Acin 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135016105</ndc>
    <ndc_label_name>Endur-Acin 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135016801</ndc>
    <ndc_label_name>PLAIN NIACIN 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29135016902</ndc>
    <ndc_label_name>Endur-amide 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29135017001</ndc>
    <ndc_label_name>PLAIN NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29135017203</ndc>
    <ndc_label_name>Cal-Mag Complex 300 mg-150 mg-400 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29135017302</ndc>
    <ndc_label_name>PANTETHINE SR 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
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    <ndc_label_name>MAG-AMIDE SR 500 MG-250 MG TAB</ndc_label_name>
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    <ndc_label_name>CHOLINE SR 300 MG TABLET</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Butter Rum Flavoring oil</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300000023</ndc>
    <ndc_label_name>Strawberry Flavoring oil</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Apple Flavoring oil</ndc_label_name>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300012810</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300012901</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300012910</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013001</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013005</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013010</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013101</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013201</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013501</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013505</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013601</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013605</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013610</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013701</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013705</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013801</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013805</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013901</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300013905</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014001</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014005</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014419</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014519</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014619</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014710</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014810</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300014901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015101</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015116</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015501</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300015519</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300016810</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300016815</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300016903</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300016910</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300016915</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017105</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017116</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017205</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017216</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017513</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017613</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017713</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017813</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300017913</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018013</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018701</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018705</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018713</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018801</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018805</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018813</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018901</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018905</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300018913</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019010</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019019</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019110</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019119</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019210</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300019219</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021213</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021219</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021313</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021319</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021413</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300021419</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022010</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022013</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022019</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022110</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022113</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022119</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022210</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022213</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022219</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022601</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022605</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022652</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022701</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022705</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300022746</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300023213</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300023319</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300023419</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300023519</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300023916</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300024016</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024105</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024110</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024119</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024205</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024210</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024219</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024305</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024310</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024401</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024405</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024501</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024505</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024601</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024605</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024616</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024618</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024705</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300024716</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300025011</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300025087</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300025111</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300025187</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300025501</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300025601</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300025605</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026831</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026881</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026891</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026931</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026981</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300026991</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028605</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028613</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028705</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028713</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028751</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028782</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028805</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028813</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028905</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300028913</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300029616</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300029716</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300030113</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300030213</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300030613</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29300030713</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300030816</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300030916</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031016</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031116</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031216</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031621</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031631</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031681</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031721</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031731</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300031781</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300032813</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300032819</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300032913</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300032919</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300033301</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300033401</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034301</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034310</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034401</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034410</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034901</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034905</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300034910</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035001</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035005</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035010</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035101</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035110</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035201</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035210</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035310</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035410</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035501</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035505</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035510</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035905</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300035916</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300036416</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300036516</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300036616</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300038901</ndc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300046301</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300047401</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>29300048501</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29420011285</ndc>
    <ndc_label_name>Nutraseb topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>29943000215</ndc>
    <ndc_label_name>Blink Tears 0.25 % eye drops</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29943000230</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>29943000610</ndc>
    <ndc_label_name>Blink Triple Care 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
    <ndc>29978060190</ndc>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <ndc_label_name>Sting-Kill 20 %-1 % topical swab</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <ndc_label_name>KRO EZ NITE SLEEP 25 MG SFTGL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142016628</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142016705</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142017025</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142017362</ndc>
    <ndc_label_name>Lice Complete Kit 1-2-3 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142017662</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142018926</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142019005</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142019471</ndc>
    <ndc_label_name>Heartburn Prevention 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142019900</ndc>
    <ndc_label_name>KRO MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142020230</ndc>
    <ndc_label_name>Hair Regrowth Treatment 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142020806</ndc>
    <ndc_label_name>KRO NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142020860</ndc>
    <ndc_label_name>KRO NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142021125</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142021140</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142025121</ndc>
    <ndc_label_name>Arthricream 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142027468</ndc>
    <ndc_label_name>KRO ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142029401</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142029403</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142029404</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030101</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030102</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030103</ndc>
    <ndc_label_name>24 Hour Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030234</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030240</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030310</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030410</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030602</ndc>
    <ndc_label_name>GentleLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030603</ndc>
    <ndc_label_name>GentleLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030609</ndc>
    <ndc_label_name>GentleLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030617</ndc>
    <ndc_label_name>GentleLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030619</ndc>
    <ndc_label_name>GentleLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030906</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142030960</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142033171</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142033240</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142034405</ndc>
    <ndc_label_name>KRO NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142035206</ndc>
    <ndc_label_name>KRO NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142035278</ndc>
    <ndc_label_name>KRO NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142035740</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142035934</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142037478</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142037482</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142038421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142038810</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142039640</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142040378</ndc>
    <ndc_label_name>KRO ACETAMINOPHEN 325 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142040426</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142040434</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142041116</ndc>
    <ndc_label_name>KRO HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142041678</ndc>
    <ndc_label_name>KRO ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142041687</ndc>
    <ndc_label_name>KRO ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142041926</ndc>
    <ndc_label_name>Child Mucus Relief Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142042341</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142043262</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142043280</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142044301</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142044303</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142044591</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Nighttime 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142045839</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142045849</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142045872</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142045940</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142046162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142046278</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142046708</ndc>
    <ndc_label_name>KRO ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142046768</ndc>
    <ndc_label_name>KRO ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142046965</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142047526</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142047792</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142047962</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142047967</ndc>
    <ndc_label_name>KRO ALLERGY 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142047978</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142051139</ndc>
    <ndc_label_name>KRO MUCUS RLF COLD-SINUS CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142051634</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142051778</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142053910</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142054862</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055553</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055701</ndc>
    <ndc_label_name>KRO OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055702</ndc>
    <ndc_label_name>KRO OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055703</ndc>
    <ndc_label_name>KRO OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055755</ndc>
    <ndc_label_name>KRO OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142055774</ndc>
    <ndc_label_name>KRO OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142056176</ndc>
    <ndc_label_name>KRO ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142056178</ndc>
    <ndc_label_name>KRO ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142056190</ndc>
    <ndc_label_name>KRO ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142057826</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142058840</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142059016</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142060340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060462</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060471</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060476</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060478</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060485</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060490</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142060493</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061203</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061258</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061265</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061762</ndc>
    <ndc_label_name>KRO NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061771</ndc>
    <ndc_label_name>KRO NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061776</ndc>
    <ndc_label_name>KRO NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061778</ndc>
    <ndc_label_name>KRO NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142061790</ndc>
    <ndc_label_name>KRO NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142064534</ndc>
    <ndc_label_name>KRO LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142064762</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142064776</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142064778</ndc>
    <ndc_label_name>KRO IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142065640</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142065772</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142066026</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142066028</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142066840</ndc>
    <ndc_label_name>Nite Time Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142068528</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142069914</ndc>
    <ndc_label_name>KRO ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142069932</ndc>
    <ndc_label_name>KRO ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142070071</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142070201</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142070314</ndc>
    <ndc_label_name>Mucus-ER MAX 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142070462</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142070467</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142070628</ndc>
    <ndc_label_name>KRO MUCUS RELIEF ER DM-MAX TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142070739</ndc>
    <ndc_label_name>KRO FAST MUCUS RLF SEVERE CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142072415</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142072469</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142076340</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142076616</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142077810</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142079830</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080071</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080078</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080082</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142080443</ndc>
    <ndc_label_name>KRO ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080563</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080571</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080909</ndc>
    <ndc_label_name>KRO ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142080931</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142081710</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142082529</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142082712</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142083926</ndc>
    <ndc_label_name>KRO CHILD MUCUS RELIEF M-S LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142084326</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142085140</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142085406</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142085460</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142085478</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142086634</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142087240</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142087305</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142087830</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142088839</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142089728</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142089734</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142090326</ndc>
    <ndc_label_name>Children's Plus Multi-Symp Cold 1 mg-2.5 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142095703</ndc>
    <ndc_label_name>KRO NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142095821</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142095926</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142097364</ndc>
    <ndc_label_name>KRO HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142097547</ndc>
    <ndc_label_name>KRO ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142097762</ndc>
    <ndc_label_name>Nite-Time Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142097767</ndc>
    <ndc_label_name>Nite-Time Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142098082</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142098200</ndc>
    <ndc_label_name>MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30142098726</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142099823</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142099862</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30142099867</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30237890005</ndc>
    <ndc_label_name>Provenge 50 million cell/250 mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30237890006</ndc>
    <ndc_label_name>Provenge 50 million cell/250 mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30610000327</ndc>
    <ndc_label_name>GlycoTrol 500 mcg-400 mcg-10 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30610000328</ndc>
    <ndc_label_name>GlycoTrol 500 mcg-400 mcg-10 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30669044966</ndc>
    <ndc_label_name>Orange Chicken-Carrots-Brown Rice oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30669044967</ndc>
    <ndc_label_name>Salmon-Oats-Squash oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30669044968</ndc>
    <ndc_label_name>Quinoa-Kale-Hemp oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30669044969</ndc>
    <ndc_label_name>Beef-Potatoes-Spinach oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698000701</ndc>
    <ndc_label_name>Norpramin 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698001101</ndc>
    <ndc_label_name>Norpramin 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698003201</ndc>
    <ndc_label_name>Marplan 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698006001</ndc>
    <ndc_label_name>Lasix 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698006605</ndc>
    <ndc_label_name>Lasix 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698006701</ndc>
    <ndc_label_name>Lasix 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698014301</ndc>
    <ndc_label_name>ROCALTROL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698014323</ndc>
    <ndc_label_name>ROCALTROL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698014401</ndc>
    <ndc_label_name>ROCALTROL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698020101</ndc>
    <ndc_label_name>PARLODEL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698020130</ndc>
    <ndc_label_name>PARLODEL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698020201</ndc>
    <ndc_label_name>PARLODEL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698020230</ndc>
    <ndc_label_name>PARLODEL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698022010</ndc>
    <ndc_label_name>ANZEMET 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698041912</ndc>
    <ndc_label_name>Equetro 100 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698042112</ndc>
    <ndc_label_name>Equetro 200 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698042312</ndc>
    <ndc_label_name>Equetro 300 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698044801</ndc>
    <ndc_label_name>Lotensin 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698044901</ndc>
    <ndc_label_name>Lotensin 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045001</ndc>
    <ndc_label_name>Lotensin 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045201</ndc>
    <ndc_label_name>Lotensin HCT 10 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045301</ndc>
    <ndc_label_name>Lotensin HCT 20 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045401</ndc>
    <ndc_label_name>Lotensin HCT 20 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045501</ndc>
    <ndc_label_name>Raldesy 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045502</ndc>
    <ndc_label_name>Raldesy 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045801</ndc>
    <ndc_label_name>Lopressor 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698045901</ndc>
    <ndc_label_name>Lopressor 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698046001</ndc>
    <ndc_label_name>Lopressor 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698046430</ndc>
    <ndc_label_name>Lopressor 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698047701</ndc>
    <ndc_label_name>HIPREX 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30698049301</ndc>
    <ndc_label_name>DRISDOL 1.25 MG (50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30698091115</ndc>
    <ndc_label_name>Rocaltrol 1 mcg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768000325</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768000339</ndc>
    <ndc_label_name>ECHINACEA 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768000517</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768000541</ndc>
    <ndc_label_name>MELATONIN 300 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768000617</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768000676</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768001138</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768001473</ndc>
    <ndc_label_name>Q-SORB CO Q-10 150 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768001788</ndc>
    <ndc_label_name>PERFECT IRON 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768002358</ndc>
    <ndc_label_name>LUTEIN 6 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768002793</ndc>
    <ndc_label_name>VITAMIN E 70,000 UNIT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768003121</ndc>
    <ndc_label_name>Osteo Bi-Flex Triple Strength 750 mg-644 mg-30 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768003134</ndc>
    <ndc_label_name>OSTEO BI-FLEX CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768003304</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768003545</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768003553</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768003554</ndc>
    <ndc_label_name>CALCIUM CIT 315 MG-D3 250 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768003578</ndc>
    <ndc_label_name>Osteo Bi-Flex Triple Strength 750 mg-644 mg-30 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768003741</ndc>
    <ndc_label_name>L-Carnitine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768003787</ndc>
    <ndc_label_name>NIACIN INOSITOL 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768003988</ndc>
    <ndc_label_name>B-12 2,500 MCG MICROLOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768004001</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768005031</ndc>
    <ndc_label_name>DHEA 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768013430</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768013798</ndc>
    <ndc_label_name>SUNVITE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768015605</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768015745</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768016836</ndc>
    <ndc_label_name>MELATONIN 1 MG/ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768016887</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768016888</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768017965</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768018076</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768018622</ndc>
    <ndc_label_name>PROBIOTIC ACIDOPHILUS BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768019484</ndc>
    <ndc_label_name>MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768019941</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG (2,000 UNIT)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768019995</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768029545</ndc>
    <ndc_label_name>KRILL OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768030405</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT/ML DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768033043</ndc>
    <ndc_label_name>OSTEO BI-FLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768033049</ndc>
    <ndc_label_name>OSTEO BI-FLEX CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768048678</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768050356</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768050357</ndc>
    <ndc_label_name>CALCIUM-VITAMIN D3 GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768051571</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768052531</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768052957</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768052958</ndc>
    <ndc_label_name>FISH OIL GUMMIES</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768053491</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768054055</ndc>
    <ndc_label_name>COMPLETE OMEGA SOFTGEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768056766</ndc>
    <ndc_label_name>WOMEN MULTIVIT W-BIOTIN GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768058615</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768060693</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>30768080266</ndc>
    <ndc_label_name>MELATONIN 2.5 MG GUMMY</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30768090927</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>30772004289</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cetylcide G liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31059017001</ndc>
    <ndc_label_name>Cetyl-Zyme Pro-Am Detergent liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31059017601</ndc>
    <ndc_label_name>Cetyl-Zyme Pro-Am Detergent foam</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31059020501</ndc>
    <ndc_label_name>Replacement J-4 Cannula</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31527000502</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604000254</ndc>
    <ndc_label_name>MAGNESIUM L-THREONATE-C-D3 CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>31604000477</ndc>
    <ndc_label_name>CRANBERRY VIT C 500MG-90MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001020</ndc>
    <ndc_label_name>Diabetes Health Pack 500 mcg-30 mcg-360 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001030</ndc>
    <ndc_label_name>Maximin Pack(with lycopene) 500 mcg-30 mcg-300 mcg oral combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001079</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001092</ndc>
    <ndc_label_name>SAM-e 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001160</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001162</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001170</ndc>
    <ndc_label_name>VITAMIN E 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001212</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001224</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001237</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001269</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001274</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001277</ndc>
    <ndc_label_name>ZINC 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001281</ndc>
    <ndc_label_name>Vitamin B-1 (mononitrate) 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001285</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001290</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001328</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001338</ndc>
    <ndc_label_name>B-COMPLEX W-VITAMIN C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001349</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001358</ndc>
    <ndc_label_name>POTASSIUM GLUC 550 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001416</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001435</ndc>
    <ndc_label_name>Prenatal Multi 27 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001473</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001485</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001486</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001489</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001496</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001499</ndc>
    <ndc_label_name>Prenatal Multi 27 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001617</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001637</ndc>
    <ndc_label_name>Balanced B-100 Complex 100 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001650</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001702</ndc>
    <ndc_label_name>Diabetes Health Pack 500 mcg-30 mcg-360 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001715</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001717</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001718</ndc>
    <ndc_label_name>MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001780</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001789</ndc>
    <ndc_label_name>ESSENTIAL Man 0.4 mg-2 mg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001790</ndc>
    <ndc_label_name>Essential Man 50 Plus 0.4 mg-2 mg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001791</ndc>
    <ndc_label_name>Multi For Her 18 mg iron-600 mcg-80 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001796</ndc>
    <ndc_label_name>Multi For Her 50 Plus 400 mcg-80 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001870</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001881</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001882</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604001893</ndc>
    <ndc_label_name>CALCIUM-MAG-ZINC-VIT D TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604001894</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002508</ndc>
    <ndc_label_name>CALCIUM 600MG-D3 400 UNIT SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002509</ndc>
    <ndc_label_name>VITAMIN C 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002517</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002518</ndc>
    <ndc_label_name>Multi Complete with Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002576</ndc>
    <ndc_label_name>MAGNESIUM 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002585</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002612</ndc>
    <ndc_label_name>Iron (ferrous sulfate) 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002613</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002621</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002657</ndc>
    <ndc_label_name>Fish Oil 120 mg-180 mg-60 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002659</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002662</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002664</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002665</ndc>
    <ndc_label_name>FISH OIL DR 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002673</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002674</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002675</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002676</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002677</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002678</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002680</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002682</ndc>
    <ndc_label_name>Co Q-10  400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002683</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002697</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,400 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002717</ndc>
    <ndc_label_name>B-12 1,000 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002718</ndc>
    <ndc_label_name>VITAMIN B12 2,500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002719</ndc>
    <ndc_label_name>VITAMIN B-12 3,000 MCG SL LOZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002720</ndc>
    <ndc_label_name>VITAMIN B-12 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002725</ndc>
    <ndc_label_name>Stress B-Complex 500 mg-400 mcg-23.9 mg-3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002727</ndc>
    <ndc_label_name>SUPER B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002729</ndc>
    <ndc_label_name>SUPER B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002730</ndc>
    <ndc_label_name>Vitamin B-12 ER 1,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002731</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002732</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002741</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002742</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002743</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002749</ndc>
    <ndc_label_name>Prenatal Multi-DHA (with vitamin K) 27 mg iron-800 mcg-260 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002754</ndc>
    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002766</ndc>
    <ndc_label_name>Prenatal Multi-DHA (with vitamin K) 27 mg iron-800 mcg-260 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002778</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002788</ndc>
    <ndc_label_name>Cholest Off Plus 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002791</ndc>
    <ndc_label_name>CholestOff Complete 300 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002794</ndc>
    <ndc_label_name>MELATONIN + L-THEANINE SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002803</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002817</ndc>
    <ndc_label_name>VITAMIN B-12 3,000 MCG SL LOZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002818</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002841</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002842</ndc>
    <ndc_label_name>FISH OIL GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002843</ndc>
    <ndc_label_name>Vitamin C 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002844</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002845</ndc>
    <ndc_label_name>CALCIUM 250 MG-D3 12.5 MCG CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002848</ndc>
    <ndc_label_name>CO Q-10 50 MG GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002882</ndc>
    <ndc_label_name>VITAMIN K2 100 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002886</ndc>
    <ndc_label_name>VITAMIN B-12 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002895</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 125 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002896</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 125 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002915</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,400 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002918</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002920</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604002927</ndc>
    <ndc_label_name>Hair-Skin-Nail (vit A,C-biotin-Zn-Cu) 2,500 unit-100 mg-2,500 mcg cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604002932</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604003192</ndc>
    <ndc_label_name>VITAMIN D3 62.5 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004045</ndc>
    <ndc_label_name>Multi For Her 18 mg iron-600 mcg-40 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004046</ndc>
    <ndc_label_name>Multi For Her 50 Plus 400 mcg-80 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004070</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004073</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004077</ndc>
    <ndc_label_name>Prenatal Multi-DHA (with vitamin K) 27 mg iron-800 mcg-260 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604004132</ndc>
    <ndc_label_name>Hair-Skin-Nails (vit C-biotin) 50 mg-1,250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004295</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604004296</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604004313</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604004345</ndc>
    <ndc_label_name>VIT D3-VIT K2 125-100 MCG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604004373</ndc>
    <ndc_label_name>VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604011259</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31604041107</ndc>
    <ndc_label_name>SAM-e (Enteric Coated) 400 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31604042546</ndc>
    <ndc_label_name>BIOTIN 2,500 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000230</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000290</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000390</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000430</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000490</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000530</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722000532</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722000631</ndc>
    <ndc_label_name>ITRACONAZOLE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722000760</ndc>
    <ndc_label_name>ZAFIRLUKAST 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722000860</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722000950</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001090</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001130</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001230</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001330</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001490</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001590</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001647</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722001701</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722001710</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722001801</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722001805</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722001810</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001912</ndc>
    <ndc_label_name>DIATRIZOATE MEGLUM-SOD 66%-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001930</ndc>
    <ndc_label_name>DIATRIZOATE MEGLUM-SOD 66%-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001931</ndc>
    <ndc_label_name>DIATRIZOATE MEGLUM-SOD 66%-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722001932</ndc>
    <ndc_label_name>DIATRIZOATE MEGLUM-SOD 66%-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722002015</ndc>
    <ndc_label_name>ENALAPRIL 1 MG/ML ORAL SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002101</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002105</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002201</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002205</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002301</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002305</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002401</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002405</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002501</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002505</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002730</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002790</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002830</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722002890</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722002932</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003031</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003032</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003131</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003132</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003231</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003232</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722003330</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722003430</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003523</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003601</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003701</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003801</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722003947</ndc>
    <ndc_label_name>NIMODIPINE 60 MG/20 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722004031</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722004131</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722004132</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004247</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004312</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004412</ndc>
    <ndc_label_name>ZILEUTON ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004512</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004631</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004632</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004701</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004730</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004801</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004830</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004930</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722004990</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005030</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005090</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005131</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005132</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722005201</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722005210</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005360</ndc>
    <ndc_label_name>IVABRADINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722005460</ndc>
    <ndc_label_name>IVABRADINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006331</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722006430</ndc>
    <ndc_label_name>FLUVOXAMINE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722006530</ndc>
    <ndc_label_name>FLUVOXAMINE ER 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006601</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006605</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006660</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006701</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006705</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006760</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006801</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006860</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722006947</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722007701</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722007801</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722007901</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722007910</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008030</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008130</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008230</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008330</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008430</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722008930</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722009190</ndc>
    <ndc_label_name>GABAPENTIN ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722009290</ndc>
    <ndc_label_name>GABAPENTIN ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009401</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009405</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009410</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009501</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009505</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009601</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009605</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009817</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722009831</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722009901</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722009930</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722010330</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722010430</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722010530</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011001</ndc>
    <ndc_label_name>OXYCODONE HCL ER 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011101</ndc>
    <ndc_label_name>OXYCODONE HCL ER 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011620</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011631</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011632</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011633</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011634</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011650</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011702</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011705</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011730</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011731</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011732</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011733</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011734</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011735</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011802</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011805</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011831</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011832</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011833</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011834</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722011901</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012001</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 12 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012101</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012201</ndc>
    <ndc_label_name>HYDROMORPHONE HCL ER 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012390</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012430</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012490</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012530</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012590</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012630</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722012690</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722012805</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722012860</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722012901</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013001</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013130</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013190</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013201</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013301</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013305</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013501</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013505</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013631</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013747</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722013801</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722014101</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722014201</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722014301</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722014401</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014505</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014530</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014590</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014605</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014630</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014690</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014705</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014730</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014790</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014801</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014805</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014810</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014901</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722014905</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015001</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015005</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015130</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015290</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015390</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015490</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722015901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722016531</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016601</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016605</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016701</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016705</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016860</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722016930</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017030</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017201</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017205</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017301</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017401</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017501</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017601</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017610</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017701</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017710</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017801</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017810</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017901</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722017905</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018001</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018010</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018105</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018160</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018205</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018260</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018305</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018360</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018405</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018460</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722018901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019050</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019101</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 2.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019205</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019301</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019305</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019401</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722019501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722019831</ndc>
    <ndc_label_name>OXYCODONE HCL 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020320</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020331</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020332</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020333</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020410</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020431</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020510</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020524</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722020531</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021010</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021033</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021110</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021133</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021501</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021601</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021720</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021731</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021732</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021733</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722021750</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722022431</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722022901</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023101</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023201</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023401</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023501</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722023601</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024030</ndc>
    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024130</ndc>
    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024230</ndc>
    <ndc_label_name>LAMOTRIGINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024330</ndc>
    <ndc_label_name>LAMOTRIGINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024430</ndc>
    <ndc_label_name>LAMOTRIGINE ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024530</ndc>
    <ndc_label_name>LAMOTRIGINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024630</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722024730</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025201</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025205</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025210</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025301</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025305</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722025310</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722025728</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722025828</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722025928</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026021</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026121</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026221</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026330</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026430</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026530</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722026631</ndc>
    <ndc_label_name>VORICONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027510</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027530</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027531</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 25MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027532</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 25MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027533</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027534</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027610</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027630</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027631</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 50MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027632</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 50MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027633</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 150MG/30ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027634</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 150MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027710</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027730</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 225 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027731</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027732</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027733</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 225 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722027734</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 225 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028410</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028490</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028510</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028590</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028610</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028690</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028710</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028790</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028810</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028890</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028910</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722028990</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029010</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029090</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029110</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029190</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029210</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029290</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029310</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029390</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029410</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029490</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029510</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029590</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722029690</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722029730</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029824</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722029912</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030012</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030032</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030125</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030132</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG SUSP PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030331</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030431</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030501</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030510</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030525</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030601</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030625</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030702</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030725</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722030801</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030931</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722030932</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722031031</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722031032</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722031110</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722031131</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722031590</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722031631</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722031730</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722031830</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722031930</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722032030</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032301</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722032601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034331</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034333</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034405</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034431</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034510</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722034531</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035001</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035301</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722035601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036331</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036332</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722036631</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722036632</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722036731</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722036732</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036831</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036832</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036910</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722036932</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722037031</ndc>
    <ndc_label_name>POSACONAZOLE 300 MG/16.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722037331</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722038001</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038105</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038201</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038205</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038210</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038301</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038305</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722038310</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039130</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039230</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039410</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 5 G/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039420</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 10G/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039431</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039432</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039433</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 5 G/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039434</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 10G/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039435</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 25G/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722039450</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 25G/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722040360</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722040460</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041114</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041131</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041214</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041231</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041314</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041331</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041414</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041431</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041514</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041531</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722041631</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042405</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042410</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042490</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042505</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042510</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042590</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042605</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042610</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042690</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042705</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042710</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722042790</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722042830</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722042930</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722043060</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722043130</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044030</ndc>
    <ndc_label_name>AVANAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044130</ndc>
    <ndc_label_name>AVANAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044230</ndc>
    <ndc_label_name>AVANAFIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044331</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044332</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044431</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722044432</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044530</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044590</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044630</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044690</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044730</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044790</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044830</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722044890</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722045310</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722045331</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722045531</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722045532</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722046428</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.1-0.02 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722049618</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722049660</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722050430</ndc>
    <ndc_label_name>EFAVIRENZ 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722050560</ndc>
    <ndc_label_name>NEVIRAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722050660</ndc>
    <ndc_label_name>LAMIVUDINE-ZIDOVUDINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722050960</ndc>
    <ndc_label_name>ZIDOVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051010</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051110</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051190</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051210</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051290</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051310</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051390</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051490</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722051901</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052001</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052010</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052101</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052110</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052201</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052205</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052510</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052530</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052590</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722052630</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722052690</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722052901</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053001</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053101</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053201</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053301</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053305</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053401</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053405</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053530</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053605</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053612</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053705</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053712</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053805</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053812</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722053960</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722054201</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722054301</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722054401</ndc>
    <ndc_label_name>LITHIUM CARBONATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722054501</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722054510</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722054601</ndc>
    <ndc_label_name>LITHIUM CARBONATE 600 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722055190</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722055612</ndc>
    <ndc_label_name>LOPINAVIR-RITONAVR 200-50MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722055760</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722056030</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722056224</ndc>
    <ndc_label_name>ABACAVIR 20 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722056424</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722056501</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722056560</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722056860</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722056924</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057030</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057090</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057105</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057130</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057190</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057210</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722057310</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722057447</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722057960</ndc>
    <ndc_label_name>MARAVIROC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058060</ndc>
    <ndc_label_name>MARAVIROC 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058160</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058230</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058330</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058530</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058630</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058690</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058730</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058790</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058830</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058890</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058901</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058905</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722058910</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059001</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059005</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059010</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059101</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059105</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059110</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059205</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059590</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059690</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722059730</ndc>
    <ndc_label_name>RITONAVIR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722059812</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722059912</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722060360</ndc>
    <ndc_label_name>LOPINAVIR-RITONAVR 100-25MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722060730</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722060830</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061005</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061090</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061105</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061190</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061205</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061290</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061305</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061390</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061405</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061490</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061505</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061590</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061605</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061690</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061705</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722061790</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062131</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062132</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062160</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062231</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062232</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722062260</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062330</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062390</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062726</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062805</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062830</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062890</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722062921</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722063031</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722063131</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722063231</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722063530</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722063630</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722063690</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722064330</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722064430</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722064530</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722064630</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722064730</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722065360</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722065460</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722065530</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722065731</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722065832</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722065931</ndc>
    <ndc_label_name>LEVOCETIRIZINE 2.5 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066410</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066430</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066490</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066510</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066530</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066590</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066631</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066632</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722066660</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722066860</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722066960</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067318</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067360</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067418</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067460</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067518</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067560</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067631</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067632</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067635</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067636</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722067760</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067856</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722067956</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722068060</ndc>
    <ndc_label_name>DIMETHYL FUMARATE 30D START PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722068147</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068205</ndc>
    <ndc_label_name>NAPROXEN 125 MG/5 ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068301</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068415</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068601</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068725</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722068846</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722069031</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722069111</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722069147</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070005</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070010</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070090</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070110</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070190</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070210</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070230</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070290</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070430</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070490</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070505</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070530</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070590</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070630</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070730</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722070830</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722070930</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722071001</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722071030</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722071101</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722071105</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722071130</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071290</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071310</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071390</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071430</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071530</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071630</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071730</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071830</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722071930</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072030</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072150</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072250</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072320</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072610</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072630</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072690</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072730</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072790</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072830</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072890</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072930</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722072990</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073005</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073030</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073090</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073130</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073190</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073630</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073705</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073730</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073790</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073805</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073830</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722073890</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722074530</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722074690</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722074790</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722074890</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722074920</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076401</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076860</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722076905</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077021</ndc>
    <ndc_label_name>POMALIDOMIDE 1 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077121</ndc>
    <ndc_label_name>POMALIDOMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077221</ndc>
    <ndc_label_name>POMALIDOMIDE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077321</ndc>
    <ndc_label_name>POMALIDOMIDE 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077460</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077512</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077560</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077605</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077690</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077701</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077705</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077801</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722077805</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077933</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722077934</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722078033</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722078034</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722080560</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722080605</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722080660</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722080760</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722080860</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722081260</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722081360</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722081460</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722081560</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722081930</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082030</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082111</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082211</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082730</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082830</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722082930</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083030</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083260</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083330</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083390</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083430</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722083710</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722083830</ndc>
    <ndc_label_name>ABACAVIR-LAMIVUDINE 600-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084130</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084230</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084330</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084430</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084660</ndc>
    <ndc_label_name>MILNACIPRAN HCL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084760</ndc>
    <ndc_label_name>MILNACIPRAN HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084860</ndc>
    <ndc_label_name>MILNACIPRAN HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722084960</ndc>
    <ndc_label_name>MILNACIPRAN HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085230</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085290</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085330</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085390</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085430</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085490</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085501</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085530</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085601</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085630</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085701</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722085730</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722086525</ndc>
    <ndc_label_name>LINEZOLID 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722086803</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722086831</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722086901</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <ndc>31722086903</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722087227</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722087390</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722087590</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MILNACIPRAN HCL TITRATION PACK</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722095201</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 18 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722095301</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722095401</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722095501</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722095601</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722095605</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722095801</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722095805</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722095901</ndc>
    <ndc_label_name>SoSweet Syrup Vehicle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722097460</ndc>
    <ndc_label_name>CHLORZOXAZONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722098110</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722098131</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722099510</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>31722099531</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099601</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099605</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099701</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099705</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099801</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099810</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099901</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099905</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>31722099910</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363001110</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363001125</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363001810</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363001820</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363001830</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363005010</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363005025</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363006810</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363006820</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363006850</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363007930</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363008910</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363008950</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363009748</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363009796</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363011081</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363011511</ndc>
    <ndc_label_name>Expectorant DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363011825</ndc>
    <ndc_label_name>Sleeping 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363011850</ndc>
    <ndc_label_name>Sleeping 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363012040</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363012041</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363012042</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013710</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013750</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013810</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013825</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013850</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363013915</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363014811</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363014850</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363015110</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363015120</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363015150</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363015812</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363015825</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363016018</ndc>
    <ndc_label_name>Ultra A-D 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363016406</ndc>
    <ndc_label_name>Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363016560</ndc>
    <ndc_label_name>Pain and Sleep 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363016808</ndc>
    <ndc_label_name>Expectorant 100 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363017001</ndc>
    <ndc_label_name>Long Acting Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363017808</ndc>
    <ndc_label_name>Expectorant DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363017908</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363018502</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363018510</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363018552</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363019060</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363019204</ndc>
    <ndc_label_name>Solarhist 1 %-2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363021930</ndc>
    <ndc_label_name>Expectorant 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363022110</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363022150</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363023230</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363023410</ndc>
    <ndc_label_name>Laxative Stool Softener With Senna 8.6 mg-50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363023460</ndc>
    <ndc_label_name>Laxative Stool Softener With Senna 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363023550</ndc>
    <ndc_label_name>G-Fenesin 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363023604</ndc>
    <ndc_label_name>Expectorant DM 20 mg-300 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363023608</ndc>
    <ndc_label_name>Expectorant DM 20 mg-300 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363023750</ndc>
    <ndc_label_name>Sinutrol PE 2 mg-5 mg-325 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363023950</ndc>
    <ndc_label_name>Congest-Eze PE 10 mg-400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363024409</ndc>
    <ndc_label_name>Allergy Relief and Nasal Decongestant 10 mg-240 mg tablet,extended rel</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363024527</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363024543</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363024604</ndc>
    <ndc_label_name>Pharmacist Pain Relief 0.05 %-20 %-10 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Long Acting Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>32363024832</ndc>
    <ndc_label_name>LORATADINE 10 MG ODT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Aspirin 81 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32363052500</ndc>
    <ndc_label_name>Bio-Therm 0.002 %-20 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32430049777</ndc>
    <ndc_label_name>Mepilex Border 4" X 4" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32430061212</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32430073271</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32430073277</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mepilex Border Sacrum 9.2" X 9.2" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mepitel 2" X 3" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32551058637</ndc>
    <ndc_label_name>Mefix 2" X 11 yard tape</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32551087232</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>32551095850</ndc>
    <ndc_label_name>Normlgel Ag 0.11 % topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pip Lancet 30 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332002404</ndc>
    <ndc_label_name>AFLURIA TRIVA 2024-25 (3YR UP)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332002503</ndc>
    <ndc_label_name>Afluria 2025-2026 (3yr up)(PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332002504</ndc>
    <ndc_label_name>Afluria 2025-2026 (3yr up)(PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332012410</ndc>
    <ndc_label_name>AFLURIA TRIVALENT 2024-25 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332012411</ndc>
    <ndc_label_name>AFLURIA TRIVALENT 2024-25 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332012510</ndc>
    <ndc_label_name>Afluria 2025-2026 (6 mos up) 45 mcg (15 mcg x 3)/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33332012511</ndc>
    <ndc_label_name>Afluria 2025-2026 (6 mos up) 45 mcg (15 mcg x 3)/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33332032303</ndc>
    <ndc_label_name>AFLURIA QUAD 2023-24 (3YR UP)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33332032304</ndc>
    <ndc_label_name>AFLURIA QUAD 2023-24 (3YR UP)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33332042310</ndc>
    <ndc_label_name>AFLURIA QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33332042311</ndc>
    <ndc_label_name>AFLURIA QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342000109</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342000207</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342000309</ndc>
    <ndc_label_name>LAMIVUDINE-ZIDOVUDINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342000409</ndc>
    <ndc_label_name>NEVIRAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342001510</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342001610</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342001910</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002010</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002108</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002208</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002332</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002407</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002507</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002607</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002707</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002710</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002715</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002807</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002810</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002815</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002907</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342002960</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003007</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003060</ndc>
    <ndc_label_name>DONEPEZIL HCL ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003110</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003115</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003210</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003215</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003310</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003315</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003410</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003415</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003510</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003515</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003611</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003711</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342003811</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004107</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004144</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004207</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004211</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004244</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004307</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004311</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342004344</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004407</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004410</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004444</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004507</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004510</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004544</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004607</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004610</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004644</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004707</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004710</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004807</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004810</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004907</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342004910</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005007</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005010</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005044</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005107</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005110</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005144</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005207</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005210</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005244</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342005328</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005407</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005410</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005415</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005507</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005510</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005515</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005607</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005610</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005615</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005707</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005710</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005807</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342005810</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006007</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006010</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006015</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006107</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006110</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006207</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006310</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006410</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006510</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342006628</ndc>
    <ndc_label_name>MEMANTINE HCL 2 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006707</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006744</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006807</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006844</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006907</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342006944</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007007</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007015</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007107</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007115</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007207</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007215</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007410</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007444</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007510</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007515</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007610</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007615</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007710</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007715</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007810</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342007815</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008307</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008311</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008407</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008411</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008507</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008511</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008607</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008611</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008702</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008741</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008745</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008750</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008752</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008772</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008802</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008841</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008845</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008850</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008852</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342008872</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342008909</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342008915</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009009</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009015</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009109</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009115</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009209</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009215</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009302</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009341</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009345</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009352</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009372</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009373</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009402</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009441</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009445</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009452</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009472</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009473</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009607</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009709</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009715</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342009809</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342009911</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010011</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010111</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010207</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010210</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010215</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010311</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010409</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010511</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342010607</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342010707</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342010937</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342010950</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342011007</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342011010</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342011107</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342011110</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011352</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011407</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011410</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011507</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011510</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011607</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011610</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011707</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342011710</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012110</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012207</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012307</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012407</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012507</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012607</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342012707</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013110</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013115</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013210</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013215</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013310</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013315</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342013409</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342013509</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342013609</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342013709</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342013807</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342013974</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342014052</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342014409</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342014509</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342014609</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342014709</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015001</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015052</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015053</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015107</ndc>
    <ndc_label_name>VARDENAFIL HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015207</ndc>
    <ndc_label_name>VARDENAFIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015307</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015407</ndc>
    <ndc_label_name>VARDENAFIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015509</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015611</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015615</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015711</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015715</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342015809</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015911</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015915</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342015944</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342016009</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342016207</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342016244</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017307</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017310</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017407</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017410</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017507</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017510</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342017609</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342017657</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342017709</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342017757</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017807</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017907</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342017910</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342018007</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342018010</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342018710</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342018910</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019007</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019010</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019107</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019110</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019207</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019210</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019307</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019310</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019407</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019410</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019507</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019510</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019607</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342019610</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342020010</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342020111</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342020115</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342020144</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342020337</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342020807</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342020907</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021007</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021107</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 2.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021207</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021307</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021407</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 4.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342021558</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342021611</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342023807</ndc>
    <ndc_label_name>NEVIRAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342023911</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342023944</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342024011</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024165</ndc>
    <ndc_label_name>SEVELAMER HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024257</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024307</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024310</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024407</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024410</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024507</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024510</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024607</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024610</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024707</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342024710</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342024811</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342024911</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342025011</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342025666</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342025766</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342025866</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342026011</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342026507</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342026607</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342026707</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342026807</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342026907</ndc>
    <ndc_label_name>TRAMADOL HCL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027007</ndc>
    <ndc_label_name>TRAMADOL HCL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027107</ndc>
    <ndc_label_name>TRAMADOL HCL ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027407</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027507</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027607</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027610</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027707</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342027710</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342027809</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342027907</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342027910</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028007</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028010</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028107</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028110</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028207</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342028210</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028307</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-12.5 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028407</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-12.5MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028507</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028607</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028707</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-320-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028868</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342028968</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029370</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029371</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029709</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029715</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029809</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029815</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342029907</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030011</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030111</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030209</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030309</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030409</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342030509</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342030807</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342030907</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342031207</ndc>
    <ndc_label_name>MEMANTINE-DONEPEZIL ER 14-10MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342031307</ndc>
    <ndc_label_name>MEMANTINE-DONEPEZIL ER 28-10MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342031411</ndc>
    <ndc_label_name>PROPYLTHIOURACIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342032084</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342032085</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032186</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032715</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032780</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032815</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032915</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032954</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342032980</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033115</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033154</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033180</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033215</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033315</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033354</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033380</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033413</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033511</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342033611</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342034994</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342035009</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342038407</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342038507</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342038510</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342038807</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342038810</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342038907</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342038910</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039310</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039311</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039344</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039410</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039411</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039444</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039510</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039511</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039544</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039610</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039611</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039644</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039710</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039711</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039744</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039810</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039811</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039844</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039910</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039911</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342039944</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040010</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040011</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040044</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040110</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040111</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040144</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040210</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040211</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040244</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040310</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040311</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040344</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040410</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040411</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342040444</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342040530</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342040535</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342040550</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342041907</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342042007</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342042107</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342042207</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342042307</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342043109</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342043209</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342043915</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342043930</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342044711</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342044715</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342044811</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342044911</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045011</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045111</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045707</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045807</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045810</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045907</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342045910</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342046007</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342046010</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342046206</ndc>
    <ndc_label_name>CYCLOSERINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342046266</ndc>
    <ndc_label_name>CYCLOSERINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342046915</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342046930</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342048115</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342048130</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048215</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048230</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048260</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048315</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048330</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048360</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048809</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342048857</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342048919</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342049019</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342050615</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342050630</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342050645</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342050660</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342053108</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342053208</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342053332</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342053610</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342055409</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057009</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057057</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057109</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057157</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057209</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33342057257</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33342057749</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000050</ndc>
    <ndc_label_name>TensCare Electrode 50 mm X 50 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000051</ndc>
    <ndc_label_name>TensCare Electrode 50 mm X 90 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000060</ndc>
    <ndc_label_name>TensCare iGlove pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000061</ndc>
    <ndc_label_name>TensCare iSock pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000064</ndc>
    <ndc_label_name>TensCare Electrode 25 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000072</ndc>
    <ndc_label_name>TensCare iGlove pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435000073</ndc>
    <ndc_label_name>TensCare iSock pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435007003</ndc>
    <ndc_label_name>TensCare iTouch Sure vaginal device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435012023</ndc>
    <ndc_label_name>Sports TENS 2 combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435012041</ndc>
    <ndc_label_name>TensCare KneeStim-Electrode pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013097</ndc>
    <ndc_label_name>TensCare Electrode 50 mm X 90 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013141</ndc>
    <ndc_label_name>Perfect EMS combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013223</ndc>
    <ndc_label_name>TensCare Pain Aide and Electrodes combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013314</ndc>
    <ndc_label_name>TensCare Joint Electrode 150 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013318</ndc>
    <ndc_label_name>TensCare Face Electrode 30 mm X 50 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013402</ndc>
    <ndc_label_name>Kegel Toner vaginal device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013419</ndc>
    <ndc_label_name>TensCare Electrode 105 mm X 155 mm pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013440</ndc>
    <ndc_label_name>TensCare KegelFit Stimulator vaginal device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013576</ndc>
    <ndc_label_name>Nouri Auto Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33435013577</ndc>
    <ndc_label_name>Nouri Duo Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472000333</ndc>
    <ndc_label_name>Clearblue Easy Ovulation Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472000450</ndc>
    <ndc_label_name>Clearblue Digital Ovulation kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472002220</ndc>
    <ndc_label_name>Clearblue Fertility Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472002225</ndc>
    <ndc_label_name>Clearblue Fertility Sticks kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472022278</ndc>
    <ndc_label_name>Clearblue Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472032258</ndc>
    <ndc_label_name>Clearblue Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472060102</ndc>
    <ndc_label_name>Clearblue Easy Ovulation (with pregnancy test) combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472060226</ndc>
    <ndc_label_name>Clearblue Digital Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472060227</ndc>
    <ndc_label_name>Clearblue Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33472060228</ndc>
    <ndc_label_name>Clearblue Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000110</ndc>
    <ndc_label_name>Kidney Bladder Blend 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000142</ndc>
    <ndc_label_name>AloeMAXLAX-Cascara Sagrada 360 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000380</ndc>
    <ndc_label_name>EYEBRIGHT BLEND 347 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000413</ndc>
    <ndc_label_name>ECHINACEA-ASTRAGALUS-REISHI CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000415</ndc>
    <ndc_label_name>Echinacea and Goldenseal 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674000900</ndc>
    <ndc_label_name>Aloelax with Fennel Seed 340 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674002011</ndc>
    <ndc_label_name>Alfa-Max Alfalfa 525 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674002070</ndc>
    <ndc_label_name>CHARCOAL, ACTIVATED 280 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006560</ndc>
    <ndc_label_name>Perika 300 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006640</ndc>
    <ndc_label_name>Valerian Nighttime 160 mg-80 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006690</ndc>
    <ndc_label_name>HEARTCARE HAWTHORN 80 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006793</ndc>
    <ndc_label_name>Garlicin Cardio 350 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006800</ndc>
    <ndc_label_name>Primadophilus Original 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006850</ndc>
    <ndc_label_name>Primadophilus Probiotic 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006860</ndc>
    <ndc_label_name>Primadophilus Bifidus 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006970</ndc>
    <ndc_label_name>Sambucus Elderberry Original 50 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006973</ndc>
    <ndc_label_name>Sambucus Immune Kids (Echinacea-Propolis) 119 mg-25 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674006974</ndc>
    <ndc_label_name>Sambucus Elderberry Immune 50 mg-5 mg-239 mg-50 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010008</ndc>
    <ndc_label_name>Chlorofresh 100 mg/0.71 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010009</ndc>
    <ndc_label_name>COCONUT OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010100</ndc>
    <ndc_label_name>ALFALFA 405 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010150</ndc>
    <ndc_label_name>ALOE LATEX WITH FENNEL CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010180</ndc>
    <ndc_label_name>ASTRAGALUS ROOT 470 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010220</ndc>
    <ndc_label_name>Sambucus Elderberry (zinc gluconate) 60 mg-5 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010255</ndc>
    <ndc_label_name>Alive Calcium-Vitamin D3 260 mg-25 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010260</ndc>
    <ndc_label_name>TURMERIC 750 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010293</ndc>
    <ndc_label_name>Fortify Probiotic 50 Plus 30 billion cell-50 mg capsule,delay release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010294</ndc>
    <ndc_label_name>Fortify Probiotic 30 billion cell-50 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010295</ndc>
    <ndc_label_name>Fortify Women Probiotic 30 billion cell-50 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010336</ndc>
    <ndc_label_name>Fortify Optima Women Probiotic 50 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010337</ndc>
    <ndc_label_name>Fortify Optima Probiotic 50 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010400</ndc>
    <ndc_label_name>BEET ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674010482</ndc>
    <ndc_label_name>Alive Premium Prenatal 120 mcg-25 mg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010483</ndc>
    <ndc_label_name>Alive B-Complex 120 mcg-45 mg-75 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010484</ndc>
    <ndc_label_name>Alive Immune Elderberry 300 mcg-45 mg-10 mcg-5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010485</ndc>
    <ndc_label_name>CranRx with Vit C-Mannose 250 mg-45 mg-100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010486</ndc>
    <ndc_label_name>Sambucus Elderberry 45 mg-3.75 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674010488</ndc>
    <ndc_label_name>Alive Daily Support Prenatal 180 mcg-25 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010493</ndc>
    <ndc_label_name>Sambucus Elderberry Traditionl 50 mg/0.5 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010500</ndc>
    <ndc_label_name>BLACK COHOSH ROOT 540 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010501</ndc>
    <ndc_label_name>Alive Calcium-Vitamin D3-K2 300 mg-25 mcg-66 mg-37.5 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010532</ndc>
    <ndc_label_name>Sambucus Nighttime-Melatonin 0.75 mg-37.5 mg-50 mg-/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010600</ndc>
    <ndc_label_name>BLACK WALNUT HULLS 450 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010613</ndc>
    <ndc_label_name>CranRx Urinary Health 1 gram-120 mg-1 gram/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010624</ndc>
    <ndc_label_name>CranRx with Vit C-Mannose 250 mg-30 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010673</ndc>
    <ndc_label_name>Fortify Probiotic 50 billion cell-50 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010754</ndc>
    <ndc_label_name>Curica Turmeric 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010762</ndc>
    <ndc_label_name>Fortify Optima Probio 50 Plus 50 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674010895</ndc>
    <ndc_label_name>ORGANIC MCT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011094</ndc>
    <ndc_label_name>Hair, Skin And Nails (Herbs) 120 mcg-1,250 mcg-60 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011200</ndc>
    <ndc_label_name>BURDOCK ROOT 430 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011209</ndc>
    <ndc_label_name>Alive Complete Premium Prenatl 13.5 mg iron-200 mcg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011250</ndc>
    <ndc_label_name>BUTCHER'S BROOM ROOT 360 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011300</ndc>
    <ndc_label_name>CASCARA SAGRADA 270 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011308</ndc>
    <ndc_label_name>CASCARA SAGRADA 270 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011450</ndc>
    <ndc_label_name>CAT'S CLAW 485 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011500</ndc>
    <ndc_label_name>CAYENNE FRUIT 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011508</ndc>
    <ndc_label_name>CAYENNE FRUIT 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011534</ndc>
    <ndc_label_name>Alive Hair, Skin and Nails 1,250 mcg-50 mg-67.5 mg-15 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674011536</ndc>
    <ndc_label_name>Alive Women's Gummy Vitamin 120 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011537</ndc>
    <ndc_label_name>Alive Women's 50 Plus Gummy 120 mcg-150 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011581</ndc>
    <ndc_label_name>Fortify Women Probio(w-L.salivarus) 50 billion cell-50 mg capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011582</ndc>
    <ndc_label_name>Fortify Probiotic 50 Plus 50 billion cell-50 mg capsule,delay release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011600</ndc>
    <ndc_label_name>CHAMOMILE FLOWER 350 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011750</ndc>
    <ndc_label_name>VITEX FRUIT 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011772</ndc>
    <ndc_label_name>ORGANIC MCT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011850</ndc>
    <ndc_label_name>CHLORELLA MICRO-ALGAE CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011861</ndc>
    <ndc_label_name>CranRx with Probiotics 3.5 billion cell-30 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011923</ndc>
    <ndc_label_name>VITEX FRUIT 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011924</ndc>
    <ndc_label_name>FENUGREEK SEED 565 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011925</ndc>
    <ndc_label_name>BEET ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011926</ndc>
    <ndc_label_name>GINGER ROOT 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011950</ndc>
    <ndc_label_name>CHARCOAL, ACTIVATED 280 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674011973</ndc>
    <ndc_label_name>Alive Hair Skin Nails Premium 1,250 mcg-150 mg-225 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012087</ndc>
    <ndc_label_name>Sambucus Elderberry Echinacea 90 mg-100 mg-50 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012088</ndc>
    <ndc_label_name>Sambucus Elderberry (zinc gluconate) 90 mg-5 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012089</ndc>
    <ndc_label_name>Sambucus Immune (Elder-Zn-C) 90 mg-5 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012108</ndc>
    <ndc_label_name>Echinacea and Goldenseal 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012111</ndc>
    <ndc_label_name>Alive Women's Multivitamin 4.5 mg iron-120 mcg-60 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012112</ndc>
    <ndc_label_name>Alive Men's Garden Goodness 119.9 mcg-60 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012127</ndc>
    <ndc_label_name>BEET ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012150</ndc>
    <ndc_label_name>CRANBERRY 465 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012197</ndc>
    <ndc_label_name>Nutravege Omega-3 500 mg-300 mg-150 mg-1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012200</ndc>
    <ndc_label_name>DAMIANA LEAVES 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012285</ndc>
    <ndc_label_name>Sambucus Elderberry 30 mg-1.1 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012300</ndc>
    <ndc_label_name>DANDELION ROOT 525 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012322</ndc>
    <ndc_label_name>BLACK SEED 4.5 GM/5 ML OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012325</ndc>
    <ndc_label_name>ALGAL OIL OMEGA-3 1000 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012345</ndc>
    <ndc_label_name>Sambucus Elderberry 45 mg-3.75 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012346</ndc>
    <ndc_label_name>Sambucus Elderberry 30 mg-1.1 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012350</ndc>
    <ndc_label_name>DEVIL'S CLAW 480 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012371</ndc>
    <ndc_label_name>Alive Diabetic Multivitamin 120 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012380</ndc>
    <ndc_label_name>DONG QUAI ROOT 565 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012400</ndc>
    <ndc_label_name>ECHINACEA 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012408</ndc>
    <ndc_label_name>ECHINACEA 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012440</ndc>
    <ndc_label_name>BLACK ELDERBERRY 575 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012500</ndc>
    <ndc_label_name>EYEBRIGHT 280 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012700</ndc>
    <ndc_label_name>FENNEL SEED 480 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012709</ndc>
    <ndc_label_name>Sambucus Elderberry-Vitamin C 250 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012800</ndc>
    <ndc_label_name>FENUGREEK SEED 610 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012808</ndc>
    <ndc_label_name>FEVERFEW 380 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012850</ndc>
    <ndc_label_name>FEVERFEW 380 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012900</ndc>
    <ndc_label_name>FO-TI ROOT 610 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012915</ndc>
    <ndc_label_name>DGL 75 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012961</ndc>
    <ndc_label_name>Sambucus Immune Kids(Vit-Zn) 300 mcg-0.5 mg-30 mg-1.1 mg chewable tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674012963</ndc>
    <ndc_label_name>Sambucus Elderberry-Vitamin C 250 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013000</ndc>
    <ndc_label_name>GARLIC 580 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013100</ndc>
    <ndc_label_name>GINGER ROOT 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013108</ndc>
    <ndc_label_name>GINGER ROOT 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013294</ndc>
    <ndc_label_name>ALIVE IMMUNE HEALTH SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013300</ndc>
    <ndc_label_name>ASIAN GINSENG 560 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013312</ndc>
    <ndc_label_name>Sambucus Sleep-Immune 1.5 mg-50 mg-5 mg-5 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013313</ndc>
    <ndc_label_name>Sambucus Honeyberry 7 gram-70 mg-100 mg/15 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013315</ndc>
    <ndc_label_name>Sambucus Honeyberry Kids 3.5 gram-35 mg-25 mg/7.5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013316</ndc>
    <ndc_label_name>Sambucus Honeyberry Night 0.5 mg-3.5 gram-35 mg/7.5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013369</ndc>
    <ndc_label_name>Kids Cool-Calm-Collected 15 mg-100 mg-1.25 mg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013371</ndc>
    <ndc_label_name>Kids Bones-Muscles 162 mg calcium-10 mcg-21 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013400</ndc>
    <ndc_label_name>ASIAN GINSENG 560 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013496</ndc>
    <ndc_label_name>Sambucus Sleep-Immune 1.5 mg-50 mg-5 mg-5 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013500</ndc>
    <ndc_label_name>SIBERIAN ELEUTHERO ROOT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013508</ndc>
    <ndc_label_name>SIBERIAN ELEUTHERO ROOT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013607</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674013608</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013660</ndc>
    <ndc_label_name>Alive Men's Energy 240 mcg-120 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013661</ndc>
    <ndc_label_name>Alive Men's 50 Plus Multivit (vit K) 240 mcg-120 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013662</ndc>
    <ndc_label_name>Alive Women's 50 Plus Complete 240 mcg-120 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013663</ndc>
    <ndc_label_name>Alive Women's Energy 18 mg iron-240 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013670</ndc>
    <ndc_label_name>Sambucus Relief Kids 30 mg-1.1 mg-25 mg-6.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013675</ndc>
    <ndc_label_name>GLUCOMANNAN 665 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013690</ndc>
    <ndc_label_name>Clear Thinking 125 mg-125 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013691</ndc>
    <ndc_label_name>Sustained Focus 66.7 mg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013700</ndc>
    <ndc_label_name>GOLDENSEAL HERB 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013701</ndc>
    <ndc_label_name>ZINC 11 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013710</ndc>
    <ndc_label_name>Alive Women's Energy 18 mg iron-240 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013716</ndc>
    <ndc_label_name>Alive Men's Energy 240 mcg-120 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013717</ndc>
    <ndc_label_name>Alive Men's Ultra 240 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013718</ndc>
    <ndc_label_name>Alive Women's Ultra Multivitam 18 mg iron-400 mcg-150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674013750</ndc>
    <ndc_label_name>MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013752</ndc>
    <ndc_label_name>APPLE CIDER VINEGAR 250 MG CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013753</ndc>
    <ndc_label_name>LUTEIN-ZEAXANTHIN 10-2MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013800</ndc>
    <ndc_label_name>GOLDENSEAL ROOT 333 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013882</ndc>
    <ndc_label_name>Kids Brain Builder 27.5 mg-0.2 mg-0.25 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013900</ndc>
    <ndc_label_name>GOLDENSEAL ROOT 333 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013901</ndc>
    <ndc_label_name>Alive Women's 50 Plus Complete 240 mcg-120 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013920</ndc>
    <ndc_label_name>Sleep Well Gummy 2.5 mg-42 mg-62.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013922</ndc>
    <ndc_label_name>Stress Defense Gummy 10 mcg-0.425 mg-62.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013940</ndc>
    <ndc_label_name>Alive Men 50 Plus Ultra-lutein 240 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013941</ndc>
    <ndc_label_name>Alive Women's 50 Plus Ultra Multivitamin 240 mcg-150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013950</ndc>
    <ndc_label_name>Probiotic Pearls Women's 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674013983</ndc>
    <ndc_label_name>Ashwagandha root leaf extract 62.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014000</ndc>
    <ndc_label_name>GOTU KOLA 475 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014002</ndc>
    <ndc_label_name>Sambucus Immune (Eld-C-Zn-Ech) 100 mg-5 mg-105 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014008</ndc>
    <ndc_label_name>GOTU KOLA 475 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014031</ndc>
    <ndc_label_name>Alive Men's Gummy 120 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014040</ndc>
    <ndc_label_name>Sambucus Advanced Immune 500 mg-25 mcg-11 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014041</ndc>
    <ndc_label_name>ST. JOHN'S WORT 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014066</ndc>
    <ndc_label_name>Alive Men's Gummy 120 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014067</ndc>
    <ndc_label_name>Alive Men's 50 Plus Multivitamin 120 mcg-150 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014068</ndc>
    <ndc_label_name>Alive Women's 50 Plus Gummy 120 mcg-150 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674014069</ndc>
    <ndc_label_name>Alive Women's Gummy Vitamin 120 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014093</ndc>
    <ndc_label_name>Sambucus Elderberry (zinc gluconate) 60 mg-5 mg-12.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014100</ndc>
    <ndc_label_name>HAWTHORN BERRIES 360 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014152</ndc>
    <ndc_label_name>CORN SILK 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014155</ndc>
    <ndc_label_name>HOPS FLOWERS 310 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014159</ndc>
    <ndc_label_name>OREGON GRAPE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014160</ndc>
    <ndc_label_name>PEPPERMINT LEAF 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014181</ndc>
    <ndc_label_name>EFA Blend Kids 58 mg-84 mg-291 mg-140 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014210</ndc>
    <ndc_label_name>Alive Women's 50 Plus Complete 240 mcg-120 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014240</ndc>
    <ndc_label_name>Primadophilus Reuteri Probiotc 5 billion cell-100 mg capsule,delay rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014241</ndc>
    <ndc_label_name>Primadophilus Reuteri Probiotc 3 billion cell-1.8g/3g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014260</ndc>
    <ndc_label_name>CHLOROPHYLL 50 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014262</ndc>
    <ndc_label_name>Immune Power 62.5 mg-15 mcg-2.75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014283</ndc>
    <ndc_label_name>Alive Men's 50 Plus Multivit (vit K) 240 mcg-120 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014292</ndc>
    <ndc_label_name>CHLOROPHYLL 50 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014294</ndc>
    <ndc_label_name>Immune Power 62.5 mg-15 mcg-2.75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014300</ndc>
    <ndc_label_name>HORSETAIL GRASS 440 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014320</ndc>
    <ndc_label_name>GRAPE SEED 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014327</ndc>
    <ndc_label_name>QUERCETIN WITH ZINC GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014346</ndc>
    <ndc_label_name>Brain Fuel 0.85 mg-1.2 mcg-125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014472</ndc>
    <ndc_label_name>Brain Fuel 0.85 mg-1.2 mcg-125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014500</ndc>
    <ndc_label_name>Kelp (iodine) 270 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014508</ndc>
    <ndc_label_name>Kelp (iodine) 270 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014521</ndc>
    <ndc_label_name>OLIVE LEAF 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014536</ndc>
    <ndc_label_name>EstroSoy 335 mg-20 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014537</ndc>
    <ndc_label_name>Pepogest 0.2 mL capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014550</ndc>
    <ndc_label_name>KUDZU ROOT 613 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014594</ndc>
    <ndc_label_name>Alive Diabetic Multivitamin 120 mcg-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014600</ndc>
    <ndc_label_name>LICORICE ROOT 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014610</ndc>
    <ndc_label_name>FENUGREEK SEED 565 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014616</ndc>
    <ndc_label_name>Sambucus Immune(Elder-ZN-C-D3) 45 mg-15 mcg-3.75 mg-25 mg chewable tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014617</ndc>
    <ndc_label_name>Sambucus Immune(Elder-ZN-C-D3) 45 mg-15 mcg-3.75 mg-25 mg chewable tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014618</ndc>
    <ndc_label_name>Alive Women's MVI No Sugar 120 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014620</ndc>
    <ndc_label_name>Alive Men's MVI No Sugar 120 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014632</ndc>
    <ndc_label_name>Quick Calm Gummy 100 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014636</ndc>
    <ndc_label_name>ECHINACEA PURPUREA 250 MG/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014650</ndc>
    <ndc_label_name>MELISSA LEMON BALM 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014663</ndc>
    <ndc_label_name>Echinacea Goldenseal 250 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014690</ndc>
    <ndc_label_name>BLACK COHOSH ROOT 540 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014713</ndc>
    <ndc_label_name>CalmAid 80 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014719</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 1 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014721</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 1 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014793</ndc>
    <ndc_label_name>Garden Veggies 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014794</ndc>
    <ndc_label_name>Orchard Fruits 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014800</ndc>
    <ndc_label_name>MARSHMALLOW ROOT 480 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014810</ndc>
    <ndc_label_name>DIM-plus 50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014850</ndc>
    <ndc_label_name>DIM-plus 50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014923</ndc>
    <ndc_label_name>Completia Diabetic Multivit 120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014924</ndc>
    <ndc_label_name>Completia Diabetic Multivit 120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014926</ndc>
    <ndc_label_name>Alive Max3 Potency Complete 6 mg iron-133 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014927</ndc>
    <ndc_label_name>Alive Max3 Potency Complete 6 mg iron-133 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014928</ndc>
    <ndc_label_name>Alive Max3 Potency Complete 6 mg iron-133 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014931</ndc>
    <ndc_label_name>Alive Max3 Potency 133.3 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674014932</ndc>
    <ndc_label_name>Alive Max3 Potency 133.3 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015020</ndc>
    <ndc_label_name>Cranberry-Vit C (ascorbate calcium) 400 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015021</ndc>
    <ndc_label_name>Cranberry-Vit C (ascorbate calcium) 400 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015022</ndc>
    <ndc_label_name>SystemWell Ultimate Immunity tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015023</ndc>
    <ndc_label_name>SystemWell Ultimate Immunity tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015024</ndc>
    <ndc_label_name>Primadophilus Reuteri Probiotc 5 billion cell-100 mg capsule,delay rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015049</ndc>
    <ndc_label_name>SystemWell Ultimate Immunity tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015067</ndc>
    <ndc_label_name>Garlicin Cardio 350 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015082</ndc>
    <ndc_label_name>CINNAMON CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015090</ndc>
    <ndc_label_name>Alive Max6 Potency Complete 3 mg iron-66.67 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015092</ndc>
    <ndc_label_name>Alive Max6 Potency Complete 66.67 mcg DFE-20 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015100</ndc>
    <ndc_label_name>MYRRH GUM 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015120</ndc>
    <ndc_label_name>NEEM LEAF 475 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015133</ndc>
    <ndc_label_name>MSM 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015134</ndc>
    <ndc_label_name>Cranberry-Vit C (ascorbate calcium) 400 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015135</ndc>
    <ndc_label_name>Cranberry-Vit C (ascorbate calcium) 400 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015142</ndc>
    <ndc_label_name>Alive Vitamin C 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015143</ndc>
    <ndc_label_name>Alive Vitamin C 500 mg/4 gram (1 teaspoonful) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015150</ndc>
    <ndc_label_name>NETTLE LEAF 435 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015181</ndc>
    <ndc_label_name>OREGANO OIL 50-25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015251</ndc>
    <ndc_label_name>Ginkgold 120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015252</ndc>
    <ndc_label_name>Ginkgold Eyes 10 mg-0.5 mg-30 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015268</ndc>
    <ndc_label_name>Ginkgold 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015289</ndc>
    <ndc_label_name>CranRx 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015300</ndc>
    <ndc_label_name>PARSLEY LEAF 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015310</ndc>
    <ndc_label_name>MACA ROOT 525 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015311</ndc>
    <ndc_label_name>Horny Goat Weed 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015321</ndc>
    <ndc_label_name>RHODIOLA 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015332</ndc>
    <ndc_label_name>Sambucus Elderberry Original 50 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015333</ndc>
    <ndc_label_name>Sambucus Elderberry Immune 50 mg-5 mg-239 mg-50 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015334</ndc>
    <ndc_label_name>Fisol 250 mg (100 mg-150 mg)-500 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015335</ndc>
    <ndc_label_name>Leg Veins Blend 15 mg-150 mg-18.5 mg-75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015336</ndc>
    <ndc_label_name>DANDELION ROOT 525 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015337</ndc>
    <ndc_label_name>ASTRAGALUS ROOT 470 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015338</ndc>
    <ndc_label_name>HAWTHORN BERRIES 360 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015350</ndc>
    <ndc_label_name>WILD YAM ROOT 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015351</ndc>
    <ndc_label_name>GINKGO PREMIUM EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015352</ndc>
    <ndc_label_name>GRAPE SEED 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015353</ndc>
    <ndc_label_name>BLACK COHOSH 40 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015355</ndc>
    <ndc_label_name>MILK THISTLE 175-120 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015356</ndc>
    <ndc_label_name>TURMERIC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015359</ndc>
    <ndc_label_name>Sambucus Immune Kids (Echinacea-Propolis) 119 mg-25 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015361</ndc>
    <ndc_label_name>CRANBERRY 465 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015380</ndc>
    <ndc_label_name>Bladderwrack (iodine) 151 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015381</ndc>
    <ndc_label_name>ANDROGRAPHIS CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015383</ndc>
    <ndc_label_name>ASTRAGALUS CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015384</ndc>
    <ndc_label_name>CORDYCEPS 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015385</ndc>
    <ndc_label_name>POMEGRANATE 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015387</ndc>
    <ndc_label_name>ASHWAGANDHA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015395</ndc>
    <ndc_label_name>Alive Max Potency 300 mcg-80 mcg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015405</ndc>
    <ndc_label_name>Super Thisilyn 175 mg-50 mg-50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015408</ndc>
    <ndc_label_name>PAU D'ARCO 545 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015413</ndc>
    <ndc_label_name>BORAGE OIL 1,300 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015418</ndc>
    <ndc_label_name>EVENING PRIMROSE 1,300 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015419</ndc>
    <ndc_label_name>EVENING PRIMROSE 1,300 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015425</ndc>
    <ndc_label_name>FLAX OIL 1,300 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015426</ndc>
    <ndc_label_name>FLAX OIL 13.9 GM/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015428</ndc>
    <ndc_label_name>FLAX OIL 13.9 GM/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015429</ndc>
    <ndc_label_name>FLAX OIL 13.9 GM/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015431</ndc>
    <ndc_label_name>KRILL OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015432</ndc>
    <ndc_label_name>KRILL OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015440</ndc>
    <ndc_label_name>Mega 3-6-9 1,233 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015441</ndc>
    <ndc_label_name>Mega 3-6-9 1,233 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015450</ndc>
    <ndc_label_name>PAU D'ARCO 545 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015464</ndc>
    <ndc_label_name>VITAMIN C-BIOFLAV 1000-50MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015465</ndc>
    <ndc_label_name>VITAMIN C-BIOFLAV 1000-50MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015480</ndc>
    <ndc_label_name>OLIVE LEAF PREMIUM EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015491</ndc>
    <ndc_label_name>LUTEIN-ZEAXANTHIN 20-1 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015492</ndc>
    <ndc_label_name>CINNAMON CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015493</ndc>
    <ndc_label_name>HOLY BASIL 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015518</ndc>
    <ndc_label_name>Super Fisol 350 mg (150 mg-200 mg)-500 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015540</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015542</ndc>
    <ndc_label_name>Alive Men's Max3 Potency 133.3 mcg DFE-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015543</ndc>
    <ndc_label_name>Alive Max3 Potency Women 6 mg iron-266 mcg DFE-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015570</ndc>
    <ndc_label_name>Sytrinol 150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015590</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015601</ndc>
    <ndc_label_name>Hydraplenish 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015603</ndc>
    <ndc_label_name>Hydraplenish with OptiMSM 500 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015604</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015611</ndc>
    <ndc_label_name>RESVERATROL CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015651</ndc>
    <ndc_label_name>Primadophilus Bifidus 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015652</ndc>
    <ndc_label_name>Fortify Optima Probiotic 35 billion cell-75 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015653</ndc>
    <ndc_label_name>Fortify Optima Probiotic 35 billion cell-75 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015663</ndc>
    <ndc_label_name>ACETYL L-CARNITINE 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015679</ndc>
    <ndc_label_name>Alive Adult Ultra Potency 18 mg iron-400 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015682</ndc>
    <ndc_label_name>Mega-DHA 600 mg-419 mg-169 mg-1,000mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015685</ndc>
    <ndc_label_name>Alive Men's Ultra Potency 400 mcg DFE-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015686</ndc>
    <ndc_label_name>Alive Women's Ultra Potency 18 mg-800 mcg DFE-150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015688</ndc>
    <ndc_label_name>Super Fisol 350 mg (150 mg-200 mg)-500 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015691</ndc>
    <ndc_label_name>Alive Men's 50 Plus Ultra Potency 800 mcg DFE-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015692</ndc>
    <ndc_label_name>Alive Women's 50 Plus Ultra Potency 800 mcg DFE-150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015783</ndc>
    <ndc_label_name>Fortify Optima Advanced Care 60 billion cell-75 mg capsule,delayed rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015784</ndc>
    <ndc_label_name>Fortify Optima Adv Care(L.salivarus) 100 billion cell-75 mg capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015785</ndc>
    <ndc_label_name>Fortify Optima 50 Plus 90 billion cell-75 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015786</ndc>
    <ndc_label_name>Alive Kids Chewable 2.5 mg iron-75 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015788</ndc>
    <ndc_label_name>Alive Kids Multivitamin Gummy 50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015789</ndc>
    <ndc_label_name>Alive Premium Kids 66.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015796</ndc>
    <ndc_label_name>Sambucus Elderberry Organic 50 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015817</ndc>
    <ndc_label_name>Alive Premium Adult 80 mcg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015819</ndc>
    <ndc_label_name>CalmAid 80 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015836</ndc>
    <ndc_label_name>VITAMIN D3 MAX 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015838</ndc>
    <ndc_label_name>Alive Calcium-Vitamin D3-K2 300 mg-25 mcg-66 mg-37.5 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015839</ndc>
    <ndc_label_name>Alive Calcium-Vitamin D3-K2 300 mg-25 mcg-66 mg-37.5 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015859</ndc>
    <ndc_label_name>Fortify Optima Women Advanced 90 billion cell-75 mg capsule, delay rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015891</ndc>
    <ndc_label_name>Alive Men's Ultra 240 mcg-120 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015895</ndc>
    <ndc_label_name>Alive Premium Men's 80 mcg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015897</ndc>
    <ndc_label_name>Alive Premium Women's 80 mcg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015898</ndc>
    <ndc_label_name>Alive Men's 50 Plus Premium 80 mcg-166.7 mcg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015899</ndc>
    <ndc_label_name>Alive Premium Women's 50 Plus 80 mcg-166.7 mcg-66.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015900</ndc>
    <ndc_label_name>Alive Men's Gummy 120 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015902</ndc>
    <ndc_label_name>Alive Men's 50 Plus Multivitamin 120 mcg-150 mcg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674015903</ndc>
    <ndc_label_name>Alive Women's Gummy Vitamin 120 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674015904</ndc>
    <ndc_label_name>Alive Women's 50 Plus Gummy 120 mcg-150 mcg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016000</ndc>
    <ndc_label_name>RED CLOVER 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016100</ndc>
    <ndc_label_name>RASPBERRY LEAF 320 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016750</ndc>
    <ndc_label_name>SAW PALMETTO BERRIES 585 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016758</ndc>
    <ndc_label_name>SAW PALMETTO BERRIES 585 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016800</ndc>
    <ndc_label_name>SCHISANDRA 580 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674016900</ndc>
    <ndc_label_name>SKULLCAP 425 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017000</ndc>
    <ndc_label_name>SENNA LEAVES 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017100</ndc>
    <ndc_label_name>SLIPPERY ELM BARK 400 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017200</ndc>
    <ndc_label_name>SPIRULINA 380 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017300</ndc>
    <ndc_label_name>ST. JOHN'S WORT 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017600</ndc>
    <ndc_label_name>Uva Ursi 370 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017700</ndc>
    <ndc_label_name>VALERIAN ROOT 530 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017708</ndc>
    <ndc_label_name>VALERIAN ROOT 530 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017850</ndc>
    <ndc_label_name>WILLOW BARK 340 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674017870</ndc>
    <ndc_label_name>WILD YAM ROOT 350 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674040110</ndc>
    <ndc_label_name>VITAMIN A 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674040211</ndc>
    <ndc_label_name>VITAMIN E 268 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040310</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040311</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040312</ndc>
    <ndc_label_name>VIT C-ROSE HIPS 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040313</ndc>
    <ndc_label_name>VIT C-ROSE HIPS 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040330</ndc>
    <ndc_label_name>VITAMIN C-BIOFLAVONOIDS CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040331</ndc>
    <ndc_label_name>VITAMIN C-BIOFLAVONOIDS CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040411</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040421</ndc>
    <ndc_label_name>RIBOFLAVIN 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040431</ndc>
    <ndc_label_name>Vitamin B-6 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040440</ndc>
    <ndc_label_name>VITAMIN B-12 2,000 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040451</ndc>
    <ndc_label_name>FOLIC ACID 480 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040460</ndc>
    <ndc_label_name>CHOLINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040461</ndc>
    <ndc_label_name>INOSITOL 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040462</ndc>
    <ndc_label_name>CHOLINE-INOSITOL 250-250MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040470</ndc>
    <ndc_label_name>NIACIN 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040480</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040491</ndc>
    <ndc_label_name>PANTOTHENIC ACID 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040511</ndc>
    <ndc_label_name>B-50 complex with inositol 400 mcg-25 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040520</ndc>
    <ndc_label_name>B-100 COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040521</ndc>
    <ndc_label_name>B-100 COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674040631</ndc>
    <ndc_label_name>B-Stress Formula Blend 200 mcg-250 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041010</ndc>
    <ndc_label_name>CALCIUM CITRATE CARBNT MALATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041011</ndc>
    <ndc_label_name>CALCIUM CITRATE CARBNT MALATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041021</ndc>
    <ndc_label_name>CHROMIUM 200 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041041</ndc>
    <ndc_label_name>IRON 18 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041051</ndc>
    <ndc_label_name>MAGNESIUM 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041071</ndc>
    <ndc_label_name>POTASSIUM 99 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041081</ndc>
    <ndc_label_name>SELENIUM 200 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041091</ndc>
    <ndc_label_name>ZINC CHELATE 30 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041092</ndc>
    <ndc_label_name>ZINC-VIT C-ECHINACEA LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041101</ndc>
    <ndc_label_name>Boron Complex 3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041210</ndc>
    <ndc_label_name>Calcium Complex 166.66 mg-0.83 mcg-83 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041310</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM COMPLEX CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041311</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM COMPLEX CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041410</ndc>
    <ndc_label_name>Calcium-Magnesium-Zinc Complex 167 mg calcium-83 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041411</ndc>
    <ndc_label_name>Calcium-Magnesium-Zinc Complex 167 mg calcium-83 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041420</ndc>
    <ndc_label_name>CALCIUM-MAG-D3 COMPLX 167MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674041421</ndc>
    <ndc_label_name>CALCIUM-MAG-D3 COMPLX 167MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674045130</ndc>
    <ndc_label_name>Prenatal Multivitamin (Ferrous Gluconate) 4.5 mg iron-200 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045151</ndc>
    <ndc_label_name>Pycnogenol Blend 50 mg-50 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045161</ndc>
    <ndc_label_name>PHOSPHATIDYL SERINE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045171</ndc>
    <ndc_label_name>CHARCOAL, ACTIVATED 280 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045181</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045240</ndc>
    <ndc_label_name>5-HTP-VIT B6-VIT C DR 50 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674045250</ndc>
    <ndc_label_name>5-HTP-VIT B6-VIT C DR 50 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674047110</ndc>
    <ndc_label_name>Lactose Defense 230 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>33674049111</ndc>
    <ndc_label_name>MELATONIN 2.5 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674060192</ndc>
    <ndc_label_name>Alive Daily Energy 18 mg iron-240 mcg-40 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674060193</ndc>
    <ndc_label_name>Alive Energy 50 Plus 240 mcg-45 mcg-900 mcg-250mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674060500</ndc>
    <ndc_label_name>Bilberry Premium Extract 80 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674060510</ndc>
    <ndc_label_name>Bilberry Premium Extract 80 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674060700</ndc>
    <ndc_label_name>CAT'S CLAW 175 MG-160 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674061600</ndc>
    <ndc_label_name>GINKGO PREMIUM EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674061900</ndc>
    <ndc_label_name>HAWTHORN PREMIUM EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674062000</ndc>
    <ndc_label_name>HORSE CHESTNUT PREMIUM EXT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674062400</ndc>
    <ndc_label_name>MILK THISTLE 175-120 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674062700</ndc>
    <ndc_label_name>REISHI MUSHROOM 188 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674062800</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674063000</ndc>
    <ndc_label_name>ST. JOHN'S WORT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674063100</ndc>
    <ndc_label_name>TURMERIC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674063300</ndc>
    <ndc_label_name>Uva Ursi 150 mg-333 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674063400</ndc>
    <ndc_label_name>VALERIAN EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674063700</ndc>
    <ndc_label_name>GYMNEMA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674064000</ndc>
    <ndc_label_name>OLIVE LEAF PREMIUM EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674064200</ndc>
    <ndc_label_name>MACA PREMIUM EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674064400</ndc>
    <ndc_label_name>BOSWELLIA 307 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674064600</ndc>
    <ndc_label_name>Artichoke Premium Extract 150 mg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674079200</ndc>
    <ndc_label_name>Blood Sugar Support 150 mcg-70 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674079270</ndc>
    <ndc_label_name>Leg Veins Blend 15 mg-150 mg-18.5 mg-75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33674079320</ndc>
    <ndc_label_name>Urinary Cranberry Blend 200 mg-50 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33739001676</ndc>
    <ndc_label_name>Red Omega 300 mg-30 mg-120 mg-180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33739002921</ndc>
    <ndc_label_name>Oralbiotic 500 million cell lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801003016</ndc>
    <ndc_label_name>Orafate 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801007501</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801030012</ndc>
    <ndc_label_name>Orafate 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801075013</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801090016</ndc>
    <ndc_label_name>Orafate 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801120010</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801125015</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801125046</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801250014</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>33801250021</ndc>
    <ndc_label_name>ProThelial 1 gram/10 mL mucosal paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000049</ndc>
    <ndc_label_name>Milltrium Senior tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000063</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000064</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000116</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000120</ndc>
    <ndc_label_name>Vitamin B-2 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000124</ndc>
    <ndc_label_name>Vitamin B-6 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000131</ndc>
    <ndc_label_name>VITAMIN B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000154</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000155</ndc>
    <ndc_label_name>CALCIUM CITRATE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000188</ndc>
    <ndc_label_name>BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000322</ndc>
    <ndc_label_name>MAGNESIUM GLUC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000323</ndc>
    <ndc_label_name>MAGNESIUM 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000334</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000348</ndc>
    <ndc_label_name>POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000350</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 300 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000381</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000390</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000392</ndc>
    <ndc_label_name>MELATONIN TR 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000431</ndc>
    <ndc_label_name>Co Q-10  50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000432</ndc>
    <ndc_label_name>CO Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046000433</ndc>
    <ndc_label_name>Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000454</ndc>
    <ndc_label_name>L-CARNITINE 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000457</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000751</ndc>
    <ndc_label_name>CRANBERRY 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000904</ndc>
    <ndc_label_name>Prostate Health 160 mg-100 unit-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046000905</ndc>
    <ndc_label_name>Probiotic and Acidophilus 300 million cell-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35046001130</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046008198</ndc>
    <ndc_label_name>SAFFRON 176.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35046008205</ndc>
    <ndc_label_name>Green Coffee Bean 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515090056</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090121</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090122</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090123</ndc>
    <ndc_label_name>Antacid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090180</ndc>
    <ndc_label_name>Complete Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090380</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090431</ndc>
    <ndc_label_name>QC ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090432</ndc>
    <ndc_label_name>QC ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090549</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515090856</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515090882</ndc>
    <ndc_label_name>QC ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515091122</ndc>
    <ndc_label_name>Calcium Antacid 400 mg (as carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515094507</ndc>
    <ndc_label_name>QC CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094560</ndc>
    <ndc_label_name>QC GLYCERIN 2 GM ADULT SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094579</ndc>
    <ndc_label_name>QC COMPLETE ALLERGY 25 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094613</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094634</ndc>
    <ndc_label_name>Pink Bismuth 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094675</ndc>
    <ndc_label_name>QC PSYLLIUM FIBER POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515094812</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095252</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095253</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095360</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095372</ndc>
    <ndc_label_name>Fiber-Caps (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095399</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095451</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095461</ndc>
    <ndc_label_name>Non-Aspirin PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095493</ndc>
    <ndc_label_name>QC IODIDES TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095496</ndc>
    <ndc_label_name>QC CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095517</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095522</ndc>
    <ndc_label_name>Pain Relief Instant Antiseptic 10.8 %-4.7 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095536</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 325 mg-1,916 mg-1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095563</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095572</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095609</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095610</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095704</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095706</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515095707</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095735</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095766</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095771</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515095981</ndc>
    <ndc_label_name>Natura-LAX 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515096524</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515096599</ndc>
    <ndc_label_name>QC OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515096943</ndc>
    <ndc_label_name>Unifine Pentips 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097004</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097032</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097033</ndc>
    <ndc_label_name>Itch Stopping (diphenhydramine) 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515097058</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097059</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097457</ndc>
    <ndc_label_name>QC NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097459</ndc>
    <ndc_label_name>QC NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515097536</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098076</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098077</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098112</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098131</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098529</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098642</ndc>
    <ndc_label_name>QC VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515098671</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515098672</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515098673</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098722</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098747</ndc>
    <ndc_label_name>Natura-LAX 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515098760</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099077</ndc>
    <ndc_label_name>QC CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099198</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099230</ndc>
    <ndc_label_name>QC POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099259</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099333</ndc>
    <ndc_label_name>QC ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099337</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099529</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099597</ndc>
    <ndc_label_name>Non-Aspirin PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099635</ndc>
    <ndc_label_name>QC ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099640</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099667</ndc>
    <ndc_label_name>Cough and Severe Cold 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099718</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099721</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099793</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099843</ndc>
    <ndc_label_name>Hand Sanitizer 70 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35515099921</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099939</ndc>
    <ndc_label_name>Cough Drops (menthol-pectin) 2.5 mg-7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099940</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35515099941</ndc>
    <ndc_label_name>Cough Drops 2.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561021112</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561021113</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561021212</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561021213</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561024910</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561024913</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561025010</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561025013</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561028510</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561028511</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561028610</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35561028611</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35561034311</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35561034411</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35561034413</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573010715</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573010749</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573010813</ndc>
    <ndc_label_name>SPS 15 GM/60 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573010814</ndc>
    <ndc_label_name>SPS 15 GM/60 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573010857</ndc>
    <ndc_label_name>SPS 15 GM/60 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573040099</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573040454</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573041030</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573041230</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041304</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041530</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041630</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041730</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041830</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573041930</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573042030</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573042130</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573042851</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573042880</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573043302</ndc>
    <ndc_label_name>KETOCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573043330</ndc>
    <ndc_label_name>KETOCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573043451</ndc>
    <ndc_label_name>SODIUM FLUORIDE 5000 PPM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573043556</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573043702</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573044002</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573044102</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573044202</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573044325</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573044425</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573044525</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573044630</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573044730</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573044830</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045002</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573045308</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573045391</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573045408</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573045491</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045502</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045602</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045785</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045885</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573045960</ndc>
    <ndc_label_name>CARGLUMIC ACID 200 MG TAB SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573046038</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573046056</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573046130</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573046230</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573046330</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046402</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046502</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046602</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046702</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046802</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35573046902</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573047030</ndc>
    <ndc_label_name>MiloPhene 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573047075</ndc>
    <ndc_label_name>MiloPhene 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35573047302</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664011472</ndc>
    <ndc_label_name>Jobst Anti-Embolism Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664014621</ndc>
    <ndc_label_name>Relief Knee-High Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664014637</ndc>
    <ndc_label_name>Relief Knee Open Toe Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664014738</ndc>
    <ndc_label_name>Relief Knee Close Toe Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664015410</ndc>
    <ndc_label_name>COMPRESSION THIGH STOCKING-LRG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664019229</ndc>
    <ndc_label_name>Jobst Ultrasheer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35664022247</ndc>
    <ndc_label_name>Jobst Ultrasheer Thigh Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781030001</ndc>
    <ndc_label_name>LidoRx 3 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781030003</ndc>
    <ndc_label_name>LidoRx 3 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781030009</ndc>
    <ndc_label_name>LidoRx 3 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35781030100</ndc>
    <ndc_label_name>LidoDose 3 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35781030101</ndc>
    <ndc_label_name>LidoDose 3 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>35781030105</ndc>
    <ndc_label_name>LidoDose 3 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781050003</ndc>
    <ndc_label_name>LDO Plus 4 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781070008</ndc>
    <ndc_label_name>Germphobic 80 % topical solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781070020</ndc>
    <ndc_label_name>Germphobic 80 % topical solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781070040</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35781250003</ndc>
    <ndc_label_name>Astero 4 % topical gel with pump</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35787000001</ndc>
    <ndc_label_name>Flexitol 25 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>35797068726</ndc>
    <ndc_label_name>Bariatric Multivitamins 45 mg iron-800 mcg-120 mcg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Norm-Ject Tuberkulin 1 mL syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000001225</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000003310</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000012535</ndc>
    <ndc_label_name>Depend Underwear For Women Small-Medium</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000012857</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000030562</ndc>
    <ndc_label_name>Huggies Pull-Ups</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000030564</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000030660</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000030713</ndc>
    <ndc_label_name>Goodnites Underpants L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000030714</ndc>
    <ndc_label_name>Goodnites Underpants L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36000030801</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36000030810</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36000031001</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36000031002</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032001</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032010</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032201</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032202</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032401</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG/40 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032402</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG/40 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032519</ndc>
    <ndc_label_name>Goodnites Bed Mats 2.6 X 2.9 feet pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032601</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000032602</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033558</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033590</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033591</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033592</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033593</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033594</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000033596</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000034103</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000034104</ndc>
    <ndc_label_name>Poise Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035201</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035240</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035401</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035440</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035445</ndc>
    <ndc_label_name>Depend Underwear S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035456</ndc>
    <ndc_label_name>Depend Protection with Tabs Sz S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035458</ndc>
    <ndc_label_name>Depend Protection with Tabs Sz Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035601</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035640</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035641</ndc>
    <ndc_label_name>Depend Shields For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035764</ndc>
    <ndc_label_name>Huggies Slip-On</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000035765</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000036401</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037137</ndc>
    <ndc_label_name>GoodNites Tru-Fit Liners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037138</ndc>
    <ndc_label_name>GoodNites Tru-Fit Liners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037240</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG/65 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037394</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037428</ndc>
    <ndc_label_name>GoodNites Tru-Fit S-M misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000037431</ndc>
    <ndc_label_name>GoodNites Tru-Fit L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038529</ndc>
    <ndc_label_name>Depend Underwear For Women XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038530</ndc>
    <ndc_label_name>Depend Underwear For Women Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038531</ndc>
    <ndc_label_name>Depend Underwear For Women Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038532</ndc>
    <ndc_label_name>Depend Underwear For Women XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038533</ndc>
    <ndc_label_name>Depend Underwear For Men Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038535</ndc>
    <ndc_label_name>Depend Underwear For Women Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038536</ndc>
    <ndc_label_name>Depend Underwear For Women Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000038625</ndc>
    <ndc_label_name>Huggies Slip-On</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000039815</ndc>
    <ndc_label_name>Poise Microliners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040531</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040532</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040533</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040534</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040674</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040685</ndc>
    <ndc_label_name>Huggies OverNites</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040694</ndc>
    <ndc_label_name>Huggies OverNites</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040695</ndc>
    <ndc_label_name>Huggies OverNites</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040696</ndc>
    <ndc_label_name>Huggies Overnite Step 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040704</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040736</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040764</ndc>
    <ndc_label_name>Huggies Little Snugglers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040765</ndc>
    <ndc_label_name>Huggies Little Snugglers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040767</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040798</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040799</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040808</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040809</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040814</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040815</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040819</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000040821</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041241</ndc>
    <ndc_label_name>Huggies Pull-Ups 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041244</ndc>
    <ndc_label_name>Huggies Pull-Ups 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041247</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041251</ndc>
    <ndc_label_name>Huggies Pull-Ups 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041313</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041314</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041315</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041316</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041317</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041318</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041319</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000041320</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043079</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043080</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043090</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043111</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043113</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043114</ndc>
    <ndc_label_name>Huggies Snug and Dry Step 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043297</ndc>
    <ndc_label_name>Huggies Pull-Ups 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043300</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043301</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043361</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043362</ndc>
    <ndc_label_name>Goodnites Underpants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043364</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043365</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000043616</ndc>
    <ndc_label_name>Depend Fit-Flex Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000044675</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000044766</ndc>
    <ndc_label_name>GoodNites Underpant Youth L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045122</ndc>
    <ndc_label_name>Huggies Pull-Ups 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045131</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045132</ndc>
    <ndc_label_name>Huggies Pull-Ups 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045143</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045150</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045151</ndc>
    <ndc_label_name>Huggies Pull-Ups 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045157</ndc>
    <ndc_label_name>Huggies Pull-Ups 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000045598</ndc>
    <ndc_label_name>Depend Underwear For Women Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000046392</ndc>
    <ndc_label_name>Huggies Little Movers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000050675</ndc>
    <ndc_label_name>Huggies Pure and Natural Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36000052818</ndc>
    <ndc_label_name>Disposable Latex-Free Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602007221</ndc>
    <ndc_label_name>Ricola 8 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602007290</ndc>
    <ndc_label_name>Ricola 2 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602007344</ndc>
    <ndc_label_name>Ricola 2.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602007917</ndc>
    <ndc_label_name>Ricola 4.8 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602019209</ndc>
    <ndc_label_name>Ricola 4.8 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602019210</ndc>
    <ndc_label_name>Ricola 1.1 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602030001</ndc>
    <ndc_label_name>Ricola lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36602030146</ndc>
    <ndc_label_name>Ricola 3.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36643028796</ndc>
    <ndc_label_name>Urinozinc Prostate Formula 40 mg-17 mcg-10 mg-63 mg-33mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36643028797</ndc>
    <ndc_label_name>Urinozinc Prostate Formula 40 mg-17 mcg-10 mg-63 mg-33mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36643028802</ndc>
    <ndc_label_name>Urinozinc Prostate Formula 40 mg-17 mcg-10 mg-63 mg-33mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36643028806</ndc>
    <ndc_label_name>Urinozinc Prostate Formula Plus 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36643028807</ndc>
    <ndc_label_name>Urinozinc Prostate Formula Plus 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36652026768</ndc>
    <ndc_label_name>Ferro-Sequels (iron-vit c) 200 mg (65 mg iron)-25 mg tablet,extend rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36652026769</ndc>
    <ndc_label_name>Ferro-Sequels (iron-vit c) 200 mg (65 mg iron)-25 mg tablet,extend rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36652074020</ndc>
    <ndc_label_name>Posture-D (with magnesium) 600 mg-500 unit-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36765042001</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36765042017</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36765042019</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800001462</ndc>
    <ndc_label_name>Cold Multi-Symptom (chlorpheniramine) 2 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800001914</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800001928</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800001942</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800002239</ndc>
    <ndc_label_name>Heartburn Relief (cimetidine) 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800002712</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800002801</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800002925</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800003018</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800003214</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800003414</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800003814</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800004662</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800004671</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800004678</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800004683</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005027</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005058</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005060</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005452</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005460</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800005705</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800006200</ndc>
    <ndc_label_name>Clotrimazole-3 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800006330</ndc>
    <ndc_label_name>CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800006510</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800007009</ndc>
    <ndc_label_name>Miconazole-3 200 mg/5 gram (4 %) vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800007471</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800007478</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800008100</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800008401</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800008512</ndc>
    <ndc_label_name>Vegetable Laxative-Stool Softener 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800008663</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800008902</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800009208</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800009423</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800009447</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800009468</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800009489</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800009691</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Daytime 10 mg-20 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800010526</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800011703</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800013026</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800013029</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800014082</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800014165</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800014172</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800014542</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800015178</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017025</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017071</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017465</ndc>
    <ndc_label_name>Women's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017526</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017662</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800017980</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800018383</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800018926</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800019402</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800019451</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800019471</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800019900</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800020226</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800020625</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800021778</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022201</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022453</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022462</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022480</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022491</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022771</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800022778</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800025510</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800027262</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800027468</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800027748</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800028251</ndc>
    <ndc_label_name>Dayhist Allergy 1.34 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800028826</ndc>
    <ndc_label_name>Child Mucus Relief Expectorant 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800030026</ndc>
    <ndc_label_name>Tussin Cough (DM only) 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030234</ndc>
    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030240</ndc>
    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030410</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030601</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030602</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800030603</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800031026</ndc>
    <ndc_label_name>Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800032163</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800032171</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800032830</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800032910</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800033240</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800033630</ndc>
    <ndc_label_name>Calamine Medicated 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800033734</ndc>
    <ndc_label_name>Stomach Relief Max Strength 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800033740</ndc>
    <ndc_label_name>Stomach Relief Max Strength 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800034330</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800034403</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800034405</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800035278</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800035571</ndc>
    <ndc_label_name>Headache PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800035740</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800035926</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800035934</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800035940</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800036743</ndc>
    <ndc_label_name>Premium Blood Glucose Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800036744</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800036745</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800036746</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800036862</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800036871</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800036878</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800036882</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800037162</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800037462</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800037478</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800037926</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800037934</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800038810</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800039362</ndc>
    <ndc_label_name>Cold Head Congestion Nighttime 2 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800039380</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800039640</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800039726</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800040016</ndc>
    <ndc_label_name>Hemorrhoid ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800040262</ndc>
    <ndc_label_name>Cold Head Congestion Daytime 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800040378</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800040572</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800040578</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800040958</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800040973</ndc>
    <ndc_label_name>Stay Awake Maximum Strength 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800041926</ndc>
    <ndc_label_name>Child Mucus Relief Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800042271</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800042553</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800042654</ndc>
    <ndc_label_name>TIOCONAZOLE 1 6.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800042871</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800043162</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800043167</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800043262</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800043771</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800043778</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800044164</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800044983</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045678</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045806</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045813</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045839</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045847</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045866</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045887</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800045895</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046262</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046267</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046278</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046362</ndc>
    <ndc_label_name>Allergy (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046768</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800046880</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047526</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800047662</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800047667</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047775</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047847</ndc>
    <ndc_label_name>Antacid Calcium 215 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047962</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047967</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047978</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800047979</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048462</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048471</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048478</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048490</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048547</ndc>
    <ndc_label_name>Calcium Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048672</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048678</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800048980</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800049062</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800049071</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800049078</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800051526</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800051626</ndc>
    <ndc_label_name>Tussin CF Cough-Cold 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800051634</ndc>
    <ndc_label_name>Tussin CF Cough-Cold 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800051771</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800051778</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800053260</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800053278</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800053905</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800054462</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800054471</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800054663</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800054671</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800055221</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057113</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057122</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057139</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057175</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057195</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057201</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057826</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800057953</ndc>
    <ndc_label_name>Fever Reducer 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800058840</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800059016</ndc>
    <ndc_label_name>Infants' Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800059523</ndc>
    <ndc_label_name>Calcium Antacid 400 mg (as carbonate 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060462</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060471</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060478</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060485</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060490</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800060493</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800061246</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800061265</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800061276</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800061287</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064526</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064762</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064771</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064778</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064790</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800064810</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800064912</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800066116</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800068805</ndc>
    <ndc_label_name>Sinus Relief (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800069834</ndc>
    <ndc_label_name>Pain Relief Cold and Cough 1,000 mg-30 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800073745</ndc>
    <ndc_label_name>MICONAZOLE 1 COMBINATION PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800074206</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800074227</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800074258</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800074260</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800074462</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800075926</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800076616</ndc>
    <ndc_label_name>Infants' Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800077947</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800078601</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800079926</ndc>
    <ndc_label_name>Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800079934</ndc>
    <ndc_label_name>Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800081710</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800082529</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800082927</ndc>
    <ndc_label_name>Pain Relief PM Rapid Release 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800082949</ndc>
    <ndc_label_name>Pain Relief PM Rapid Release 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800082960</ndc>
    <ndc_label_name>Pain Relief PM Rapid Release 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800083533</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800085140</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800085478</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800086634</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800087305</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800088210</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800089665</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800090002</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800090326</ndc>
    <ndc_label_name>Children's Plus Multi-Symp Cold 1 mg-2.5 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800090626</ndc>
    <ndc_label_name>Children's Cold-Allergy (phenylephrine) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800091326</ndc>
    <ndc_label_name>Childs Triacting Cold and Cough 6.25 mg-2.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800091501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800091503</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800091530</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800091555</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800091574</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800093301</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800093562</ndc>
    <ndc_label_name>Sinus Congestion and Pain (chlorpheniramine) 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800094610</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800094940</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800095526</ndc>
    <ndc_label_name>Lice Treatment (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800095926</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800096647</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800097426</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>36800098200</ndc>
    <ndc_label_name>MICONAZOLE 3 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>36800098726</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001612</ndc>
    <ndc_label_name>Pepto-Bismol To-Go 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001624</ndc>
    <ndc_label_name>Pepto-Bismol To-Go 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001804</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001901</ndc>
    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001902</ndc>
    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000001903</ndc>
    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000002304</ndc>
    <ndc_label_name>Metamucil (with sugar) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000002305</ndc>
    <ndc_label_name>Metamucil Sunrise oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000002310</ndc>
    <ndc_label_name>Metamucil (with sugar) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000002401</ndc>
    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000002404</ndc>
    <ndc_label_name>Metamucil Fiber (aspartame) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000002410</ndc>
    <ndc_label_name>Metamucil Fiber (aspartame) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000003201</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000003202</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000003203</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000003204</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000005079</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000006588</ndc>
    <ndc_label_name>Pampers Unisex Baby-Dry misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000006685</ndc>
    <ndc_label_name>Pampers Unisex Baby-Dry misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000006745</ndc>
    <ndc_label_name>Pampers Unisex Baby-Dry misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000006751</ndc>
    <ndc_label_name>Pampers Unisex Baby-Dry misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000010449</ndc>
    <ndc_label_name>Luvs Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000010450</ndc>
    <ndc_label_name>Luvs Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000010514</ndc>
    <ndc_label_name>Luvs Newborn</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000011724</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000011725</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000011911</ndc>
    <ndc_label_name>Pampers Cruisers Size 7 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000011961</ndc>
    <ndc_label_name>Metamucil MultiHealth Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000014343</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017388</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017391</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017392</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017399</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017400</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000017401</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000022805</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000022807</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000023297</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000023298</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000023305</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000023314</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000023315</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000024065</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000024463</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000025445</ndc>
    <ndc_label_name>Metamucil Fiber (aspartame) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000025989</ndc>
    <ndc_label_name>Luvs Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000025996</ndc>
    <ndc_label_name>Luvs Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026003</ndc>
    <ndc_label_name>Luvs Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026006</ndc>
    <ndc_label_name>Luvs Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026008</ndc>
    <ndc_label_name>Luvs Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026010</ndc>
    <ndc_label_name>Luvs Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026221</ndc>
    <ndc_label_name>Luvs Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026223</ndc>
    <ndc_label_name>Luvs Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026224</ndc>
    <ndc_label_name>Luvs Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026229</ndc>
    <ndc_label_name>Luvs Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026230</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026231</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026245</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026246</ndc>
    <ndc_label_name>Pampers Extra Protection Sz 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026247</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026249</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026251</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026257</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026264</ndc>
    <ndc_label_name>Pampers Cruisers Size 7 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026338</ndc>
    <ndc_label_name>Luvs Newborn</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026583</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026585</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000026587</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027848</ndc>
    <ndc_label_name>Pampers Cruisers Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027875</ndc>
    <ndc_label_name>Pampers Cruisers misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027940</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027943</ndc>
    <ndc_label_name>Pampers Cruisers misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027952</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027953</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000027959</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028066</ndc>
    <ndc_label_name>Pampers Swaddlers Sensitive Size 1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028516</ndc>
    <ndc_label_name>Pampers Preemie Swaddlers Size P-S</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028519</ndc>
    <ndc_label_name>Pampers Swaddlers Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028521</ndc>
    <ndc_label_name>Pampers Swaddlers Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028522</ndc>
    <ndc_label_name>Pampers Swaddlers Size N misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000028550</ndc>
    <ndc_label_name>Pampers Swaddlers Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000029417</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000031290</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000031534</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000033710</ndc>
    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000034895</ndc>
    <ndc_label_name>Pampers Premie misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000035905</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000035906</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000035907</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000039798</ndc>
    <ndc_label_name>Pampers Preemie Swaddlers Size P-S</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000040397</ndc>
    <ndc_label_name>Pampers Cruisers misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000040511</ndc>
    <ndc_label_name>Metamucil 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000040514</ndc>
    <ndc_label_name>Metamucil 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000041001</ndc>
    <ndc_label_name>Vicks QlearQuil 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000041946</ndc>
    <ndc_label_name>Luvs misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000041947</ndc>
    <ndc_label_name>Luvs misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000041948</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000041949</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042020</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042021</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042022</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042023</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042024</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000042026</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000043012</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000043106</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000043112</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000043124</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000043487</ndc>
    <ndc_label_name>Metamucil 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000043677</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000044635</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045502</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045503</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045504</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045902</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045903</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000045904</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000046511</ndc>
    <ndc_label_name>Metamucil Plus Calcium 1 gram-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047508</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047512</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047516</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047602</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047603</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047709</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047710</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000047712</ndc>
    <ndc_label_name>Pepto-Bismol 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000047866</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000049024</ndc>
    <ndc_label_name>Children's Pepto 160 mg (as calcium carbonate 400 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000049109</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000049935</ndc>
    <ndc_label_name>Pampers Extra Protection Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000049936</ndc>
    <ndc_label_name>Pampers Extra Protection Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050006</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050012</ndc>
    <ndc_label_name>ZzzQuil 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050112</ndc>
    <ndc_label_name>ZzzQuil 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050124</ndc>
    <ndc_label_name>ZzzQuil 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050148</ndc>
    <ndc_label_name>ZzzQuil 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050172</ndc>
    <ndc_label_name>ZzzQuil 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050402</ndc>
    <ndc_label_name>Luvs Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050403</ndc>
    <ndc_label_name>Luvs Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050404</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050481</ndc>
    <ndc_label_name>Pampers Swaddlers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050482</ndc>
    <ndc_label_name>Pampers Swaddlers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000050724</ndc>
    <ndc_label_name>Vicks Sinex Daytime 5 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000051308</ndc>
    <ndc_label_name>Pampers Cruisers Size 7 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000052208</ndc>
    <ndc_label_name>Vicks Vaposteam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000054401</ndc>
    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000054403</ndc>
    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000054406</ndc>
    <ndc_label_name>Vicks Vaporub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055008</ndc>
    <ndc_label_name>Vicks NyQuil Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055012</ndc>
    <ndc_label_name>Vicks NyQuil Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055508</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055512</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055608</ndc>
    <ndc_label_name>Vicks Children's NyQuil Cold and Cough 2 mg-15 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055708</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055716</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055724</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055748</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055772</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu Liquicap 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055808</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055816</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055824</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055848</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000055872</ndc>
    <ndc_label_name>Vicks DayQuil Cold and Flu Relief 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000056512</ndc>
    <ndc_label_name>Vicks DayQuil Cough 5 mg/5 mL oral syrup</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000060148</ndc>
    <ndc_label_name>Pampers Unisex Baby-Dry misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000065308</ndc>
    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000065312</ndc>
    <ndc_label_name>Pepto-Bismol Max St 525 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000067101</ndc>
    <ndc_label_name>Vicks Vaporub 4.7 %-1.2 %-2.6 % topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000067920</ndc>
    <ndc_label_name>Vicks VapoDrops 1.7 mg</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000068020</ndc>
    <ndc_label_name>Vicks VapoDrops 3.3 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000069012</ndc>
    <ndc_label_name>Vicks Dayquil Mucus Control DM 10 mg-200 mg/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pepto-Bismol 262 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000069912</ndc>
    <ndc_label_name>Vicks NyQuil Cold/Flu (cpm) 4 mg-30 mg-650 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil (with sugar) 3.4 gram/12 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil (with sugar) 3.4 gram/12 gram oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Metamucil Fiber Thin 2 gram oral wafer</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Metamucil (sugar) oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil (with sugar) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil Sugar-Free (aspartame) 3.4 gram/5.8 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000077937</ndc>
    <ndc_label_name>Align Dualbiotic 500 million cell-1.25 gram chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Metamucil (inulin-corn fiber) 1.7 gram chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Sinex Ultra Fine Mist 12-Hour 0.05 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vicks Sinex 12-Hour 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000080708</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000080712</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000080808</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000080812</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000080912</ndc>
    <ndc_label_name>Vicks Nyquil Nighttime Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000080934</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000080935</ndc>
    <ndc_label_name>Prilosec OTC 20 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081008</ndc>
    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081012</ndc>
    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081038</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081124</ndc>
    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081172</ndc>
    <ndc_label_name>Vicks DayQuil Severe Cold-Flu 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081208</ndc>
    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081212</ndc>
    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081324</ndc>
    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081508</ndc>
    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081512</ndc>
    <ndc_label_name>Vicks NyQuil Severe Cold-Flu 6.25 mg-5 mg-10 mg-325mg/15mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081876</ndc>
    <ndc_label_name>Pampers Baby-Dry Size N</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081893</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081898</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081940</ndc>
    <ndc_label_name>Pampers Cruisers Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081944</ndc>
    <ndc_label_name>Pampers Cruisers misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081945</ndc>
    <ndc_label_name>Pampers Cruisers misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081966</ndc>
    <ndc_label_name>Pampers Swaddlers Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081972</ndc>
    <ndc_label_name>Pampers Swaddlers Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000081976</ndc>
    <ndc_label_name>Pampers Swaddlers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082000</ndc>
    <ndc_label_name>Pampers Easy Ups 2T-3T misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082001</ndc>
    <ndc_label_name>Pampers Easy Ups 2T-3T misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082004</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082005</ndc>
    <ndc_label_name>Pampers Easy Ups 3T-4T misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082009</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082010</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082013</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082014</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082241</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082246</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082429</ndc>
    <ndc_label_name>Pampers Swaddlers Size N misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082431</ndc>
    <ndc_label_name>Pampers Swaddlers Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082465</ndc>
    <ndc_label_name>Pampers Cruisers Size 3 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082466</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082467</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082468</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082469</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082470</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082497</ndc>
    <ndc_label_name>Pampers Extra Protection Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082505</ndc>
    <ndc_label_name>Pampers Extra Protection Sz 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082507</ndc>
    <ndc_label_name>Pampers Extra Protection Sz 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082752</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082754</ndc>
    <ndc_label_name>Pampers Easy Ups misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000082787</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 2 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000085937</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000085943</ndc>
    <ndc_label_name>Luvs Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086211</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086212</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086213</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086225</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086226</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086235</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 5 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086236</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086259</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086261</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086269</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086270</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086271</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086279</ndc>
    <ndc_label_name>Pampers Cruisers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086280</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086281</ndc>
    <ndc_label_name>Pampers Cruisers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086284</ndc>
    <ndc_label_name>Pampers Cruisers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086345</ndc>
    <ndc_label_name>Pampers Swaddlers Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086358</ndc>
    <ndc_label_name>Pampers Swaddlers Size 1 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086361</ndc>
    <ndc_label_name>Pampers Swaddlers Size 4 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086370</ndc>
    <ndc_label_name>Pampers Swaddlers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000086490</ndc>
    <ndc_label_name>Pampers Baby-Dry Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000088761</ndc>
    <ndc_label_name>Always Discreet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000089373</ndc>
    <ndc_label_name>Metabiotic 6 mg (5 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000089786</ndc>
    <ndc_label_name>Pampers Swaddlers Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000090542</ndc>
    <ndc_label_name>Luvs Size 6 misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000091996</ndc>
    <ndc_label_name>Align Dualbiotic 500 million cell-1.25 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000092960</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000092961</ndc>
    <ndc_label_name>Underjams Small-Medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000092962</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000092963</ndc>
    <ndc_label_name>Underjams L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000093952</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000093953</ndc>
    <ndc_label_name>Align (B.longum) 10 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000096168</ndc>
    <ndc_label_name>Align (B.infantis) 10.5 mg (10 million cell) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000096172</ndc>
    <ndc_label_name>Align Jr 10.5 mg (10 million cell) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000096913</ndc>
    <ndc_label_name>Meta Appetite Control (aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000096914</ndc>
    <ndc_label_name>Meta Appetite Control (aspartame) 3 gram/5.95 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37000096915</ndc>
    <ndc_label_name>Meta Appetite Control (aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37000097332</ndc>
    <ndc_label_name>Vicks VapoInhaler nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37205001130</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37205002328</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37205057378</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37205057478</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37205074685</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37654049726</ndc>
    <ndc_label_name>Refuah Plus Glucose Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37654049727</ndc>
    <ndc_label_name>Refuah Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37654049728</ndc>
    <ndc_label_name>Refuah Plus Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803010510</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803010515</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803010517</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803010523</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803011003</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803011015</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803011017</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803012906</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803012907</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803012910</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803012915</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803014106</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803014110</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803014115</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803014117</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803014517</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803015106</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803015110</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803015115</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803019806</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803020110</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803020115</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803020310</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803020315</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803020317</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803021910</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803021915</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803021917</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022203</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022204</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022205</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022208</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022310</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803022317</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803023406</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803023410</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803023415</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803023417</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027515</ndc>
    <ndc_label_name>Apothesar 2 cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027517</ndc>
    <ndc_label_name>Apothesar 2 cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027531</ndc>
    <ndc_label_name>Apothesar 2 cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027615</ndc>
    <ndc_label_name>Rejuvacare Plus transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027617</ndc>
    <ndc_label_name>Rejuvacare Plus transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027631</ndc>
    <ndc_label_name>Rejuvacare Plus transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027715</ndc>
    <ndc_label_name>Apothesar Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027717</ndc>
    <ndc_label_name>Apothesar Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803027731</ndc>
    <ndc_label_name>Apothesar Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803034917</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803035804</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803035805</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803035807</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803035808</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803036208</ndc>
    <ndc_label_name>CREATININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803036804</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803036810</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803036815</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803036817</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803038102</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803038103</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803038106</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803038110</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803042110</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803042115</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803042117</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803042907</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803051255</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803052303</ndc>
    <ndc_label_name>ERGOTAMINE TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803061310</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803061315</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803061317</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803061803</ndc>
    <ndc_label_name>FLUTICASONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803061806</ndc>
    <ndc_label_name>FLUTICASONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803064717</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803070106</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803070110</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803070115</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803070117</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803090104</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803090105</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803090107</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803090108</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803090172</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803091703</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803091706</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803091708</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803091710</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803098206</ndc>
    <ndc_label_name>SUMATRIPTAN SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803098210</ndc>
    <ndc_label_name>SUMATRIPTAN SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803110504</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803110582</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803134804</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803134805</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803134807</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803141003</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803190803</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803190804</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803190805</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803190807</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803273607</ndc>
    <ndc_label_name>PLO Gel Premium Lecithin Organogel Base transdermal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274207</ndc>
    <ndc_label_name>Apothederm Transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274208</ndc>
    <ndc_label_name>Apothederm Transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274269</ndc>
    <ndc_label_name>Apothederm Transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274277</ndc>
    <ndc_label_name>Apothederm Transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274284</ndc>
    <ndc_label_name>Apothederm Transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274307</ndc>
    <ndc_label_name>Apothesil Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274308</ndc>
    <ndc_label_name>Apothesil Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274369</ndc>
    <ndc_label_name>Apothesil Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274377</ndc>
    <ndc_label_name>Apothesil Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37803274384</ndc>
    <ndc_label_name>Apothesil Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37808010908</ndc>
    <ndc_label_name>HEB IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37808019520</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37808024601</ndc>
    <ndc_label_name>HEB ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000016</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000017</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000018</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000019</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000020</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000021</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000028</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000029</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000030</ndc>
    <ndc_label_name>Oyster Shell Calcium 500 mg (as calcium carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000031</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000032</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000033</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000034</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864000036</ndc>
    <ndc_label_name>Oyster Shell + D3 250 mg-3.125 mcg (125 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000038</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000039</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000040</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000041</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000042</ndc>
    <ndc_label_name>ANIMAL CHEWS tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864000043</ndc>
    <ndc_label_name>Certa Plus 18 mg-0.4 mg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864000046</ndc>
    <ndc_label_name>Daily Vitamin with Iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000047</ndc>
    <ndc_label_name>DAILY VITAMIN FORMULA-MINERALS tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000051</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000052</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000053</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000054</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000055</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000056</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000058</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000059</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000060</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000061</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000062</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000063</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000101</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000102</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000103</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000104</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000110</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000111</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000150</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864000202</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864007039</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864008289</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864008759</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864070699</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864070901</ndc>
    <ndc_label_name>Acidophilus-Pectin 75 million cell-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864070905</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864071201</ndc>
    <ndc_label_name>Children's Chewable Multivitamin 300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864072001</ndc>
    <ndc_label_name>VITAMIN B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073099</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073299</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073306</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073308</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073310</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073399</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864073406</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864073706</ndc>
    <ndc_label_name>CRANBERRY 425 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864074099</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864074301</ndc>
    <ndc_label_name>Daily Multi-Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864074399</ndc>
    <ndc_label_name>Daily Multi-Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864075010</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864076099</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864078510</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864078599</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864079201</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864079210</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864082699</ndc>
    <ndc_label_name>Oyster Shell + D3 250 mg-3.125 mcg (125 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864082799</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864083701</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864083703</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37864083730</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864085001</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864085010</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864085099</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864086001</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864087006</ndc>
    <ndc_label_name>SIMETHICONE 125 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864090501</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864090599</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864090901</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864091001</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864091301</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864091401</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864091901</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864092001</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864092099</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864093201</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864093310</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864099101</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864099210</ndc>
    <ndc_label_name>Children's Chew Multivit with Iron 15 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>37864099310</ndc>
    <ndc_label_name>Daily Vitamin Formula-Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867050105</ndc>
    <ndc_label_name>Sleep Overs Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867050107</ndc>
    <ndc_label_name>Sleep Overs Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088000</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088001</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088002</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088003</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088004</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088005</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867088012</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867099246</ndc>
    <ndc_label_name>Monoject Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867099247</ndc>
    <ndc_label_name>Monoject Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37867099248</ndc>
    <ndc_label_name>Monoject Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>37875058862</ndc>
    <ndc_label_name>Lipikar Eczema 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341007061</ndc>
    <ndc_label_name>PreviDent 5000 Sensitive 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341008008</ndc>
    <ndc_label_name>Peroxyl 1.5 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341008016</ndc>
    <ndc_label_name>Peroxyl 1.5 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010430</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010431</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010446</ndc>
    <ndc_label_name>PreviDent 0.2 % dental solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010449</ndc>
    <ndc_label_name>Phos-Flur 0.02 % fluoride (0.044 % sodium fluoride) dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010636</ndc>
    <ndc_label_name>Peroxyl 1.5 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010677</ndc>
    <ndc_label_name>Orabase (benzocaine) 20 % mucosal paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341010715</ndc>
    <ndc_label_name>PreviDent 5000 Enamel Protect 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38341033100</ndc>
    <ndc_label_name>PreviDent 5000 Booster Plus 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38344000001</ndc>
    <ndc_label_name>DermaZinc Spray 0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38344000005</ndc>
    <ndc_label_name>DermaZinc Shampoo 2 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38344000008</ndc>
    <ndc_label_name>DermaZinc Cream 0.25 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38344000020</ndc>
    <ndc_label_name>Dermazinc 2 % Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396000008</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396000009</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396000425</ndc>
    <ndc_label_name>lancing device with lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396000506</ndc>
    <ndc_label_name>KINRAY SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396000606</ndc>
    <ndc_label_name>KINRAY SYRING 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396000706</ndc>
    <ndc_label_name>KINRAY INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396000806</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396000906</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030100</ndc>
    <ndc_label_name>E-ZJECT THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030114</ndc>
    <ndc_label_name>E-Z Ject Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030118</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030120</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030125</ndc>
    <ndc_label_name>Smart Sense Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030137</ndc>
    <ndc_label_name>Topcare Universal1 Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030175</ndc>
    <ndc_label_name>CVS THIN 26G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030176</ndc>
    <ndc_label_name>CVS THIN 26G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030191</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030218</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030220</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030225</ndc>
    <ndc_label_name>Smart Sense Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030300</ndc>
    <ndc_label_name>E-Z Ject Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030318</ndc>
    <ndc_label_name>Lancets, Super Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030325</ndc>
    <ndc_label_name>Smart Sense Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030400</ndc>
    <ndc_label_name>E-Z Ject Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030418</ndc>
    <ndc_label_name>KROGER LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030500</ndc>
    <ndc_label_name>E-Z Ject Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030514</ndc>
    <ndc_label_name>E-Z Ject Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030520</ndc>
    <ndc_label_name>MEIJER LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030522</ndc>
    <ndc_label_name>Universal 1 Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030525</ndc>
    <ndc_label_name>Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030537</ndc>
    <ndc_label_name>Topcare Universal1 Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030575</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030576</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030591</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030600</ndc>
    <ndc_label_name>E-Z Ject Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030775</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030800</ndc>
    <ndc_label_name>E-Z Ject Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030875</ndc>
    <ndc_label_name>CVS ULTRA THIN 30G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396030900</ndc>
    <ndc_label_name>E-Z Ject Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031114</ndc>
    <ndc_label_name>E-Z Ject Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031132</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031156</ndc>
    <ndc_label_name>PREFERRED PLUS LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031214</ndc>
    <ndc_label_name>E-Z Ject Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031506</ndc>
    <ndc_label_name>PREFERRED PLUS THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031600</ndc>
    <ndc_label_name>E-Z Ject Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031614</ndc>
    <ndc_label_name>E-Z Ject Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031618</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031620</ndc>
    <ndc_label_name>Universal 1 Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031625</ndc>
    <ndc_label_name>Smart Sense Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031632</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031640</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031691</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031702</ndc>
    <ndc_label_name>Ultra Thin Plus Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031737</ndc>
    <ndc_label_name>Topcare Universal1 Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031739</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031775</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396031776</ndc>
    <ndc_label_name>CVS MICRO THIN 33G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396032970</ndc>
    <ndc_label_name>Lancets,Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396033070</ndc>
    <ndc_label_name>Lancets,Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396034264</ndc>
    <ndc_label_name>Universal 1 Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396034364</ndc>
    <ndc_label_name>Universal 1 Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396034464</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396034564</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040102</ndc>
    <ndc_label_name>RELION SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040108</ndc>
    <ndc_label_name>LEADER INS SYR 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040202</ndc>
    <ndc_label_name>RELION SYRING 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040208</ndc>
    <ndc_label_name>LEADER INS SYR 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040212</ndc>
    <ndc_label_name>MS INSULIN SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040218</ndc>
    <ndc_label_name>KRO INS SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040302</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040308</ndc>
    <ndc_label_name>LEADER INS SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040318</ndc>
    <ndc_label_name>KROGER INS SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040325</ndc>
    <ndc_label_name>KMART VALU PLUS SYR 1/2 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040408</ndc>
    <ndc_label_name>LEADER INS SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040412</ndc>
    <ndc_label_name>MS INS SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040508</ndc>
    <ndc_label_name>LEADER INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040512</ndc>
    <ndc_label_name>MS INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040518</ndc>
    <ndc_label_name>KROGER INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040608</ndc>
    <ndc_label_name>LEADER INSULIN SYRINGE 0.3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040612</ndc>
    <ndc_label_name>MS INSULIN SYRINGE 0.3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040618</ndc>
    <ndc_label_name>KRO INSULIN SYR 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040708</ndc>
    <ndc_label_name>LEADER INS SYR 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040712</ndc>
    <ndc_label_name>MS INSUL SYR 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040718</ndc>
    <ndc_label_name>KROGER SYR 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040725</ndc>
    <ndc_label_name>KMART VALU PLUS SYR 1/2 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040801</ndc>
    <ndc_label_name>PREFERRED PLUS SYRINGE 0.5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040802</ndc>
    <ndc_label_name>PREF PLUS INS 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040803</ndc>
    <ndc_label_name>PREFERRED PLUS 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040804</ndc>
    <ndc_label_name>PREFERRED PLUS SYRINGE 1 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040805</ndc>
    <ndc_label_name>PREF PLUS SYRING 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040806</ndc>
    <ndc_label_name>PREFPLS INS SYR 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040807</ndc>
    <ndc_label_name>PREF PLUS SYR 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040808</ndc>
    <ndc_label_name>PREFERRED PLUS 0.3 ML 30GX5/16</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040812</ndc>
    <ndc_label_name>MS INS SYRINGE 1 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040818</ndc>
    <ndc_label_name>KROGER INS SYR 0.3 ML 30GX5/16</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040918</ndc>
    <ndc_label_name>KROGER SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396040970</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041018</ndc>
    <ndc_label_name>KRO INS SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041070</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041102</ndc>
    <ndc_label_name>RELION INS SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041118</ndc>
    <ndc_label_name>KROGER INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041137</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.3 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041140</ndc>
    <ndc_label_name>EQL INSULIN 0.3 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041157</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041202</ndc>
    <ndc_label_name>RELION INSULIN SYR 0.5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041237</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.5 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041240</ndc>
    <ndc_label_name>EQL INSULIN 0.5 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041302</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041337</ndc>
    <ndc_label_name>Topcare Ultra Comfort 1 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041340</ndc>
    <ndc_label_name>EQL INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041357</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041437</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.3 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041440</ndc>
    <ndc_label_name>EQL INSULIN 0.3 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041457</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041537</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.5 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041540</ndc>
    <ndc_label_name>EQL INSULIN 0.5 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041557</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041637</ndc>
    <ndc_label_name>Topcare Ultra Comfort 1 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041640</ndc>
    <ndc_label_name>EQL INSULIN 1 ML SYRINGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041657</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041808</ndc>
    <ndc_label_name>LEADER INS SYR 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041908</ndc>
    <ndc_label_name>LEADER SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041937</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041940</ndc>
    <ndc_label_name>EQL INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396041957</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042008</ndc>
    <ndc_label_name>LEADER SYRING 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042037</ndc>
    <ndc_label_name>Topcare Ultra Comfort 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042040</ndc>
    <ndc_label_name>EQL INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042057</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042108</ndc>
    <ndc_label_name>LEADER INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042137</ndc>
    <ndc_label_name>Topcare Ultra Comfort 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042140</ndc>
    <ndc_label_name>EQL INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396042912</ndc>
    <ndc_label_name>MS INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396043012</ndc>
    <ndc_label_name>MS INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396043112</ndc>
    <ndc_label_name>MS INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044164</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044364</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 29</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044464</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044564</ndc>
    <ndc_label_name>GNP INS SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044664</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044764</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1 mL 30 gauge x 7/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044864</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.3 mL 30</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396044902</ndc>
    <ndc_label_name>RELION THIN 26G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396044964</ndc>
    <ndc_label_name>GNP INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396045064</ndc>
    <ndc_label_name>GNP INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396045164</ndc>
    <ndc_label_name>GNP INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396045302</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396045339</ndc>
    <ndc_label_name>SM INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396045402</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396045532</ndc>
    <ndc_label_name>Super Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396046339</ndc>
    <ndc_label_name>SM INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396047001</ndc>
    <ndc_label_name>Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396047002</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396047339</ndc>
    <ndc_label_name>SM INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050101</ndc>
    <ndc_label_name>RELION LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050102</ndc>
    <ndc_label_name>MEIJER LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050108</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050112</ndc>
    <ndc_label_name>MS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050118</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050163</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050191</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050208</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050212</ndc>
    <ndc_label_name>MS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050218</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050232</ndc>
    <ndc_label_name>Lancets,Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050291</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050308</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050318</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050332</ndc>
    <ndc_label_name>Lancets,Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050363</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050432</ndc>
    <ndc_label_name>Lancets,Ultra Thin</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050463</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050663</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396050763</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051075</ndc>
    <ndc_label_name>CVS LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051391</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051491</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051506</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051691</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396051963</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396052163</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396052263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396052363</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396052506</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396052763</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396053506</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054106</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054108</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054112</ndc>
    <ndc_label_name>MS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054114</ndc>
    <ndc_label_name>RA GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054118</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054132</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054157</ndc>
    <ndc_label_name>DRUG MART GLUCOSE 4 GM TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054163</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054164</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054191</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054206</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054208</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054212</ndc>
    <ndc_label_name>MS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054214</ndc>
    <ndc_label_name>RA GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054218</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054232</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054257</ndc>
    <ndc_label_name>DRUG MART GLUCOSE 4 GM TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054264</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054291</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054306</ndc>
    <ndc_label_name>PREFERRED PLUS GLUCOSE TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054308</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054314</ndc>
    <ndc_label_name>RA GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054318</ndc>
    <ndc_label_name>KROGER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054332</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054363</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054364</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054391</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054432</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054475</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054601</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054614</ndc>
    <ndc_label_name>RA GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054632</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054663</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054675</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054708</ndc>
    <ndc_label_name>LEADER GLUCOSE 4 GM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396054763</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396055018</ndc>
    <ndc_label_name>Glucose Gel 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055020</ndc>
    <ndc_label_name>MEIJER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396055025</ndc>
    <ndc_label_name>Glucose Gel 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055070</ndc>
    <ndc_label_name>LONGS GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396055075</ndc>
    <ndc_label_name>Glucose Gel 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055101</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055120</ndc>
    <ndc_label_name>MEIJER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055125</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055164</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055191</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055201</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055220</ndc>
    <ndc_label_name>MEIJER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055225</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055264</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055270</ndc>
    <ndc_label_name>LONGS GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055291</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055325</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055370</ndc>
    <ndc_label_name>LONGS GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055470</ndc>
    <ndc_label_name>LONGS GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055563</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055601</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055675</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055701</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055720</ndc>
    <ndc_label_name>MEIJER GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055863</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396055963</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056008</ndc>
    <ndc_label_name>LEADER QUICK DISSOLVE GLUC TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056012</ndc>
    <ndc_label_name>MS QUICK DISSOLVE GLUCOSE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056063</ndc>
    <ndc_label_name>Dex4 Glucose Quick Dissolve 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056064</ndc>
    <ndc_label_name>GNP QUICK DISSOLVE GLUCOSE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056125</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056191</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396056275</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396059175</ndc>
    <ndc_label_name>CVS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396059263</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396059475</ndc>
    <ndc_label_name>Glucose Gel 40 % oral gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396059563</ndc>
    <ndc_label_name>Dex4 Glucose Bits 1 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396059575</ndc>
    <ndc_label_name>Glucose Bits 1 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396060008</ndc>
    <ndc_label_name>Finger Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396060118</ndc>
    <ndc_label_name>KROGER LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396060163</ndc>
    <ndc_label_name>Dex4 Glucose Pouch Pack 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396061363</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396061375</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396061575</ndc>
    <ndc_label_name>CVS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396061675</ndc>
    <ndc_label_name>CVS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396062102</ndc>
    <ndc_label_name>Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396062103</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396066375</ndc>
    <ndc_label_name>CVS GLUCOSE 40% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070218</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070237</ndc>
    <ndc_label_name>Topcare Clickfine 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070264</ndc>
    <ndc_label_name>Clickfine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070293</ndc>
    <ndc_label_name>Clickfine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396070339</ndc>
    <ndc_label_name>SM LANCETS 21G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070601</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070618</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070637</ndc>
    <ndc_label_name>Topcare Clickfine 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070664</ndc>
    <ndc_label_name>Clickfine Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396070693</ndc>
    <ndc_label_name>Clickfine Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396071339</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396072339</ndc>
    <ndc_label_name>Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396073339</ndc>
    <ndc_label_name>SM LANCETS 21G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396074164</ndc>
    <ndc_label_name>Finger Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396074339</ndc>
    <ndc_label_name>Color Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396075339</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396076339</ndc>
    <ndc_label_name>SM INSULIN SYR 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396077339</ndc>
    <ndc_label_name>SM INS SYRINGE 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396078339</ndc>
    <ndc_label_name>SM INSULIN SYR 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396079339</ndc>
    <ndc_label_name>SM INS SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396080339</ndc>
    <ndc_label_name>SM INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396081339</ndc>
    <ndc_label_name>SM INS SYRING 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396082339</ndc>
    <ndc_label_name>SM INS SYR 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396083339</ndc>
    <ndc_label_name>SM INS SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090102</ndc>
    <ndc_label_name>RELION GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090118</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090125</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090163</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090191</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090192</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090202</ndc>
    <ndc_label_name>RELION GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090218</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090225</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090240</ndc>
    <ndc_label_name>EQL GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090291</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090292</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090302</ndc>
    <ndc_label_name>RELION GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090318</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090325</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090363</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090392</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090402</ndc>
    <ndc_label_name>RELION GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090418</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090463</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090492</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090502</ndc>
    <ndc_label_name>RELION GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090563</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090591</ndc>
    <ndc_label_name>UP&amp;UP GLUCOSE 4 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090592</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090625</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090663</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090692</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090763</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396090863</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396090902</ndc>
    <ndc_label_name>RELION GLUCOSE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396090963</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396091063</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396091163</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396091263</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396091363</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396091463</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091518</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091525</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091563</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091618</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091663</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091718</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396091763</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092018</ndc>
    <ndc_label_name>KRO GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092063</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092163</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092225</ndc>
    <ndc_label_name>SMART SENSE GLUCOSE 4 GRAM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092263</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092363</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092392</ndc>
    <ndc_label_name>GS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092463</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092492</ndc>
    <ndc_label_name>GS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092563</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/59 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092663</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092763</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092792</ndc>
    <ndc_label_name>GS GLUCOSE 15 GRAM GEL PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38396092863</ndc>
    <ndc_label_name>Dex4 Glucose 15 gram/33 gram oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396092963</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38396706091</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415000021</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415000025</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415000028</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415000308</ndc>
    <ndc_label_name>Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415000315</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415000318</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415001630</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415001631</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415002101</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415002501</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415002801</ndc>
    <ndc_label_name>Bullseye Mini Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415003529</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415003531</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415003630</ndc>
    <ndc_label_name>INSULIN SYR 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415003631</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415005129</ndc>
    <ndc_label_name>Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415005529</ndc>
    <ndc_label_name>INSULIN SYRING 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415005630</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415005631</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415010001</ndc>
    <ndc_label_name>Safety-Let Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415010028</ndc>
    <ndc_label_name>Safety Seal Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415010030</ndc>
    <ndc_label_name>Safety Seal Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415020801</ndc>
    <ndc_label_name>Aqua Lance Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415030028</ndc>
    <ndc_label_name>Safety Seal Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415030030</ndc>
    <ndc_label_name>Safety Seal Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415030830</ndc>
    <ndc_label_name>Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415031531</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38415031831</ndc>
    <ndc_label_name>Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415040028</ndc>
    <ndc_label_name>Easy Twist and Cap Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415051001</ndc>
    <ndc_label_name>lancing device with lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415051002</ndc>
    <ndc_label_name>Alternate Site Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38415051208</ndc>
    <ndc_label_name>Aqua Lance Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38470002700</ndc>
    <ndc_label_name>Autolet Impression Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485000027</ndc>
    <ndc_label_name>Equalactin 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38485014001</ndc>
    <ndc_label_name>ALOPHEN PILLS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485032153</ndc>
    <ndc_label_name>Conti Castile Soap Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050060</ndc>
    <ndc_label_name>Lipotriad (with lutein) 5,000 unit-120 mg-60 unit tablet,extended rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050208</ndc>
    <ndc_label_name>LYDIA PINKHAM HERBAL ELIXIR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050216</ndc>
    <ndc_label_name>LYDIA PINKHAM HERBAL ELIXIR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050288</ndc>
    <ndc_label_name>Lydia Pinkham Herbal (licorice-blk cohosh) 2,200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050407</ndc>
    <ndc_label_name>Lydia Pinkham Herbal 75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485050415</ndc>
    <ndc_label_name>Lydia Pinkham Herbal 75 mg tablet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485067250</ndc>
    <ndc_label_name>Yodora topical cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485080855</ndc>
    <ndc_label_name>Hydrocil Instant oral packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485080857</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Thermotabs 287 mg-180 mg-15 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Acnomel 2 %-8 % cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38485098018</ndc>
    <ndc_label_name>Aqua Care 10 % lotion</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38673006700</ndc>
    <ndc_label_name>Lumiscope Ultrasonic Nebulizer misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Thermometer Covers</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779001105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>5-Aminosalicylic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACITRACIN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779001509</ndc>
    <ndc_label_name>BACITRACIN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779001704</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779001901</ndc>
    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779002006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779003805</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004000</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004003</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004008</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004009</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004204</ndc>
    <ndc_label_name>OXYTETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004205</ndc>
    <ndc_label_name>OXYTETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004301</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004303</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004304</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004305</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004306</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004307</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004308</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004309</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004501</ndc>
    <ndc_label_name>POLYMYXIN B 50 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004503</ndc>
    <ndc_label_name>POLYMYXIN B 100 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004604</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004605</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004609</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004901</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004902</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004904</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004905</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004907</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004908</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779004909</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005101</ndc>
    <ndc_label_name>TRIAMCINOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005103</ndc>
    <ndc_label_name>TRIAMCINOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005104</ndc>
    <ndc_label_name>TRIAMCINOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005105</ndc>
    <ndc_label_name>TRIAMCINOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005304</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005305</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005308</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005309</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005508</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005509</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005701</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005703</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005704</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005705</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005706</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005708</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005709</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005904</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005905</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005908</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779005909</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006001</ndc>
    <ndc_label_name>ACACIA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006005</ndc>
    <ndc_label_name>ACACIA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006008</ndc>
    <ndc_label_name>ACACIA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006101</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006104</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006105</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006107</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006108</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006109</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006304</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006305</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006307</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006308</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006309</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006401</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006408</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006409</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006505</ndc>
    <ndc_label_name>BHT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006508</ndc>
    <ndc_label_name>BHT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006605</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006608</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006609</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006801</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006805</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006807</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006808</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779006809</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007101</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007102</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007103</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007104</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007105</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007106</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007108</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007109</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007200</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007201</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007207</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007208</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007209</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007501</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007504</ndc>
    <ndc_label_name>HYDROQUINONE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007505</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007508</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007509</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007603</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007604</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007605</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007608</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007609</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007801</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007803</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007804</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007805</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007807</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007808</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007809</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779007908</ndc>
    <ndc_label_name>KAOLIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008000</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008001</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008007</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008008</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008009</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008103</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008108</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008109</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008202</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008203</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008204</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008205</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008206</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008207</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779008208</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779009107</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779009503</ndc>
    <ndc_label_name>SACCHARIN SODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SACCHARIN SODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SACCHARIN SODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CORN STARCH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779010008</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779011404</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779011408</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779018909</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019100</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019103</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019104</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019106</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019108</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019503</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019506</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019800</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019803</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019804</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019805</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779019806</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020203</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020204</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020205</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020208</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020302</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020303</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020304</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020305</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020307</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020308</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020309</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020402</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020404</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020405</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020407</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020409</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020501</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020508</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779020509</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021604</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021605</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021608</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021609</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021803</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021804</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021805</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021808</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021809</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021903</ndc>
    <ndc_label_name>ERGOTAMINE TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779021904</ndc>
    <ndc_label_name>ERGOTAMINE TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022401</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022408</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022409</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022703</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022704</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022705</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779022708</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023003</ndc>
    <ndc_label_name>IPRATROPIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023004</ndc>
    <ndc_label_name>IPRATROPIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023006</ndc>
    <ndc_label_name>IPRATROPIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023404</ndc>
    <ndc_label_name>ISOXSUPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023405</ndc>
    <ndc_label_name>ISOXSUPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023409</ndc>
    <ndc_label_name>ISOXSUPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023700</ndc>
    <ndc_label_name>MECLOFENAMATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023704</ndc>
    <ndc_label_name>MECLOFENAMATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023705</ndc>
    <ndc_label_name>MECLOFENAMATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023708</ndc>
    <ndc_label_name>MECLOFENAMATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023709</ndc>
    <ndc_label_name>MECLOFENAMATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023801</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023803</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023804</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023805</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023807</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023808</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023809</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023903</ndc>
    <ndc_label_name>MICONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023904</ndc>
    <ndc_label_name>MICONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023905</ndc>
    <ndc_label_name>MICONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779023906</ndc>
    <ndc_label_name>MICONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024200</ndc>
    <ndc_label_name>NYSTATIN 10 BILLION UNIT POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024201</ndc>
    <ndc_label_name>NYSTATIN 50 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024202</ndc>
    <ndc_label_name>NYSTATIN 150 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024203</ndc>
    <ndc_label_name>NYSTATIN 100 MILLION UNITS PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024205</ndc>
    <ndc_label_name>NYSTATIN 500 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024206</ndc>
    <ndc_label_name>NYSTATIN 1 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024208</ndc>
    <ndc_label_name>NYSTATIN 2 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024209</ndc>
    <ndc_label_name>NYSTATIN 5 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024403</ndc>
    <ndc_label_name>Penicillamine(D-) powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024404</ndc>
    <ndc_label_name>Penicillamine(D-) powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024405</ndc>
    <ndc_label_name>Penicillamine(D-) powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024409</ndc>
    <ndc_label_name>Penicillamine(D-) powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024703</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024704</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024705</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779024708</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025101</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025108</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025109</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025302</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025304</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025305</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025306</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025308</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779025309</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026005</ndc>
    <ndc_label_name>SQUALANE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026008</ndc>
    <ndc_label_name>SQUALANE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026009</ndc>
    <ndc_label_name>SQUALANE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026105</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026108</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026109</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026203</ndc>
    <ndc_label_name>ATENOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026204</ndc>
    <ndc_label_name>ATENOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026205</ndc>
    <ndc_label_name>ATENOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026405</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026407</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026408</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026409</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026804</ndc>
    <ndc_label_name>TRICHLORMETHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026805</ndc>
    <ndc_label_name>TRICHLORMETHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026808</ndc>
    <ndc_label_name>TRICHLORMETHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779026809</ndc>
    <ndc_label_name>TRICHLORMETHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027007</ndc>
    <ndc_label_name>TRIMETHOPRIM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027301</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027303</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027305</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027306</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027309</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027403</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027404</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027405</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027406</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027408</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027503</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027504</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027505</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027507</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027508</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027509</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027804</ndc>
    <ndc_label_name>YOHIMBINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027805</ndc>
    <ndc_label_name>YOHIMBINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027809</ndc>
    <ndc_label_name>YOHIMBINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027901</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027903</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027904</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027905</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027907</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027908</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779027909</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028003</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028004</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028005</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028006</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028008</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028009</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028109</ndc>
    <ndc_label_name>DIMENHYDRINATE 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028202</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028204</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028205</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028208</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028209</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028901</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028908</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779028909</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029001</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029008</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029503</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029504</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029505</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029509</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029703</ndc>
    <ndc_label_name>DESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029704</ndc>
    <ndc_label_name>DESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029706</ndc>
    <ndc_label_name>DESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029803</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029804</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029805</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029807</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029808</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029809</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029904</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029905</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029907</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029908</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779029909</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030103</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030104</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030105</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030108</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030109</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030203</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030204</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030205</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030208</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030209</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030303</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE MESYLATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030604</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030605</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030608</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030609</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030804</ndc>
    <ndc_label_name>L-Threonine crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030805</ndc>
    <ndc_label_name>L-Threonine crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030808</ndc>
    <ndc_label_name>L-Threonine crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030809</ndc>
    <ndc_label_name>L-Threonine crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030904</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030905</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779030908</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031005</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031007</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031009</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031203</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031204</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031206</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031303</ndc>
    <ndc_label_name>CICLOPIROX OLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031304</ndc>
    <ndc_label_name>CICLOPIROX OLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031305</ndc>
    <ndc_label_name>CICLOPIROX OLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031309</ndc>
    <ndc_label_name>CICLOPIROX OLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031501</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031503</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031507</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031508</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031509</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031600</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031601</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031602</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031607</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031608</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031609</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031805</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031807</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031808</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031809</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031901</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031903</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031904</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031905</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031906</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031908</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779031909</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032105</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032108</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032109</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032403</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032404</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032406</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032408</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032503</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032504</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032505</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032507</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032508</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779032509</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033001</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033003</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033004</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033005</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033006</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033304</ndc>
    <ndc_label_name>L-LEUCINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033305</ndc>
    <ndc_label_name>L-LEUCINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033308</ndc>
    <ndc_label_name>L-LEUCINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779033309</ndc>
    <ndc_label_name>L-LEUCINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034101</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034103</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034104</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034105</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034701</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034708</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034709</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034801</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034802</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034805</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034808</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779034809</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035305</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035308</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035501</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035502</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035504</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035505</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035507</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035508</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035509</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035805</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035808</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035904</ndc>
    <ndc_label_name>L-ISOLEUCINE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035905</ndc>
    <ndc_label_name>L-ISOLEUCINE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779035908</ndc>
    <ndc_label_name>L-ISOLEUCINE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036002</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036003</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036004</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036005</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036007</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036008</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036009</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036102</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036103</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036104</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036201</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036202</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036203</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036204</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036205</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036208</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036209</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036401</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036403</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036406</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036601</ndc>
    <ndc_label_name>TIMOLOL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036603</ndc>
    <ndc_label_name>TIMOLOL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036605</ndc>
    <ndc_label_name>TIMOLOL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779036606</ndc>
    <ndc_label_name>TIMOLOL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037200</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037201</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037203</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037204</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037205</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037206</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037207</ndc>
    <ndc_label_name>CLOBETASOL 17 PROP MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037403</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037404</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037405</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037409</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037701</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037704</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037705</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037708</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037709</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037801</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037804</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037805</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037807</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037808</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779037809</ndc>
    <ndc_label_name>Nicotinic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038403</ndc>
    <ndc_label_name>OXYBUTYNIN CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038405</ndc>
    <ndc_label_name>OXYBUTYNIN CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038406</ndc>
    <ndc_label_name>OXYBUTYNIN CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038603</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038605</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038607</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038608</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038803</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038804</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038805</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038806</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038808</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038809</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038900</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038903</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038904</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038906</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779038909</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779039502</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779039504</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779039505</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779039506</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779039508</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779046806</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048300</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048301</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048303</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048305</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048307</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048308</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048309</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048803</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048804</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048805</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779048806</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049404</ndc>
    <ndc_label_name>RESORCINOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049405</ndc>
    <ndc_label_name>RESORCINOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049408</ndc>
    <ndc_label_name>RESORCINOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049409</ndc>
    <ndc_label_name>RESORCINOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049504</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049505</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049507</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049508</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779049509</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050101</ndc>
    <ndc_label_name>DROPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050102</ndc>
    <ndc_label_name>DROPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050205</ndc>
    <ndc_label_name>L-ARGININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050208</ndc>
    <ndc_label_name>L-ARGININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050209</ndc>
    <ndc_label_name>L-ARGININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050303</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050304</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050305</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050308</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050309</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050603</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050604</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779050605</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051001</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051007</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051008</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051009</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051404</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051405</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051901</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051905</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051908</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779051909</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052103</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052104</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052105</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052107</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052108</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052109</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052401</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052403</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052404</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052405</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052408</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052409</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779052501</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779052508</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052601</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052605</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052608</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052609</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052707</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052708</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779052709</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779053405</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779053408</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779053409</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054301</ndc>
    <ndc_label_name>SODIUM CITRATE DIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054305</ndc>
    <ndc_label_name>SODIUM CITRATE DIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054308</ndc>
    <ndc_label_name>SODIUM CITRATE DIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054501</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054503</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054505</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054507</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054508</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054509</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054804</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054805</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054808</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054809</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054901</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779054908</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055003</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055005</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055007</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055008</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055009</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055103</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055108</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055109</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055303</ndc>
    <ndc_label_name>MITOMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055306</ndc>
    <ndc_label_name>MITOMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055307</ndc>
    <ndc_label_name>MITOMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055309</ndc>
    <ndc_label_name>MITOMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055903</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055904</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779055905</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056101</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056102</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056103</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056104</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056105</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056106</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056109</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056501</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056505</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056508</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056509</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056600</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056601</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056604</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056605</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056608</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056609</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056701</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056703</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056705</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056706</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056707</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056708</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056709</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056803</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779056804</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057401</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057402</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057403</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057405</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057407</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057409</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779057804</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058201</ndc>
    <ndc_label_name>ACETIC ACID GLACIAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058208</ndc>
    <ndc_label_name>ACETIC ACID GLACIAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058404</ndc>
    <ndc_label_name>HYDROCHLORIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058405</ndc>
    <ndc_label_name>HYDROCHLORIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROCHLORIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058703</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058707</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058708</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779058709</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779059805</ndc>
    <ndc_label_name>Lugols 5 %-10 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779059808</ndc>
    <ndc_label_name>Lugols 5 % oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BENZOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779061508</ndc>
    <ndc_label_name>BENZOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ETHYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779061608</ndc>
    <ndc_label_name>ETHYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ETHYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779061803</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779061805</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779061808</ndc>
    <ndc_label_name>CETYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CETYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779062205</ndc>
    <ndc_label_name>SODIUM LAURYL SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM LAURYL SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>POTASSIUM CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>POTASSIUM CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLEXIBLE COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779062909</ndc>
    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063202</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063203</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063204</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063205</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063206</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063208</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063209</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063403</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063405</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063407</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063408</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779063409</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064000</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064001</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064007</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064008</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064009</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064105</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064108</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779064109</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FAMOTIDINE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779065509</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779066006</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOSPORINE A POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779066904</ndc>
    <ndc_label_name>MEFENAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MEFENAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779066906</ndc>
    <ndc_label_name>MEFENAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067301</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067304</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067305</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067307</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067308</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067903</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067904</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779067905</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068508</ndc>
    <ndc_label_name>ALUMINUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068509</ndc>
    <ndc_label_name>ALUMINUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068703</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068704</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068705</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068706</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779068708</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069600</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069601</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069605</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069607</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069608</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779069609</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070100</ndc>
    <ndc_label_name>HRT Cream Base Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070103</ndc>
    <ndc_label_name>HRT Cream Base Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070105</ndc>
    <ndc_label_name>HRT Cream Base Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HRT Cream Base Women</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070109</ndc>
    <ndc_label_name>HRT Cream Base Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070208</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070209</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070501</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070503</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070505</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070507</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070508</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779070509</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779071903</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779072306</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779072508</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779073206</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779073208</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779073209</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779073303</ndc>
    <ndc_label_name>Dehydroepiandrosterone (micronized) 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dehydroepiandrosterone (micronized) 100 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mediderm cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779077005</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779077008</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779077009</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779077108</ndc>
    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779078604</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779078608</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779078705</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779078708</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779079405</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779079409</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080201</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080208</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080209</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080701</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080707</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779080708</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081001</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081009</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081505</ndc>
    <ndc_label_name>VANILLIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081508</ndc>
    <ndc_label_name>VANILLIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081601</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081603</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081608</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081609</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081904</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081905</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779081908</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082001</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082003</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082004</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082005</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082008</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082202</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082203</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082204</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082205</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082208</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082209</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082305</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082308</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082309</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082703</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082704</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082705</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779082708</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083201</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083207</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083208</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083209</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083301</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083305</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083308</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083309</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083401</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083403</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083407</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083408</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083409</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083503</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083505</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083507</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083508</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083509</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083703</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083705</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779083706</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084203</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084204</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084205</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084208</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084209</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084804</ndc>
    <ndc_label_name>CYCLOPENTOLATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084805</ndc>
    <ndc_label_name>CYCLOPENTOLATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779084808</ndc>
    <ndc_label_name>CYCLOPENTOLATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085103</ndc>
    <ndc_label_name>METHYLPHENIDATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085106</ndc>
    <ndc_label_name>METHYLPHENIDATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085203</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085204</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085205</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085207</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085208</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085209</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085404</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085405</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085408</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779085409</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086003</ndc>
    <ndc_label_name>ERGOLOID MESYLATES POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086006</ndc>
    <ndc_label_name>ERGOLOID MESYLATES POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086901</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086903</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086904</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086905</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086906</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086907</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086908</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779086909</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087504</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087505</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087508</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087509</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087604</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087605</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087608</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779087609</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088304</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088305</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088308</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088309</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088403</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088404</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088405</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088407</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088408</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088409</ndc>
    <ndc_label_name>PYRIMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088503</ndc>
    <ndc_label_name>LEVORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088506</ndc>
    <ndc_label_name>LEVORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088703</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088704</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088705</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088706</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088708</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088800</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088801</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088803</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088805</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088806</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779088809</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089005</ndc>
    <ndc_label_name>CHONDROITIN SULFATE SODIUM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089007</ndc>
    <ndc_label_name>CHONDROITIN SULFATE SODIUM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089008</ndc>
    <ndc_label_name>CHONDROITIN SULFATE SODIUM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089103</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089104</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089105</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089106</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089107</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779089109</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090601</ndc>
    <ndc_label_name>ISOPROPYL MYRISTATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090608</ndc>
    <ndc_label_name>ISOPROPYL MYRISTATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090609</ndc>
    <ndc_label_name>ISOPROPYL MYRISTATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090804</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090805</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090808</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779090908</ndc>
    <ndc_label_name>POTASSIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779091001</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779091008</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779091404</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779091405</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779091408</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092204</ndc>
    <ndc_label_name>BUTALBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092205</ndc>
    <ndc_label_name>BUTALBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092504</ndc>
    <ndc_label_name>DIAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092505</ndc>
    <ndc_label_name>DIAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092508</ndc>
    <ndc_label_name>DIAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092509</ndc>
    <ndc_label_name>DIAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092601</ndc>
    <ndc_label_name>DIETHYLPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092603</ndc>
    <ndc_label_name>DIETHYLPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092605</ndc>
    <ndc_label_name>DIETHYLPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092700</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092701</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092703</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092704</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092705</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092706</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779092708</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779093508</ndc>
    <ndc_label_name>Unscented Cold Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779093707</ndc>
    <ndc_label_name>Ointment Base (Emulsifying)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779093708</ndc>
    <ndc_label_name>Ointment Base (Emulsifying)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094406</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094407</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094409</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094601</ndc>
    <ndc_label_name>PURIFIED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094602</ndc>
    <ndc_label_name>PURIFIED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094608</ndc>
    <ndc_label_name>PURIFIED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094700</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094701</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094703</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094708</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094709</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094901</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094908</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779094909</ndc>
    <ndc_label_name>Mineral Oil Heavy oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095501</ndc>
    <ndc_label_name>ACETYL SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095505</ndc>
    <ndc_label_name>ACETYL SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095507</ndc>
    <ndc_label_name>ACETYL SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095508</ndc>
    <ndc_label_name>ACETYL SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095604</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095605</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095607</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095608</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095609</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095804</ndc>
    <ndc_label_name>ACETYL-L-CARNITINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095805</ndc>
    <ndc_label_name>ACETYL-L-CARNITINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779095809</ndc>
    <ndc_label_name>ACETYL-L-CARNITINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779096805</ndc>
    <ndc_label_name>ALANINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097501</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097505</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097507</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097508</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097509</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097605</ndc>
    <ndc_label_name>ALOE VERA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097608</ndc>
    <ndc_label_name>ALOE VERA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097703</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097704</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097705</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097708</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097804</ndc>
    <ndc_label_name>ALPHA-KETOGLUTARIC ACID CRYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097805</ndc>
    <ndc_label_name>ALPHA-KETOGLUTARIC ACID CRYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779097809</ndc>
    <ndc_label_name>ALPHA-KETOGLUTARIC ACID CRYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098704</ndc>
    <ndc_label_name>GAMMA-AMINOBUTYRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098705</ndc>
    <ndc_label_name>GAMMA-AMINOBUTYRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098708</ndc>
    <ndc_label_name>GAMMA-AMINOBUTYRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098709</ndc>
    <ndc_label_name>GAMMA-AMINOBUTYRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098904</ndc>
    <ndc_label_name>AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098905</ndc>
    <ndc_label_name>AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098907</ndc>
    <ndc_label_name>AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098908</ndc>
    <ndc_label_name>AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779098909</ndc>
    <ndc_label_name>AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779101604</ndc>
    <ndc_label_name>Banana Cream Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779101605</ndc>
    <ndc_label_name>Banana Cream Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779101608</ndc>
    <ndc_label_name>Banana Cream Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779102208</ndc>
    <ndc_label_name>BELLADONNA TINCTURE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779102708</ndc>
    <ndc_label_name>BENZOIN TINCTURE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779102901</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779102908</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779103001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779103007</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779103008</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779103009</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104005</ndc>
    <ndc_label_name>BETAINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104008</ndc>
    <ndc_label_name>BETAINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104604</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104605</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104608</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104704</ndc>
    <ndc_label_name>BISMUTH SUBNITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104705</ndc>
    <ndc_label_name>BISMUTH SUBNITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779104708</ndc>
    <ndc_label_name>BISMUTH SUBNITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779105503</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779105504</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779105505</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779108005</ndc>
    <ndc_label_name>CALCIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779108008</ndc>
    <ndc_label_name>CALCIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779108009</ndc>
    <ndc_label_name>CALCIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110404</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110405</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110408</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110409</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110501</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110502</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110509</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779110701</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779136805</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779136808</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779136809</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779137005</ndc>
    <ndc_label_name>L-ORNITHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779137008</ndc>
    <ndc_label_name>L-ORNITHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779137009</ndc>
    <ndc_label_name>L-ORNITHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779140705</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779140707</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779140708</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779141308</ndc>
    <ndc_label_name>MANGANESE CHLORIDE 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142204</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142205</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142208</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142209</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142703</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779142704</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779143904</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779143905</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779143908</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779148101</ndc>
    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779148104</ndc>
    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779150200</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779150203</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779150204</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779150206</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779155603</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779155604</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779155605</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779155606</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RASPBERRY CONC FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779156103</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779165408</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779165700</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779165703</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779165704</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779165706</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779167704</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779167705</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779167706</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779167708</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168304</ndc>
    <ndc_label_name>SODIUM VALPROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168305</ndc>
    <ndc_label_name>SODIUM VALPROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168308</ndc>
    <ndc_label_name>SODIUM VALPROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168504</ndc>
    <ndc_label_name>Vanilla Butternut Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168505</ndc>
    <ndc_label_name>Vanilla Butternut Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779168508</ndc>
    <ndc_label_name>Vanilla Butternut Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169304</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169305</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169308</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169705</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169708</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169900</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169901</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169908</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779169909</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170003</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170005</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170008</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170009</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170804</ndc>
    <ndc_label_name>ZINC PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170805</ndc>
    <ndc_label_name>ZINC PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170808</ndc>
    <ndc_label_name>ZINC PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779170809</ndc>
    <ndc_label_name>ZINC PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175200</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175201</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175205</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175207</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175208</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175209</ndc>
    <ndc_label_name>SODIUM HYDROXIDE FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175402</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175403</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175404</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175405</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175407</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175408</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175409</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175600</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175603</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175604</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175606</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779175609</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176400</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176403</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176404</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176406</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176500</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176504</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176505</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176506</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176509</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176603</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176604</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176605</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176803</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176804</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176805</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176808</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779176901</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779177901</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779177907</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779177908</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180404</ndc>
    <ndc_label_name>L-Proline crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180405</ndc>
    <ndc_label_name>L-Proline crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180408</ndc>
    <ndc_label_name>L-Proline crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180409</ndc>
    <ndc_label_name>L-Proline crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180704</ndc>
    <ndc_label_name>L-SERINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180705</ndc>
    <ndc_label_name>L-SERINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180708</ndc>
    <ndc_label_name>L-SERINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779180709</ndc>
    <ndc_label_name>L-SERINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779181601</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779181605</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779181608</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779181609</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182203</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182204</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182205</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182206</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182404</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779182608</ndc>
    <ndc_label_name>CALCIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779183405</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779183408</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779183409</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185103</ndc>
    <ndc_label_name>NEOSTIGMINE METHYLSULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185104</ndc>
    <ndc_label_name>NEOSTIGMINE METHYLSULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185105</ndc>
    <ndc_label_name>NEOSTIGMINE METHYLSULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185106</ndc>
    <ndc_label_name>NEOSTIGMINE METHYLSULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185501</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185507</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779185508</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186405</ndc>
    <ndc_label_name>EDETATE CALCIUM DISODIUM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186408</ndc>
    <ndc_label_name>EDETATE CALCIUM DISODIUM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186503</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186504</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186505</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779186506</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187103</ndc>
    <ndc_label_name>Plo Gel Mediflo Compound B</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187105</ndc>
    <ndc_label_name>Plo Gel Mediflo pack,gel and liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187108</ndc>
    <ndc_label_name>Plo Gel Mediflo pack,gel and liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187205</ndc>
    <ndc_label_name>PLO Gel Mediflo Pre-Mixed 20 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187208</ndc>
    <ndc_label_name>PLO Gel Mediflo Pre-Mixed 20 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187701</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187708</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779187709</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188001</ndc>
    <ndc_label_name>Capsule Coni-Snap #2 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188002</ndc>
    <ndc_label_name>Capsule Coni-Snap #2 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188009</ndc>
    <ndc_label_name>Capsule Coni-Snap #2 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188705</ndc>
    <ndc_label_name>ZINC PYRITHIONE 48% LIQ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188901</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188902</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779188909</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779189001</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779189002</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779189009</ndc>
    <ndc_label_name>Capsule Coni-Snap #1 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779189201</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194307</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194308</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194309</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194905</ndc>
    <ndc_label_name>TAURINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194908</ndc>
    <ndc_label_name>TAURINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779194909</ndc>
    <ndc_label_name>TAURINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195301</ndc>
    <ndc_label_name>CARBAZOCHROME POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195302</ndc>
    <ndc_label_name>CARBAZOCHROME POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195305</ndc>
    <ndc_label_name>CARBAZOCHROME POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195309</ndc>
    <ndc_label_name>CARBAZOCHROME POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195604</ndc>
    <ndc_label_name>MANGANESE GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195605</ndc>
    <ndc_label_name>MANGANESE GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195608</ndc>
    <ndc_label_name>MANGANESE GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195609</ndc>
    <ndc_label_name>MANGANESE GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195802</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779195809</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196304</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196305</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196308</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196309</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196604</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196605</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196608</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196705</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196707</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196708</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196709</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196806</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196807</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196809</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779196908</ndc>
    <ndc_label_name>EMU OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197102</ndc>
    <ndc_label_name>DISULFIRAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197105</ndc>
    <ndc_label_name>DISULFIRAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197108</ndc>
    <ndc_label_name>DISULFIRAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197109</ndc>
    <ndc_label_name>DISULFIRAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197400</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197401</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197403</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197404</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197405</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779197406</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779198703</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779198704</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779198705</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779198708</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199101</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199104</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199109</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199301</ndc>
    <ndc_label_name>ALPRAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199304</ndc>
    <ndc_label_name>ALPRAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199306</ndc>
    <ndc_label_name>ALPRAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199309</ndc>
    <ndc_label_name>ALPRAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199901</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199902</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199905</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779199908</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779200001</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779200003</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779200008</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779210209</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779211801</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779212504</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779213809</ndc>
    <ndc_label_name>NOREPINEPHRINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779214504</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779214509</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779217101</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779217105</ndc>
    <ndc_label_name>PYRUVIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SOYBEAN OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779220808</ndc>
    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779221005</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779222507</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779222508</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779223303</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779223304</ndc>
    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule Coni-Snap #1 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779224609</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779224903</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779224904</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779224905</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779224909</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225205</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225207</ndc>
    <ndc_label_name>GRISEOFULVIN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225208</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225209</ndc>
    <ndc_label_name>GRISEOFULVIN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225308</ndc>
    <ndc_label_name>BANANA FLAVOR ARTIFICIAL LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225404</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225409</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225604</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779225709</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779230406</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779232005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PLO Transdermal cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779234008</ndc>
    <ndc_label_name>PLO Transdermal cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779236509</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779236701</ndc>
    <ndc_label_name>Pluronic 30 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237407</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237409</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237504</ndc>
    <ndc_label_name>PHOSPHATIDYLCHOLINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237505</ndc>
    <ndc_label_name>PHOSPHATIDYLCHOLINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237509</ndc>
    <ndc_label_name>PHOSPHATIDYLCHOLINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237800</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Troche Base pellet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779237805</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Troche Base pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779238300</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SESAME OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779240806</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779241004</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779241402</ndc>
    <ndc_label_name>Capsule Coni-Snap #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779241409</ndc>
    <ndc_label_name>Capsule Coni-Snap #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ONDANSETRON HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ONDANSETRON HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250003</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250004</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250006</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250303</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250304</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250306</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250701</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250704</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250705</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779250708</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779251001</ndc>
    <ndc_label_name>Oral Suspend oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>38779251008</ndc>
    <ndc_label_name>Oral Suspend oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251101</ndc>
    <ndc_label_name>Oral Syrup oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251108</ndc>
    <ndc_label_name>Oral Syrup oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251201</ndc>
    <ndc_label_name>Oral Mix oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251208</ndc>
    <ndc_label_name>Oral Mix oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251403</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251404</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251405</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251407</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251408</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251409</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251504</ndc>
    <ndc_label_name>AMLODIPINE BESILATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251505</ndc>
    <ndc_label_name>AMLODIPINE BESILATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251508</ndc>
    <ndc_label_name>AMLODIPINE BESILATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251509</ndc>
    <ndc_label_name>AMLODIPINE BESILATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251902</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251903</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779251906</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252002</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252004</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252005</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252008</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252009</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252201</ndc>
    <ndc_label_name>SUCROSE OCTAACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252208</ndc>
    <ndc_label_name>SUCROSE OCTAACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252604</ndc>
    <ndc_label_name>D-XYLOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252605</ndc>
    <ndc_label_name>D-XYLOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252608</ndc>
    <ndc_label_name>D-XYLOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252800</ndc>
    <ndc_label_name>Vanish-Pen Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252801</ndc>
    <ndc_label_name>Vanish-Pen Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252805</ndc>
    <ndc_label_name>Vanish-Pen Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252808</ndc>
    <ndc_label_name>Vanish-Pen Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252901</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252903</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252905</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252907</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779252908</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253101</ndc>
    <ndc_label_name>LiquiGel Complex liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253102</ndc>
    <ndc_label_name>LiquiGel Complex liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253105</ndc>
    <ndc_label_name>LiquiGel Complex liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253108</ndc>
    <ndc_label_name>LiquiGel Complex liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253200</ndc>
    <ndc_label_name>SPG Supposi-Base wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253201</ndc>
    <ndc_label_name>SPG Supposi-Base wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253205</ndc>
    <ndc_label_name>SPG Supposi-Base wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253208</ndc>
    <ndc_label_name>SPG Supposi-Base wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253300</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253303</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253304</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253305</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253306</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253503</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253504</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253505</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253506</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253509</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253600</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253602</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253603</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253604</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253605</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253606</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253607</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253608</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779253609</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254005</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254008</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254009</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254104</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254105</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254108</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254109</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254503</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254504</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254505</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254506</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254508</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254905</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254908</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779254909</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255003</ndc>
    <ndc_label_name>VALACYCLOVIR HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255004</ndc>
    <ndc_label_name>VALACYCLOVIR HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255005</ndc>
    <ndc_label_name>VALACYCLOVIR HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255008</ndc>
    <ndc_label_name>VALACYCLOVIR HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255101</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255301</ndc>
    <ndc_label_name>THEOBROMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255304</ndc>
    <ndc_label_name>THEOBROMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255305</ndc>
    <ndc_label_name>THEOBROMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255401</ndc>
    <ndc_label_name>CAPRYLIC-CAPRIC TRIGLYCERIDE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255409</ndc>
    <ndc_label_name>CAPRYLIC-CAPRIC TRIGLYCERIDE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255503</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255504</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255506</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255703</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255704</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255705</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255708</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255709</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255803</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255805</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779255808</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256004</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256005</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256006</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256007</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256008</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256009</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256205</ndc>
    <ndc_label_name>PREDNISOLONE AC MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256303</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256305</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256308</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779256401</ndc>
    <ndc_label_name>PenDerm transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>38779260409</ndc>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779261304</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BROMELAIN 1,200 GDU/GM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BROMELAIN 1,200 GDU/GM POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BROMELAIN 1,200 GDU/GM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHIONINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHIONINE CRYSTALS</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHIONINE CRYSTALS</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779265903</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779267902</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779268709</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779269205</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779274606</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779274608</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779274609</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275201</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275205</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275208</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275303</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275304</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275305</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275307</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275308</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275309</ndc>
    <ndc_label_name>SODIUM L-ASPARTATE MONO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275405</ndc>
    <ndc_label_name>IPRATROPIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275501</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275505</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275508</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275509</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275704</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275705</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275708</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275901</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275903</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275904</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275905</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779275909</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276001</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276003</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276004</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276006</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276205</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276207</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276208</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276304</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276305</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276308</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276309</ndc>
    <ndc_label_name>L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276900</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276903</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276904</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276905</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779276906</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277201</ndc>
    <ndc_label_name>Medi-RDT Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277205</ndc>
    <ndc_label_name>Medi-RDT Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277208</ndc>
    <ndc_label_name>Medi-RDT Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277703</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277705</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277706</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277805</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277808</ndc>
    <ndc_label_name>MISOPROSTOL 1% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779277809</ndc>
    <ndc_label_name>MISOPROSTOL 1% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gum Base gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779278004</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM VALPROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779278008</ndc>
    <ndc_label_name>SODIUM VALPROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779278104</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779278109</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779278204</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RASPBERRY FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285304</ndc>
    <ndc_label_name>orange flavor (bulk) powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285305</ndc>
    <ndc_label_name>orange flavor (bulk) powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285404</ndc>
    <ndc_label_name>MANGO FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285405</ndc>
    <ndc_label_name>MANGO FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285601</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 20% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285603</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 20% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285605</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 20% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285608</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 20% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285609</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 20% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285703</ndc>
    <ndc_label_name>LORATADINE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285704</ndc>
    <ndc_label_name>LORATADINE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285705</ndc>
    <ndc_label_name>LORATADINE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779285706</ndc>
    <ndc_label_name>LORATADINE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286002</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286302</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286303</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286304</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286305</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779286309</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287201</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287202</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287203</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287204</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287207</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287208</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287209</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287301</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287303</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287307</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287401</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287402</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287501</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287502</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287503</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287506</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287601</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287602</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287702</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287802</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287806</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779287906</ndc>
    <ndc_label_name>Versapro Cream Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779288008</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779288106</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779288202</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779288301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779288506</ndc>
    <ndc_label_name>Calcipotriol (bulk) 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289103</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289104</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289105</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289107</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289108</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289109</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289403</ndc>
    <ndc_label_name>AMERICAN GINSENG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289404</ndc>
    <ndc_label_name>AMERICAN GINSENG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289405</ndc>
    <ndc_label_name>AMERICAN GINSENG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289406</ndc>
    <ndc_label_name>AMERICAN GINSENG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289408</ndc>
    <ndc_label_name>AMERICAN GINSENG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289503</ndc>
    <ndc_label_name>GUARANA SEED EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289504</ndc>
    <ndc_label_name>GUARANA SEED EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289505</ndc>
    <ndc_label_name>GUARANA SEED EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289506</ndc>
    <ndc_label_name>GUARANA SEED EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289508</ndc>
    <ndc_label_name>GUARANA SEED EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289603</ndc>
    <ndc_label_name>MACA ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289604</ndc>
    <ndc_label_name>MACA ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MACA ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289606</ndc>
    <ndc_label_name>MACA ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289608</ndc>
    <ndc_label_name>MACA ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289701</ndc>
    <ndc_label_name>L-Aspartic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289704</ndc>
    <ndc_label_name>L-Aspartic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289705</ndc>
    <ndc_label_name>L-Aspartic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289708</ndc>
    <ndc_label_name>L-Aspartic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289709</ndc>
    <ndc_label_name>L-Aspartic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289804</ndc>
    <ndc_label_name>L-Glutamic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289805</ndc>
    <ndc_label_name>L-Glutamic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289808</ndc>
    <ndc_label_name>L-Glutamic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779289809</ndc>
    <ndc_label_name>L-Glutamic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290004</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290005</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290008</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290009</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290301</ndc>
    <ndc_label_name>VersaPro Lotion Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290303</ndc>
    <ndc_label_name>VersaPro Lotion Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290305</ndc>
    <ndc_label_name>VersaPro Lotion Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290307</ndc>
    <ndc_label_name>VersaPro Lotion Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290308</ndc>
    <ndc_label_name>VersaPro Lotion Base topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290403</ndc>
    <ndc_label_name>ADEMETIONINE DISULFATE TOSYLAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290404</ndc>
    <ndc_label_name>ADEMETIONINE DISULFATE TOSYLAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290405</ndc>
    <ndc_label_name>ADEMETIONINE DISULFATE TOSYLAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290408</ndc>
    <ndc_label_name>ADEMETIONINE DISULFATE TOSYLAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290409</ndc>
    <ndc_label_name>ADEMETIONINE DISULFATE TOSYLAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290503</ndc>
    <ndc_label_name>Natural Mixed Tocopherols 30 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290504</ndc>
    <ndc_label_name>Natural Mixed Tocopherols 30 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290505</ndc>
    <ndc_label_name>Natural Mixed Tocopherols 30 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290508</ndc>
    <ndc_label_name>Natural Mixed Tocopherols 30 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290509</ndc>
    <ndc_label_name>Natural Mixed Tocopherols 30 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290604</ndc>
    <ndc_label_name>CHROMIUM POLYNICOTINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290605</ndc>
    <ndc_label_name>CHROMIUM POLYNICOTINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290608</ndc>
    <ndc_label_name>CHROMIUM POLYNICOTINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290609</ndc>
    <ndc_label_name>CHROMIUM POLYNICOTINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290703</ndc>
    <ndc_label_name>MAGNESIUM AA CHELATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290704</ndc>
    <ndc_label_name>MAGNESIUM AA CHELATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290705</ndc>
    <ndc_label_name>MAGNESIUM AA CHELATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290708</ndc>
    <ndc_label_name>MAGNESIUM AA CHELATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290709</ndc>
    <ndc_label_name>MAGNESIUM AA CHELATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290801</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290804</ndc>
    <ndc_label_name>CALCIUM AMINO ACID CHELAT GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290807</ndc>
    <ndc_label_name>CALCIUM AMINO ACID CHELAT GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290808</ndc>
    <ndc_label_name>CALCIUM AMINO ACID CHELAT GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290809</ndc>
    <ndc_label_name>CALCIUM AMINO ACID CHELAT GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290904</ndc>
    <ndc_label_name>VITAMIN A ACETATE BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290905</ndc>
    <ndc_label_name>VITAMIN A ACETATE BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290908</ndc>
    <ndc_label_name>VITAMIN A ACETATE BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779290909</ndc>
    <ndc_label_name>VITAMIN A ACETATE BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291005</ndc>
    <ndc_label_name>FERROUS GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291008</ndc>
    <ndc_label_name>FERROUS GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291009</ndc>
    <ndc_label_name>FERROUS GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291201</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291203</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291205</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291207</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291208</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291209</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291304</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291305</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291308</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291309</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779291605</ndc>
    <ndc_label_name>ACETYL HEXAPEPTIDE-8 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292203</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292204</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292205</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292207</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292208</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779292209</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779293401</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779293403</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779293404</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779293405</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294103</ndc>
    <ndc_label_name>Spirulina powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294104</ndc>
    <ndc_label_name>Spirulina powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294105</ndc>
    <ndc_label_name>Spirulina powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294108</ndc>
    <ndc_label_name>Spirulina powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294109</ndc>
    <ndc_label_name>Spirulina powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294703</ndc>
    <ndc_label_name>TURMERIC ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294704</ndc>
    <ndc_label_name>TURMERIC ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294705</ndc>
    <ndc_label_name>TURMERIC ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294708</ndc>
    <ndc_label_name>TURMERIC ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779294709</ndc>
    <ndc_label_name>TURMERIC ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295003</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295201</ndc>
    <ndc_label_name>CopaSil gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295205</ndc>
    <ndc_label_name>CopaSil gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295208</ndc>
    <ndc_label_name>CopaSil gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295301</ndc>
    <ndc_label_name>AlpaWash ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295305</ndc>
    <ndc_label_name>AlpaWash ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295308</ndc>
    <ndc_label_name>AlpaWash ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295501</ndc>
    <ndc_label_name>ISOPROPANOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295502</ndc>
    <ndc_label_name>ISOPROPANOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295503</ndc>
    <ndc_label_name>ISOPROPANOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295704</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295705</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295708</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295709</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295801</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295803</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295805</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295807</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295808</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295809</ndc>
    <ndc_label_name>FERRIC AMMONIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295901</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295902</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779295909</ndc>
    <ndc_label_name>Capsule Coni-Snap #0 (gelatin) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779296900</ndc>
    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779296903</ndc>
    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779296904</ndc>
    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779296905</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CREATINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CREATINE POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CopaSil gel</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOTIFEN FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779297408</ndc>
    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>WATERMELON FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ALMOND OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303509</ndc>
    <ndc_label_name>ALMOND OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303903</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303904</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303905</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779303907</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779305103</ndc>
    <ndc_label_name>ROCURONIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ROCURONIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ROCURONIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306008</ndc>
    <ndc_label_name>METHYLCELLULOSE 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306201</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306209</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306600</ndc>
    <ndc_label_name>BIMATOPROST POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306603</ndc>
    <ndc_label_name>BIMATOPROST POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306606</ndc>
    <ndc_label_name>BIMATOPROST POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306609</ndc>
    <ndc_label_name>BIMATOPROST POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306800</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306803</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306808</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779306809</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779307408</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779307409</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779307603</ndc>
    <ndc_label_name>MIRTAZAPINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779308601</ndc>
    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779308604</ndc>
    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BISOPROLOL FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CHLOROTHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779314708</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779314709</ndc>
    <ndc_label_name>CHLOROTHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315801</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315802</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315809</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315901</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315902</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779315909</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316001</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316002</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316009</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316101</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316102</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316109</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316202</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316209</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316905</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316908</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779316909</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779317104</ndc>
    <ndc_label_name>ACESULFAME POTASSIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779317105</ndc>
    <ndc_label_name>ACESULFAME POTASSIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779317108</ndc>
    <ndc_label_name>ACESULFAME POTASSIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318201</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318205</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318208</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318300</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318301</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318303</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318304</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318305</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318307</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318308</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318309</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318405</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318501</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318503</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318505</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318506</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779318509</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779319601</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779319602</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779319901</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779320708</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779320709</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321102</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321104</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321109</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321903</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321905</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321907</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321908</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779321909</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322201</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322208</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322209</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322300</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322301</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322303</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322305</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322308</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779322309</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779324404</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779324405</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779324408</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779324409</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779324709</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779329603</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779329604</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779329605</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779641001</ndc>
    <ndc_label_name>Ointment Tube</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779641002</ndc>
    <ndc_label_name>Ointment Tube</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779641003</ndc>
    <ndc_label_name>Ointment Tube</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779642001</ndc>
    <ndc_label_name>Flip Off Seals misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779669801</ndc>
    <ndc_label_name>Dial-A-Dose syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779669802</ndc>
    <ndc_label_name>Dial-A-Dose syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779669803</ndc>
    <ndc_label_name>Dial-A-Dose syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779681901</ndc>
    <ndc_label_name>Monoject Syringe 12 mL 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779683001</ndc>
    <ndc_label_name>Syringe Luer Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779683902</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779683903</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779683904</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684002</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684003</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684004</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684102</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684103</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779684104</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779696001</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779696002</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779696003</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779708001</ndc>
    <ndc_label_name>MD Pen Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779708002</ndc>
    <ndc_label_name>MD Pen Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710702</ndc>
    <ndc_label_name>ADAPTER CAP WHITE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710703</ndc>
    <ndc_label_name>ADAPTER CAP WHITE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710704</ndc>
    <ndc_label_name>ADAPTER CAP WHITE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710705</ndc>
    <ndc_label_name>ADAPTER CAP WHITE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710802</ndc>
    <ndc_label_name>ADAPTER CAP WHITE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710803</ndc>
    <ndc_label_name>ADAPTER CAP WHITE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710804</ndc>
    <ndc_label_name>ADAPTER CAP WHITE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779710805</ndc>
    <ndc_label_name>ADAPTER CAP WHITE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779711501</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779711503</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779711601</ndc>
    <ndc_label_name>Empty Containers Sterile</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779720601</ndc>
    <ndc_label_name>Luer Slip Tip Syringe Tray 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779720703</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779721601</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779721602</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779721701</ndc>
    <ndc_label_name>MD Pump Actuator C device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779721702</ndc>
    <ndc_label_name>MD Pump Actuator C device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732101</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732102</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732201</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732202</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732301</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732302</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732401</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732402</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732501</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732502</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732601</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732602</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732701</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779732702</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733301</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733302</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733303</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733401</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733402</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733403</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733501</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733502</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733503</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733601</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733602</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779733603</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779734002</ndc>
    <ndc_label_name>Amber Glass Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779736901</ndc>
    <ndc_label_name>MD Pump Actuator B device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779736902</ndc>
    <ndc_label_name>MD Pump Actuator B device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737001</ndc>
    <ndc_label_name>MD Pump Actuator A device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737002</ndc>
    <ndc_label_name>MD Pump Actuator A device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737101</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737102</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737201</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737202</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737301</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737302</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737401</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737402</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737501</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737502</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737503</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737601</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737602</ndc>
    <ndc_label_name>MD Pump Bottle Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737701</ndc>
    <ndc_label_name>MD Pen Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737801</ndc>
    <ndc_label_name>MD Syringe Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779737901</ndc>
    <ndc_label_name>MD Syringe Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779738001</ndc>
    <ndc_label_name>MD Jar Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779743801</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779743802</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779743901</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779743902</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744001</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744002</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744101</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744102</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744201</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744202</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744301</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744302</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744401</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779744402</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779746001</ndc>
    <ndc_label_name>Amber Glass Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779746101</ndc>
    <ndc_label_name>Amber Glass Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779746201</ndc>
    <ndc_label_name>Amber Glass Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779747001</ndc>
    <ndc_label_name>Sterile Nitrile Glove misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779747601</ndc>
    <ndc_label_name>Latex Gloves, Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779748401</ndc>
    <ndc_label_name>AMBER GLASS SERUM 30 ML BOTTLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779748801</ndc>
    <ndc_label_name>Clear Glass Serum Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779748901</ndc>
    <ndc_label_name>Clear Glass Serum Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779749101</ndc>
    <ndc_label_name>Face Mask,Earloop-Style</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779749201</ndc>
    <ndc_label_name>Shrink Band</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779749401</ndc>
    <ndc_label_name>Clear Glass Serum Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779752701</ndc>
    <ndc_label_name>PLASTIC WHITE HDPE 3 OZ BOTTLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779752801</ndc>
    <ndc_label_name>PLASTIC WHITE HDPE 30 CC BTL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779753001</ndc>
    <ndc_label_name>AMBER ROUND GLASS 30 ML BOTTLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779753303</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779753401</ndc>
    <ndc_label_name>Bottletop Dispenser Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779754401</ndc>
    <ndc_label_name>Alcoh-Wipe 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779754501</ndc>
    <ndc_label_name>Alcoh-Glove 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779755301</ndc>
    <ndc_label_name>Unguator Lid misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757301</ndc>
    <ndc_label_name>SYRINGE FILTER, MILLEX-GP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757501</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757502</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757601</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757602</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757701</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779757702</ndc>
    <ndc_label_name>PreciseDose Dispenser Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770301</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770302</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770401</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770402</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770801</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779770802</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779776902</ndc>
    <ndc_label_name>RECTAL-VAGINAL PERFORATION TIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779776903</ndc>
    <ndc_label_name>RECTAL-VAGINAL PERFORATION TIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779776904</ndc>
    <ndc_label_name>RECTAL-VAGINAL PERFORATION TIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779777201</ndc>
    <ndc_label_name>STERILE CLEAR GLASS 3 ML VIAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779777301</ndc>
    <ndc_label_name>AMBER GLASS SERUM 30 ML BOTTLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779777801</ndc>
    <ndc_label_name>Topi-Click Filling Nozzle misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779779401</ndc>
    <ndc_label_name>Enema Misc Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781301</ndc>
    <ndc_label_name>ADAPTER CAP RED M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781302</ndc>
    <ndc_label_name>ADAPTER CAP RED M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781303</ndc>
    <ndc_label_name>ADAPTER CAP RED M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781401</ndc>
    <ndc_label_name>ADAPTER CAP RED K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781402</ndc>
    <ndc_label_name>ADAPTER CAP RED K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781403</ndc>
    <ndc_label_name>ADAPTER CAP RED K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781501</ndc>
    <ndc_label_name>ADAPTER CAP RED F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781502</ndc>
    <ndc_label_name>ADAPTER CAP RED F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781503</ndc>
    <ndc_label_name>ADAPTER CAP RED F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781601</ndc>
    <ndc_label_name>ADAPTER CAP RED E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781602</ndc>
    <ndc_label_name>ADAPTER CAP RED E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781603</ndc>
    <ndc_label_name>ADAPTER CAP RED E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781701</ndc>
    <ndc_label_name>ADAPTER CAP RED D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781702</ndc>
    <ndc_label_name>ADAPTER CAP RED D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781703</ndc>
    <ndc_label_name>ADAPTER CAP RED D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781801</ndc>
    <ndc_label_name>ADAPTER CAP RED C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781802</ndc>
    <ndc_label_name>ADAPTER CAP RED C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781803</ndc>
    <ndc_label_name>ADAPTER CAP RED C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781901</ndc>
    <ndc_label_name>ADAPTER CAP RED B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781902</ndc>
    <ndc_label_name>ADAPTER CAP RED B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779781903</ndc>
    <ndc_label_name>ADAPTER CAP RED B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782001</ndc>
    <ndc_label_name>ADAPTER CAP RED A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782002</ndc>
    <ndc_label_name>ADAPTER CAP RED A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782003</ndc>
    <ndc_label_name>ADAPTER CAP RED A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782101</ndc>
    <ndc_label_name>ADAPTER CAP GREEN M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782102</ndc>
    <ndc_label_name>ADAPTER CAP GREEN M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782103</ndc>
    <ndc_label_name>ADAPTER CAP GREEN M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782201</ndc>
    <ndc_label_name>ADAPTER CAP GREEN K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782202</ndc>
    <ndc_label_name>ADAPTER CAP GREEN K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782203</ndc>
    <ndc_label_name>ADAPTER CAP GREEN K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782301</ndc>
    <ndc_label_name>ADAPTER CAP GREEN F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782302</ndc>
    <ndc_label_name>ADAPTER CAP GREEN F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782303</ndc>
    <ndc_label_name>ADAPTER CAP GREEN F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782401</ndc>
    <ndc_label_name>ADAPTER CAP GREEN E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782402</ndc>
    <ndc_label_name>ADAPTER CAP GREEN E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782403</ndc>
    <ndc_label_name>ADAPTER CAP GREEN E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782501</ndc>
    <ndc_label_name>ADAPTER CAP GREEN D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782502</ndc>
    <ndc_label_name>ADAPTER CAP GREEN D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782503</ndc>
    <ndc_label_name>ADAPTER CAP GREEN D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782601</ndc>
    <ndc_label_name>ADAPTER CAP GREEN C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782602</ndc>
    <ndc_label_name>ADAPTER CAP GREEN C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782603</ndc>
    <ndc_label_name>ADAPTER CAP GREEN C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782701</ndc>
    <ndc_label_name>ADAPTER CAP GREEN B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782702</ndc>
    <ndc_label_name>ADAPTER CAP GREEN B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782703</ndc>
    <ndc_label_name>ADAPTER CAP GREEN B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782801</ndc>
    <ndc_label_name>ADAPTER CAP GREEN A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782802</ndc>
    <ndc_label_name>ADAPTER CAP GREEN A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782803</ndc>
    <ndc_label_name>ADAPTER CAP GREEN A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782901</ndc>
    <ndc_label_name>ADAPTER CAP BLUE M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782902</ndc>
    <ndc_label_name>ADAPTER CAP BLUE M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779782903</ndc>
    <ndc_label_name>ADAPTER CAP BLUE M 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783001</ndc>
    <ndc_label_name>ADAPTER CAP BLUE K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783002</ndc>
    <ndc_label_name>ADAPTER CAP BLUE K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783003</ndc>
    <ndc_label_name>ADAPTER CAP BLUE K 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783101</ndc>
    <ndc_label_name>ADAPTER CAP BLUE F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783102</ndc>
    <ndc_label_name>ADAPTER CAP BLUE F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783103</ndc>
    <ndc_label_name>ADAPTER CAP BLUE F 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783201</ndc>
    <ndc_label_name>ADAPTER CAP BLUE E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783202</ndc>
    <ndc_label_name>ADAPTER CAP BLUE E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783203</ndc>
    <ndc_label_name>ADAPTER CAP BLUE E 28MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783301</ndc>
    <ndc_label_name>ADAPTER CAP BLUE D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783302</ndc>
    <ndc_label_name>ADAPTER CAP BLUE D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783303</ndc>
    <ndc_label_name>ADAPTER CAP BLUE D 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783401</ndc>
    <ndc_label_name>ADAPTER CAP BLUE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783402</ndc>
    <ndc_label_name>ADAPTER CAP BLUE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783403</ndc>
    <ndc_label_name>ADAPTER CAP BLUE C 22MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783501</ndc>
    <ndc_label_name>ADAPTER CAP BLUE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783502</ndc>
    <ndc_label_name>ADAPTER CAP BLUE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783503</ndc>
    <ndc_label_name>ADAPTER CAP BLUE B 20MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783601</ndc>
    <ndc_label_name>ADAPTER CAP BLUE A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783602</ndc>
    <ndc_label_name>ADAPTER CAP BLUE A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779783603</ndc>
    <ndc_label_name>ADAPTER CAP BLUE A 18MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779785501</ndc>
    <ndc_label_name>Glass Graduated Cylinder misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779797701</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779797702</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779797801</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779797802</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779797803</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814401</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814402</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814403</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814501</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814502</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814503</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814602</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814702</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814802</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779814902</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815002</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815003</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815101</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815102</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815103</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815201</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815202</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815203</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815301</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815302</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815303</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815401</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815402</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815403</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815501</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815502</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779815503</ndc>
    <ndc_label_name>PreciseDose Dispenser syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779819002</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779819102</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779819202</ndc>
    <ndc_label_name>MegaPump Mezzo device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779820901</ndc>
    <ndc_label_name>Enema Misc Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779823301</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Posidyne ELD Filter infusion set</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Purple Nitrile Gloves</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779841202</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779841203</ndc>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Luer Slip Tip Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779866900</ndc>
    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MegaPump Airless device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779867904</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779869601</ndc>
    <ndc_label_name>SYRINGE FILTER, MILLEX-GS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779870501</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779870504</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779870601</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779870604</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779877001</ndc>
    <ndc_label_name>Supor Syringe Filter 25 mm-0.2 micron</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779879503</ndc>
    <ndc_label_name>ADAPTER PRESS-IN BOTTLE 24MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779881001</ndc>
    <ndc_label_name>Amber Oral-Topical Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779881102</ndc>
    <ndc_label_name>Amber Oral-Topical Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779881401</ndc>
    <ndc_label_name>Clear Glass Serum Bottle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779925003</ndc>
    <ndc_label_name>Amber Glass Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779933901</ndc>
    <ndc_label_name>TROCHE MOLD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779933902</ndc>
    <ndc_label_name>TROCHE MOLD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779933903</ndc>
    <ndc_label_name>TROCHE MOLD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779949703</ndc>
    <ndc_label_name>Empty Containers Sterile</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779957501</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779957502</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779957503</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779957603</ndc>
    <ndc_label_name>Sterile Droptainers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779970904</ndc>
    <ndc_label_name>Luer Lock Syringe 60 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779971004</ndc>
    <ndc_label_name>Luer Lock Syringe 30 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779998401</ndc>
    <ndc_label_name>VAGINAL SUPPOSITORY APPLICATOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>38779999802</ndc>
    <ndc_label_name>Suppository Shell, Small device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278010030</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278011010</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278020030</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278022010</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278031322</ndc>
    <ndc_label_name>Tiger Balm (methyl salicylate-menthol) 28 %-16 % topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278031508</ndc>
    <ndc_label_name>Tiger Balm 11 %-11 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278031510</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278031541</ndc>
    <ndc_label_name>Tiger Balm 11 %-11 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278032200</ndc>
    <ndc_label_name>Tiger Balm(capsicum-Lmenthol-camphor) 22 mg-33 mg-110 mg topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278032300</ndc>
    <ndc_label_name>Tiger Balm 230 mg-70 mg topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278042101</ndc>
    <ndc_label_name>Tiger Balm 11 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278042204</ndc>
    <ndc_label_name>Tiger Balm Arthritis Rub 11 %-11 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39278044020</ndc>
    <ndc_label_name>Tiger Balm Muscle Rub 3 %-15 %-5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328000350</ndc>
    <ndc_label_name>SoluVita Multivitamin Fluoride 0.25 mg/mL oral drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328000450</ndc>
    <ndc_label_name>SoluVita Multivitamin Fluoride 0.5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328000550</ndc>
    <ndc_label_name>SoluVita A,C,D with Fluoride 0.25 mg fluoride (0.55 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328000750</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG/ML DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328000810</ndc>
    <ndc_label_name>Phospho-Trin K500 500 mg soluble tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001416</ndc>
    <ndc_label_name>MX-Sol Suspend oral</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001516</ndc>
    <ndc_label_name>MX-Sol SF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001616</ndc>
    <ndc_label_name>MX-Sol Blend SF oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001716</ndc>
    <ndc_label_name>MX-Sol oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001903</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328001907</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328002008</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328002405</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328002415</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328002430</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328002455</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328002456</ndc>
    <ndc_label_name>LIDOCAINE 4% KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003150</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003199</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003210</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003250</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003299</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003420</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003450</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328003499</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328004910</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG ODT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328005010</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328005110</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328005210</ndc>
    <ndc_label_name>HYOSCYAMINE ER 0.375 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328005816</ndc>
    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006250</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006325</ndc>
    <ndc_label_name>HySept 0.25 % solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006412</ndc>
    <ndc_label_name>H-Chlor 12  0.125 % solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006506</ndc>
    <ndc_label_name>H-Chlor 6  0.062 % topical solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006712</ndc>
    <ndc_label_name>H-Chlor 12  0.125 % solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328006808</ndc>
    <ndc_label_name>H-Chlor 12  0.125 % solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328007920</ndc>
    <ndc_label_name>Flac Otic (ear) Oil 0.01 % drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328009016</ndc>
    <ndc_label_name>PREGABALIN 20 MG/ML SOLUTION</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328010610</ndc>
    <ndc_label_name>Prenatal Vitamins Plus Low Iron 27 mg iron-1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328010710</ndc>
    <ndc_label_name>Phospho-Trin Neutral 250 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328011516</ndc>
    <ndc_label_name>MX-Sol SF oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328012005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328012912</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328015705</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328022015</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328022050</ndc>
    <ndc_label_name>SENNA 26.4 MG/15 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328035760</ndc>
    <ndc_label_name>Calcidol 200 mcg/mL (8,000 unit/mL) oral drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328051105</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328051130</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328051140</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328053010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328053016</ndc>
    <ndc_label_name>AMANTADINE 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328053099</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39328054416</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39328055750</ndc>
    <ndc_label_name>FERROUS SULF 15 MG IRON/ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423000050</ndc>
    <ndc_label_name>Florajen Digestion 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423011048</ndc>
    <ndc_label_name>Florajen Acidophilus 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423022048</ndc>
    <ndc_label_name>Florajen Acidophilus 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423044048</ndc>
    <ndc_label_name>Florajen Digestion 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423066048</ndc>
    <ndc_label_name>Florajen Digestion 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423077078</ndc>
    <ndc_label_name>Florajen Women 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39423088048</ndc>
    <ndc_label_name>Florajen Kids 6 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39713054526</ndc>
    <ndc_label_name>Bariatric Multivitamins 45 mg iron-800 mcg-120 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822015101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822019001</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822031005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822031007</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822035305</ndc>
    <ndc_label_name>LINCOMYCIN HCL 3 GM/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822035306</ndc>
    <ndc_label_name>LINCOMYCIN HCL 3 GM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822041201</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822041206</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822046001</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822046002</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822047001</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822047002</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822065001</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822065006</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822070601</ndc>
    <ndc_label_name>STREPTOMYCIN SULF 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822070602</ndc>
    <ndc_label_name>STREPTOMYCIN SULF 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822100001</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822103001</ndc>
    <ndc_label_name>IBUPROFEN LYSINE 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822103002</ndc>
    <ndc_label_name>IBUPROFEN LYSINE 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822105505</ndc>
    <ndc_label_name>AMPHOTERICIN B 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822107701</ndc>
    <ndc_label_name>VORICONAZOLE (HPBCD) 200 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822110001</ndc>
    <ndc_label_name>FOLIC ACID 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822120101</ndc>
    <ndc_label_name>NEOMY-POLYMYXIN B 40 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822120102</ndc>
    <ndc_label_name>NEOMY-POLYMYXIN B 40 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822120105</ndc>
    <ndc_label_name>NEOMY-POLYMYXIN B 40 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822122001</ndc>
    <ndc_label_name>NEOMY-POLYMYXIN B 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39822180001</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822200001</ndc>
    <ndc_label_name>CLONIDINE 1,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822201001</ndc>
    <ndc_label_name>CLONIDINE 5,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822210001</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822210002</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39822301501</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39822301503</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39822301506</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822303001</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INHAL POWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822303002</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INHAL POWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822305001</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822305002</ndc>
    <ndc_label_name>PENTAMIDINE 300 MG INJECT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822420001</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822420002</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822420005</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822420006</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822450001</ndc>
    <ndc_label_name>EDARAVONE 30 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822450002</ndc>
    <ndc_label_name>EDARAVONE 30 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822451001</ndc>
    <ndc_label_name>EDARAVONE 60 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822552502</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822552503</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822555005</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822555006</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822620001</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822620002</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822625001</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822930001</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822930002</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822990001</ndc>
    <ndc_label_name>AMMONIA INHALANT AMPULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39822990002</ndc>
    <ndc_label_name>AMMONIA INHALANT AMPULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39892070003</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>39892083001</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000628</ndc>
    <ndc_label_name>Clearasil Stubborn Acne 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000643</ndc>
    <ndc_label_name>Clearasil Stubborn Acne 1.9 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000805</ndc>
    <ndc_label_name>Clearasil Daily Clear (benzoyl peroxide) 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000909</ndc>
    <ndc_label_name>Clearasil Ultra 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000920</ndc>
    <ndc_label_name>Clearasil Rapid Rescue (salicylic acid) 2 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>39977000922</ndc>
    <ndc_label_name>Clearasil Rapid Rescue (salicylic acid) 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40028051130</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40028051150</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40028051230</ndc>
    <ndc_label_name>SODIUM FLUORIDE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40028051330</ndc>
    <ndc_label_name>AMMONIA N-13 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40085020160</ndc>
    <ndc_label_name>NAFTIFINE HCL 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40085020190</ndc>
    <ndc_label_name>NAFTIFINE HCL 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40085020360</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40085021812</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40085021912</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40085022012</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40085061560</ndc>
    <ndc_label_name>PERMETHRIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010067</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 2,500 SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010073</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID - BIOTIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010074</ndc>
    <ndc_label_name>LUTEIN-ZEAXAN-BILBER 20MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010075</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010077</ndc>
    <ndc_label_name>Fish Oil 1,200 mg (144 mg-216 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010081</ndc>
    <ndc_label_name>ULTRA TART CHERRY EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010082</ndc>
    <ndc_label_name>MELATONIN-THEANINE 10-5.5MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010083</ndc>
    <ndc_label_name>Ultimate Probiotic-10 111 mg (25 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010084</ndc>
    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010107</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010108</ndc>
    <ndc_label_name>CRANBERRY CONC-VITAMIN C CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010109</ndc>
    <ndc_label_name>B-12 5,000 MCG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010111</ndc>
    <ndc_label_name>B-12 1,000 MCG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010116</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010118</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010122</ndc>
    <ndc_label_name>B-100 COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010130</ndc>
    <ndc_label_name>FISH OIL 1,400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010134</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010136</ndc>
    <ndc_label_name>CHROMIUM PICOL ULTRA 1,000 MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010140</ndc>
    <ndc_label_name>B-12 5,000 MCG/ML SUBLING LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010141</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010142</ndc>
    <ndc_label_name>ECHINACEA 650 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010144</ndc>
    <ndc_label_name>VITAMIN A 3,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010145</ndc>
    <ndc_label_name>SOYA LECITHIN 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010146</ndc>
    <ndc_label_name>GLUCOSAMINE HCL 1,500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010148</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010149</ndc>
    <ndc_label_name>COD LIVER OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010150</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010153</ndc>
    <ndc_label_name>ZINC GLUCONATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010158</ndc>
    <ndc_label_name>Ginkgo Biloba Plus (Bacopa) 120 mg-40 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010164</ndc>
    <ndc_label_name>MELATONIN 5 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010165</ndc>
    <ndc_label_name>Probiotic Acidophilus 250 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010166</ndc>
    <ndc_label_name>Advanced Probiotic-14 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010167</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG FAST DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010168</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010175</ndc>
    <ndc_label_name>B-COMPLEX PLUS VITAMIN C CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010177</ndc>
    <ndc_label_name>B12-FOLIC ACID 2500-400 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010181</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010194</ndc>
    <ndc_label_name>L-THEANINE 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010195</ndc>
    <ndc_label_name>Slow Release Iron 143 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010196</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010197</ndc>
    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010202</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010203</ndc>
    <ndc_label_name>E-OIL 30,000 UNIT SKIN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010208</ndc>
    <ndc_label_name>TURMERIC COMPLEX 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010209</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010210</ndc>
    <ndc_label_name>MELATONIN 12 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010211</ndc>
    <ndc_label_name>Hair,Skin and Nails (folic acid-biotin) 133.3 mcg-1,666.7 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010223</ndc>
    <ndc_label_name>Hair,Skin,Nails with Biotin 7.5 mg-7.5 unit-1,250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010225</ndc>
    <ndc_label_name>B-12 1,000 MCG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010230</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG (1,000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010231</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010232</ndc>
    <ndc_label_name>Co Q-10  50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010234</ndc>
    <ndc_label_name>MELATONIN 12 MG FAST DSSLV MAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010283</ndc>
    <ndc_label_name>COD LIVER OIL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010287</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010289</ndc>
    <ndc_label_name>Probiotic Acidophilus (14-strain) 3 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010305</ndc>
    <ndc_label_name>MELATONIN 5 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010306</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG (1,000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010323</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010373</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010374</ndc>
    <ndc_label_name>BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010380</ndc>
    <ndc_label_name>MELATONIN-THEANINE 10-5.5MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010469</ndc>
    <ndc_label_name>MINI FISH OIL 670 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010528</ndc>
    <ndc_label_name>GINGER ROOT 750 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010531</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG (1,000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010532</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG/0.5 ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010572</ndc>
    <ndc_label_name>BETA CAROTENE 7,500 MCG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010584</ndc>
    <ndc_label_name>IRON BISGLYCINATE 28 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010588</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010589</ndc>
    <ndc_label_name>VITAMIN B-2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010594</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010595</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010599</ndc>
    <ndc_label_name>BETA CAROTENE 7,500 MCG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010600</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010602</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010604</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010606</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010607</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010609</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010612</ndc>
    <ndc_label_name>ABC Complete Men's 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010613</ndc>
    <ndc_label_name>ABC Complete Women's 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010614</ndc>
    <ndc_label_name>ABC Complete Senior Men's 300 mcg-60 mcg-600 mcg-300mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010615</ndc>
    <ndc_label_name>ABC Complete Senior Women's 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010618</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010629</ndc>
    <ndc_label_name>ABC Complete Senior 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010630</ndc>
    <ndc_label_name>One Daily Essential 0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010631</ndc>
    <ndc_label_name>Ultra Prenatal Plus DHA 27 mg-800 mcg-250 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010657</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010659</ndc>
    <ndc_label_name>One Daily Essential 0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010660</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093010661</ndc>
    <ndc_label_name>VITAMIN B-2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010764</ndc>
    <ndc_label_name>BIOTIN-KERATIN-ALA CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093010906</ndc>
    <ndc_label_name>CO Q10-BLACK PEPPER 400MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011098</ndc>
    <ndc_label_name>MAGNESIUM 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011099</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011136</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011169</ndc>
    <ndc_label_name>B-Complex Plus B-12 7 mg-5 mg-4 mg-25 mcg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011213</ndc>
    <ndc_label_name>MELATONIN 10 MG/ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011253</ndc>
    <ndc_label_name>BABY VIT D3 10 MCG/DROP CONC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011257</ndc>
    <ndc_label_name>MCT Oil 14 gram-120 kcal/15 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011291</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011370</ndc>
    <ndc_label_name>Women's Multivitamin with Collagen 200 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011371</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011376</ndc>
    <ndc_label_name>TURMERIC CURCUMIN-GINGER GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011526</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011538</ndc>
    <ndc_label_name>Just 4 Kidz Multivitamin-Probiotic 1.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011539</ndc>
    <ndc_label_name>Men's Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011541</ndc>
    <ndc_label_name>ZINC-VITAMIN C 50-90 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011543</ndc>
    <ndc_label_name>MELATONIN 10 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011545</ndc>
    <ndc_label_name>Ultra Prenatal Plus DHA 27 mg-800 mcg-250 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011561</ndc>
    <ndc_label_name>ZINC 16.7 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093011655</ndc>
    <ndc_label_name>SLEEP MELATONIN 1 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093011660</ndc>
    <ndc_label_name>MAGNESIUM-LEMON BALM GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093012267</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 100 MG GMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093012604</ndc>
    <ndc_label_name>VITAMIN B-2 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093014002</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093014004</ndc>
    <ndc_label_name>ABC Complete Adult 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40093014024</ndc>
    <ndc_label_name>VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093014027</ndc>
    <ndc_label_name>CO Q10-BLACK PEPPER 400MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40093014080</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 665 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033448</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033449</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033450</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033451</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033452</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117033453</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40117034980</ndc>
    <ndc_label_name>SALINE 0.9% FLUSH 5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40158009310</ndc>
    <ndc_label_name>PKU GoLike Plus (4-16 yr) 62.2 gram-294 kcal/100 gram granules, ER pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40158009311</ndc>
    <ndc_label_name>PKU GoLike Plus (16 yr up) 63.2 gram-297 kcal/100 gram granules ER pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40158009312</ndc>
    <ndc_label_name>PKU GOLIKE 5 GRAM PE BAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40158009313</ndc>
    <ndc_label_name>PKU Golike 10 gram-170 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40158009314</ndc>
    <ndc_label_name>PKU Golike 10 gram-170 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40171000525</ndc>
    <ndc_label_name>Blink Tears PF 0.25 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40232025431</ndc>
    <ndc_label_name>amino PM rms 80 mg-46 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40232025437</ndc>
    <ndc_label_name>Amino Relief RMS 800 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40261032510</ndc>
    <ndc_label_name>Flevoxin 1,000 mg-50 mg-50 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000055</ndc>
    <ndc_label_name>Thermophore Pack Standard pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000056</ndc>
    <ndc_label_name>Thermophore Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000155</ndc>
    <ndc_label_name>Thermophore MaxHEAT pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000156</ndc>
    <ndc_label_name>Thermophore MaxHEAT pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000174</ndc>
    <ndc_label_name>Thermophore MaxHEAT pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000177</ndc>
    <ndc_label_name>Thermophore MaxHEAT pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000500</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000502</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000504</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000510</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000512</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000514</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000516</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000520</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000522</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000523</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000524</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000530</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000540</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000550</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000560</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000561</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000570</ndc>
    <ndc_label_name>Ice It! ColdCOMFORT misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40337000585</ndc>
    <ndc_label_name>Ice It! Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40368050118</ndc>
    <ndc_label_name>Sol-M Oral Dispensing Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050000</ndc>
    <ndc_label_name>VivaGuard Ino Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050001</ndc>
    <ndc_label_name>VivaGuard Ino Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050002</ndc>
    <ndc_label_name>VivaGuard Ino Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050003</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050004</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L1,L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050005</ndc>
    <ndc_label_name>VivaGuard Ino Smart Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050011</ndc>
    <ndc_label_name>VivaGuard Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050013</ndc>
    <ndc_label_name>VivaGuard Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050018</ndc>
    <ndc_label_name>Vivaguard Safety Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050020</ndc>
    <ndc_label_name>Chosen Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050021</ndc>
    <ndc_label_name>Chosen Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050022</ndc>
    <ndc_label_name>Chosen Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40423050023</ndc>
    <ndc_label_name>Chosen Safety Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40423050034</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L1,L2,L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011182</ndc>
    <ndc_label_name>TINCTURE OF BENZOIN PREP SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011184</ndc>
    <ndc_label_name>Skin-Prep Spray-On Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011452</ndc>
    <ndc_label_name>Skin Prep Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011527</ndc>
    <ndc_label_name>Solosite Wound Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011531</ndc>
    <ndc_label_name>Replicare Dressing 1 1/2" X 2 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011565</ndc>
    <ndc_label_name>Unisolve Adhesive Remover Wipe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011572</ndc>
    <ndc_label_name>Replicare Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011573</ndc>
    <ndc_label_name>Replicare Dressing 6" X 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011574</ndc>
    <ndc_label_name>Replicare Dressing 8" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011585</ndc>
    <ndc_label_name>RepliCare Thin 2" X 2 3/4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011586</ndc>
    <ndc_label_name>RepliCare Thin 3 1/2" X 5 1/2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011587</ndc>
    <ndc_label_name>RepliCare Thin 6" X 8" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011673</ndc>
    <ndc_label_name>No-Sting Skin-Prep towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011789</ndc>
    <ndc_label_name>No-Sting Skin-Prep swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011827</ndc>
    <ndc_label_name>Algisite M 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011829</ndc>
    <ndc_label_name>Algisite M 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011831</ndc>
    <ndc_label_name>Algisite M 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011838</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 4" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011840</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 4" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011841</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 6" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011842</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 6" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011844</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 9" X 15"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011845</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011846</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011848</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011849</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 15" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011851</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 20" X 28"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011852</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 20" X 28"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011854</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 2" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011859</ndc>
    <ndc_label_name>EXU-DRY Incision Dressing 3" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011862</ndc>
    <ndc_label_name>EXU-DRY Scalp Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011863</ndc>
    <ndc_label_name>EXU-DRY Face Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011867</ndc>
    <ndc_label_name>EXU-DRY Neck Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011868</ndc>
    <ndc_label_name>EXU-DRY Arm Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011869</ndc>
    <ndc_label_name>EXU-DRY Arm Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011871</ndc>
    <ndc_label_name>EXU-DRY Elbow-Knee-Heel bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011872</ndc>
    <ndc_label_name>EXU-DRY Hand Dressing, Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011873</ndc>
    <ndc_label_name>Exu-Dry Hand Dressing, Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011874</ndc>
    <ndc_label_name>EXU-DRY Hand Dressing, Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011876</ndc>
    <ndc_label_name>EXU-DRY Burn Jacket-Large bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011878</ndc>
    <ndc_label_name>EXU-DRY Burn Jacket-Medium bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011879</ndc>
    <ndc_label_name>EXU-DRY Burn Jacket-Small bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011881</ndc>
    <ndc_label_name>EXU-DRY Burn Vest-Large bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011883</ndc>
    <ndc_label_name>EXU-DRY Burn Vest-Small bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011884</ndc>
    <ndc_label_name>EXU-DRY Adult Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011886</ndc>
    <ndc_label_name>EXU-DRY Leg Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011888</ndc>
    <ndc_label_name>EXU-DRY Large Boot Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011889</ndc>
    <ndc_label_name>EXU-DRY Boot-Foot Dressing</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011896</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 24" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011897</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 24" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011898</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 36" X 72"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011899</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 36" X 72"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011900</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 36" X 72"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011901</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 20" X 28"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011930</ndc>
    <ndc_label_name>Conformant 2 4" X 4" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011931</ndc>
    <ndc_label_name>Conformant 2 4" X 12" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011932</ndc>
    <ndc_label_name>Conformant 2  12" X 12" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011933</ndc>
    <ndc_label_name>Conformant 2  12" X 24" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011934</ndc>
    <ndc_label_name>Conformant 2  24" X 36" topical sheets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011936</ndc>
    <ndc_label_name>Conformant 2 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011938</ndc>
    <ndc_label_name>Conformant 2 6" X 72" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565011945</ndc>
    <ndc_label_name>Drynet Wound Veil 36" X 36" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012058</ndc>
    <ndc_label_name>IV3000 Frame Delivery Dressing 2 3/8" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012059</ndc>
    <ndc_label_name>IV3000 Frame Delivery Dressing 2 3/8" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012061</ndc>
    <ndc_label_name>IV3000 Frame Delivery Dressing 4" X 4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012071</ndc>
    <ndc_label_name>RepliCare Ultra Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012079</ndc>
    <ndc_label_name>RepliCare Ultra Dressing 6" X 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012080</ndc>
    <ndc_label_name>RepliCare Ultra Dressing 7" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012081</ndc>
    <ndc_label_name>EXU-DRY Wound Dressing 24" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012137</ndc>
    <ndc_label_name>Acticoat 7 Dressing 4" X 5"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012139</ndc>
    <ndc_label_name>Acticoat Absorbent 3/4" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012145</ndc>
    <ndc_label_name>Acticoat 7 Dressing 6" X 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012149</ndc>
    <ndc_label_name>Acticoat Absorbent 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012164</ndc>
    <ndc_label_name>Acticoat Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012165</ndc>
    <ndc_label_name>Acticoat Dressing 4" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012166</ndc>
    <ndc_label_name>Acticoat Dressing 8" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012167</ndc>
    <ndc_label_name>Acticoat Dressing 16" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012168</ndc>
    <ndc_label_name>Acticoat Dressing 4" X 48"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012179</ndc>
    <ndc_label_name>Secura Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012180</ndc>
    <ndc_label_name>Secura Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012199</ndc>
    <ndc_label_name>Secura Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012201</ndc>
    <ndc_label_name>Acticoat Dressing 2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012203</ndc>
    <ndc_label_name>Acticoat 7 Dressing 2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012205</ndc>
    <ndc_label_name>Acticoat Dressing 5" X 5"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012249</ndc>
    <ndc_label_name>Iodosorb 0.9 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012250</ndc>
    <ndc_label_name>Iodoflex 0.9 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012251</ndc>
    <ndc_label_name>Iodoflex 0.9 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012252</ndc>
    <ndc_label_name>Iodoflex 0.9 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012253</ndc>
    <ndc_label_name>Iodoflex 0.9 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012256</ndc>
    <ndc_label_name>Iodosorb 0.9 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012270</ndc>
    <ndc_label_name>Acticoat Site 1" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012296</ndc>
    <ndc_label_name>Biostep 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012298</ndc>
    <ndc_label_name>Biostep 4" X 4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012300</ndc>
    <ndc_label_name>Biostep Ag 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012302</ndc>
    <ndc_label_name>Biostep Ag 4" X 4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012446</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012448</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 4" X 5"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012450</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 6" X 6"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012452</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 8" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012454</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 16" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012494</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 2" X 2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012498</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012500</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 4" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012502</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 8" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012504</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 16" X 16"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012506</ndc>
    <ndc_label_name>Acticoat Flex 3 Dressing 4" X 48"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40565012526</ndc>
    <ndc_label_name>Acticoat Flex 7 Dressing 1" X 24"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021002</ndc>
    <ndc_label_name>C-500  500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021024</ndc>
    <ndc_label_name>C-500  500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021104</ndc>
    <ndc_label_name>Vitamin B-12 ER 1,000 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021151</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021154</ndc>
    <ndc_label_name>SELENIUM 200 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021168</ndc>
    <ndc_label_name>Norwegian Cod Liver Oil 1,250 unit-135 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021177</ndc>
    <ndc_label_name>DHEA 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021190</ndc>
    <ndc_label_name>C-500  500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021196</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021225</ndc>
    <ndc_label_name>C-1000 ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021228</ndc>
    <ndc_label_name>SAW PALMETTO 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021240</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021245</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021249</ndc>
    <ndc_label_name>GINKGO BILOBA 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021287</ndc>
    <ndc_label_name>ECHINACEA EXTRACT 125 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021300</ndc>
    <ndc_label_name>GINSENG 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021302</ndc>
    <ndc_label_name>E-200 90 mg (200 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021324</ndc>
    <ndc_label_name>CRANBERRY 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021338</ndc>
    <ndc_label_name>MILK THISTLE EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021339</ndc>
    <ndc_label_name>ACIDOPHILUS 175 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021341</ndc>
    <ndc_label_name>Co Q-10 30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021364</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021368</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021377</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021378</ndc>
    <ndc_label_name>GRAPE SEED EXTRACT 50 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021387</ndc>
    <ndc_label_name>POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021393</ndc>
    <ndc_label_name>ZINC CHELATED 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021434</ndc>
    <ndc_label_name>Hair, Skin and Nails Advanced 3.3 mg iron-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985021464</ndc>
    <ndc_label_name>VITAMIN A 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021472</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021495</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021687</ndc>
    <ndc_label_name>GINKGO BILOBA 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021689</ndc>
    <ndc_label_name>SAW PALMETTO 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021690</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985021781</ndc>
    <ndc_label_name>HORSE CHESTNUT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022215</ndc>
    <ndc_label_name>Glucosamine Relief 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022251</ndc>
    <ndc_label_name>Complex B-50 115 mg-50 mg-0.4 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022263</ndc>
    <ndc_label_name>Cal Mag Zinc Plus D3 333 mg-133 unit-133 mg-5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022282</ndc>
    <ndc_label_name>Complex B-100  400 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022294</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022301</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022306</ndc>
    <ndc_label_name>SOY ISOFLAVONE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022309</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022314</ndc>
    <ndc_label_name>Glucosamine Sulfate 2 KCL-Chondroitin 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022316</ndc>
    <ndc_label_name>C-500  500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022331</ndc>
    <ndc_label_name>Stress B With Zinc tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022338</ndc>
    <ndc_label_name>C-500  500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022368</ndc>
    <ndc_label_name>Therapeutic-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022380</ndc>
    <ndc_label_name>Sentry 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022383</ndc>
    <ndc_label_name>C-1000 with Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022390</ndc>
    <ndc_label_name>Sentry Senior 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022407</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022408</ndc>
    <ndc_label_name>LUTEIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022424</ndc>
    <ndc_label_name>COLLAGEN-VIT C 1,000-10 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022433</ndc>
    <ndc_label_name>C-1000 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022476</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022481</ndc>
    <ndc_label_name>Glucosamine-Chondroitin 3X Triple Strength 750 mg-600 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022550</ndc>
    <ndc_label_name>NIACINAMIDE ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022556</ndc>
    <ndc_label_name>Digestive Enzymes (maltase,lactase,invertase) 220 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022563</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022564</ndc>
    <ndc_label_name>Glucosamine Relief 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022623</ndc>
    <ndc_label_name>Arthri-Flex 375 mg-375 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022639</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022653</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022658</ndc>
    <ndc_label_name>Mega Multivitamin For Men 200 mcg-175 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022661</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022663</ndc>
    <ndc_label_name>GELATIN 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022668</ndc>
    <ndc_label_name>B-COMPLEX WITH C TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022670</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022690</ndc>
    <ndc_label_name>IRON 27 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022702</ndc>
    <ndc_label_name>Sentry 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022703</ndc>
    <ndc_label_name>Sentry Senior 500 mcg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022713</ndc>
    <ndc_label_name>MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022721</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022730</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022731</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022777</ndc>
    <ndc_label_name>Coral Calcium 250 mg-125 mg-100 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022787</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022848</ndc>
    <ndc_label_name>APPLE CIDER VINEGAR 300 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022849</ndc>
    <ndc_label_name>NIACIN ER 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022871</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022872</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985022873</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022875</ndc>
    <ndc_label_name>Triple Omega 3-6-9 400 mg-400 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022881</ndc>
    <ndc_label_name>Biotin-Calcium 800 mcg-195 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022906</ndc>
    <ndc_label_name>CRANBERRY 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022908</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022921</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985022928</ndc>
    <ndc_label_name>Acidophilus Probiotic Blend 175 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985023023</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985024090</ndc>
    <ndc_label_name>VITAMIN D3 1,250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985025073</ndc>
    <ndc_label_name>VITAMIN D2 50 MCG (2,000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027024</ndc>
    <ndc_label_name>PSYLLIUM FIBER CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027026</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027062</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027069</ndc>
    <ndc_label_name>CINNAMON 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027070</ndc>
    <ndc_label_name>CALCIUM 1,000 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027072</ndc>
    <ndc_label_name>MgO 400 mg (241.3 mg magnesium) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027073</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027086</ndc>
    <ndc_label_name>L-ARGININE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027087</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027089</ndc>
    <ndc_label_name>Niacin Flush Free 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027111</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027112</ndc>
    <ndc_label_name>Vitamin B-12  2,500 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027113</ndc>
    <ndc_label_name>Vitamin B-12 5,000 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027116</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027139</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027175</ndc>
    <ndc_label_name>Prenatal + DHA 28 mg iron-800 mcg-200 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027285</ndc>
    <ndc_label_name>RED WINE EXTRACT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027288</ndc>
    <ndc_label_name>Vitamin D3 125 mcg (5,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027291</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN ADV TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027292</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027304</ndc>
    <ndc_label_name>One Daily Maximum 18 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027305</ndc>
    <ndc_label_name>One Daily For Men 0.4 mg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027308</ndc>
    <ndc_label_name>One Daily Women's 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027309</ndc>
    <ndc_label_name>One Daily Women 50 Plus 400 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027310</ndc>
    <ndc_label_name>PRENATAL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027313</ndc>
    <ndc_label_name>Zoo Friends chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027343</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027348</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027367</ndc>
    <ndc_label_name>KRILL OIL 350 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027369</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027380</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027383</ndc>
    <ndc_label_name>CINNAMON PLUS CHROMIUM CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027384</ndc>
    <ndc_label_name>Prenatal DHA 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027413</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027415</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027416</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027434</ndc>
    <ndc_label_name>CO Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027435</ndc>
    <ndc_label_name>Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027452</ndc>
    <ndc_label_name>Healthy Eyes 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027474</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027492</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027493</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027495</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027498</ndc>
    <ndc_label_name>Calcium 600-D3 Plus (mag-zinc) 600 mg calcium-20 mcg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027503</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027504</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027505</ndc>
    <ndc_label_name>Advanced Probiotic 625 mg (10 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027516</ndc>
    <ndc_label_name>CALCIUM 500 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027519</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 600 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027522</ndc>
    <ndc_label_name>CALCIUM 500 MG-VIT D3 600 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027523</ndc>
    <ndc_label_name>CALCIUM 500 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027529</ndc>
    <ndc_label_name>CALCIUM 600-D3 20MCG(800 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027531</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027532</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027617</ndc>
    <ndc_label_name>Vitajoy Adult Multi 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027622</ndc>
    <ndc_label_name>VitaJoy Daily D 25 mcg (1,000 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027708</ndc>
    <ndc_label_name>Glucosamine Daily Complex 1,500 mg-400 unit-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027709</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027729</ndc>
    <ndc_label_name>VitaJoy Biotin 2,500 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027757</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985027770</ndc>
    <ndc_label_name>VitaJoy Melatonin 2.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027772</ndc>
    <ndc_label_name>Healthy Eyes SuperVision2 250 mg-90 mg-10 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027791</ndc>
    <ndc_label_name>VitaJoy Daily C 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985027844</ndc>
    <ndc_label_name>TURMERIC COMPLEX 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985028011</ndc>
    <ndc_label_name>Prostate Health Men's 30 mg-25 mg-62.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40985028028</ndc>
    <ndc_label_name>MELATONIN ER 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985028064</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>40985028072</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40986001450</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>40986001452</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100001509</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100001511</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100007296</ndc>
    <ndc_label_name>Correctol 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100007299</ndc>
    <ndc_label_name>Correctol 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100007468</ndc>
    <ndc_label_name>Mexsana (cornstarch) 83.7 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008016</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008018</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008022</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100008035</ndc>
    <ndc_label_name>Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008043</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008647</ndc>
    <ndc_label_name>Solarcaine Cool Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008725</ndc>
    <ndc_label_name>Mexsana (cornstarch) 83.7 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100008882</ndc>
    <ndc_label_name>Solarcaine 20 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100040788</ndc>
    <ndc_label_name>Lotrimin AF 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100040893</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100040894</ndc>
    <ndc_label_name>Tinactin 1 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100056454</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100056656</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100056800</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100057463</ndc>
    <ndc_label_name>Coricidin HBP Flu 2 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100057752</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100057862</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100057909</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100058098</ndc>
    <ndc_label_name>Claritin 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100058099</ndc>
    <ndc_label_name>Claritin 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100058530</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100058929</ndc>
    <ndc_label_name>Coricidin HBP Max Cold-Flu Day-Night 6.25 mg-10 mg-325 mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100058930</ndc>
    <ndc_label_name>Coricidin HBP Max Cold-Cgh-Flu 10 mg-325 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059034</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059393</ndc>
    <ndc_label_name>Coricidin HBP Max Cold-Flu Night 6.25 mg-10 mg-325 mg/15 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059394</ndc>
    <ndc_label_name>Coricidin HBP Max Cold-Cgh-Flu 10 mg-325 mg-200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059414</ndc>
    <ndc_label_name>Lotrimin Ultra 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059416</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059419</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059420</ndc>
    <ndc_label_name>Tinactin 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059462</ndc>
    <ndc_label_name>Lotrimin AF (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059666</ndc>
    <ndc_label_name>Children's Afrin 0.025 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059667</ndc>
    <ndc_label_name>Children's Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059694</ndc>
    <ndc_label_name>Children's Afrin 0.025 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059758</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059786</ndc>
    <ndc_label_name>Coricidin HBP Max Cold-Cgh-Flu(acet-DM) 650 mg-20 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059790</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059871</ndc>
    <ndc_label_name>Children's Claritin 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059877</ndc>
    <ndc_label_name>Children's Claritin 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059878</ndc>
    <ndc_label_name>Children's Claritin 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059879</ndc>
    <ndc_label_name>Children's Claritin 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100059982</ndc>
    <ndc_label_name>Lotrimin AF Powder 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100059985</ndc>
    <ndc_label_name>Tinactin 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100060056</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100060458</ndc>
    <ndc_label_name>MiraFAST 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080140</ndc>
    <ndc_label_name>Coricidin HBP Flu 2 mg-15 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080208</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080217</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080247</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080289</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080317</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080319</ndc>
    <ndc_label_name>Claritin-D 12 Hour 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080463</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080465</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080510</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080521</ndc>
    <ndc_label_name>Claritin RediTabs 5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080531</ndc>
    <ndc_label_name>Claritin RediTabs 5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080554</ndc>
    <ndc_label_name>Claritin RediTabs 5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080602</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080604</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080606</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080610</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080614</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080619</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080673</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080675</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080676</ndc>
    <ndc_label_name>Miralax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080677</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080678</ndc>
    <ndc_label_name>Claritin RediTabs 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080701</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080717</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080729</ndc>
    <ndc_label_name>Coricidin HBP Day-Night 10-200 mg(day)/2-15-500 mg(nt) tablet,capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080743</ndc>
    <ndc_label_name>Coricidin HBP Chest Congestion-Cough 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080798</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080808</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080810</ndc>
    <ndc_label_name>Coricidin HBP Cold and Flu 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080884</ndc>
    <ndc_label_name>Coricidin HBP Cold-Multi Symptom 6.25 mg-15 mg-325 mg/15 mL oral liqd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080886</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100080964</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081035</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081038</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081053</ndc>
    <ndc_label_name>Claritin Liqui-Gel 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081086</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081088</ndc>
    <ndc_label_name>Claritin-D 24 Hour 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081092</ndc>
    <ndc_label_name>Claritin 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081100</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081102</ndc>
    <ndc_label_name>Children's Claritin 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081112</ndc>
    <ndc_label_name>Children's Claritin 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081117</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081121</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081122</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081123</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081124</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081125</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081127</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081128</ndc>
    <ndc_label_name>A and D Diaper Rash Cream 1 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081134</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081138</ndc>
    <ndc_label_name>Coricidin HBP Cough and Cold 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100081144</ndc>
    <ndc_label_name>ClariSpray 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100081163</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41100081165</ndc>
    <ndc_label_name>ClariSpray 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100082033</ndc>
    <ndc_label_name>Afrin No Drip (oxymetazoline) 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100082071</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100082073</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100082076</ndc>
    <ndc_label_name>Miralax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41100085457</ndc>
    <ndc_label_name>Afrin (oxymetazoline) 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163000102</ndc>
    <ndc_label_name>Heartburn Prevention 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163000171</ndc>
    <ndc_label_name>Heartburn Prevention 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163000930</ndc>
    <ndc_label_name>Calamine Medicated 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163002026</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163002309</ndc>
    <ndc_label_name>EQL FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163003101</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163003254</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163004064</ndc>
    <ndc_label_name>First Aid Antibiotic-Pain Rlf 3.5 mg-500 unit-10,000 unit/g top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163004706</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005027</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005058</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005060</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005460</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005705</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163005849</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163006505</ndc>
    <ndc_label_name>Antacid Maximum Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163007343</ndc>
    <ndc_label_name>EQL ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163007345</ndc>
    <ndc_label_name>EQL ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163007826</ndc>
    <ndc_label_name>EQL CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163008701</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163009609</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163011350</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163011450</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163011603</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163011953</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163012328</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163012422</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163012522</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163012922</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163012966</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163013117</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163013217</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163014794</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163015001</ndc>
    <ndc_label_name>EQL LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163015003</ndc>
    <ndc_label_name>EQL LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163015860</ndc>
    <ndc_label_name>Congestion Relief (ibuprofen-phenylephrine) 200 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163016168</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163017168</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163017175</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163017523</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018475</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018501</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018502</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018503</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018504</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018506</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163018640</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163018816</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163019201</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163019408</ndc>
    <ndc_label_name>Allergy (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163019708</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163020302</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163020303</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163020958</ndc>
    <ndc_label_name>First Aid Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163020964</ndc>
    <ndc_label_name>First Aid Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163022610</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163022850</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023061</ndc>
    <ndc_label_name>Sheer Strips Assorted bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023106</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023117</ndc>
    <ndc_label_name>EQL VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023154</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023174</ndc>
    <ndc_label_name>EQL L-LYSINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023214</ndc>
    <ndc_label_name>EQL THERMOMETER PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023229</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023230</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023330</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023331</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023341</ndc>
    <ndc_label_name>EQL ADHESIVE TAPE 1" X 5 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023342</ndc>
    <ndc_label_name>Flexible Fabric Bandages 2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023343</ndc>
    <ndc_label_name>Flexible Fabric Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163023344</ndc>
    <ndc_label_name>Plastic Strips 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023801</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163023820</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163024230</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163024462</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163024468</ndc>
    <ndc_label_name>Sheer Adhesive 2" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163024469</ndc>
    <ndc_label_name>Flexible Fabric Bandages 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163025110</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163025114</ndc>
    <ndc_label_name>Eye Drops A.C. 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163025181</ndc>
    <ndc_label_name>Flexible Foam bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163025392</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163025510</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163025590</ndc>
    <ndc_label_name>Smooth Texture Fiber 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163026109</ndc>
    <ndc_label_name>Therapeutic Moisturizing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026605</ndc>
    <ndc_label_name>EQL B COMPLEX 50 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026606</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026621</ndc>
    <ndc_label_name>Slow Release Iron 250 mg (50 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163026627</ndc>
    <ndc_label_name>EQL OMEGA-3 FISH OIL 1,000 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026643</ndc>
    <ndc_label_name>Eye Health Plus Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026673</ndc>
    <ndc_label_name>EQL CALCIUM 600-VIT D3 800 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163026678</ndc>
    <ndc_label_name>EQL CALCIUM CITRATE-VIT D3 CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163027953</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163028816</ndc>
    <ndc_label_name>Soluble Fiber 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163029003</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163029203</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163029204</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163029208</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163030402</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163030601</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163030602</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163030603</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163030609</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163031202</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163031203</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163031205</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163031916</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163031964</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163032163</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163032908</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163033408</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163033412</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163033540</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163034310</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163035926</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163036385</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163036401</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163036706</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163036712</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163036964</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163037471</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163037478</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163037926</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163038421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163039010</ndc>
    <ndc_label_name>Menstrual Relief 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040001</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040252</ndc>
    <ndc_label_name>Sheer Spot Bandages 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040256</ndc>
    <ndc_label_name>Clear Strip 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040263</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163040844</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040885</ndc>
    <ndc_label_name>Butterfly Closures 1 3/4" X 3/8" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163040886</ndc>
    <ndc_label_name>Strong Strips 1" X 3 1/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163041761</ndc>
    <ndc_label_name>Strong Strips 1 3/4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163042168</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 325 mg-1,916 mg-1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163042886</ndc>
    <ndc_label_name>Iron (ferrous sulfate) 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163043411</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044211</ndc>
    <ndc_label_name>Clear Waterproof Strips 1" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044213</ndc>
    <ndc_label_name>Clear Waterproof Strips bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044277</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044278</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044283</ndc>
    <ndc_label_name>First Aid Tape 1" X 2.3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163044284</ndc>
    <ndc_label_name>First Aid Tape 2" X 2.3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163044301</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163045721</ndc>
    <ndc_label_name>EQL VIT E 20,000 UNIT SKIN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163045830</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163045839</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163045866</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163045872</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163045940</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163046151</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163046693</ndc>
    <ndc_label_name>Fiber Supplement(wheat dextrin) 3 gram/3.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163046694</ndc>
    <ndc_label_name>Fiber Supplement(wheat dextrin) 3 gram/3.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163046945</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163046963</ndc>
    <ndc_label_name>Probiotic Acidophilus-Pectin 100 million cell-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163047164</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163047251</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163047483</ndc>
    <ndc_label_name>EQL CALCIUM 600-VIT D3 800 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163047484</ndc>
    <ndc_label_name>EQL CALCIUM CITRATE-VIT D3 CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163047486</ndc>
    <ndc_label_name>EQL LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163048024</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163048124</ndc>
    <ndc_label_name>Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163048516</ndc>
    <ndc_label_name>EQL NIACIN INOSITOL 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163048755</ndc>
    <ndc_label_name>Callus Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163048998</ndc>
    <ndc_label_name>EQL MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049000</ndc>
    <ndc_label_name>EQL VITAMIN B-12 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049017</ndc>
    <ndc_label_name>EQL OMEGA-3 FISH OIL 1,200 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049047</ndc>
    <ndc_label_name>EQL ROLLED GAUZE 2" X 2.5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049048</ndc>
    <ndc_label_name>EQL ROLLED GAUZE 3" X 2.5 YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049072</ndc>
    <ndc_label_name>EQL VARIETY PACK BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049322</ndc>
    <ndc_label_name>EQL FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049408</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049509</ndc>
    <ndc_label_name>Stress B-Complex 500 mg-400 mcg-24 mg-3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049521</ndc>
    <ndc_label_name>Daily Probiotic 2.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049522</ndc>
    <ndc_label_name>Digestive Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049529</ndc>
    <ndc_label_name>Fiber (psyllium husk-sugar) 3.4 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049577</ndc>
    <ndc_label_name>EQL DIGITAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049578</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049582</ndc>
    <ndc_label_name>Instant Ear Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049583</ndc>
    <ndc_label_name>Fever Flash Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049712</ndc>
    <ndc_label_name>EQL VITAMIN D3 400 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049713</ndc>
    <ndc_label_name>EQL VITAMIN D3 2,000 UNIT SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049721</ndc>
    <ndc_label_name>Digestive Enzyme (acidophilus, pectin, bromelain) 50 million cell-100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049723</ndc>
    <ndc_label_name>EQL BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049724</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-D3(C-manganese) 500 mg-400 mg-667 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049783</ndc>
    <ndc_label_name>Advanced Antibacterial Bandage 0.1 %-3/4" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049784</ndc>
    <ndc_label_name>Plastic Strips 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049785</ndc>
    <ndc_label_name>Extra Long Heavy Duty Bandage 3/4" X 4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049787</ndc>
    <ndc_label_name>Gentle Strip 3/4" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049804</ndc>
    <ndc_label_name>EQL PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163049805</ndc>
    <ndc_label_name>EQL PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049816</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049817</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049818</ndc>
    <ndc_label_name>EQL HEAVY DUTY BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049989</ndc>
    <ndc_label_name>EQL WHEY PROTEIN BLEND POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163049990</ndc>
    <ndc_label_name>EQL WHEY PROTEIN BLEND POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050001</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050004</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050006</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050148</ndc>
    <ndc_label_name>EQL CALCIUM PHOS-D3 250MG GMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050150</ndc>
    <ndc_label_name>EQL CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050151</ndc>
    <ndc_label_name>EQL CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050152</ndc>
    <ndc_label_name>EQL MAGNESIUM 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050153</ndc>
    <ndc_label_name>EQL MAGNESIUM OXIDE 500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050226</ndc>
    <ndc_label_name>EQL VITAMIN B-12 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050258</ndc>
    <ndc_label_name>EQL VITAMIN B-12 500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050259</ndc>
    <ndc_label_name>EQL VITAMIN C GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050260</ndc>
    <ndc_label_name>EQL VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050261</ndc>
    <ndc_label_name>Children's Multivitamin (with lutein) 50 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050262</ndc>
    <ndc_label_name>Prenatal Gummies (DHA-EPA) 180 mcg-32.5 mg-25 mg-7.5 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050264</ndc>
    <ndc_label_name>EQL BIOTIN 10,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050265</ndc>
    <ndc_label_name>Hair-Skin-Nails(FA-herb cmplx) 5 mg-200 mcg-1,000 mcg-450 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050266</ndc>
    <ndc_label_name>EQL MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050267</ndc>
    <ndc_label_name>Collagen 1500 Plus C 500 mg-800 mcg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050268</ndc>
    <ndc_label_name>EQL GARLIC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050269</ndc>
    <ndc_label_name>EQL MELATONIN 2.5MG QUIK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050270</ndc>
    <ndc_label_name>EQL POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050271</ndc>
    <ndc_label_name>EQL VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050272</ndc>
    <ndc_label_name>EQL VITAMIN D3 125 MCG DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050273</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050274</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050275</ndc>
    <ndc_label_name>Women's One Daily 18 mg iron-400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050276</ndc>
    <ndc_label_name>Women's One Daily 18 mg iron-400 mcg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050277</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050278</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050279</ndc>
    <ndc_label_name>Prenatal Vitamin 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050280</ndc>
    <ndc_label_name>EQL TURMERIC 450-50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050281</ndc>
    <ndc_label_name>EQL VIT B-12 3,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050282</ndc>
    <ndc_label_name>EQL VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050283</ndc>
    <ndc_label_name>EQL VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050284</ndc>
    <ndc_label_name>EQL VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050285</ndc>
    <ndc_label_name>Men's Multivitamin Gummies 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050286</ndc>
    <ndc_label_name>Women's Multivitamin Gummies 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050287</ndc>
    <ndc_label_name>EQL MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050288</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050291</ndc>
    <ndc_label_name>Glucosamine-Chondroitin 3X 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050292</ndc>
    <ndc_label_name>Glucosamine-Chondroitin 3X 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050294</ndc>
    <ndc_label_name>EQL VITAMIN C 500 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050295</ndc>
    <ndc_label_name>EQL VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050296</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050297</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050298</ndc>
    <ndc_label_name>Digital Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050308</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050319</ndc>
    <ndc_label_name>EQL ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050325</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050329</ndc>
    <ndc_label_name>Vitamin C Powder Blend 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050330</ndc>
    <ndc_label_name>Vitamin C Powder Blend 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050331</ndc>
    <ndc_label_name>EQL CRANBERRY 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050354</ndc>
    <ndc_label_name>Immune Support 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050355</ndc>
    <ndc_label_name>Immune Support 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163050414</ndc>
    <ndc_label_name>Prenatal Vitamin 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050906</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163050917</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051162</ndc>
    <ndc_label_name>EQL NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051171</ndc>
    <ndc_label_name>EQL NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051175</ndc>
    <ndc_label_name>EQL NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051402</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 325 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051501</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163051503</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163051626</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163051634</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163052001</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163052003</ndc>
    <ndc_label_name>EQL ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163052162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163052202</ndc>
    <ndc_label_name>EQL ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163053504</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163053901</ndc>
    <ndc_label_name>EQL ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163055140</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163055389</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163056306</ndc>
    <ndc_label_name>EQL ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163056317</ndc>
    <ndc_label_name>EQL ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163056332</ndc>
    <ndc_label_name>EQL ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163056702</ndc>
    <ndc_label_name>Daytime-Nighttime Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163058544</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163059730</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163059750</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163059901</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060207</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060243</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060280</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163060340</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060462</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060478</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060490</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060691</ndc>
    <ndc_label_name>EQL LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163060752</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163061265</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163061272</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163061275</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163061303</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163062518</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163063110</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163063326</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163063474</ndc>
    <ndc_label_name>EQL OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163064526</ndc>
    <ndc_label_name>EQL LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163064771</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163064778</ndc>
    <ndc_label_name>EQL IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163065640</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163066408</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163066608</ndc>
    <ndc_label_name>Sinus and Allergy PE 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163069821</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163070126</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163070310</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163070426</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163070434</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163070771</ndc>
    <ndc_label_name>EQL NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163070775</ndc>
    <ndc_label_name>EQL NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163071202</ndc>
    <ndc_label_name>Head Congestion-Mucus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163072407</ndc>
    <ndc_label_name>EQL DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163072801</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163073120</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163075510</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163076340</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163077360</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163078166</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163079707</ndc>
    <ndc_label_name>EQL ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163080443</ndc>
    <ndc_label_name>EQL ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163080445</ndc>
    <ndc_label_name>EQL ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163081334</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163081709</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163082243</ndc>
    <ndc_label_name>EQL WITCH HAZEL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163083143</ndc>
    <ndc_label_name>EQL MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163083534</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163084543</ndc>
    <ndc_label_name>EQL ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163084824</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163086032</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163086096</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163086225</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163087143</ndc>
    <ndc_label_name>EQL HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163087145</ndc>
    <ndc_label_name>EQL HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163087240</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163087643</ndc>
    <ndc_label_name>EQL ETHYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163088330</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163088816</ndc>
    <ndc_label_name>Infant's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163091501</ndc>
    <ndc_label_name>EQL OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163091530</ndc>
    <ndc_label_name>EQL OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163091555</ndc>
    <ndc_label_name>EQL OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163091574</ndc>
    <ndc_label_name>EQL OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163091807</ndc>
    <ndc_label_name>EQL ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163093604</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163093605</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163093606</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163093704</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163093705</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163096491</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Nighttime 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41163097364</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163098622</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41163098726</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000133</ndc>
    <ndc_label_name>Unisom SleepGels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000140</ndc>
    <ndc_label_name>UNISOM SLEEPMELTS 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000210</ndc>
    <ndc_label_name>Cortizone-10 with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000215</ndc>
    <ndc_label_name>Cortizone-10 with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000220</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000225</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000250</ndc>
    <ndc_label_name>Cortizone-10 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000255</ndc>
    <ndc_label_name>Cortizone-10 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000270</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000275</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000280</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000320</ndc>
    <ndc_label_name>Cortizone-10 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000351</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000362</ndc>
    <ndc_label_name>Cortizone-10 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167000397</ndc>
    <ndc_label_name>Cortizone-10 with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000404</ndc>
    <ndc_label_name>UNISOM PM PAIN 325-50 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000602</ndc>
    <ndc_label_name>Unisom (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000607</ndc>
    <ndc_label_name>Unisom (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000609</ndc>
    <ndc_label_name>Unisom (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000610</ndc>
    <ndc_label_name>Unisom SleepGels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000611</ndc>
    <ndc_label_name>Unisom SleepGels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000616</ndc>
    <ndc_label_name>Unisom SleepGels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000623</ndc>
    <ndc_label_name>Unisom (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000641</ndc>
    <ndc_label_name>UNISOM SIMPLE SLUMBERS GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000642</ndc>
    <ndc_label_name>UNISOM SIMPLE SLUMBERS GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000646</ndc>
    <ndc_label_name>UNISOM SIMPLE SLUMBERS GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000648</ndc>
    <ndc_label_name>UNISOM SIMPLE SLUMBERS GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000652</ndc>
    <ndc_label_name>Unisom SleepGels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000670</ndc>
    <ndc_label_name>UNISOM SLEEPMINIS 25 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000730</ndc>
    <ndc_label_name>Icy Hot Advanced Pro 3 %-5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000736</ndc>
    <ndc_label_name>ICY HOT KIDS 5% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000796</ndc>
    <ndc_label_name>Icy Hot Pro 11 %-16 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000804</ndc>
    <ndc_label_name>Icy Hot Pro 11 %-16 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000832</ndc>
    <ndc_label_name>Icy Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000841</ndc>
    <ndc_label_name>Icy Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000843</ndc>
    <ndc_label_name>Icy Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000847</ndc>
    <ndc_label_name>Icy Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000879</ndc>
    <ndc_label_name>Icy Hot 29 %-7.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000881</ndc>
    <ndc_label_name>Icy Hot 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000883</ndc>
    <ndc_label_name>Icy Hot 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000891</ndc>
    <ndc_label_name>Icy Hot 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000910</ndc>
    <ndc_label_name>Icy Hot No Mess 16 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000920</ndc>
    <ndc_label_name>Icy Hot Pain Relieving 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167000923</ndc>
    <ndc_label_name>Icy Hot Pain Relieving 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001043</ndc>
    <ndc_label_name>Gold Bond Original Strength 0.15 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001046</ndc>
    <ndc_label_name>Gold Bond Original Strength 0.15 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167001082</ndc>
    <ndc_label_name>Cortizone-10 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001109</ndc>
    <ndc_label_name>Gold Bond Original Strength 0.15 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001706</ndc>
    <ndc_label_name>Gold Bond Medicated Foot 1 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001712</ndc>
    <ndc_label_name>Gold Bond Medicated Foot 1 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001753</ndc>
    <ndc_label_name>Gold Bond Cracked Foot 30 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167001760</ndc>
    <ndc_label_name>Gold Bond Therapeutic Foot topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167003310</ndc>
    <ndc_label_name>Cortizone-10 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167003353</ndc>
    <ndc_label_name>CORTIZONE-10 FEM ITCH 1% CREME</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167003372</ndc>
    <ndc_label_name>Cortizone-10 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167003380</ndc>
    <ndc_label_name>Cortizone-10 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167003410</ndc>
    <ndc_label_name>Cortizone-10 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167003923</ndc>
    <ndc_label_name>Gold Bond Advanced Healing 45 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167004045</ndc>
    <ndc_label_name>Gold Bond Medicated Body 0.8 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167004104</ndc>
    <ndc_label_name>Gold Bond Medicated Body 0.8 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167004125</ndc>
    <ndc_label_name>Gold Bond Ultimate Psoriasis 3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005010</ndc>
    <ndc_label_name>Gold Bond Medicated Anti-Itch 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005012</ndc>
    <ndc_label_name>Gold Bond Medicated Anti-Itch 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005060</ndc>
    <ndc_label_name>Gold Bond Medicated Anti-Itch 1 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005280</ndc>
    <ndc_label_name>Gold Bond Medicated Anti-Itch 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005290</ndc>
    <ndc_label_name>Gold Bond Medicated Pain-Itch 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005367</ndc>
    <ndc_label_name>Gold Bond Ultimate Diabetics' Hydrating lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005400</ndc>
    <ndc_label_name>Gold Bond Ultimate Diabetics' Foot 3 %-30 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005660</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005685</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005686</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005701</ndc>
    <ndc_label_name>Aspercreme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005722</ndc>
    <ndc_label_name>Aspercreme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005723</ndc>
    <ndc_label_name>Aspercreme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005724</ndc>
    <ndc_label_name>Aspercreme 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167005750</ndc>
    <ndc_label_name>Aspercreme Max 16 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005810</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005815</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005823</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005835</ndc>
    <ndc_label_name>Aspercreme (lidocaine) 4 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005840</ndc>
    <ndc_label_name>Aspercreme (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005842</ndc>
    <ndc_label_name>Aspercreme (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005847</ndc>
    <ndc_label_name>Aspercreme (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005848</ndc>
    <ndc_label_name>Aspercreme (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005851</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005862</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005877</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005878</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005884</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005970</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167005987</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006003</ndc>
    <ndc_label_name>Arthritis Hot Pain Relief 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006006</ndc>
    <ndc_label_name>Arthritis Hot Pain Relief 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006084</ndc>
    <ndc_label_name>Unisom (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006620</ndc>
    <ndc_label_name>Gold Bond Healing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006621</ndc>
    <ndc_label_name>Gold Bond Ultimate Eczema Relief 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006626</ndc>
    <ndc_label_name>Gold Bond Medicated Eczema Relief 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006638</ndc>
    <ndc_label_name>Gold Bond Medicated Eczema Relief 2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006639</ndc>
    <ndc_label_name>Gold Bond Medicated Eczema Relief 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167006651</ndc>
    <ndc_label_name>Gold Bond Healing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167007990</ndc>
    <ndc_label_name>Icy Hot Kids 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008010</ndc>
    <ndc_label_name>Icy Hot Advanced 11 %-16 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008016</ndc>
    <ndc_label_name>Icy Hot Advanced 11 %-16 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008045</ndc>
    <ndc_label_name>Icy Hot Smart Relief TENS therapy combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008046</ndc>
    <ndc_label_name>Icy Hot Smart Relief TENS Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008150</ndc>
    <ndc_label_name>Icy Hot (menthol) 16 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008304</ndc>
    <ndc_label_name>Icy Hot Medicated Sleeve 16 % bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167008540</ndc>
    <ndc_label_name>Icy Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167009932</ndc>
    <ndc_label_name>ACT Dry Mouth lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167009934</ndc>
    <ndc_label_name>ACT Dry Mouth lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167009980</ndc>
    <ndc_label_name>ACT Dry Mouth lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167009986</ndc>
    <ndc_label_name>ACT Dry Mouth lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010010</ndc>
    <ndc_label_name>Rolaids Extra Strength 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010011</ndc>
    <ndc_label_name>Rolaids Extra Strength 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010016</ndc>
    <ndc_label_name>Rolaids Extra Strength 675 mg-135 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010031</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,000 mg-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010034</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,000 mg-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010041</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,000 mg-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010044</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,000 mg-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010309</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,330 mg-235 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010313</ndc>
    <ndc_label_name>Rolaids Antacid Ultra Strength 1,330 mg-235 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010401</ndc>
    <ndc_label_name>Rolaids Advanced Antacid Plus Anti-gas 1,000-200-40 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010403</ndc>
    <ndc_label_name>Rolaids Advanced Antacid Plus Anti-gas 1,000-200-40 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010405</ndc>
    <ndc_label_name>Rolaids Advanced Antacid Plus Anti-gas 1,000-200-40 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010433</ndc>
    <ndc_label_name>Rolaids Advanced Antacid Plus Anti-gas 1,330 mg-235 mg-40 mg chew</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167010435</ndc>
    <ndc_label_name>Rolaids Advanced Antacid Plus Anti-gas 1,330 mg-235 mg-40 mg chew</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167016524</ndc>
    <ndc_label_name>Selsun Blue 2-In-1  1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167017100</ndc>
    <ndc_label_name>Icy Hot Max (lidocaine HCl-menthol) 4 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167017101</ndc>
    <ndc_label_name>Icy Hot Max (lidocaine HCl-menthol) 4 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167017103</ndc>
    <ndc_label_name>Icy Hot Max (lidocaine HCl-menthol) 4 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167017151</ndc>
    <ndc_label_name>Icy Hot Max 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167017153</ndc>
    <ndc_label_name>Icy Hot Max 4 % topical liquid roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167017201</ndc>
    <ndc_label_name>Icy Hot Patch (lidocaine-menthol) 4 %-1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167017402</ndc>
    <ndc_label_name>Icy Hot Max (lidocaine HCl-menthol) 4 %-1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167035100</ndc>
    <ndc_label_name>Xyzal 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167035101</ndc>
    <ndc_label_name>Xyzal 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167035102</ndc>
    <ndc_label_name>Xyzal 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167035103</ndc>
    <ndc_label_name>Xyzal 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167035104</ndc>
    <ndc_label_name>Xyzal 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167035301</ndc>
    <ndc_label_name>Xyzal 2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041200</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041202</ndc>
    <ndc_label_name>Gold Bond Ultimate Psoriasis 3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041205</ndc>
    <ndc_label_name>Gold Bond Ultimate Psoriasis 3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041206</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041214</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041222</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041238</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041251</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041274</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167041290</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167041312</ndc>
    <ndc_label_name>Allegra Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167041314</ndc>
    <ndc_label_name>Allegra Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167042326</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167042333</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167042441</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167042444</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167043102</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167043104</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167043106</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167043205</ndc>
    <ndc_label_name>Allegra-D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167043207</ndc>
    <ndc_label_name>Allegra-D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167050100</ndc>
    <ndc_label_name>Gold Bond Medicated Anti-Itch 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167057100</ndc>
    <ndc_label_name>Aspercreme Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167057302</ndc>
    <ndc_label_name>Aspercreme Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167057303</ndc>
    <ndc_label_name>Aspercreme Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167057304</ndc>
    <ndc_label_name>Aspercreme Arthritis Pain 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167058002</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167058003</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167058005</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167058208</ndc>
    <ndc_label_name>Aspercreme (lidocaine HCl) 4 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167060003</ndc>
    <ndc_label_name>Arthritis Hot Pain Relief 15 %-10 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167060111</ndc>
    <ndc_label_name>Selsun Blue (salicylic acid) 3 % shampoo</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167060203</ndc>
    <ndc_label_name>Selsun Blue (pyrithione zinc) 1 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167060205</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167060352</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167064102</ndc>
    <ndc_label_name>Gold Bond Extra Strength (menthol) 0.5 % lotion</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sportscreme 10 % topical</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412004</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412200</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412206</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412400</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412407</ndc>
    <ndc_label_name>Allegra Allergy 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167412604</ndc>
    <ndc_label_name>Allegra Hives 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allegra Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allegra Allergy 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167423201</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167423206</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167424401</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167424404</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167424602</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167424604</ndc>
    <ndc_label_name>Children's Allegra Allergy 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167431002</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167431004</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167431006</ndc>
    <ndc_label_name>Allegra-D 12 Hour 60 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167432005</ndc>
    <ndc_label_name>Allegra-D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41167432007</ndc>
    <ndc_label_name>Allegra-D 24 Hour 180 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167580001</ndc>
    <ndc_label_name>Nasacort Allergy 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167580002</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167580003</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167580005</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167580007</ndc>
    <ndc_label_name>Nasacort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41167610002</ndc>
    <ndc_label_name>Surfak 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41220003822</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220003827</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220003829</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220014072</ndc>
    <ndc_label_name>INCONTROL PREMIUM WRST BP MNTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220014074</ndc>
    <ndc_label_name>INCONTROL ADVNCED WRST BP MNTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220014080</ndc>
    <ndc_label_name>INCONTROL DELUXE BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220014082</ndc>
    <ndc_label_name>INCONTROL PREMIUM BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41220025474</ndc>
    <ndc_label_name>inControl Alcohol Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41220080937</ndc>
    <ndc_label_name>INCONTROL ADVANCED BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41220087466</ndc>
    <ndc_label_name>HEB PEDIATRIC ELECTROLYTE SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250002996</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250003040</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250003469</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250005460</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250017096</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250017653</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250017662</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250019003</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250019005</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250020105</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250020629</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250022453</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250023912</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250023979</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250034405</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250034410</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250034411</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250035276</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250035278</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250036576</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250036578</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250037926</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250037934</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250042229</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250042403</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250042405</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250044278</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250045606</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250045670</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250045678</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250045875</ndc>
    <ndc_label_name>24Hour Allergy 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250047001</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250047526</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250050026</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250050301</ndc>
    <ndc_label_name>Cough Syrup 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250052357</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250053206</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250053270</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250053276</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250053278</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41250057402</ndc>
    <ndc_label_name>Head Congestion-Flu Severe PE 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250058840</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250060478</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250062264</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250064330</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250070003</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250070005</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250072853</ndc>
    <ndc_label_name>Allergy D-12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250073402</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250085478</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250087305</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250087310</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250087311</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250088305</ndc>
    <ndc_label_name>Universal 1 Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250094616</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41250095702</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41250098622</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260034608</ndc>
    <ndc_label_name>KRO ACIDOPHILUS 15 MG DR CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260036068</ndc>
    <ndc_label_name>Premium Blood Glucose Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260036069</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260036070</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260036432</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260036977</ndc>
    <ndc_label_name>Probiotic Colon Support 1.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260037022</ndc>
    <ndc_label_name>Comforts Diapers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260037023</ndc>
    <ndc_label_name>Comforts Diapers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260037024</ndc>
    <ndc_label_name>Comforts Diapers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260037025</ndc>
    <ndc_label_name>Comforts Diapers Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260037083</ndc>
    <ndc_label_name>Probiotic Colon Support 70 mg (5 billion cell) tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038506</ndc>
    <ndc_label_name>KRO INS SYRINGE 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038507</ndc>
    <ndc_label_name>KRO INS SYRIN 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038508</ndc>
    <ndc_label_name>KRO INS SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038509</ndc>
    <ndc_label_name>KRO INS SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038510</ndc>
    <ndc_label_name>KRO INS SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038511</ndc>
    <ndc_label_name>KRO INS SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038512</ndc>
    <ndc_label_name>KRO INS SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41260038523</ndc>
    <ndc_label_name>KRO INS SYRING 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41333000279</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41388000730</ndc>
    <ndc_label_name>Tucks (witch hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41388021020</ndc>
    <ndc_label_name>Blistex Medicated 0.6 %-0.5 %-1.1 %-0.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41388021041</ndc>
    <ndc_label_name>Blistex Medicated 0.6 %-0.5 %-1.1 %-0.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415000373</ndc>
    <ndc_label_name>PUB ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415000473</ndc>
    <ndc_label_name>PUB ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415000878</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415000973</ndc>
    <ndc_label_name>PUB HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415000976</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415000978</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001076</ndc>
    <ndc_label_name>Sterile Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001278</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001378</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001478</ndc>
    <ndc_label_name>PUB GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001573</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415001578</ndc>
    <ndc_label_name>PUB INS SYRIN 0.3 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415001678</ndc>
    <ndc_label_name>PUB INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415001773</ndc>
    <ndc_label_name>Original Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415001778</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415001878</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415001978</ndc>
    <ndc_label_name>PUB INS SYRINGE 1 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415002073</ndc>
    <ndc_label_name>PUB IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415002078</ndc>
    <ndc_label_name>PUB INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415002476</ndc>
    <ndc_label_name>PUB PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415002873</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003178</ndc>
    <ndc_label_name>Advanced Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415003478</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003578</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415003671</ndc>
    <ndc_label_name>PUB MINOXIDIL 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003678</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415003771</ndc>
    <ndc_label_name>PUB MINOXIDIL 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003778</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003873</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003878</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003973</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415003978</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415004473</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415004773</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415004775</ndc>
    <ndc_label_name>Hydrocream 1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415004873</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415004973</ndc>
    <ndc_label_name>Dayhist Allergy 1.34 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415004975</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415005073</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415005173</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415005375</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415005475</ndc>
    <ndc_label_name>Hemorrhoidal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415005573</ndc>
    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415005575</ndc>
    <ndc_label_name>PUB PERSONAL LUBRICANT JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415005673</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415005675</ndc>
    <ndc_label_name>Athletic Foot Cream 1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415006573</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415006675</ndc>
    <ndc_label_name>PUB CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415006875</ndc>
    <ndc_label_name>Super Strip Bandages 1" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415006878</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415007573</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415007673</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415007773</ndc>
    <ndc_label_name>PUB DOCUSATE SODIUM 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415007873</ndc>
    <ndc_label_name>Medicated Chest Rub topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415009373</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415009473</ndc>
    <ndc_label_name>PUB OXYMETAZOLINE HCL 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415009773</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415009973</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415010373</ndc>
    <ndc_label_name>Children's Profen IB 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415010873</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415011173</ndc>
    <ndc_label_name>PUB ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415011677</ndc>
    <ndc_label_name>Multivitamin 50 Plus tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415013973</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415014473</ndc>
    <ndc_label_name>PUB NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415014573</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415014873</ndc>
    <ndc_label_name>Infants ProfenIB 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415014977</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415015173</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415015273</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415015473</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415016473</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415016573</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415017073</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415017273</ndc>
    <ndc_label_name>Dairy Digestive 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415017373</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415017473</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415017573</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415017673</ndc>
    <ndc_label_name>PUB CALCIUM CARB 1,000 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415018073</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415018273</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415018673</ndc>
    <ndc_label_name>Pink Bismuth Maximum Strength 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415018773</ndc>
    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415019773</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415019873</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415020173</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415021173</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415021273</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415021473</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415021573</ndc>
    <ndc_label_name>Gas Relief Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415021873</ndc>
    <ndc_label_name>Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415022573</ndc>
    <ndc_label_name>Children's Profen IB 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415022673</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415022773</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415023273</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415023573</ndc>
    <ndc_label_name>Fiber (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415023673</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415023873</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415024273</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415024373</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415025173</ndc>
    <ndc_label_name>Hemorrhoidal 0.25 %-3 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415025873</ndc>
    <ndc_label_name>Stop Smoking Aid 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415025973</ndc>
    <ndc_label_name>Stop Smoking Aid 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415026373</ndc>
    <ndc_label_name>Allergy Sinus PE 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027073</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027273</ndc>
    <ndc_label_name>Nitetime Multi-Symptom 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027373</ndc>
    <ndc_label_name>Nitetime Multi-Symptom 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027573</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027673</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027773</ndc>
    <ndc_label_name>Children's Dibromm DM Cold-Cough 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415027873</ndc>
    <ndc_label_name>Children's Dibromm Cold and Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415028473</ndc>
    <ndc_label_name>PUB FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415028573</ndc>
    <ndc_label_name>PUB FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415028673</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415028873</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415028973</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415029173</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415029273</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415029373</ndc>
    <ndc_label_name>Sinus Relief (Non-Drowsy) 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415029573</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415029673</ndc>
    <ndc_label_name>Severe Cold 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415029973</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415030573</ndc>
    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415030873</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415030973</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415031073</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415031173</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032373</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032473</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032573</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032673</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032773</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415032873</ndc>
    <ndc_label_name>Children's Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415037873</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415038773</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415040673</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415040773</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41415040873</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41415042173</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41470000530</ndc>
    <ndc_label_name>MODULEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520000587</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520003535</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520003536</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520003537</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520003538</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520003539</ndc>
    <ndc_label_name>Unifine Pentips Plus 29 gauge x 1/2" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520051245</ndc>
    <ndc_label_name>CAREONE SYR 0.3 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520051255</ndc>
    <ndc_label_name>CAREONE SYR 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41520051265</ndc>
    <ndc_label_name>CAREONE SYR 1 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41520087047</ndc>
    <ndc_label_name>Careone Ultra Thin Lancet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41520087049</ndc>
    <ndc_label_name>Careone Lancing Device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41528000071</ndc>
    <ndc_label_name>Nice 5 mg lozenges</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41608000522</ndc>
    <ndc_label_name>Norforms Fem vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41608008720</ndc>
    <ndc_label_name>Summer's Eve vaginal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41608008735</ndc>
    <ndc_label_name>Summers Eve Cleansing Cloths</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41608008743</ndc>
    <ndc_label_name>Summer's Eve Disposable Douche 0.3 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Summers Eve Extra Cleansing vaginal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41608008754</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Summers Eve Extra Cleansing vaginal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616021990</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616048583</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616048588</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616063583</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616063588</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>41616063688</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41616075883</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41616075981</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41616076081</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41616088244</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41616093140</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41679008702</ndc>
    <ndc_label_name>MICROLIPID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41679008743</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>41679015811</ndc>
    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42023012989</ndc>
    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023013006</ndc>
    <ndc_label_name>Pitocin 10 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023013101</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023013106</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023014625</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023015701</ndc>
    <ndc_label_name>ETHACRYNATE SODIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023015901</ndc>
    <ndc_label_name>Adrenalin 1 mg/mL (1 mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023015925</ndc>
    <ndc_label_name>Adrenalin 1 mg/mL (1 mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016401</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016410</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016425</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016483</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016489</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016801</ndc>
    <ndc_label_name>Adrenalin 1 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016889</ndc>
    <ndc_label_name>Adrenalin 1 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023016899</ndc>
    <ndc_label_name>Adrenalin 1 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023017204</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023017301</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023017325</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023017901</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023017905</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018201</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018289</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018601</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018620</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018701</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018710</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018801</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018810</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018901</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023018910</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023019001</ndc>
    <ndc_label_name>Vasostrict 20 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023019501</ndc>
    <ndc_label_name>POSACONAZOLE 300 MG/16.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020101</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020201</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020301</ndc>
    <ndc_label_name>LEVOTHYROXINE 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020501</ndc>
    <ndc_label_name>CALCITONIN-SALMON 400 UNIT/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020601</ndc>
    <ndc_label_name>TREPROSTINIL 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020701</ndc>
    <ndc_label_name>TREPROSTINIL 50 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020801</ndc>
    <ndc_label_name>TREPROSTINIL 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023020901</ndc>
    <ndc_label_name>TREPROSTINIL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021301</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021325</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021401</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021410</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021501</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021601</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021625</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021683</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021689</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021901</ndc>
    <ndc_label_name>Vasostrict 0.4 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023021910</ndc>
    <ndc_label_name>Vasostrict 0.4 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022101</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022110</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022185</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022189</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42023022401</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022901</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023022910</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023001</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023010</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023701</ndc>
    <ndc_label_name>Vasostrict 0.2 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023710</ndc>
    <ndc_label_name>Vasostrict 0.2 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023801</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023023901</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023024001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023024301</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023024399</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42023024401</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42023024410</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023026901</ndc>
    <ndc_label_name>Prevduo 0.6 mg-3mg/3mL (0.2mg-1mg/mL) intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023026905</ndc>
    <ndc_label_name>Prevduo 0.6 mg-3mg/3mL (0.2mg-1mg/mL) intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023027301</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 2 mg/250 mL (8 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023027310</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 2 mg/250 mL (8 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023029501</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023029510</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023031501</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 4 mg/250 mL (16 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023031510</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 4 mg/250 mL (16 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023043401</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 5 mg/250 mL (20 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023043410</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 5 mg/250 mL (20 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023050001</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 8 mg/250 mL (32 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023050010</ndc>
    <ndc_label_name>Adrenalin in 0.9 % sodium chloride 8 mg/250 mL (32 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023062201</ndc>
    <ndc_label_name>BIVALIRUDIN RTU 250 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023062210</ndc>
    <ndc_label_name>BIVALIRUDIN RTU 250 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023072101</ndc>
    <ndc_label_name>Adrenalin in 0.9% sodium chloride 10 mg/250 mL (40 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42023072110</ndc>
    <ndc_label_name>Adrenalin in 0.9% sodium chloride 10 mg/250 mL (40 mcg/mL) IV solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037000034</ndc>
    <ndc_label_name>Debrox Swimmer's Ear 95 %-5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000058</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000060</ndc>
    <ndc_label_name>Goody's Extra Strength 500 mg-325 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000062</ndc>
    <ndc_label_name>Goody's Extra Strength 500 mg-325 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000081</ndc>
    <ndc_label_name>Goody's Hangover 1,000 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000096</ndc>
    <ndc_label_name>BC Max Strength 500 mg-500 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000097</ndc>
    <ndc_label_name>BC Max Strength 500 mg-500 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000105</ndc>
    <ndc_label_name>Goody's Hangover 1,000 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000128</ndc>
    <ndc_label_name>Tagamet HB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000147</ndc>
    <ndc_label_name>Tagamet HB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037000171</ndc>
    <ndc_label_name>Debrox Kids 95 %-5 % ear drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000176</ndc>
    <ndc_label_name>Goody's Plus 1,000 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037000177</ndc>
    <ndc_label_name>Goody's Plus 1,000 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010283</ndc>
    <ndc_label_name>BC Arthritis 1,000 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010284</ndc>
    <ndc_label_name>BC Arthritis 1,000 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010290</ndc>
    <ndc_label_name>Goody's Back and Body Pain 500 mg-325 mg oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010295</ndc>
    <ndc_label_name>Goody's PM 38 mg-500 mg oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010298</ndc>
    <ndc_label_name>Goody's Extra Strength 500 mg-325 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010300</ndc>
    <ndc_label_name>Beano 400 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010304</ndc>
    <ndc_label_name>Beano 400 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010312</ndc>
    <ndc_label_name>Ecotrin 325 mg tablet,enteric coated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037010313</ndc>
    <ndc_label_name>Ecotrin Low Strength 81 mg tablet,enteric coated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010342</ndc>
    <ndc_label_name>Nytol 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010343</ndc>
    <ndc_label_name>Nytol 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010355</ndc>
    <ndc_label_name>Sominex 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010356</ndc>
    <ndc_label_name>Sominex 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010357</ndc>
    <ndc_label_name>Sominex 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010358</ndc>
    <ndc_label_name>Sominex Maximum Strength 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010362</ndc>
    <ndc_label_name>Stanback 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010363</ndc>
    <ndc_label_name>Tagamet HB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010365</ndc>
    <ndc_label_name>Goody's Extra Strength 520 mg-260 mg-32.5 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010366</ndc>
    <ndc_label_name>Goody's Extra Strength 520 mg-260 mg-32.5 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010371</ndc>
    <ndc_label_name>Tagamet HB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010372</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010373</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037010375</ndc>
    <ndc_label_name>Ecotrin Low Strength 81 mg tablet,enteric coated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010379</ndc>
    <ndc_label_name>Ecotrin 325 mg tablet,enteric coated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037010427</ndc>
    <ndc_label_name>Ecotrin Low Strength 81 mg tablet,enteric coated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010475</ndc>
    <ndc_label_name>Gly-Oxide 10 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010476</ndc>
    <ndc_label_name>Gly-Oxide 10 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037010478</ndc>
    <ndc_label_name>Debrox 6.5 % ear drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42037010479</ndc>
    <ndc_label_name>Debrox 6.5 % ear drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010491</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010691</ndc>
    <ndc_label_name>Beano 400 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010692</ndc>
    <ndc_label_name>Beano 450 unit disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037010845</ndc>
    <ndc_label_name>Goody's Extra Strength 500 mg-325 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011095</ndc>
    <ndc_label_name>Goody's Extra Strength 520 mg-260 mg-32.5 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011103</ndc>
    <ndc_label_name>BC Arthritis 1,000 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011105</ndc>
    <ndc_label_name>Stanback 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011107</ndc>
    <ndc_label_name>Stanback 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011113</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011115</ndc>
    <ndc_label_name>BC Pain Relief 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011130</ndc>
    <ndc_label_name>Goody's Back and Body Pain 500 mg-325 mg oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011135</ndc>
    <ndc_label_name>Goody's Extra Strength 520 mg-260 mg-32.5 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42037011164</ndc>
    <ndc_label_name>Goody's PM 38 mg-500 mg oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42043012020</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42043012120</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014001</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014005</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014101</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014105</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014238</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014338</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043014358</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043016001</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043016101</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043021001</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043021101</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043025006</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043025238</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043025267</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026238</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026257</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026277</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026338</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026357</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42043026377</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42043040003</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42043040103</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010000</ndc>
    <ndc_label_name>Compact Space Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010001</ndc>
    <ndc_label_name>Compact Space Chamber-Sm Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010002</ndc>
    <ndc_label_name>Compact Space Chamber-Med Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010003</ndc>
    <ndc_label_name>Compact Space Chamber-Lrg Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010008</ndc>
    <ndc_label_name>Compact Space Chamber-Sm Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010009</ndc>
    <ndc_label_name>Compact Space Chamber-Med Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42135010010</ndc>
    <ndc_label_name>Compact Space Chamber-Lrg Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167000001</ndc>
    <ndc_label_name>RELIAMED ADHESIVE REMOVER WIPE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167000002</ndc>
    <ndc_label_name>Protective Barrier Film Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167000011</ndc>
    <ndc_label_name>RELIAMED ADHESIVE REMOVER WIPE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000500</ndc>
    <ndc_label_name>ReliaMed Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000520</ndc>
    <ndc_label_name>ReliaMed Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000552</ndc>
    <ndc_label_name>ReliaMed Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000554</ndc>
    <ndc_label_name>ReliaMed Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000556</ndc>
    <ndc_label_name>ReliaMed Mini Lancing Device</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167000640</ndc>
    <ndc_label_name>ReliaMed Safety Seal Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167001090</ndc>
    <ndc_label_name>ReliaMed Safety Seal Lancets 30 gauge</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42167001110</ndc>
    <ndc_label_name>RELIAMED LANCING DEVICE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167001350</ndc>
    <ndc_label_name>Odor Eliminator Drops topical liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167001791</ndc>
    <ndc_label_name>Transparent Thin Film Dressing 2 3/8" X 2 3/4"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42167001801</ndc>
    <ndc_label_name>RELIAMED TRANSPRNT I.V. DRESS</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ReliaMed Twist and Cap Lancet 28 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Adjustable Lancing Device</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RELIAMED OSTOMY PROTECT POWDER</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BP 10-1 10 %-1 % topical cleanser</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BPO 8 % topical gel</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42192011270</ndc>
    <ndc_label_name>SALICYLIC ACID 6% FOAM</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42192011360</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-4% PAD</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>UREA 35% FOAM</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42192012116</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <ndc>42195095510</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291046311</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291046330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291047312</ndc>
    <ndc_label_name>ETRAVIRINE 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291047460</ndc>
    <ndc_label_name>ETRAVIRINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291047711</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291047803</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291047811</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291047930</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291048030</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291048130</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291048230</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291049027</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291049109</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291049127</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291049209</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291049301</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291049302</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291049511</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291049530</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291050901</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291050950</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291051101</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291055328</ndc>
    <ndc_label_name>NORGESTIMATE-EE 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291055384</ndc>
    <ndc_label_name>NORGESTIMATE-EE 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291056528</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291056584</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291056890</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 18 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291056990</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291057090</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291057190</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291059028</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291059084</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291065712</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291066410</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291066610</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291074151</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291076401</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291077730</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291077890</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291078142</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291078401</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291078430</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291078501</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291078530</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291079030</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291079130</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291079230</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291084919</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291084985</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291085630</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291085790</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291085890</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291085990</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291086060</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291086160</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291086260</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291086360</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291086430</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291086530</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291086630</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291086730</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291087130</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291087290</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291087390</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291087490</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291090850</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291090860</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291090950</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291090960</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091050</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091060</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091150</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091160</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091250</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091260</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091350</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291091360</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291092756</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291092856</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291092953</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291093001</ndc>
    <ndc_label_name>Zafemy 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291093003</ndc>
    <ndc_label_name>Zafemy 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291093230</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291093330</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291093430</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291093530</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291093790</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291094090</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291094190</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291094290</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291096208</ndc>
    <ndc_label_name>Yuvafem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291096211</ndc>
    <ndc_label_name>Yuvafem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291096218</ndc>
    <ndc_label_name>Yuvafem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291096590</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291096690</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291096790</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291096890</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291096990</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42291098910</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291099806</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42291099903</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000101</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000120</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000201</ndc>
    <ndc_label_name>Digitek 250 mcg (0.25 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000220</ndc>
    <ndc_label_name>Digitek 250 mcg (0.25 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000301</ndc>
    <ndc_label_name>Digitek 125 mcg (0.125 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000320</ndc>
    <ndc_label_name>Digitek 125 mcg (0.125 mg) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000501</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000506</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000601</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292000606</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000701</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292000710</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292001001</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292001016</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001106</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001701</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001720</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001801</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292001820</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002401</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002420</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002501</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002508</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002601</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292002620</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003701</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003703</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003801</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003820</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003901</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292003920</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292004001</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292004020</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292004101</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292004120</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292004301</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292004303</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292004401</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292004403</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005101</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005105</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005201</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005205</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005301</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005305</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292005401</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292005403</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292005501</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42292005505</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005701</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42292005703</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42358029501</ndc>
    <ndc_label_name>Nulibry 9.5 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42358032901</ndc>
    <ndc_label_name>Zycubo 2.9 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42358045030</ndc>
    <ndc_label_name>Zokinvy 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42358047530</ndc>
    <ndc_label_name>Zokinvy 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42367052125</ndc>
    <ndc_label_name>Belrapzo 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42367053133</ndc>
    <ndc_label_name>Pemfexy 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42367054032</ndc>
    <ndc_label_name>Ryanodex 250 mg intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42367057022</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42367057087</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385080130</ndc>
    <ndc_label_name>EMTRICIT-RILP-TENOF 200-25-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385090103</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385090210</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385090410</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385091530</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385092060</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385092160</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385092230</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092329</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092490</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092499</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092590</ndc>
    <ndc_label_name>PIRFENIDONE 534 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092690</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385092701</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385092705</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092830</ndc>
    <ndc_label_name>EFAVIR-LAMIV-TENOF 600-300-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385092931</ndc>
    <ndc_label_name>EFAVIR-LAMIV-TENOF 400-300-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385093360</ndc>
    <ndc_label_name>LOPINAVIR-RITONAVR 100-25MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385093412</ndc>
    <ndc_label_name>LOPINAVIR-RITONAVR 200-50MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385093590</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385093605</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42385093690</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42385094001</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42423027002</ndc>
    <ndc_label_name>Easy Touch Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42423027101</ndc>
    <ndc_label_name>Easy Touch Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42423027102</ndc>
    <ndc_label_name>Easy Touch Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42423027103</ndc>
    <ndc_label_name>Easy Touch Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42423027104</ndc>
    <ndc_label_name>Easy Touch Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42457042001</ndc>
    <ndc_label_name>Endari 5 gram oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42457042060</ndc>
    <ndc_label_name>Endari 5 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494033901</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494033903</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494034001</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494034003</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494034112</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494034124</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494034212</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041501</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041503</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041525</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041601</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041603</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041625</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041901</ndc>
    <ndc_label_name>METHYLENE BLUE 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494041905</ndc>
    <ndc_label_name>METHYLENE BLUE 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494042301</ndc>
    <ndc_label_name>RIBAVIRIN 6 GM INHALATION VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494042506</ndc>
    <ndc_label_name>CHLORZOXAZONE 375 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494043230</ndc>
    <ndc_label_name>Multi-Vit-Flor 1 mg fluoride chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494043330</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494043430</ndc>
    <ndc_label_name>Multi-Vit-Flor 0.25 mg fluoride chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494043525</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494043625</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494044101</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494044125</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42494044225</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494044805</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045020</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045050</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045120</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045310</ndc>
    <ndc_label_name>NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045410</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42494045730</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42507031026</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42507039640</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42515000201</ndc>
    <ndc_label_name>Ixiaro (PF) 6 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>IXCHIQ VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42536604402</ndc>
    <ndc_label_name>PYtest 37 kbq (1 microCi) capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PYtest Kit 37 kbq (1 microCi) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PYtest Kit 37 kbq (1 microCi) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543000510</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543000590</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543005261</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543005262</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543005263</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543009801</ndc>
    <ndc_label_name>BUTALBITAL-ASPIRIN-CAFFEINE TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543011401</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543011501</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543014050</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543014101</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543014201</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543035215</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543035230</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543035260</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543040601</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543040701</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543040801</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543049301</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543049305</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543049701</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543049705</ndc>
    <ndc_label_name>AMANTADINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543070001</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543070005</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42543070010</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070201</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070210</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070230</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070290</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070301</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070310</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070330</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070390</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070490</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070590</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070690</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070790</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070890</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543070990</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071290</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071305</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071310</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071330</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071390</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543071904</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072501</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072505</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072510</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072530</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072601</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072605</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072610</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072630</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072701</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072705</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543072730</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543074107</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543074207</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543074318</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543074403</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543078706</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543088904</ndc>
    <ndc_label_name>EFAVIRENZ 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543096104</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42543096204</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Bal-Care DHA Essential 27 mg iron-1 mg-374 mg tablet,capsule,delay rel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571011190</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571011210</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571011290</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571012290</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571012821</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571012828</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571012835</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013021</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013027</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013221</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013251</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013252</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013295</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013360</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571013460</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571013725</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571013726</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571014126</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571014260</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571014301</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571014305</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571014401</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571014405</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571014726</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571016030</ndc>
    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571016101</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571016142</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571016201</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571016242</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017210</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017290</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017310</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017390</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017410</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017490</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017510</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571017590</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571017601</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571017701</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571022030</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571022130</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571022630</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571022730</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571022830</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023401</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023405</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023530</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023590</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023630</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023690</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023730</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023790</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023830</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571023890</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571024301</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571024469</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571025001</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571025101</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571025201</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571025830</ndc>
    <ndc_label_name>MEFENAMIC ACID 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571025930</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571026473</ndc>
    <ndc_label_name>TAFLUPROST 0.0015% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571026493</ndc>
    <ndc_label_name>TAFLUPROST 0.0015% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571026575</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571027460</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571027560</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571031375</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571031386</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571031387</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571031396</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571031397</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571031501</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571031601</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571033201</ndc>
    <ndc_label_name>METHENAMINE HIPP 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571033301</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571033490</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571033539</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571033690</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034201</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034230</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034301</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034330</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034401</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571034430</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571034790</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571034890</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571035008</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571035009</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571035707</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571035807</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571036007</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571036010</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571036281</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571036299</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571036983</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571037501</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571037530</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571038101</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571038271</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571038273</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571038425</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% SOLUTION</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571038519</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571039112</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571039212</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571039871</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571040421</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571040488</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571040809</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571040819</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571040892</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42571043345</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571046362</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571046373</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571046375</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571046473</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42571046475</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011110</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011118</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011210</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011218</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011310</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011318</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011410</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011418</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011510</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011518</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011610</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582011618</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021110</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021118</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021210</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021218</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021310</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021318</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021410</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021418</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021505</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021518</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021605</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582021618</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582030120</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031109</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031130</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031209</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031230</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031309</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031318</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031409</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031418</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031509</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582031518</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42582041110</ndc>
    <ndc_label_name>POLYSACCHARIDE IRON 150 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582050021</ndc>
    <ndc_label_name>SOD SULFACE-SULFUR 9-4.5% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582060020</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582060023</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582070001</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582080008</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-2% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582080111</ndc>
    <ndc_label_name>SOD SULFACE-SULF 9.8-4.8% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42582090006</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.25% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000101</ndc>
    <ndc_label_name>inControl Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000202</ndc>
    <ndc_label_name>inControl Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000303</ndc>
    <ndc_label_name>RA BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000404</ndc>
    <ndc_label_name>PV BLOOD PRESSURE MONITOR-MED</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000505</ndc>
    <ndc_label_name>CVS BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000606</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000707</ndc>
    <ndc_label_name>DELUXE BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000808</ndc>
    <ndc_label_name>QC BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632000909</ndc>
    <ndc_label_name>SM BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001010</ndc>
    <ndc_label_name>KROGER BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001111</ndc>
    <ndc_label_name>inControl Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001212</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001313</ndc>
    <ndc_label_name>ADVANCED AUTOMATIC BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001414</ndc>
    <ndc_label_name>RA DELUXE BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001515</ndc>
    <ndc_label_name>RA PREMIUM BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001616</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001717</ndc>
    <ndc_label_name>PREMIUM BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001773</ndc>
    <ndc_label_name>DELUXE BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001774</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632001818</ndc>
    <ndc_label_name>DELUXE BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42632002020</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42783063330</ndc>
    <ndc_label_name>BenzoDox 30 100 mg-4.4 % kit, cleanser ER and tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42783063504</ndc>
    <ndc_label_name>Advanced Acne Wash 4.4 % topical cleanser,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42783066360</ndc>
    <ndc_label_name>BenzoDox 60 100 mg-4.4 % kit, cleanser ER and tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794000308</ndc>
    <ndc_label_name>ADEFOVIR DIPIVOXIL 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794000402</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794000502</ndc>
    <ndc_label_name>AMILORIDE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794000702</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794000908</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001008</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001208</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001308</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001408</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001610</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794001710</ndc>
    <ndc_label_name>ASENAPINE 10 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001802</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001806</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001812</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001902</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001906</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794001912</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794002002</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794002012</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794002808</ndc>
    <ndc_label_name>DISULFIRAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794002908</ndc>
    <ndc_label_name>DISULFIRAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794004410</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794004510</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794004610</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794005108</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794005208</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794008008</ndc>
    <ndc_label_name>ACITRETIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794008108</ndc>
    <ndc_label_name>ACITRETIN 17.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794008308</ndc>
    <ndc_label_name>ACITRETIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42794008614</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Liomny 5 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794013212</ndc>
    <ndc_label_name>Liomny 25 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42794013312</ndc>
    <ndc_label_name>Liomny 50 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799010501</ndc>
    <ndc_label_name>METHENAMINE MAND 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799010601</ndc>
    <ndc_label_name>METHENAMINE MAND 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799011002</ndc>
    <ndc_label_name>ALBENDAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799011101</ndc>
    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799011201</ndc>
    <ndc_label_name>ETODOLAC 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799011501</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799011901</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012001</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012002</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012101</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012102</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799012301</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012901</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799012902</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799013001</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799013101</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799013102</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799013201</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799020701</ndc>
    <ndc_label_name>TINIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799020801</ndc>
    <ndc_label_name>TINIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799021701</ndc>
    <ndc_label_name>OPIUM TINCTURE 10 MG/ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799021702</ndc>
    <ndc_label_name>OPIUM TINCTURE 10 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799040501</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799060501</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799060502</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799070815</ndc>
    <ndc_label_name>MIGLUSTAT 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799070915</ndc>
    <ndc_label_name>Yargesa 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799080601</ndc>
    <ndc_label_name>IVERMECTIN 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799081201</ndc>
    <ndc_label_name>PREDNISOLONE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799081301</ndc>
    <ndc_label_name>PREDNISOLONE 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799081501</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799081601</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH 25 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092001</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092002</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092030</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092101</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092102</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092130</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092201</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092202</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799092230</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799093501</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799093502</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799093550</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799095001</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799095201</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799095230</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799095301</ndc>
    <ndc_label_name>DICLOFENAC SOD ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095401</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095402</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095801</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095802</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095901</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799095902</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42799096001</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096101</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096102</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096201</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096202</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096301</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42799096302</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806000501</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806000701</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806000801</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806000901</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001101</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001105</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001201</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001210</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806001394</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806001396</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001401</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001410</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001801</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001805</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001901</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806001910</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806002001</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806002010</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806002101</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806002110</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806003801</ndc>
    <ndc_label_name>BETAXOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806003901</ndc>
    <ndc_label_name>BETAXOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806004801</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806005030</ndc>
    <ndc_label_name>MEPERIDINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005505</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005509</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005510</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005605</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005609</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005610</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005705</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005709</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806005710</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806005801</ndc>
    <ndc_label_name>FLAVOXATE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008101</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008130</ndc>
    <ndc_label_name>BENZPHETAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008201</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008205</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008301</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008305</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008401</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008405</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008501</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008505</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008605</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008660</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008701</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008705</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008801</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008805</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008901</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806008905</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806009401</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806009430</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806009499</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806009630</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806009730</ndc>
    <ndc_label_name>PROTRIPTYLINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806010101</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806010201</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806012101</ndc>
    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806012201</ndc>
    <ndc_label_name>Sotalol AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806012301</ndc>
    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806013321</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806013324</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806013424</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806014301</ndc>
    <ndc_label_name>DEMECLOCYCLINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806014448</ndc>
    <ndc_label_name>DEMECLOCYCLINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806014731</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806014932</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806015033</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806015134</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806015901</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806015905</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806015910</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016001</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016005</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016010</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016105</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806016110</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806018615</ndc>
    <ndc_label_name>Klayesta 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806018630</ndc>
    <ndc_label_name>Klayesta 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806018660</ndc>
    <ndc_label_name>Klayesta 100,000 unit/gram topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806021305</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026005</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026060</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806026301</ndc>
    <ndc_label_name>ISRADIPINE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806026401</ndc>
    <ndc_label_name>ISRADIPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026695</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026698</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026793</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806026797</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027095</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027098</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027193</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027197</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027401</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027501</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806027601</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806029601</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806029960</ndc>
    <ndc_label_name>NIZATIDINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806031005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806031050</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806031205</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806031250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806033001</ndc>
    <ndc_label_name>OXYMORPHONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806033101</ndc>
    <ndc_label_name>OXYMORPHONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806033601</ndc>
    <ndc_label_name>MOLINDONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806033701</ndc>
    <ndc_label_name>MOLINDONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806033801</ndc>
    <ndc_label_name>MOLINDONE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806033901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034805</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034809</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034830</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034905</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806034909</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806035801</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806035830</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806035925</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806036201</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806037130</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806037230</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806037330</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806040001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806040021</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806040560</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806040660</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041001</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041005</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041060</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041160</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041360</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041405</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041409</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041430</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041501</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041505</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041560</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041605</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041609</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806041630</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042201</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042205</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042210</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042301</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042305</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042310</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042401</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042460</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042501</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042505</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806042660</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806050109</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806050209</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806050301</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806051230</ndc>
    <ndc_label_name>QUINIDINE SULFATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806051330</ndc>
    <ndc_label_name>QUINIDINE SULFATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806052401</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806052901</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806052910</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806053001</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806053010</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806053301</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806054701</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806054705</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806054909</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806054930</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806055212</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806055501</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056012</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056201</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056301</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056401</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056501</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806056601</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806060022</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060109</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060110</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060130</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060209</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060210</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060230</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060305</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060309</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806060330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806062601</ndc>
    <ndc_label_name>TAPENTADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806062701</ndc>
    <ndc_label_name>TAPENTADOL HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806062801</ndc>
    <ndc_label_name>TAPENTADOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806063201</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806063205</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806063301</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806064810</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806064910</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806065609</ndc>
    <ndc_label_name>GABAPENTIN ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806065709</ndc>
    <ndc_label_name>GABAPENTIN ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806065830</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806065930</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066201</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066205</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066305</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066401</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066405</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806066560</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806070801</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806071101</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806071405</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806071501</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806071505</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072060</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072101</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072105</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072201</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072205</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806072360</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072405</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072410</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072501</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072505</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072510</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072601</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072605</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072610</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072705</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806072710</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806075760</ndc>
    <ndc_label_name>SULFADIAZINE 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806079901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806079930</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806079960</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806080101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806080130</ndc>
    <ndc_label_name>RIFAMPIN 150 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806080230</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806080330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806080430</ndc>
    <ndc_label_name>TRIMIPRAMINE MALEATE 100 MG CP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806081701</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806081801</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42806081901</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806090126</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806090226</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42806090326</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808010006</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808010012</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808010306</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808010312</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808011006</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808011012</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808011306</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808020428</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808020515</ndc>
    <ndc_label_name>Urea Nail Stick 50 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808030114</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808030214</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42808039916</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Onzetra Xsail 11 mg powder for nasal inhalation</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Treximet 85 mg-500 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRETINOIN 0.05% EMOLLIENT CRM</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Refissa 0.05 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858030201</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858030225</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858030250</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858030301</ndc>
    <ndc_label_name>HYDROMORPHONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858030416</ndc>
    <ndc_label_name>HYDROMORPHONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858032501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858033801</ndc>
    <ndc_label_name>Dilaudid 8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858035340</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040145</ndc>
    <ndc_label_name>Aptensio XR 10 mg capsule,extended release sprinkle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040245</ndc>
    <ndc_label_name>Aptensio XR 15 mg capsule,extended release sprinkle</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040345</ndc>
    <ndc_label_name>Aptensio XR 20 mg capsule,extended release sprinkle</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040445</ndc>
    <ndc_label_name>Aptensio XR 30 mg capsule,extended release sprinkle</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040545</ndc>
    <ndc_label_name>Aptensio XR 40 mg capsule,extended release sprinkle</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040645</ndc>
    <ndc_label_name>Aptensio XR 50 mg capsule,extended release sprinkle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858040745</ndc>
    <ndc_label_name>Aptensio XR 60 mg capsule,extended release sprinkle</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858041616</ndc>
    <ndc_label_name>Dilaudid 1 mg/mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858045445</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858049340</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858050103</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858050203</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858051501</ndc>
    <ndc_label_name>MS Contin 15 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858058640</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858060103</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858060203</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858061001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858063101</ndc>
    <ndc_label_name>MS Contin 30 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858066045</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858070101</ndc>
    <ndc_label_name>THEOPHYLLINE ER 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858070201</ndc>
    <ndc_label_name>THEOPHYLLINE ER 600 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858070303</ndc>
    <ndc_label_name>PAROXETINE ER 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858070503</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858070703</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858072701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858075040</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42858076001</ndc>
    <ndc_label_name>MS Contin 60 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MS CONTIN ER 100 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858080101</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858080301</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858080401</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42858086706</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070116</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070210</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070216</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070310</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070316</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070318</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070410</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070416</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070418</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070420</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070510</ndc>
    <ndc_label_name>Prenatal Plus 29 mg iron-1 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070518</ndc>
    <ndc_label_name>Prenatal Plus 29 mg iron-1 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937070710</ndc>
    <ndc_label_name>Prenatal 19 29 mg iron-1 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937071116</ndc>
    <ndc_label_name>SALICYLIC ACID 6% CREAM</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937071216</ndc>
    <ndc_label_name>SALICYLIC ACID 6% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937071530</ndc>
    <ndc_label_name>Kosher Prenatal Plus Iron 30 mg iron-1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42937071560</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42937080710</ndc>
    <ndc_label_name>ZINC SULFATE 50 MG (220 MG) TB</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42937081005</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>42937081010</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42976012101</ndc>
    <ndc_label_name>ATryn 525 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>42976012102</ndc>
    <ndc_label_name>ATryn 1,750 unit intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000101</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000601</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000710</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000810</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066000910</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001001</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001310</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001501</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001510</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001610</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001901</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066001910</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066002610</ndc>
    <ndc_label_name>Cardene 20 mg/200 mL(0.1 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066002701</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cardene 40 mg/200 mL(0.2 mg/mL) in sod chlor(iso-osm) intravenous soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066002901</ndc>
    <ndc_label_name>Cardene 25 mg/10 mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43066003101</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <ndc_label_name>Flexitol Face-Eyelid Eczema 5 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055540</ndc>
    <ndc_label_name>Vitamins B Complex tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055565</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055574</ndc>
    <ndc_label_name>Acerola C-500  500 mg oral wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055581</ndc>
    <ndc_label_name>CALCIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055583</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055592</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055603</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055606</ndc>
    <ndc_label_name>CALCIUM CITRATE 250 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055643</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055670</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055686</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055694</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055705</ndc>
    <ndc_label_name>Aler-Cap 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055738</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055740</ndc>
    <ndc_label_name>NIACIN 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055745</ndc>
    <ndc_label_name>L-Lysine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055746</ndc>
    <ndc_label_name>ACIDOPHILUS LACTBACLLI 500 MIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055749</ndc>
    <ndc_label_name>Centravites 50 Plus tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055775</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055792</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055794</ndc>
    <ndc_label_name>Zinc with Vitamins A and C 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055802</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055812</ndc>
    <ndc_label_name>Cranberry Juice Powder 425 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055841</ndc>
    <ndc_label_name>SAW PALMETTO 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055857</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055862</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055881</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055883</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE 750 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292055891</ndc>
    <ndc_label_name>MILK THISTLE 175 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292055992</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056000</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056002</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE 750 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056003</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056010</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056079</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056206</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056240</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056286</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056298</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056330</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056336</ndc>
    <ndc_label_name>VITAMIN D3 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056340</ndc>
    <ndc_label_name>Extraprin 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056352</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056364</ndc>
    <ndc_label_name>FISH OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056366</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056368</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056371</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056383</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056392</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056398</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056400</ndc>
    <ndc_label_name>COENZYME Q-10 30 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056401</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056410</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056426</ndc>
    <ndc_label_name>CINNAMON 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056428</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056429</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056434</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056436</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43292056437</ndc>
    <ndc_label_name>Mucosa 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43292056441</ndc>
    <ndc_label_name>Mucosa DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>43292056445</ndc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43528000305</ndc>
    <ndc_label_name>Heplisav-B (PF) 20 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43537006062</ndc>
    <ndc_label_name>Radiaderm R2 SPF 20 lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43537006063</ndc>
    <ndc_label_name>Radiaderm R1-R2 SPF 20 topical pack,gel and lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43537006366</ndc>
    <ndc_label_name>Radiaderm R2 SPF 20 topical lotion in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43537006633</ndc>
    <ndc_label_name>Radiaderm R1-R2 SPF 20 topical packets,gel and lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538010060</ndc>
    <ndc_label_name>Sumaxin 10 %-4 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538010160</ndc>
    <ndc_label_name>Sumaxin CP 10 %-4 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538011016</ndc>
    <ndc_label_name>Pacnex 7 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538013016</ndc>
    <ndc_label_name>Sumaxin 9 %-4 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538014060</ndc>
    <ndc_label_name>Pacnex HP 7 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538015060</ndc>
    <ndc_label_name>Pacnex LP 4.25 % topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538016016</ndc>
    <ndc_label_name>Sumaxin TS 8 %-4 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43538017069</ndc>
    <ndc_label_name>Clindacin P 1 % topical swab</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538017169</ndc>
    <ndc_label_name>Clindacin Pac 1 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43538017201</ndc>
    <ndc_label_name>Clindacin ETZ 1 % topical swab</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43538017260</ndc>
    <ndc_label_name>Clindacin ETZ 1 % topical swab</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538017360</ndc>
    <ndc_label_name>Clindacin ETZ 1 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538017645</ndc>
    <ndc_label_name>Neuac 1.2 % (1 % base)-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538017745</ndc>
    <ndc_label_name>Neuac Kit 1.2 %-5 % topical pack,cream and gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538017910</ndc>
    <ndc_label_name>Clindacin 1 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538018045</ndc>
    <ndc_label_name>Rosadan 0.75 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538018145</ndc>
    <ndc_label_name>Rosadan 0.75 % top,cleanser and cream kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538018245</ndc>
    <ndc_label_name>Rosadan 0.75 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538018345</ndc>
    <ndc_label_name>Rosadan 0.75 % topical cleanser and gel kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538019016</ndc>
    <ndc_label_name>Sumadan 9 %-4.5 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538019116</ndc>
    <ndc_label_name>Sumadan 9 %-4.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538019216</ndc>
    <ndc_label_name>Sumadan XLT 9 %-4.5 %-SPF 25 topical pack,cleanser and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538020028</ndc>
    <ndc_label_name>Uramaxin 45 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538021009</ndc>
    <ndc_label_name>Uramaxin 45 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538022010</ndc>
    <ndc_label_name>Uramaxin 20 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538023016</ndc>
    <ndc_label_name>Uramaxin 45 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538025020</ndc>
    <ndc_label_name>Uramaxin GT 45 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538025120</ndc>
    <ndc_label_name>Uramaxin GT 45 % topical kit,cream and gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538030030</ndc>
    <ndc_label_name>Centany 2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538031030</ndc>
    <ndc_label_name>Centany AT 2 % ointment topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538040016</ndc>
    <ndc_label_name>AcuWash topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538041028</ndc>
    <ndc_label_name>Toetal Fresh topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538042016</ndc>
    <ndc_label_name>Rehyla topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538042116</ndc>
    <ndc_label_name>Rehyla Hair-Body topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538043009</ndc>
    <ndc_label_name>Keradan topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538044060</ndc>
    <ndc_label_name>Nicadan 800 mg-10 mg-100 mg-500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538045030</ndc>
    <ndc_label_name>Nicadan ZX 400 mg-5 mg-250 mcg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43538050006</ndc>
    <ndc_label_name>Ciclodan 8 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538050106</ndc>
    <ndc_label_name>Ciclodan Kit 8 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538051012</ndc>
    <ndc_label_name>Genadur topical liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538051112</ndc>
    <ndc_label_name>Genadur (with Lexinal) 2,500 mcg kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538052090</ndc>
    <ndc_label_name>Ciclodan 0.77 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538052190</ndc>
    <ndc_label_name>Ciclodan Kit 0.77 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538053010</ndc>
    <ndc_label_name>Ketodan 2 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538053110</ndc>
    <ndc_label_name>Ketodan Kit 2 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538054090</ndc>
    <ndc_label_name>Loprox (as olamine) 0.77 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538054190</ndc>
    <ndc_label_name>Loprox Kit 0.77 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538055060</ndc>
    <ndc_label_name>Loprox (as olamine) 0.77 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538055160</ndc>
    <ndc_label_name>Loprox Kit 0.77 %, suspension and cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538060130</ndc>
    <ndc_label_name>Morgidox 1x100 100 mg kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538061160</ndc>
    <ndc_label_name>Morgidox 2x100 100 mg kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538062030</ndc>
    <ndc_label_name>Morgidox 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538062130</ndc>
    <ndc_label_name>Morgidox 1x 50  50 mg kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538080501</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538080510</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538081001</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538081010</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538090012</ndc>
    <ndc_label_name>Synalar 0.025 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538090112</ndc>
    <ndc_label_name>Synalar Cream Kit 0.025 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538091012</ndc>
    <ndc_label_name>Synalar 0.025 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538091112</ndc>
    <ndc_label_name>Synalar Ointment Kit 0.025 % topical pack,ointment and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538092060</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Neo-Synalar 0.5 % (0.35 % base)-0.025 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538095004</ndc>
    <ndc_label_name>Clodan 0.05 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538095104</ndc>
    <ndc_label_name>Clodan Kit 0.05 % topical kit, shampoo and cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538095210</ndc>
    <ndc_label_name>Tovet Emollient 0.05 % topical foam</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tovet Kit 0.05 % foam and cream, topical pack</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43538097060</ndc>
    <ndc_label_name>Beser 0.05 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547000103</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547000203</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547000209</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547000509</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547002506</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547003103</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547003203</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547003303</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547004703</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547004750</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547004903</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547004950</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547005003</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547005050</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547005103</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547005150</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547022115</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547022211</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547022215</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547022250</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547022315</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547025110</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547025610</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547025650</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547025710</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547025750</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026510</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026550</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026610</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026710</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026750</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026810</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026850</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026910</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547026950</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027010</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027050</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027110</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027150</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027210</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027250</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027310</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027350</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027410</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027450</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027503</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027509</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027511</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027603</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027609</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027611</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027703</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027709</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027750</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027803</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027809</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027850</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027903</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027909</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547027950</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028010</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028011</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028110</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028111</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028210</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028211</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028303</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028403</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028503</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028809</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028810</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028850</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028909</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028910</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547028950</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547029009</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547029010</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547029503</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547029603</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547029903</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030003</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030009</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030103</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030109</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030203</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030303</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030403</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030503</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030603</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547030703</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547031109</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547031209</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547031309</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547031409</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547031509</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547032410</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547032506</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033003</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033009</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033103</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033109</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033210</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033250</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033310</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033350</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033510</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033610</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033650</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033703</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033710</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033750</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033803</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033810</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033850</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033906</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547033950</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034006</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034050</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034106</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034150</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034206</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034250</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034306</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034350</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034406</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034450</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034506</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034606</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034703</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034709</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034711</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034750</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034803</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034809</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034811</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034850</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034903</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034909</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034911</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547034950</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035003</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035009</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035011</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035050</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035110</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035150</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035210</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035211</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035310</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035311</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035410</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035411</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035510</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035550</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035610</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035611</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035710</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035711</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035750</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035810</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035850</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035910</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547035950</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036009</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036011</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036050</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036103</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036109</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036111</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036203</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036209</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036211</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547036310</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547036410</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547036510</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547036610</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036703</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036709</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036809</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547036909</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037009</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037310</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037403</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037409</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037450</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037503</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037509</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037550</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037603</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037609</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037650</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547037703</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547037803</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037906</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547037909</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038003</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038009</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038011</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038103</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038109</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038111</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038203</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038209</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038609</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038611</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038709</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038711</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038809</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547038811</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038910</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547038950</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039010</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039050</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039103</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039109</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039203</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039209</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039303</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039309</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039410</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039450</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039510</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039550</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039610</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039650</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039710</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039711</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039810</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039811</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039910</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547039950</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040010</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040011</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040050</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040110</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040111</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040210</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040211</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040310</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040350</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040410</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040411</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040510</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040550</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040610</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040611</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040650</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040710</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040711</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040750</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040810</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547040850</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547040903</ndc>
    <ndc_label_name>PAROXETINE MESYLATE 7.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547041009</ndc>
    <ndc_label_name>QUINAPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547041109</ndc>
    <ndc_label_name>QUINAPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547041209</ndc>
    <ndc_label_name>QUINAPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547041309</ndc>
    <ndc_label_name>QUINAPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041410</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041450</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041510</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041511</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041610</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041611</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041710</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041711</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041810</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041850</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041910</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547041911</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042010</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042050</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042110</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042150</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042210</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042250</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042303</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042309</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042311</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042403</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042409</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042411</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042503</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042509</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042511</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042603</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042609</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042650</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042703</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042709</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042750</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042803</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042809</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547042850</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547043009</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547043109</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547043506</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547043603</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547043703</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547044103</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547044203</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547044303</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547045410</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547045441</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547045710</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547045810</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547045909</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547046009</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547046109</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547046212</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547048610</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547048710</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547048810</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547050609</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547050709</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547050809</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051009</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051209</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051309</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051810</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051811</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051910</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547051911</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052010</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052011</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052110</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052111</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052206</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052310</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052403</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052503</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052509</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052603</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052609</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052703</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547052709</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547053001</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547053010</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547053101</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547053110</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547054301</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547054325</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547054401</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547054425</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054510</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054511</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054610</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054611</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054710</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054711</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054810</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547054811</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547055210</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547055310</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547055350</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055403</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055409</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055503</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055509</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055603</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055703</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055709</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547055803</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547056510</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547056511</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547056610</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547056611</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547056710</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547059003</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059109</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059150</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059209</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059250</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059309</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059350</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059403</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059450</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059510</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059610</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059710</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059810</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547059910</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547060010</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547060110</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060210</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060310</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060410</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060510</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060610</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060710</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547060810</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547061110</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061210</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061250</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547061303</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061410</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061450</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061603</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061610</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061703</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547061710</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547063201</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547063410</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43547063411</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547063901</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547063925</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547064001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547064025</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547065510</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43547068610</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598000614</ndc>
    <ndc_label_name>Augmentin 500 mg-125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598001252</ndc>
    <ndc_label_name>Augmentin 125 mg-31.25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598001253</ndc>
    <ndc_label_name>Augmentin 125 mg-31.25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598002353</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598002748</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598002950</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598003401</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598003501</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598003601</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598003701</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598004563</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598004663</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598004763</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598004863</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598005011</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598005025</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598005111</ndc>
    <ndc_label_name>CALCITONIN-SALMON 400 UNIT/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598005311</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598005504</ndc>
    <ndc_label_name>NILOTINIB HCL 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598006111</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598006158</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598007811</ndc>
    <ndc_label_name>ENALAPRILAT 1.25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598007858</ndc>
    <ndc_label_name>ENALAPRILAT 1.25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598008511</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598008525</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598008611</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598008658</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598008711</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598008758</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598009604</ndc>
    <ndc_label_name>Javygtor 100 mg soluble tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598009711</ndc>
    <ndc_label_name>Javygtor 100 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598009730</ndc>
    <ndc_label_name>Javygtor 100 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598009805</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598009890</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598009905</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598009990</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010105</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010190</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010305</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010390</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598010610</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598010611</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010927</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010933</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598010952</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598012105</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598012130</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598012190</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012511</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012611</ndc>
    <ndc_label_name>STERILE DILUENT-TREPROSTINIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012725</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012745</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012811</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012901</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598012925</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598013074</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 1 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598013101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598013201</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598013301</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598013901</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598014011</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598014025</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598014111</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598014125</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598014206</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598014211</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598014362</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598015130</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016001</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016031</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016053</ndc>
    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598016211</ndc>
    <ndc_label_name>Javygtor 500 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598016230</ndc>
    <ndc_label_name>Javygtor 500 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016360</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016405</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016430</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016505</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016530</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016605</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016630</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016701</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016710</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598016860</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598016911</ndc>
    <ndc_label_name>ENALAPRILAT 2.5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598016958</ndc>
    <ndc_label_name>ENALAPRILAT 2.5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598017001</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598017010</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017111</ndc>
    <ndc_label_name>THIOTEPA 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017205</ndc>
    <ndc_label_name>Biorphen 0.1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017215</ndc>
    <ndc_label_name>Biorphen 0.1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017225</ndc>
    <ndc_label_name>Biorphen 0.1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017910</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598017911</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598018111</ndc>
    <ndc_label_name>Rezipres 4.7 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598018205</ndc>
    <ndc_label_name>PHENYLEPHRINE 20 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598018250</ndc>
    <ndc_label_name>PHENYLEPHRINE 20 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020354</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020369</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020452</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020453</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020505</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020750</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598020980</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021025</ndc>
    <ndc_label_name>SSD 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021040</ndc>
    <ndc_label_name>SSD 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021050</ndc>
    <ndc_label_name>SSD 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021055</ndc>
    <ndc_label_name>SSD 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021085</ndc>
    <ndc_label_name>SSD 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021350</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021351</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021352</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598021914</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598022401</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598022501</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598022505</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598023018</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598023311</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598023510</ndc>
    <ndc_label_name>CYCLOSERINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598023531</ndc>
    <ndc_label_name>CYCLOSERINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598024730</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598024830</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598025811</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598026202</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598026211</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598026223</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598026520</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598026525</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598026704</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598028335</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598028530</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598028633</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598028652</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598029190</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598029266</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598029279</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598029790</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598033011</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598033960</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034145</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034175</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034211</ndc>
    <ndc_label_name>PRALATREXATE 20 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034323</ndc>
    <ndc_label_name>PRALATREXATE 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034479</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034490</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034530</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034531</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034579</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598034837</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598034901</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035001</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035130</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035230</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035330</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035430</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598035530</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598035804</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598036730</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598036830</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598036930</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598037074</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598037201</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598037210</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598037230</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598038662</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598038711</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598039030</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598039090</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598039150</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598039248</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598039335</ndc>
    <ndc_label_name>DILUENT FOR MELPHALAN 10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598039467</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598039567</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040511</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040516</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040727</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040733</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040752</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040905</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598040925</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598041205</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598041225</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598041311</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598042660</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598042737</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598042952</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043060</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598043130</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598043144</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598043160</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043501</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043601</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043611</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043635</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043701</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043801</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 18 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598043901</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044001</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044101</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044556</ndc>
    <ndc_label_name>NICOTINE TRANSDERMAL SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044670</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044671</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044674</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044770</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044771</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044774</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044828</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044870</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044871</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598044874</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045202</ndc>
    <ndc_label_name>ALBENDAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045360</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045546</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045574</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045646</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045674</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045730</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045804</ndc>
    <ndc_label_name>SORAFENIB 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598045901</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598046562</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598046860</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047060</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047611</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047711</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047730</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047801</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047890</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047901</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598047990</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598048060</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048610</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048624</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048627</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048672</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048681</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048710</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048724</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048727</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048772</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598048781</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598049401</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598049501</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598049505</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598050501</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598050510</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598050530</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598050910</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598050930</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598050990</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051010</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051030</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051090</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051163</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051263</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051321</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051421</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051521</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598051663</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598052811</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598052836</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598052911</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598052936</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598053601</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598053605</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598053705</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598053760</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598054910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598055130</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598055230</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598055330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058390</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058410</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058430</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058490</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058510</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058530</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058590</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058610</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058630</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058690</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058723</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598058811</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598059960</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060060</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060160</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060230</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060330</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060430</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598060504</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598060511</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598060556</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598060558</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060602</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060702</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060802</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060810</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060811</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060902</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598060911</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598061040</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598061111</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENTERMINE-TOPIR ER 3.75-23MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENTERMINE-TOPIR ER 7.5-46 MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598062630</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 11.25-69</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENTERMINE-TOPIR ER 15-92 MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064318</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064360</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064418</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064460</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064518</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064560</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064611</ndc>
    <ndc_label_name>TREPROSTINIL 50 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064711</ndc>
    <ndc_label_name>TREPROSTINIL 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064811</ndc>
    <ndc_label_name>TREPROSTINIL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598064911</ndc>
    <ndc_label_name>TREPROSTINIL 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598065011</ndc>
    <ndc_label_name>THIOTEPA 15 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598065101</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598065505</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598065530</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598065590</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598065605</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598065630</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598066611</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598066625</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067111</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067201</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067230</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067350</ndc>
    <ndc_label_name>CEFIXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067450</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067451</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598067611</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 50MG/5ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068235</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068325</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068430</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068530</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068660</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598068730</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598069411</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598069711</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598069750</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598069811</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598069858</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598070460</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598070530</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598070601</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598071901</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598071910</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598072001</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598072010</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598072101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598072105</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598072511</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598072525</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598073030</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598073130</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598073230</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598073330</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598073430</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074101</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074130</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074210</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074230</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074290</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074305</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074330</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074390</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074410</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074430</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074490</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074505</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074530</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598074590</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598074672</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 0.5 GM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598074711</ndc>
    <ndc_label_name>TIMOLOL 0.25% GEL-SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598074811</ndc>
    <ndc_label_name>TIMOLOL 0.5% GEL-SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075010</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075011</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075058</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075101</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075105</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075160</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075201</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075205</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075260</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598075360</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075510</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075552</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075710</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075752</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075910</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598075952</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598076402</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598076507</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598076811</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598076823</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077111</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 175 MG/17.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077711</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077730</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077748</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077760</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077811</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077830</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598077860</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598081112</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598081115</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598082314</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598082331</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598082335</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083005</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083090</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083105</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083190</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083205</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083290</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083305</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598083390</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598083911</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598083936</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598084811</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598084858</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085011</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085050</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085130</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085230</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085330</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085430</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085530</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598085630</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598086011</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598086111</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598086360</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598088601</ndc>
    <ndc_label_name>PREDNISONE DR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598088630</ndc>
    <ndc_label_name>PREDNISONE DR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598088701</ndc>
    <ndc_label_name>PREDNISONE DR 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598088730</ndc>
    <ndc_label_name>PREDNISONE DR 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089110</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089116</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089152</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089235</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 180-240 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089330</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089411</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089430</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089511</ndc>
    <ndc_label_name>NITROGLYCERIN 0.2 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089530</ndc>
    <ndc_label_name>NITROGLYCERIN 0.2 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598089630</ndc>
    <ndc_label_name>NITROGLYCERIN 0.1 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598089701</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598089801</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598090111</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598090158</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598090756</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598090856</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091005</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091090</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091406</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091411</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091425</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091711</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091758</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091911</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598091958</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598093109</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598093111</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598093930</ndc>
    <ndc_label_name>TOPIRAMATE ER 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094030</ndc>
    <ndc_label_name>TOPIRAMATE ER 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094130</ndc>
    <ndc_label_name>TOPIRAMATE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094230</ndc>
    <ndc_label_name>TOPIRAMATE ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094330</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094390</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094430</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094490</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094511</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094558</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598094811</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598096111</ndc>
    <ndc_label_name>EDARAVONE 60 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598096530</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598096630</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598096730</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598096830</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598096930</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598097030</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598097511</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598097558</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598097611</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598097658</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598097710</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598098118</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43598098160</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598099910</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598099930</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43598099990</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43684010010</ndc>
    <ndc_label_name>Scalacort 2 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43684010011</ndc>
    <ndc_label_name>Scalacort DK 2 %-2 %-2 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43684020020</ndc>
    <ndc_label_name>Avidoxy 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43684020021</ndc>
    <ndc_label_name>Avidoxy DK 100 mg-2 %-SPF 30 kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43702010040</ndc>
    <ndc_label_name>VITAMIN E WITH VIT A AND D CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43702010054</ndc>
    <ndc_label_name>ALOE VERA 99.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43702011015</ndc>
    <ndc_label_name>ALOE VERA 99.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43744036735</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43744036761</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43820000008</ndc>
    <ndc_label_name>Ulti-Lance kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43820000009</ndc>
    <ndc_label_name>Ulti-Lance misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43820050200</ndc>
    <ndc_label_name>Ultilet Alcohol Swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825000641</ndc>
    <ndc_label_name>Recothrom 5,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825000701</ndc>
    <ndc_label_name>Recothrom 20,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825000741</ndc>
    <ndc_label_name>Recothrom 20,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825020001</ndc>
    <ndc_label_name>Terlivaz 0.85 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825060641</ndc>
    <ndc_label_name>Recothrom 5,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825070741</ndc>
    <ndc_label_name>Recothrom 20,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43825070750</ndc>
    <ndc_label_name>Recothrom Spray Kit 20,000 unit topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900010356</ndc>
    <ndc_label_name>Compleat Ped Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900011642</ndc>
    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900011721</ndc>
    <ndc_label_name>Compleat Pediatric Organic Blends Plant oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900012801</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900013135</ndc>
    <ndc_label_name>Compleat Pediatric Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900013576</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900014010</ndc>
    <ndc_label_name>Compleat 0.05 gram-1.06 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900014180</ndc>
    <ndc_label_name>Compleat 0.05 gram-1.06 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900014240</ndc>
    <ndc_label_name>Compleat Pediatric 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900015167</ndc>
    <ndc_label_name>RESOURCE 2.0 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900015191</ndc>
    <ndc_label_name>Thicken Up Clear oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900015194</ndc>
    <ndc_label_name>THICKEN UP CLEAR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900016972</ndc>
    <ndc_label_name>Boost 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900017509</ndc>
    <ndc_label_name>Compleat Pediatric Standard 1 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018010</ndc>
    <ndc_label_name>RESOURCE 2.0 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018150</ndc>
    <ndc_label_name>Isosource 1.5 Cal 0.07 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018181</ndc>
    <ndc_label_name>Isosource 1.5 Cal 0.07 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018182</ndc>
    <ndc_label_name>Isosource 1.5 Cal 0.07 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018215</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018457</ndc>
    <ndc_label_name>Isosource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018466</ndc>
    <ndc_label_name>Isosource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018480</ndc>
    <ndc_label_name>Isosource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018544</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018555</ndc>
    <ndc_label_name>Fibersource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018582</ndc>
    <ndc_label_name>Fibersource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018588</ndc>
    <ndc_label_name>Fibersource HN 0.05 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018629</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018649</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900018666</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900019270</ndc>
    <ndc_label_name>Compleat Organic Blends Plant oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900019660</ndc>
    <ndc_label_name>ARGINAID EXTRA LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900022510</ndc>
    <ndc_label_name>Resource Thickenup oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900022530</ndc>
    <ndc_label_name>Resource Thickenup oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900022541</ndc>
    <ndc_label_name>Resource Thickenup oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900022872</ndc>
    <ndc_label_name>Compleat Pediatric Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900022910</ndc>
    <ndc_label_name>Impact Advanced Recovery 0.1 gram-1.12 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900023896</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900025675</ndc>
    <ndc_label_name>Compleat Organic Blends Chicken oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028250</ndc>
    <ndc_label_name>Benecalorie 7.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028300</ndc>
    <ndc_label_name>Glutasolve 15 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028330</ndc>
    <ndc_label_name>Glutasolve 15 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028410</ndc>
    <ndc_label_name>Beneprotein 6 gram-25 kcal/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028430</ndc>
    <ndc_label_name>Beneprotein 6 gram-25 kcal/7 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028574</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900028680</ndc>
    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900030609</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033500</ndc>
    <ndc_label_name>Boost Kid Essentials with Fiber 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033511</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033520</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033530</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033540</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033588</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033590</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900033871</ndc>
    <ndc_label_name>Compleat Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900034470</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900034927</ndc>
    <ndc_label_name>Compleat Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900034957</ndc>
    <ndc_label_name>Peptamen 1.5 Cal With Prebio1 0.068 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900034958</ndc>
    <ndc_label_name>Peptamen 1.5 Cal With Prebio1 0.068 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035111</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035118</ndc>
    <ndc_label_name>Compleat Pediatric Standard 1 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035180</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035810</ndc>
    <ndc_label_name>IMPACT 1 CAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035818</ndc>
    <ndc_label_name>IMPACT 1 CAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035980</ndc>
    <ndc_label_name>Arginaid 4.5 gram-156 mg/9.2 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035983</ndc>
    <ndc_label_name>Arginaid 4.5 gram-156 mg/9.2 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035984</ndc>
    <ndc_label_name>Arginaid 4.5 gram-156 mg/9.2 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900035988</ndc>
    <ndc_label_name>Arginaid 4.5 gram-156 mg/9.2 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036159</ndc>
    <ndc_label_name>Peptamen Junior PHGG 0.036 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036250</ndc>
    <ndc_label_name>Vivonex RTF 0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036280</ndc>
    <ndc_label_name>Vivonex RTF 0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036500</ndc>
    <ndc_label_name>Diabetisource AC 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036508</ndc>
    <ndc_label_name>Diabetisource AC 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036582</ndc>
    <ndc_label_name>Diabetisource AC 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900036922</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900037040</ndc>
    <ndc_label_name>Compleat Pediatric 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900037481</ndc>
    <ndc_label_name>OPTISOURCE TABLET CHEWABLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900038074</ndc>
    <ndc_label_name>Compleat Pediatric Reduced Calorie 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900040606</ndc>
    <ndc_label_name>Compleat Pediatric Standard 1 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900040722</ndc>
    <ndc_label_name>Compleat Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900042878</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900043271</ndc>
    <ndc_label_name>Peptamen Intense VHP 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900045805</ndc>
    <ndc_label_name>Tolerex 6.2 gram-300 kcal/80 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900045806</ndc>
    <ndc_label_name>Tolerex 6.2 gram-300 kcal/80 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900046768</ndc>
    <ndc_label_name>Peptamen Junior HP 0.05 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900046908</ndc>
    <ndc_label_name>Compleat Pediatric Organic Blends Chicken oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900047337</ndc>
    <ndc_label_name>Compleat Peptide 0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900047993</ndc>
    <ndc_label_name>Compleat Organic Blends Chicken oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900048211</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900049106</ndc>
    <ndc_label_name>Compleat Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900049322</ndc>
    <ndc_label_name>Peptamen Intense VHP 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900050593</ndc>
    <ndc_label_name>Boost Soothe 0.04 gram-1.27 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900050681</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900054067</ndc>
    <ndc_label_name>Compleat Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900056041</ndc>
    <ndc_label_name>Compleat Pediatric Standard 1 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900056731</ndc>
    <ndc_label_name>Compleat Pediatric 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900057046</ndc>
    <ndc_label_name>ARGINAID EXTRA LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900058276</ndc>
    <ndc_label_name>Boost 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900058541</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900061715</ndc>
    <ndc_label_name>Compleat Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900063763</ndc>
    <ndc_label_name>Compleat Pediatric 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900064583</ndc>
    <ndc_label_name>Boost High Protein 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900064994</ndc>
    <ndc_label_name>Boost Kid Essentials 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900065142</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900066110</ndc>
    <ndc_label_name>Boost Glucose Control 0.07 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900066145</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900066328</ndc>
    <ndc_label_name>Boost Kid Essentials with Fiber 0.04 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900067038</ndc>
    <ndc_label_name>Compleat Pediatric Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900067439</ndc>
    <ndc_label_name>Boost 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900067539</ndc>
    <ndc_label_name>Boost 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900068518</ndc>
    <ndc_label_name>OPTIFAST CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900068560</ndc>
    <ndc_label_name>Boost Breeze Nutritional 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900071274</ndc>
    <ndc_label_name>Vivonex T.E.N. 11.5 gram-300 kcal/80.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900071299</ndc>
    <ndc_label_name>Vivonex Plus 13.5 gram-300 kcal/79.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900071319</ndc>
    <ndc_label_name>Vivonex Pediatric 6 gram-200 kcal/48.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900072395</ndc>
    <ndc_label_name>Peptamen Intense VHP 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900073049</ndc>
    <ndc_label_name>Peptamen Intense VHP 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900074815</ndc>
    <ndc_label_name>Compleat Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900075442</ndc>
    <ndc_label_name>Compleat Pediatric Organic Blends Plant oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900076283</ndc>
    <ndc_label_name>Compleat Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900076469</ndc>
    <ndc_label_name>Compleat Pediatric Peptide 1.5 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900076946</ndc>
    <ndc_label_name>Boost Soothe 0.04 gram-1.27 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900080617</ndc>
    <ndc_label_name>Compleat Ped Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900080643</ndc>
    <ndc_label_name>Compleat Ped Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900080988</ndc>
    <ndc_label_name>Compleat Organic Blends Plant oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900081186</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900083732</ndc>
    <ndc_label_name>Compleat 1.5  0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900083968</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900084642</ndc>
    <ndc_label_name>Compleat Pediatric Organic Blends Chicken oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900088934</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900089434</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900089941</ndc>
    <ndc_label_name>Compleat Ped Standard 1.4 oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900090658</ndc>
    <ndc_label_name>Boost VHC 0.09 gram-2.25 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900091359</ndc>
    <ndc_label_name>Boost Kid Essentials 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900091393</ndc>
    <ndc_label_name>Compleat 1.5  0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900093139</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900093239</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900093338</ndc>
    <ndc_label_name>Boost Plus 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900094139</ndc>
    <ndc_label_name>Boost High Protein 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900094311</ndc>
    <ndc_label_name>Impact Advanced Recovery 0.1 gram-1.12 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900094469</ndc>
    <ndc_label_name>NovaSource Renal 2 Cal 0.09 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097370</ndc>
    <ndc_label_name>Impact Peptide 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097371</ndc>
    <ndc_label_name>Impact Peptide 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097399</ndc>
    <ndc_label_name>Impact Peptide 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097400</ndc>
    <ndc_label_name>Impact Peptide 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097550</ndc>
    <ndc_label_name>Nutrisource Fiber oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097551</ndc>
    <ndc_label_name>Nutrisource Fiber oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097647</ndc>
    <ndc_label_name>Nutrisource Fiber packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43900097648</ndc>
    <ndc_label_name>Nutrisource Fiber packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43913020010</ndc>
    <ndc_label_name>Vencedor-15 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43913020190</ndc>
    <ndc_label_name>McCarnitine 330 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43913040016</ndc>
    <ndc_label_name>G-LEVOCARNITINE 1 G/10 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43913040230</ndc>
    <ndc_label_name>G-Bucal-C 45 mg-30 mg-600 mg/30 mL mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975021710</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975022010</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025205</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025214</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025305</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025314</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025405</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025414</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025505</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025514</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025605</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025614</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975025705</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975027710</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975027810</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975027910</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975028010</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975028110</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975028210</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975028906</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975029006</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975030410</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975030510</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975030610</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975030710</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975030810</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975031008</ndc>
    <ndc_label_name>MIGLUSTAT 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975031083</ndc>
    <ndc_label_name>MIGLUSTAT 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975031510</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032203</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032209</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032250</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032303</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032309</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975032350</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975033110</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975033210</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975033410</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975033510</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975033610</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975034903</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975035003</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975035103</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>43975035203</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>43975044410</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000401</ndc>
    <ndc_label_name>Serostim 4 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000407</ndc>
    <ndc_label_name>Serostim 4 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000501</ndc>
    <ndc_label_name>Serostim 5 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000507</ndc>
    <ndc_label_name>Serostim 5 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000601</ndc>
    <ndc_label_name>Serostim 6 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087000607</ndc>
    <ndc_label_name>Serostim 6 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087001601</ndc>
    <ndc_label_name>Saizen saizenprep 8.8 mg/1.51 mL (final conc.) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087002203</ndc>
    <ndc_label_name>Rebif (with albumin) 22 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087002209</ndc>
    <ndc_label_name>Rebif (with albumin) 22 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087004403</ndc>
    <ndc_label_name>Rebif (with albumin) 44 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087004409</ndc>
    <ndc_label_name>Rebif (with albumin) 44 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087018801</ndc>
    <ndc_label_name>Rebif Rebidose 8.8 mcg/0.2 mL-22 mcg/0.5 mL (6) subcutaneous pen inj.</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087111501</ndc>
    <ndc_label_name>Gonal-F RFF Redi-Ject 300 unit/0.48 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087111601</ndc>
    <ndc_label_name>Gonal-F RFF Redi-Ject 450 unit/0.72 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087111701</ndc>
    <ndc_label_name>Gonal-F RFF Redi-Ject 900 unit/1.44 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087115001</ndc>
    <ndc_label_name>Ovidrel 250 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087122501</ndc>
    <ndc_label_name>Cetrotide 0.25 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087332201</ndc>
    <ndc_label_name>Rebif Rebidose 22 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087332209</ndc>
    <ndc_label_name>Rebif Rebidose 22 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087334401</ndc>
    <ndc_label_name>Rebif Rebidose 44 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087334409</ndc>
    <ndc_label_name>Rebif Rebidose 44 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087353501</ndc>
    <ndc_label_name>Bavencio 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400000</ndc>
    <ndc_label_name>Mavenclad (10 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400004</ndc>
    <ndc_label_name>Mavenclad (4 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400005</ndc>
    <ndc_label_name>Mavenclad (5 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400006</ndc>
    <ndc_label_name>Mavenclad (6 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400007</ndc>
    <ndc_label_name>Mavenclad (7 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400008</ndc>
    <ndc_label_name>Mavenclad (8 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087400009</ndc>
    <ndc_label_name>Mavenclad (9 tablet pack) 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087500003</ndc>
    <ndc_label_name>Tepmetko 225 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087500006</ndc>
    <ndc_label_name>Tepmetko 225 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087882201</ndc>
    <ndc_label_name>Rebif Titration Pack 8.8 mcg/0.2 mL-22 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087900501</ndc>
    <ndc_label_name>Gonal-f RFF 75 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087900506</ndc>
    <ndc_label_name>Gonal-f RFF 75 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087903001</ndc>
    <ndc_label_name>Gonal-F 450 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44087907001</ndc>
    <ndc_label_name>Gonal-F 1,050 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070010</ndc>
    <ndc_label_name>Plexion 9.8 %-4.8 % topical cleanser</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070102</ndc>
    <ndc_label_name>Plexion 9.8 %-4.8 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070201</ndc>
    <ndc_label_name>Plexion Cleansing Cloths 9.8 %-4.8 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070260</ndc>
    <ndc_label_name>Plexion Cleansing Cloths 9.8 %-4.8 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070302</ndc>
    <ndc_label_name>Plexion 9.8 %-4.8 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070401</ndc>
    <ndc_label_name>Vytone 1.9 %-1 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118070430</ndc>
    <ndc_label_name>Vytone 1.9 %-1 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118071208</ndc>
    <ndc_label_name>Plexion NS 9.8 % shampoo</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118080730</ndc>
    <ndc_label_name>DUET DHA 400 COMBO PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44118090290</ndc>
    <ndc_label_name>NATACHEW TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44183010330</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44183010630</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44183085009</ndc>
    <ndc_label_name>SUMATRIPTAN-NAPROXEN 85-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206025105</ndc>
    <ndc_label_name>AlbuRx (Human) 25 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206025110</ndc>
    <ndc_label_name>AlbuRx (Human) 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206025190</ndc>
    <ndc_label_name>AlbuRx (Human) 25 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206025191</ndc>
    <ndc_label_name>AlbuRx (Human) 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206030001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206030010</ndc>
    <ndc_label_name>Rhophylac 1,500 unit (300 mcg)/2 mL injection syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206030090</ndc>
    <ndc_label_name>Rhophylac 1,500 unit (300 mcg)/2 mL injection syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206031025</ndc>
    <ndc_label_name>AlbuRx (Human) 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206031050</ndc>
    <ndc_label_name>AlbuRx (Human) 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206031090</ndc>
    <ndc_label_name>AlbuRx (Human) 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206031091</ndc>
    <ndc_label_name>AlbuRx (Human) 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043605</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043690</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043710</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043791</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043820</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043892</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043940</ndc>
    <ndc_label_name>Privigen 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206043993</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045101</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045190</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045202</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045291</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045404</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045492</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045593</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045597</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045621</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045694</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045722</ndc>
    <ndc_label_name>Hizentra 2 gram/10 mL (20 %) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045795</ndc>
    <ndc_label_name>Hizentra 2 gram/10 mL (20 %) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045824</ndc>
    <ndc_label_name>Hizentra 4 gram/20 mL (20 %) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44206045896</ndc>
    <ndc_label_name>Hizentra 4 gram/20 mL (20 %) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44224006772</ndc>
    <ndc_label_name>Natrapel 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44224006878</ndc>
    <ndc_label_name>Natrapel 20 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229030760</ndc>
    <ndc_label_name>SODIUM CHLORIDE 7% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229031065</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229041086</ndc>
    <ndc_label_name>Filters Replacement</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229044084</ndc>
    <ndc_label_name>Pari Bubbles Pediatric Aerosol Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229051047</ndc>
    <ndc_label_name>Vortex Holding Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229051049</ndc>
    <ndc_label_name>Vortex VHC Pediatric Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229067846</ndc>
    <ndc_label_name>Lamira Nebulizer System (for Arikayce)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44229078906</ndc>
    <ndc_label_name>SmartMask Baby with Elbow</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523005401</ndc>
    <ndc_label_name>TIOPRONIN DR 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523005501</ndc>
    <ndc_label_name>TIOPRONIN DR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44523012016</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523015601</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44523018208</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH 25 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44523041001</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44523041501</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523045012</ndc>
    <ndc_label_name>TINIDAZOLE 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523045020</ndc>
    <ndc_label_name>TINIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523051008</ndc>
    <ndc_label_name>SOD SULFACETAMIDE 10% SHAMPOO</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523052002</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% CRM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523053502</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-2% CRM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523054202</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% CRM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523055008</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-2% CLSR</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523056006</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523056008</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523056812</ndc>
    <ndc_label_name>SOD SULFACETAM 10% CLNSNG GEL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060002</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060201</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060301</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060401</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% SUS</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060516</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060701</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523060702</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523061306</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44523082501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567010010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567010210</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567010401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567013010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567013110</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567014501</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567014510</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567014601</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567014610</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567015010</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567021010</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567021110</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567021201</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567022110</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567022210</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567022301</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567023525</ndc>
    <ndc_label_name>CEFTAZIDIME 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567023610</ndc>
    <ndc_label_name>CEFTAZIDIME 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567023706</ndc>
    <ndc_label_name>CEFTAZIDIME 6 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567024010</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567024110</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567024525</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567024625</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567024710</ndc>
    <ndc_label_name>CEFOXITIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567031110</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567031201</ndc>
    <ndc_label_name>PENICILLIN GK 20 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040001</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040010</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040101</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040110</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040201</ndc>
    <ndc_label_name>MEROPENEM 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567040206</ndc>
    <ndc_label_name>MEROPENEM 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567041024</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567042000</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567042024</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567042100</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567042124</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567042424</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567043524</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567043624</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567043724</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567045001</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567045010</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567045101</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567045110</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050001</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 250 MG/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050010</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 250 MG/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050101</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050102</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050110</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050190</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050201</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050210</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050301</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050310</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050501</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050601</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567050901</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567051001</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567051101</ndc>
    <ndc_label_name>CISPLATIN 200 MG/200 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567053001</ndc>
    <ndc_label_name>CISPLATIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567060004</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 400 MCG/4 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567060104</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 1,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567060224</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 200MCG/50ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567060324</ndc>
    <ndc_label_name>DEXMEDETOMIDN 400MCG/100ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567061001</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567061010</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567061101</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567061110</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062001</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062002</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062024</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062084</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062101</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062102</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062124</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062184</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062201</ndc>
    <ndc_label_name>CALCIUM GLU 1,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062224</ndc>
    <ndc_label_name>CALCIUM GLU 1,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062301</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567062310</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064001</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064010</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064101</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064110</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064201</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064210</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064301</ndc>
    <ndc_label_name>NOREPINEPH 32 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567064310</ndc>
    <ndc_label_name>NOREPINEPH 32 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567066201</ndc>
    <ndc_label_name>DILTIAZEM 100MG/100ML-NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567066210</ndc>
    <ndc_label_name>DILTIAZEM 100MG/100ML-NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070025</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070125</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070195</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070225</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070295</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070301</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070510</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070625</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070725</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567070810</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567075001</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567075024</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567080210</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567080310</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567080401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567085101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44567085112</ndc>
    <ndc_label_name>NICARDIPINE 40 MG/200 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677010020</ndc>
    <ndc_label_name>Lanolin (HPA) 100 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677010030</ndc>
    <ndc_label_name>Lanolin (HPA) 100 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677010202</ndc>
    <ndc_label_name>Lanolin (HPA) 100 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677010232</ndc>
    <ndc_label_name>Lanolin (HPA) 100 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677023100</ndc>
    <ndc_label_name>Organic Nipple Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677023122</ndc>
    <ndc_label_name>Organic Nipple Balm topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677053350</ndc>
    <ndc_label_name>Smart Pump 3.0 Double Electric BreastPump Lifestyle Set device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677053351</ndc>
    <ndc_label_name>Smart Pump 3.0 Rechargeable Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44677053750</ndc>
    <ndc_label_name>Wearable Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717397610</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717397630</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717397650</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717397670</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717836110</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717836130</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717836150</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44717836170</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44827030301</ndc>
    <ndc_label_name>Dehydrated Alcohol 98 % injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010180</ndc>
    <ndc_label_name>Omega-3 (with docosapentaenoic acid) 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010182</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010183</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010184</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010192</ndc>
    <ndc_label_name>Ocean Blue Omega-3 350 mg-100 mg-225 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010392</ndc>
    <ndc_label_name>Ocean Blue Omega-3 Plus D3 350 mg-1,000 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010542</ndc>
    <ndc_label_name>Omega Power 1,050 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946010544</ndc>
    <ndc_label_name>Omega Power 1,050 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946100803</ndc>
    <ndc_label_name>Ludent Fluoride 0.25 mg fluoride (0.55 mg sod.fluorid) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946100903</ndc>
    <ndc_label_name>Ludent Fluoride 0.5 mg fluoride (1.1 mg sod.fluoride) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946100909</ndc>
    <ndc_label_name>Ludent Fluoride 0.5 mg fluoride (1.1 mg sod.fluoride) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946101003</ndc>
    <ndc_label_name>Ludent Fluoride 1 mg fluoride (2.2 mg sodium fluoride) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946101800</ndc>
    <ndc_label_name>Omega-3 (with docosapentaenoic acid) 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946101802</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946101803</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946101804</ndc>
    <ndc_label_name>Omega-3 2100 1,050 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946102005</ndc>
    <ndc_label_name>Mvc-Fluoride 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946102105</ndc>
    <ndc_label_name>Mvc-Fluoride 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946102205</ndc>
    <ndc_label_name>Mvc-Fluoride 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946103208</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946103508</ndc>
    <ndc_label_name>Tri-Vitamin With Fluoride 0.25 mg fluoride (0.55 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946103608</ndc>
    <ndc_label_name>Tri-Vitamin With Fluoride 0.5 mg fluoride (1.1 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946104105</ndc>
    <ndc_label_name>PreNata 29 mg iron-1 mg chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946104501</ndc>
    <ndc_label_name>Prenatal Plus (calcium carbonate) 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946104504</ndc>
    <ndc_label_name>Prenatal Plus (calcium carbonate) 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946104509</ndc>
    <ndc_label_name>Prenatal Plus (calcium carbonate) 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>44946200106</ndc>
    <ndc_label_name>Prenatal Plus DHA 27 mg iron-1 mg-312 mg-250 mg oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946201608</ndc>
    <ndc_label_name>Multi-Vit with Fluoride and Iron 0.25 mg-10 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946201708</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>44946201808</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45043000102</ndc>
    <ndc_label_name>Cholbam 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45043000202</ndc>
    <ndc_label_name>Cholbam 250 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45146011002</ndc>
    <ndc_label_name>Orabloc 4 %-1:100,000 injection cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45291050766</ndc>
    <ndc_label_name>Vivonex Pediatric 12 gram-412 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334010016</ndc>
    <ndc_label_name>Robathol topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334020012</ndc>
    <ndc_label_name>Free and Clear shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334030001</ndc>
    <ndc_label_name>Vanicream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334030004</ndc>
    <ndc_label_name>Vanicream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334030016</ndc>
    <ndc_label_name>Vanicream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334030040</ndc>
    <ndc_label_name>Vanicream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334031008</ndc>
    <ndc_label_name>Vanicream Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334031016</ndc>
    <ndc_label_name>Vanicream Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45334032702</ndc>
    <ndc_label_name>Vanicream HC 1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334039033</ndc>
    <ndc_label_name>Vanicream Z-Bar 2 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45334039101</ndc>
    <ndc_label_name>Vanicream Z-Bar 2 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45565071020</ndc>
    <ndc_label_name>Sulfo-Lo 3 % Bar</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>INDIUM IN-111 CL-PENTETREOTIDE</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Elasto-Gel 8" X 16" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Elasto-Gel Cast-Splint Padding 4" X 4" bandage</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BIONEL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737021416</ndc>
    <ndc_label_name>BIOTECT PLUS LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737022116</ndc>
    <ndc_label_name>Biodesp DM 5 mg-15 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Biopetit 790 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Biopetit 790 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737024916</ndc>
    <ndc_label_name>Biocof 10 mg-20 mg-400 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737025016</ndc>
    <ndc_label_name>Bio-Rytuss 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737025116</ndc>
    <ndc_label_name>Bio-Z-Cough 20 mg-400 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737040260</ndc>
    <ndc_label_name>Biotect Plus 500 mcg-15 mg-25 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737040360</ndc>
    <ndc_label_name>Biocal 500 mg-100 unit-45 mg-800 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737040660</ndc>
    <ndc_label_name>Bioflex 500 mg-50 mg-25 mg-40 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45737040860</ndc>
    <ndc_label_name>Biocel (with Lutein) 800 mcg-250 mcg-750 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737040916</ndc>
    <ndc_label_name>LIQUID-C 1,000 MG/15 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45737041110</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737041330</ndc>
    <ndc_label_name>Biotinex 700 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45737070104</ndc>
    <ndc_label_name>Biodcream 15.25 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45749010005</ndc>
    <ndc_label_name>Proxeed Plus 200 mcg-1 gram-0.5 gram-50 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802000402</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802000403</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802000910</ndc>
    <ndc_label_name>FLUOCINOLONE OIL 0.01% EAR DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802001402</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802001405</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802001814</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802001894</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802002146</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802002683</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802003846</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004064</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.5% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004201</ndc>
    <ndc_label_name>Clindesse 2 % vaginal cream,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802004475</ndc>
    <ndc_label_name>ACYCLOVIR 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802004501</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.147 MG/G SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802004502</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.147 MG/G SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004611</ndc>
    <ndc_label_name>GENTAMICIN 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004635</ndc>
    <ndc_label_name>GENTAMICIN 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004811</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004835</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802004935</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802005301</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802005302</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005405</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005435</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005436</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005505</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005535</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005536</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005611</ndc>
    <ndc_label_name>GENTAMICIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005635</ndc>
    <ndc_label_name>GENTAMICIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005705</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005911</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802005935</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006000</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006001</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006003</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006070</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006305</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006335</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006336</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006405</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006435</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006436</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802006535</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802006601</ndc>
    <ndc_label_name>AZELASTIN-FLUTIC 137-50MCG SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802007830</ndc>
    <ndc_label_name>BRIMONIDINE 0.33% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802008765</ndc>
    <ndc_label_name>ALOGLIPTIN 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802008801</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802008901</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802008902</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802009735</ndc>
    <ndc_label_name>ESTRADIOL 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802009828</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802009846</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802009851</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802010196</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 2.5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802010284</ndc>
    <ndc_label_name>IVERMECTIN 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802010365</ndc>
    <ndc_label_name>ALOGLIPTIN 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802010401</ndc>
    <ndc_label_name>OLOPATADINE 665 MCG NASAL SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802010752</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802010901</ndc>
    <ndc_label_name>TRIAMCINOLONE 55 MCG NASAL SPR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802011101</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011214</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011222</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011846</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011859</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011937</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802011942</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012246</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012260</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012265</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802012416</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802012464</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012801</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012932</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802012935</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013132</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013135</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802013326</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013401</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013430</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013811</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013818</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802013835</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802013970</ndc>
    <ndc_label_name>METRONIDAZOLE VAGINAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014026</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014167</ndc>
    <ndc_label_name>CICLOPIROX 8% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014300</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014301</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014303</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014370</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802014464</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 1%-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014753</ndc>
    <ndc_label_name>CETIRIZINE-PSE ER 5-120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802014762</ndc>
    <ndc_label_name>CETIRIZINE-PSE ER 5-120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802015065</ndc>
    <ndc_label_name>ALOGLIPTIN 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802015153</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802015194</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802015196</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802016000</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802016972</ndc>
    <ndc_label_name>ALOGLIPTIN-METFORMIN 12.5-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802017453</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802018816</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802020126</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802020201</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802020230</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802020326</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802021001</ndc>
    <ndc_label_name>NITROGLYCERIN 400 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802021002</ndc>
    <ndc_label_name>NITROGLYCERIN 400 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802021172</ndc>
    <ndc_label_name>ALOGLIPTIN-METFORMIN 12.5-1000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802021601</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802021696</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022111</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022135</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022137</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.005% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022211</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022235</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802022237</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802024414</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802024494</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802024496</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802025735</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802025742</ndc>
    <ndc_label_name>MOMETASONE FUROATE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802026065</ndc>
    <ndc_label_name>ALOGLIPTIN-PIOGLIT 12.5-30 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802026337</ndc>
    <ndc_label_name>CLINDAMYCIN PHOS 1% PLEDGET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802026937</ndc>
    <ndc_label_name>PERMETHRIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802027603</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802028001</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802028034</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 5% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802028103</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802028139</ndc>
    <ndc_label_name>TESTOSTERONE 1.62%(1.25 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802030801</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802030896</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802031001</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802031030</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802031801</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802031834</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802034403</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802034405</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802035165</ndc>
    <ndc_label_name>ALOGLIPTIN-PIOGLIT 25-15 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802035758</ndc>
    <ndc_label_name>Saline Mist 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802035803</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802036602</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802036665</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% (2.5 G) PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802036800</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802036853</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802036862</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802037632</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802037635</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802038301</ndc>
    <ndc_label_name>CLINDAMYC-BNZ PEROX 1.2-3.75%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802039000</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802039001</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802039002</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802039601</ndc>
    <ndc_label_name>Gynazole-1 2 % vaginal cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802040046</ndc>
    <ndc_label_name>CICLOPIROX 0.77% TOPICAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802040049</ndc>
    <ndc_label_name>CICLOPIROX 0.77% TOPICAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802040109</ndc>
    <ndc_label_name>CICLOPIROX 1% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802040265</ndc>
    <ndc_label_name>ALOGLIPTIN-PIOGLIT 25-30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802041059</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802041926</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802041954</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802042335</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802042337</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043262</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043321</ndc>
    <ndc_label_name>DEXTROMETHORPHAN ER 30 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043401</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043411</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802043601</ndc>
    <ndc_label_name>TAZAROTENE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802043694</ndc>
    <ndc_label_name>TAZAROTENE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802043732</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802043733</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043803</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802043805</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802044075</ndc>
    <ndc_label_name>PENCICLOVIR 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802044102</ndc>
    <ndc_label_name>FLUTICASONE PROP 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802044201</ndc>
    <ndc_label_name>TAZAROTENE 0.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802044294</ndc>
    <ndc_label_name>TAZAROTENE 0.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802045201</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802045230</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802045384</ndc>
    <ndc_label_name>ADAPALENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802046564</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802046611</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802046635</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802046653</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802047201</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802047253</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802047264</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802047265</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802048526</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802048678</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049071</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049075</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049100</ndc>
    <ndc_label_name>CYANOCOBALAMIN 500 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049184</ndc>
    <ndc_label_name>CYANOCOBALAMIN 500 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049326</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049338</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049383</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802049398</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049535</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049537</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049614</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049696</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802049965</ndc>
    <ndc_label_name>ALOGLIPTIN-PIOGLIT 25-45 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802050514</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802050584</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802050702</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802050704</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802050901</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802051003</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802051377</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802052526</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802052555</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802053232</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802053233</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802056201</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802056202</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802057301</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802057330</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802057800</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802057824</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802057884</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802058001</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802058046</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802058062</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802058084</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802059701</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PERO 1.2-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802059800</ndc>
    <ndc_label_name>SUMATRIPTAN 20 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802059806</ndc>
    <ndc_label_name>SUMATRIPTAN 20 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802060801</ndc>
    <ndc_label_name>CALCITRIOL 3 MCG/G OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802061001</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802061900</ndc>
    <ndc_label_name>SUMATRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802061906</ndc>
    <ndc_label_name>SUMATRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802062626</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802062701</ndc>
    <ndc_label_name>BUDESONIDE 2 MG RECTAL FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802062786</ndc>
    <ndc_label_name>BUDESONIDE 2 MG RECTAL FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802063732</ndc>
    <ndc_label_name>CLOBETASOL EMOLLNT 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802063733</ndc>
    <ndc_label_name>CLOBETASOL EMOLLNT 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802065065</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802065075</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802065078</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802065087</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802065125</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802066032</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802066033</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802068028</ndc>
    <ndc_label_name>LEVOCETIRIZINE 2.5 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802070000</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802070001</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802070002</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802070694</ndc>
    <ndc_label_name>TAZAROTENE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802070696</ndc>
    <ndc_label_name>TAZAROTENE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802071100</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802071191</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802071700</ndc>
    <ndc_label_name>TERCONAZOLE 80 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802071708</ndc>
    <ndc_label_name>TERCONAZOLE 80 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073000</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073030</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073032</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073033</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073200</ndc>
    <ndc_label_name>ACETAMINOPHEN 120 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073230</ndc>
    <ndc_label_name>ACETAMINOPHEN 120 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073233</ndc>
    <ndc_label_name>ACETAMINOPHEN 120 MG SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802073684</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PEROX 1.2-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802075401</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802075800</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802075830</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802075900</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802075930</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802076115</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802076130</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802076160</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802080798</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802081601</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802081696</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802081701</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802082725</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802084601</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.1-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802084778</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802085345</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802086800</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802086801</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802086802</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802086803</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802086866</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802087303</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802087305</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802087801</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802087802</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802087803</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088014</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088094</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088096</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088726</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802088830</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802088855</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088918</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802088996</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802089626</ndc>
    <ndc_label_name>SULFACETAMIDE SOD 10% TOP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802089734</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802090094</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802090096</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802091939</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802091987</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802092341</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802092514</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802092594</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802092596</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802092803</ndc>
    <ndc_label_name>FLURANDRENOLIDE 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802092949</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802093716</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802093726</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802095226</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802095243</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802095301</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802095701</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802095702</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802096126</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802096272</ndc>
    <ndc_label_name>Ery Pads 2 % topical swab</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802096694</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802096696</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45802097426</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802099602</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45802099701</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000000</ndc>
    <ndc_label_name>CIDAFLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000001</ndc>
    <ndc_label_name>CIDATRINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000006</ndc>
    <ndc_label_name>SINTRALYNE-PM CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000101</ndc>
    <ndc_label_name>MEDROX OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000160</ndc>
    <ndc_label_name>MEDROX OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000200</ndc>
    <ndc_label_name>ALBA-DERM CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000301</ndc>
    <ndc_label_name>MENTHODERM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000360</ndc>
    <ndc_label_name>MENTHODERM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000405</ndc>
    <ndc_label_name>MEDROX PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000501</ndc>
    <ndc_label_name>MEDROX-RX OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000615</ndc>
    <ndc_label_name>ENDOXCIN 4%-1% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861000630</ndc>
    <ndc_label_name>ENDOXCIN 4%-1% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861001100</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861001200</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001405</ndc>
    <ndc_label_name>MEDROX 0.0375%-5% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001601</ndc>
    <ndc_label_name>LENZAGEL 4%-1%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001705</ndc>
    <ndc_label_name>LENZAPATCH 4%-1%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001800</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001805</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001812</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001824</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001848</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001896</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001901</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001905</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001912</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001924</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001948</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001995</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861001996</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002001</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002005</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002010</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002012</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002024</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002093</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002094</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002095</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002096</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002101</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002105</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002112</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002115</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002124</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002194</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002196</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002198</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002201</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002205</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002210</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002292</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002293</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002294</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002295</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002301</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002305</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002310</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002320</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002395</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002401</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002405</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002412</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002492</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002493</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002494</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002495</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002496</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002501</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002505</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002601</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002685</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002692</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002693</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002695</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002701</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002785</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002792</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002793</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002795</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002873</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002891</ndc>
    <ndc_label_name>FLUTICASONE PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002980</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002985</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861002991</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003085</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003091</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003280</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003292</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003310</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003380</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003393</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003394</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003395</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003398</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003400</ndc>
    <ndc_label_name>STERA BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003573</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003580</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003592</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003594</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003595</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003596</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003598</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003680</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003685</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003773</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003780</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003880</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003980</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861003985</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004173</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004180</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004280</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004285</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004380</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004385</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Q-DERM BASE CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861004885</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861006560</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861006701</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861006901</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007001</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007101</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007303</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007404</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007505</ndc>
    <ndc_label_name>CAPSAICIN 0.075% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007601</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007803</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861007910</ndc>
    <ndc_label_name>SENNOSIDES 8.6 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008010</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008110</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008206</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008305</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008306</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861008501</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861009907</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861009908</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861009909</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861010201</ndc>
    <ndc_label_name>NAPROXEN 500 MG KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861010801</ndc>
    <ndc_label_name>ACTIVE-PAC KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45861013301</ndc>
    <ndc_label_name>ACTIVE INJECTION KIT D</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45861020160</ndc>
    <ndc_label_name>DOCUPRENE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963014205</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963014230</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963014290</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963030309</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963030409</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963030509</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034102</ndc>
    <ndc_label_name>DESIPRAMINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034202</ndc>
    <ndc_label_name>DESIPRAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034302</ndc>
    <ndc_label_name>DESIPRAMINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034402</ndc>
    <ndc_label_name>DESIPRAMINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034502</ndc>
    <ndc_label_name>DESIPRAMINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963034650</ndc>
    <ndc_label_name>DESIPRAMINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963041806</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963041906</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963043864</ndc>
    <ndc_label_name>Enulose 10 gram/15 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963043963</ndc>
    <ndc_label_name>Constulose 10 gram/15 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963043965</ndc>
    <ndc_label_name>Constulose 10 gram/15 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963045430</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963045530</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963045630</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963047903</ndc>
    <ndc_label_name>ALOSETRON HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963048003</ndc>
    <ndc_label_name>ALOSETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963053830</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963053930</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055511</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055550</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055611</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055650</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055711</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963055750</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056508</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056530</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056608</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056630</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056708</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056730</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056808</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963056830</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963060755</ndc>
    <ndc_label_name>VINORELBINE 10 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963060756</ndc>
    <ndc_label_name>VINORELBINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963060955</ndc>
    <ndc_label_name>FLUDARABINE 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963061451</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963061556</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963067611</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963067696</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963068602</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963068749</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>45963070996</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>45963073355</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Geritol Tonic with Ferrex 18 2.5 mg-50 mg-18 mg iron/15 mL oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Geritol Complete 16 mg iron-0.38 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Geritol Tonic with Ferrex 18 2.5 mg-50 mg-18 mg iron/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Geritol Complete 16 mg iron-0.38 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vivarin 200 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Contac Cold-Flu Max Strength 2 mg-5 mg-500 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46017002499</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Unifiber 80 % oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MIDNITE PM CHEWABLE TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Midnite for Menopause 1.5 mg-15 mg-22 mcg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Balneol lotion</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122001452</ndc>
    <ndc_label_name>ClearLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122001471</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122002026</ndc>
    <ndc_label_name>CHILD ALL DAY ALLERGY 1 MG/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122002903</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122002904</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122002974</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122002999</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122004203</ndc>
    <ndc_label_name>Infant Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122004378</ndc>
    <ndc_label_name>ALCOHOL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122005603</ndc>
    <ndc_label_name>Infant Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122005762</ndc>
    <ndc_label_name>Tussin 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122005862</ndc>
    <ndc_label_name>Tussin DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122006143</ndc>
    <ndc_label_name>Dry Mouth mouthwash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122006271</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122006665</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122006765</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 6.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122006965</ndc>
    <ndc_label_name>Vitamin C Drops 60 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122007065</ndc>
    <ndc_label_name>Throat Drops 2.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122007606</ndc>
    <ndc_label_name>GNP CALCIUM 500-VIT D3 600 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122007698</ndc>
    <ndc_label_name>GNP CALCIUM 500-VIT D3 600 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122007772</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122008172</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122008176</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122008278</ndc>
    <ndc_label_name>Cal Mag Zinc Plus D3 333 mg-133 unit-133 mg-5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122008365</ndc>
    <ndc_label_name>iron ER 159 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122008402</ndc>
    <ndc_label_name>iron 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122008872</ndc>
    <ndc_label_name>Children's Chewable Complete 9 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122008972</ndc>
    <ndc_label_name>Children's Chewables 300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009072</ndc>
    <ndc_label_name>Children's Chewables Extra C 300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009272</ndc>
    <ndc_label_name>Healthy Eyes 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122009372</ndc>
    <ndc_label_name>Healthy Eyes SuperVision 4,296 mcg-226 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009475</ndc>
    <ndc_label_name>Mega Multivitamin For Men 200 mcg-175 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009575</ndc>
    <ndc_label_name>Mega Multi for Women 13.5 mg-200 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009678</ndc>
    <ndc_label_name>One Daily 0.4 mg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122009771</ndc>
    <ndc_label_name>One Daily Women's Metabolism 300 mg-18 mg-400 mcg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122009878</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122010006</ndc>
    <ndc_label_name>Natural Fiber Laxative 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122010126</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122010846</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122011203</ndc>
    <ndc_label_name>CAPSAICIN 0.15% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122011321</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122011421</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122011978</ndc>
    <ndc_label_name>One Daily Plus Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012002</ndc>
    <ndc_label_name>One Daily Essential 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012078</ndc>
    <ndc_label_name>One Daily Essential tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012085</ndc>
    <ndc_label_name>One Daily Essential tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012271</ndc>
    <ndc_label_name>One Daily Men's 50 Plus Memory Support 400 mcg-600 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012378</ndc>
    <ndc_label_name>One Daily Women's Health 18 mg iron-400 mcg-450 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122012471</ndc>
    <ndc_label_name>One Daily Women 50 Plus 400 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122013165</ndc>
    <ndc_label_name>Children's Easy-Melts 80 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122013248</ndc>
    <ndc_label_name>Best Fiber 3 gram/3.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122013365</ndc>
    <ndc_label_name>Children's Easy-Melts 80 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122013634</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122013734</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122013743</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122014121</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122014125</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122014762</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122014866</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122014903</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122015078</ndc>
    <ndc_label_name>Antacid Extra Strength (mag carb-Al hyd) 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122015175</ndc>
    <ndc_label_name>Antacid Anti-Gas (calcium carb-simeth) 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122016510</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122016660</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122016752</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017125</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017225</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017320</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017360</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017420</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017460</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017608</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122017708</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122019834</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122019840</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122020326</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122020565</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122020926</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122021026</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122021126</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122021426</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122022163</ndc>
    <ndc_label_name>GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122022171</ndc>
    <ndc_label_name>GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122022263</ndc>
    <ndc_label_name>GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122022575</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122024403</ndc>
    <ndc_label_name>Antibiotic Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122024562</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122024778</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122024905</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122025415</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122025515</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122025560</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122026530</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122027830</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122028104</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122028174</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122028460</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122028660</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122029626</ndc>
    <ndc_label_name>Nausea Relief oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122029926</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122029934</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122031278</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122032226</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122032943</ndc>
    <ndc_label_name>ETHYL RUBBING ALCOHOL 70% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122033243</ndc>
    <ndc_label_name>GNP ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122033443</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122033543</ndc>
    <ndc_label_name>GNP WITCH HAZEL 86% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122033765</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122033802</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122033805</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122035274</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122035374</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122035474</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122035626</ndc>
    <ndc_label_name>Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122036229</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122037130</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122038278</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122038322</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122038576</ndc>
    <ndc_label_name>24 Hour Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122038976</ndc>
    <ndc_label_name>BUDESONIDE 32 MCG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122039078</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122039272</ndc>
    <ndc_label_name>Medicated Relief 3.1 %-10 %-6 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122039465</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122039475</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122039516</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122040662</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122040962</ndc>
    <ndc_label_name>Cold Head Congestion Nighttime 2 mg-5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122041062</ndc>
    <ndc_label_name>Cold Max Daytime 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122041162</ndc>
    <ndc_label_name>Cold Max Day-Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122041262</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122041403</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122041405</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122041562</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122041660</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122041862</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042326</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042462</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042589</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122042660</ndc>
    <ndc_label_name>Cough Gels (DM) 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042762</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042861</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042862</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122042963</ndc>
    <ndc_label_name>Women's Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043078</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043140</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043240</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043340</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043440</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043540</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043640</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122043740</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044062</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044078</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044162</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044262</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122044362</ndc>
    <ndc_label_name>Sinus Pain-Pressure (PE) 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044427</ndc>
    <ndc_label_name>Miconazorb AF 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044858</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122044958</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122045021</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122045462</ndc>
    <ndc_label_name>Sinus and Allergy PE 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122045514</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122045671</ndc>
    <ndc_label_name>Pain Relief PM (w-aspirin) 250 mg-250 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122045773</ndc>
    <ndc_label_name>Alertness Aid 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122045965</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122046143</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122046222</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122046261</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122046265</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122046275</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122052413</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122052623</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122052963</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122052978</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053105</ndc>
    <ndc_label_name>Allergy Relief (levocetirizine) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053152</ndc>
    <ndc_label_name>Allergy Relief (levocetirizine) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053161</ndc>
    <ndc_label_name>Allergy Relief (levocetirizine) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053460</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053551</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053653</ndc>
    <ndc_label_name>Motion Sickness Relief 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053952</ndc>
    <ndc_label_name>LORATADINE 10 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122053965</ndc>
    <ndc_label_name>GNP LORATADINE 10 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122054134</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122054426</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122054703</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122054890</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122055153</ndc>
    <ndc_label_name>Urinary Pain Relief 97.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122055246</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122055528</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122055605</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122055705</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056258</ndc>
    <ndc_label_name>GNP NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056271</ndc>
    <ndc_label_name>GNP NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056278</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056471</ndc>
    <ndc_label_name>GNP NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056478</ndc>
    <ndc_label_name>GNP NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056481</ndc>
    <ndc_label_name>GNP NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056803</ndc>
    <ndc_label_name>GNP NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122056807</ndc>
    <ndc_label_name>GNP NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122057246</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122057310</ndc>
    <ndc_label_name>Anti-Itch (menthol-camphor) 0.5 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122057421</ndc>
    <ndc_label_name>GNP LIDOCAINE-MENTHOL PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122057578</ndc>
    <ndc_label_name>Senna Lax 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122057702</ndc>
    <ndc_label_name>GNP MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122058055</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122058058</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122058162</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059341</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG MINI SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059360</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG MINI SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059602</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059762</ndc>
    <ndc_label_name>Sinus and Allergy PE 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059848</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122059887</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122060205</ndc>
    <ndc_label_name>Eye Drops Relief 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122060305</ndc>
    <ndc_label_name>Redness Relief 0.03 %-0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122060505</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122060605</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122060705</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122060851</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061363</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061410</ndc>
    <ndc_label_name>GNP LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061576</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061587</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061604</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061762</ndc>
    <ndc_label_name>GNP IBUPROFEN 100 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122061862</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122061941</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062062</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122062262</ndc>
    <ndc_label_name>Antibacterial-Urinary Pain Relief 162 mg-162.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062572</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062662</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122062853</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122062862</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062962</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062971</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062978</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122062981</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063071</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063078</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063262</ndc>
    <ndc_label_name>GNP IBUPROFEN 100 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063378</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063703</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063774</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122063934</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064104</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064513</ndc>
    <ndc_label_name>Medicated Relief 3.1 %-10 %-6 % topical patch (large)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122064654</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064705</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064803</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064804</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122064874</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065068</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065162</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065178</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122065203</ndc>
    <ndc_label_name>GNP LIDOCAINE ANORECTAL 5% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065625</ndc>
    <ndc_label_name>First Aid Antiseptic (lidoc-benzalk) 2.5 %-0.13 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065721</ndc>
    <ndc_label_name>Cold Therapy (menthol) 10.5 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065862</ndc>
    <ndc_label_name>Sinus Headache PE 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122065936</ndc>
    <ndc_label_name>Hand Wash 2 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122066062</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122066160</ndc>
    <ndc_label_name>Sinus-Headache Day-Night 2 mg-5 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122066272</ndc>
    <ndc_label_name>Anti-Gas Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122066315</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122066515</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122066678</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122066978</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067078</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067127</ndc>
    <ndc_label_name>GNP OLOPATADINE 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067264</ndc>
    <ndc_label_name>GNP OLOPATADINE 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067426</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067646</ndc>
    <ndc_label_name>GNP ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067746</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122067862</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068107</ndc>
    <ndc_label_name>GNP DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068374</ndc>
    <ndc_label_name>Mucus-ER MAX 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068429</ndc>
    <ndc_label_name>GNP FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068435</ndc>
    <ndc_label_name>GNP FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068526</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122068603</ndc>
    <ndc_label_name>GNP OMEPRAZOLE MAG DR 20 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068772</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122068878</ndc>
    <ndc_label_name>Stool Softener (docusate calcium) 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122068903</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069078</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069178</ndc>
    <ndc_label_name>GNP ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069272</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069278</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069285</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069378</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069465</ndc>
    <ndc_label_name>GNP FEXOFENADINE-PSE ER 60-120</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122069572</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069662</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122069726</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069804</ndc>
    <ndc_label_name>GNP LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069874</ndc>
    <ndc_label_name>GNP LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122069962</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122070071</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070165</ndc>
    <ndc_label_name>Pink Bismuth 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070278</ndc>
    <ndc_label_name>Senna Lax 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070326</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070426</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070434</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122070573</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070762</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070771</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070778</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070841</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122070860</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122071260</ndc>
    <ndc_label_name>Mucus Relief Severe Sinus Congestion 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122071321</ndc>
    <ndc_label_name>Arthritis 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071426</ndc>
    <ndc_label_name>GNP PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071427</ndc>
    <ndc_label_name>GNP PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071560</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071615</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071660</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071760</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071860</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122071960</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122072025</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122072425</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122072571</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122072626</ndc>
    <ndc_label_name>GNP VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122072926</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073115</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073116</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073208</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073262</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073360</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073408</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073462</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073565</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073575</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122073603</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122073604</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122073674</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073763</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073771</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073853</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073862</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073903</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073904</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122073974</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074038</ndc>
    <ndc_label_name>GNP MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074138</ndc>
    <ndc_label_name>GNP MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122074268</ndc>
    <ndc_label_name>GNP ACETAMIN-IBUPROFN 250-125</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122074327</ndc>
    <ndc_label_name>Cool 'N Heat 16 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074404</ndc>
    <ndc_label_name>GNP LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074474</ndc>
    <ndc_label_name>GNP LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122074531</ndc>
    <ndc_label_name>Calamine Plus (pramoxine-calamine) 1 %-8 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074706</ndc>
    <ndc_label_name>Pink Bismuth 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074876</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122074976</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075051</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122075145</ndc>
    <ndc_label_name>Pain Relieving (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075237</ndc>
    <ndc_label_name>GNP DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075252</ndc>
    <ndc_label_name>GNP DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075253</ndc>
    <ndc_label_name>GNP DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122075355</ndc>
    <ndc_label_name>GNP CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122075429</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075656</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075737</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122075829</ndc>
    <ndc_label_name>Multi-Symptom Relief Eye 0.05 %-0.25 %-1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122075929</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122076158</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122076161</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122076229</ndc>
    <ndc_label_name>Vaporizing Steam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122076351</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122076434</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122076711</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122076836</ndc>
    <ndc_label_name>GNP ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077134</ndc>
    <ndc_label_name>GNP ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077234</ndc>
    <ndc_label_name>GNP ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077334</ndc>
    <ndc_label_name>GNP HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122077451</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077564</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077637</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122077765</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122077834</ndc>
    <ndc_label_name>GNP ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122077958</ndc>
    <ndc_label_name>GNP FEXOFENADINE HCL 180 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122077961</ndc>
    <ndc_label_name>GNP FEXOFENADINE HCL 180 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122077966</ndc>
    <ndc_label_name>GNP FEXOFENADINE HCL 180 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078064</ndc>
    <ndc_label_name>GNP NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078229</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078234</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078334</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122078429</ndc>
    <ndc_label_name>Tussin Long-Acting 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078529</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078534</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078629</ndc>
    <ndc_label_name>Children's Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078734</ndc>
    <ndc_label_name>GNP CHILD LORATADINE 5 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122078815</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122078929</ndc>
    <ndc_label_name>Miconazorb AF 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122079061</ndc>
    <ndc_label_name>Mucus Relief DM Cough 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122079166</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122079167</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122079235</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122079329</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122079461</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122079969</ndc>
    <ndc_label_name>PM Pain Relief 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122079970</ndc>
    <ndc_label_name>PM Pain Relief 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122080036</ndc>
    <ndc_label_name>GNP DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122080436</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122080529</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122080929</ndc>
    <ndc_label_name>GNP CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122081108</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122081271</ndc>
    <ndc_label_name>GNP NALOXONE HCL 4 MG NASAL SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122081329</ndc>
    <ndc_label_name>Child Cough-Cold (bromphen-DM) 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122081404</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46122081761</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46122081861</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010101</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010110</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010201</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010205</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010405</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144010601</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144011510</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144011810</ndc>
    <ndc_label_name>CELECOXIB POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144011950</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144012110</ndc>
    <ndc_label_name>LUTEIN POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ZEAXANTHIN POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Cutis Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144081005</ndc>
    <ndc_label_name>Cutis Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144081020</ndc>
    <ndc_label_name>Cutis Plus cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144090010</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144090101</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144090105</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144090110</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46144090125</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46163020692</ndc>
    <ndc_label_name>Delflex-LC with 1.5% Dextrose low calcium 2.5 mEq/L-magnesium 0.5mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46163020992</ndc>
    <ndc_label_name>Delflex-LC with 2.5 % Dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46163030010</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46241003314</ndc>
    <ndc_label_name>Alocane Precision Freeze Skin Tag Remover topical solution, applicator</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46287000601</ndc>
    <ndc_label_name>SPS (with sorbitol) 15 gram-20 gram/60 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287000604</ndc>
    <ndc_label_name>SPS (with sorbitol) 30 gram-40 gram/120 mL enema</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46287000660</ndc>
    <ndc_label_name>SPS (with sorbitol) 15 gram-20 gram/60 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46287000901</ndc>
    <ndc_label_name>ISONIAZID 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287001216</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287001401</ndc>
    <ndc_label_name>Oracit 490 mg-640 mg/5 mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287001430</ndc>
    <ndc_label_name>Oracit 490 mg-640 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002001</ndc>
    <ndc_label_name>CaroSpir 25 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002004</ndc>
    <ndc_label_name>CaroSpir 25 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002020</ndc>
    <ndc_label_name>CaroSpir 25 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002050</ndc>
    <ndc_label_name>CaroSpir 25 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002410</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 45 MMOL/15 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287002415</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287003001</ndc>
    <ndc_label_name>AtorvaliQ 20 mg/5 mL (4 mg/mL) oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287003515</ndc>
    <ndc_label_name>Norliqva 1 mg/mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287004515</ndc>
    <ndc_label_name>Tadliq 20 mg/5 mL (4 mg/mL) oral suspension</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287005501</ndc>
    <ndc_label_name>LIQREV 10 MG/ML ORAL SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46287050001</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46287050030</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287050216</ndc>
    <ndc_label_name>DERMACLOUD OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287050704</ndc>
    <ndc_label_name>Absorbase topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46287050716</ndc>
    <ndc_label_name>Absorbase topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>petrolatum topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46414222201</ndc>
    <ndc_label_name>AMYL NITRITE AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001810</ndc>
    <ndc_label_name>Off Active 15 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001828</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001835</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 7 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001842</ndc>
    <ndc_label_name>Off Deep Woods 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001849</ndc>
    <ndc_label_name>Off Deep Woods Sportsmen 98.25 % topical spray pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500001859</ndc>
    <ndc_label_name>Off Deep Woods 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500021845</ndc>
    <ndc_label_name>Off Deep Woods 25 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500021957</ndc>
    <ndc_label_name>Off Active 15 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500022154</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500022397</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500022398</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500022930</ndc>
    <ndc_label_name>Off Deep Woods 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Off Active 15 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500054996</ndc>
    <ndc_label_name>Off Deep Woods 25 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Off Deep Woods Sportsmen 30 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500070279</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Off FamilyCare (with DEET) 15 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Off Deep Woods Dry 25 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500071787</ndc>
    <ndc_label_name>Off Deep Woods Sportsmen 25 % topical spray pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500071789</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 7 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500072131</ndc>
    <ndc_label_name>Off Deep Woods Dry 25 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500072616</ndc>
    <ndc_label_name>Off FamilyCare (with DEET) 7 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500072925</ndc>
    <ndc_label_name>Off Deep Woods 25 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500073020</ndc>
    <ndc_label_name>Off Active 15 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500073175</ndc>
    <ndc_label_name>Off Deep Woods Dry 25 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500081846</ndc>
    <ndc_label_name>Off Deep Woods Sportsmen 25 % topical spray pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46500081881</ndc>
    <ndc_label_name>Off FamilyCare (with picaridin) 5 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581011020</ndc>
    <ndc_label_name>Salonpas 3.1 %-10 %-6 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581011060</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581021006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581044004</ndc>
    <ndc_label_name>Salonpas Pain Relieving Jet 10 %-3 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581067020</ndc>
    <ndc_label_name>Salonpas (methyl salicylate-menthol) 10 %-3 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581067501</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581067509</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581070003</ndc>
    <ndc_label_name>Salonpas-Hot 0.025 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46581083001</ndc>
    <ndc_label_name>Salonpas (lidocaine) 4 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46581083006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Salonpas (lidocaine) 4 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Salonpas (lidocaine) 4 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Salonpas (capsaicin-menthol) 0.025 %-1.25 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46581087106</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>46672005310</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46708080105</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46708080110</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Xeomin 100 unit intramuscular solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>46783016101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335015340</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335015440</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335017148</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335017149</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335017581</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017640</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017701</ndc>
    <ndc_label_name>Ilumya 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017710</ndc>
    <ndc_label_name>Ilumya 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017795</ndc>
    <ndc_label_name>Ilumya 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017796</ndc>
    <ndc_label_name>Ilumya 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335017840</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335017923</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335018688</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 10-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335018788</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-100 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335018888</ndc>
    <ndc_label_name>CARBIDOPA-LEVO 25-250 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335020308</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335020318</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335020383</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335020388</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335022090</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023160</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023171</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023583</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023596</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023683</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335023783</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335027640</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335027641</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335027723</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335028440</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335028926</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335028927</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335028940</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335029026</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335029027</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335029040</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335029044</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030040</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030383</ndc>
    <ndc_label_name>Odomzo 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030588</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030688</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030788</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335030888</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335031790</ndc>
    <ndc_label_name>Xelpros 0.005 % eye drop emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335032186</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335032213</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335032286</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335032340</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335032683</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335032688</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335033040</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335034383</ndc>
    <ndc_label_name>Children's Cetirizine 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335034483</ndc>
    <ndc_label_name>Children's Cetirizine 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335036140</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335036141</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335036240</ndc>
    <ndc_label_name>DILUENT FOR DECITABINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335037983</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335038083</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335038188</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335038288</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335040181</ndc>
    <ndc_label_name>Yonsa 125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335041022</ndc>
    <ndc_label_name>SUMATRIPTAN-NAPROXEN 85-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335047281</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335047583</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335048583</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335048588</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335050696</ndc>
    <ndc_label_name>Cequa 0.09 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335050797</ndc>
    <ndc_label_name>Cequa 0.09 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053183</ndc>
    <ndc_label_name>TRAMADOL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053188</ndc>
    <ndc_label_name>TRAMADOL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053383</ndc>
    <ndc_label_name>TRAMADOL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053388</ndc>
    <ndc_label_name>TRAMADOL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053783</ndc>
    <ndc_label_name>TRAMADOL ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335053788</ndc>
    <ndc_label_name>TRAMADOL ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335053981</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335057386</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335057686</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335057883</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335057983</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058281</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058381</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058481</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058583</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058683</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058788</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335058888</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335060083</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335060488</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335060518</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335061381</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335061481</ndc>
    <ndc_label_name>NIACIN ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061540</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061544</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061630</ndc>
    <ndc_label_name>Drizalma Sprinkle 20 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061730</ndc>
    <ndc_label_name>Drizalma Sprinkle 30 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061830</ndc>
    <ndc_label_name>Drizalma Sprinkle 40 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335061930</ndc>
    <ndc_label_name>Drizalma Sprinkle 60 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335062460</ndc>
    <ndc_label_name>Aspruzyo Sprinkle 500 mg granules,extended release in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335062560</ndc>
    <ndc_label_name>Aspruzyo Sprinkle 1,000 mg granules,extended release in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063148</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063149</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063248</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063249</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063348</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063349</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063860</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063868</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335063983</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335066862</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335066868</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335066913</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335066981</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067013</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 180 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067081</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 180 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067113</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 240 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067181</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 240 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067213</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067281</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067313</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 360 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067381</ndc>
    <ndc_label_name>DILTIAZEM 24HR ER 360 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067681</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067713</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067781</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067813</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335067981</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068483</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068583</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068688</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068788</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068888</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335068988</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335069088</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335069188</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335069288</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335069388</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070348</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070349</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070352</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070354</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070648</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070649</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070652</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070654</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070713</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335070786</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071013</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071086</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071113</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071186</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071213</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071286</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335071481</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335071483</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071513</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071581</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335071583</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335072183</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335072283</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073613</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073686</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073688</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073713</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073786</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073788</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073886</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335073888</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335074349</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335074483</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335074649</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335075349</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335075648</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335075649</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335075652</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335075881</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335075883</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335075981</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335075983</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335076081</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335076083</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335076583</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335076683</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335078891</ndc>
    <ndc_label_name>DESMOPRESSIN 10 MCG/0.1 ML SPR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335079483</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335083583</ndc>
    <ndc_label_name>GALANTAMINE ER 8 MG CAPSULE</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089021</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089074</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089080</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089121</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089160</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089172</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089174</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089180</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089221</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089260</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089272</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089274</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089374</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335089380</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335090588</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335090686</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335092974</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335092980</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093060</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093072</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093074</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093140</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093144</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093240</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093244</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093640</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093890</ndc>
    <ndc_label_name>AZELASTINE HCL 0.05% DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335093940</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335094386</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335095618</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335095688</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335096241</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335097960</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335097967</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47335098086</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335098483</ndc>
    <ndc_label_name>Ezallor Sprinkle 5 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335098583</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335098683</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47335099001</ndc>
    <ndc_label_name>GLATIRAMER 20 MG/ML SYRINGE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Winlevi 1 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47360001722</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47426010106</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zynrelef 400 mg-12 mg/14 mL surgical site instillation soln, ER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47426050102</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zynrelef 200 mg-6 mg/7 mL surgical site instillation soln, ER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MELATONIN-VIT B6 TR 3-10 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469000949</ndc>
    <ndc_label_name>KAVA KAVA 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469000970</ndc>
    <ndc_label_name>ACIDOPHILUS 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469000998</ndc>
    <ndc_label_name>OMEGA 3-6-9 COMPLEX SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469003001</ndc>
    <ndc_label_name>Complete Balance Menopause Relief 175 mg-62 mg-1 mg (night) capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469004040</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004093</ndc>
    <ndc_label_name>5-HTP 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469004261</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004291</ndc>
    <ndc_label_name>Carb Intercept 20 mcg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004458</ndc>
    <ndc_label_name>CINNAMON EXTRACT 500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004462</ndc>
    <ndc_label_name>MELATONIN-VIT B6  5-10 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004472</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004794</ndc>
    <ndc_label_name>HIGH CAFFEINE ENERGY 200 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004837</ndc>
    <ndc_label_name>MELATONIN-VIT B6 TR 5-10 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469004898</ndc>
    <ndc_label_name>CINNAMON-CHROMIUM-BIOTIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005172</ndc>
    <ndc_label_name>5-HTP TIME RELEASE 200 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005228</ndc>
    <ndc_label_name>5-HTP TIME RELEASE 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005229</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005234</ndc>
    <ndc_label_name>L-Arginine Men's Health 1,000 mg-16.6 mcg-66.6 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005396</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005508</ndc>
    <ndc_label_name>Acai Berry Diet 250 mg-20 mcg-80 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005576</ndc>
    <ndc_label_name>ACAI BERRY 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469005865</ndc>
    <ndc_label_name>MELATONIN 5 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005889</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG DISSOLVE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469005891</ndc>
    <ndc_label_name>VIT D3 5,000 UNIT FAST DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469005964</ndc>
    <ndc_label_name>MELATONIN-VIT B6 TR 10-10MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469006044</ndc>
    <ndc_label_name>5-HTP 100 MG FAST DISSOLVE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469006076</ndc>
    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469006211</ndc>
    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469006323</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469006324</ndc>
    <ndc_label_name>MELATONIN 1 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469006330</ndc>
    <ndc_label_name>CRANBERRY 125 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469006331</ndc>
    <ndc_label_name>B-COMPLEX FAST DISSOLVE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469006672</ndc>
    <ndc_label_name>VITAMIN B-12 5,000 MCG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469006885</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG FAST DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007064</ndc>
    <ndc_label_name>MELATONIN-VIT B6 TR 10-10MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007071</ndc>
    <ndc_label_name>ZINC 7.5 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007141</ndc>
    <ndc_label_name>Biotin Plus 5,000 mcg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007150</ndc>
    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007166</ndc>
    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007168</ndc>
    <ndc_label_name>MELATONIN 5 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007170</ndc>
    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007279</ndc>
    <ndc_label_name>MELATONIN-VIT B6 TR 10-10MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007281</ndc>
    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007331</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007332</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007372</ndc>
    <ndc_label_name>Collagen Skin Renewal 30 mg-833.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007381</ndc>
    <ndc_label_name>Daily Stress Relief 100 mg-5 mg-1.7 mg-2.4 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007402</ndc>
    <ndc_label_name>MELATONIN 1 MG/4 ML LIQ DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007405</ndc>
    <ndc_label_name>MELATONIN 2.5 MG/10 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007530</ndc>
    <ndc_label_name>Kids Melatonin 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007585</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007586</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007635</ndc>
    <ndc_label_name>Relaxia Day Calm 50 mg-12.5 mg-0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007668</ndc>
    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007683</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007684</ndc>
    <ndc_label_name>Relax Night Calm 1.5 mg-12.5 mg-50 mg-0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007692</ndc>
    <ndc_label_name>Kids Melatonin 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007759</ndc>
    <ndc_label_name>Elderberry Immune Health 45 mg-3.75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007760</ndc>
    <ndc_label_name>Easy-C Immune Health 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007762</ndc>
    <ndc_label_name>Easy-C Immune Health 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007778</ndc>
    <ndc_label_name>Kids Sleep Calm 0.5 mg-25 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007779</ndc>
    <ndc_label_name>Sleep Calm 3 mg-50 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007780</ndc>
    <ndc_label_name>Sleep Immune Health 3 mg-45 mg-12.5 mcg-3.75 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007782</ndc>
    <ndc_label_name>Kids Sleep Immune Health 0.5 mg-45 mg-12.5 mcg-3.75 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007819</ndc>
    <ndc_label_name>3 AM MELATONIN 3-50 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469007820</ndc>
    <ndc_label_name>3 AM MELATONIN 3-50 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007881</ndc>
    <ndc_label_name>MelatoninMax 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47469007979</ndc>
    <ndc_label_name>MelatoninMax 10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016033</ndc>
    <ndc_label_name>CRANBERRY 215 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016068</ndc>
    <ndc_label_name>MELATONIN-VIT B6  3-10 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016106</ndc>
    <ndc_label_name>DHEA 50 mg-60 mg calcium tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016107</ndc>
    <ndc_label_name>DHEA 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016108</ndc>
    <ndc_label_name>ACIDOPHILUS 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016115</ndc>
    <ndc_label_name>DHEA 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016156</ndc>
    <ndc_label_name>MACA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47469016176</ndc>
    <ndc_label_name>Carb Intercept 20 mcg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47584000101</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682003013</ndc>
    <ndc_label_name>Medi-Lyte 40 mg-18 mg-9 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682003033</ndc>
    <ndc_label_name>Medi-Lyte 40 mg-18 mg-9 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682005022</ndc>
    <ndc_label_name>Medikoff Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682005046</ndc>
    <ndc_label_name>Medikoff Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682005060</ndc>
    <ndc_label_name>Medikoff Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682005064</ndc>
    <ndc_label_name>Medikoff Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682005069</ndc>
    <ndc_label_name>Medikoff Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010013</ndc>
    <ndc_label_name>I-Prin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010047</ndc>
    <ndc_label_name>I-Prin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010064</ndc>
    <ndc_label_name>I-Prin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010069</ndc>
    <ndc_label_name>I-Prin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010113</ndc>
    <ndc_label_name>Alcalak 168 mg (as calcium carbonate 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010133</ndc>
    <ndc_label_name>Alcalak 168 mg (as calcium carbonate 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010147</ndc>
    <ndc_label_name>Alcalak 168 mg (as calcium carbonate 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010164</ndc>
    <ndc_label_name>Alcalak 168 mg (as calcium carbonate 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010169</ndc>
    <ndc_label_name>Alcalak 168 mg (as calcium carbonate 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682010903</ndc>
    <ndc_label_name>Medikoff (menthol) 5.8 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682011613</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682011647</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682011664</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682012013</ndc>
    <ndc_label_name>Medicidin-D 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682012033</ndc>
    <ndc_label_name>Medicidin-D 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682012047</ndc>
    <ndc_label_name>Medicidin-D 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682012064</ndc>
    <ndc_label_name>Medicidin-D 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682012099</ndc>
    <ndc_label_name>Medicidin-D 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682013520</ndc>
    <ndc_label_name>Medi-Seltzer 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682013524</ndc>
    <ndc_label_name>Medi-Seltzer 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682014513</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682014536</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682014548</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682014564</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682014599</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682015543</ndc>
    <ndc_label_name>Valihist 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682017513</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682017533</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682017548</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682017564</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682018446</ndc>
    <ndc_label_name>Diphen 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682018447</ndc>
    <ndc_label_name>Diphen 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682018464</ndc>
    <ndc_label_name>Diphen 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682019818</ndc>
    <ndc_label_name>Medi-First Eyewash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682019828</ndc>
    <ndc_label_name>Mediwash Eye Irrigant solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020046</ndc>
    <ndc_label_name>Diamode 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020064</ndc>
    <ndc_label_name>Diamode 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020069</ndc>
    <ndc_label_name>Diamode 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020312</ndc>
    <ndc_label_name>Loradamed 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020346</ndc>
    <ndc_label_name>Loradamed 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682020350</ndc>
    <ndc_label_name>Loradamed 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682020513</ndc>
    <ndc_label_name>Medi-Phenyl 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682020533</ndc>
    <ndc_label_name>Medi-Phenyl 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022013</ndc>
    <ndc_label_name>Diotame 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022033</ndc>
    <ndc_label_name>Diotame 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022064</ndc>
    <ndc_label_name>Diotame 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022083</ndc>
    <ndc_label_name>Diotame 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022099</ndc>
    <ndc_label_name>Diotame 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022312</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022335</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022373</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022399</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022502</ndc>
    <ndc_label_name>Burn Spray (lidocaine) 2 % topical pump spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682022617</ndc>
    <ndc_label_name>Blood Clotting Spray 4 %-0.2 % topical aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022813</ndc>
    <ndc_label_name>Pain-Off 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022833</ndc>
    <ndc_label_name>Pain-Off 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022847</ndc>
    <ndc_label_name>Pain-Off 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022864</ndc>
    <ndc_label_name>Pain-Off 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682022899</ndc>
    <ndc_label_name>Pain-Off 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682023733</ndc>
    <ndc_label_name>Mediproxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682023746</ndc>
    <ndc_label_name>Mediproxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682023750</ndc>
    <ndc_label_name>Mediproxen 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682024148</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682024164</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682025303</ndc>
    <ndc_label_name>Aminofen 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682025307</ndc>
    <ndc_label_name>Coldonyl 5 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682025314</ndc>
    <ndc_label_name>Addaprin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682025323</ndc>
    <ndc_label_name>Sudanyl PE 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682025702</ndc>
    <ndc_label_name>MEDI-FIRST HYDROGEN PEROX SPRY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682026073</ndc>
    <ndc_label_name>Medi-First Burn Cream 0.5 %-0.13 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682026099</ndc>
    <ndc_label_name>Medi-First Burn Cream 0.5 %-0.13 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682026671</ndc>
    <ndc_label_name>Lip-Guard 0.6 %-0.5 %-1 %-0.5 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682026802</ndc>
    <ndc_label_name>MEDI-FIRST ISOPROPYL 70% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682028536</ndc>
    <ndc_label_name>Ban-Acid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682028599</ndc>
    <ndc_label_name>Ban-Acid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682034550</ndc>
    <ndc_label_name>Medi-Mucus 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682041220</ndc>
    <ndc_label_name>Pep-T-Med 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682047915</ndc>
    <ndc_label_name>Medi-Meclizine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682047933</ndc>
    <ndc_label_name>Medi-Meclizine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682047999</ndc>
    <ndc_label_name>Medi-Meclizine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682050601</ndc>
    <ndc_label_name>Medikoff 6.1 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682051173</ndc>
    <ndc_label_name>Antiseptic Bio-Hand 66.5 % topical gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682061413</ndc>
    <ndc_label_name>Addaprin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682061499</ndc>
    <ndc_label_name>Addaprin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47682070833</ndc>
    <ndc_label_name>I-Prin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080213</ndc>
    <ndc_label_name>Antacid Extra-Strength 168 mg (as calcium carb 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080233</ndc>
    <ndc_label_name>Antacid Extra-Strength 168 mg (as calcium carb 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080248</ndc>
    <ndc_label_name>Antacid Extra-Strength 168 mg (as calcium carb 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080313</ndc>
    <ndc_label_name>Non-Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080333</ndc>
    <ndc_label_name>Non-Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080348</ndc>
    <ndc_label_name>Non-Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080413</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080433</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080448</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47682080513</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064390</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064610</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064690</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064726</ndc>
    <ndc_label_name>ERGOCALCIFEROL 200 MCG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064910</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781064990</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065110</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065190</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781065289</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065410</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065490</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065710</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065790</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065910</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781065990</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066210</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066290</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066510</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066590</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066810</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781066890</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781067110</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781067190</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781068330</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781069030</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781072902</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781072950</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781073002</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781073050</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781085289</ndc>
    <ndc_label_name>Bonsity 20 mcg/dose (560 mcg/2.24 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781091022</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781091091</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781091193</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781091401</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781091413</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781091451</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47781091601</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781092501</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781092530</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781095130</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47781096230</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>47783010101</ndc>
    <ndc_label_name>Kalbitor 10 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47783064401</ndc>
    <ndc_label_name>TAKHZYRO 300 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47783064501</ndc>
    <ndc_label_name>Takhzyro 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47783064601</ndc>
    <ndc_label_name>Takhzyro 300 mg/2 mL (150 mg/mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865010001</ndc>
    <ndc_label_name>Airborne 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865010006</ndc>
    <ndc_label_name>Airborne Elderberry Complex 90 mg-3.15 mcg-3.35 mg-150 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865010030</ndc>
    <ndc_label_name>Airborne 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865010032</ndc>
    <ndc_label_name>Airborne Elderberry Complex 90 mg-3.15 mcg-3.35 mg-150 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865010094</ndc>
    <ndc_label_name>Airborne 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018572</ndc>
    <ndc_label_name>Airborne (ascorbate sodium) 333 mg-1.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018573</ndc>
    <ndc_label_name>Airborne (ascorbate sodium) 333 mg-1.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018575</ndc>
    <ndc_label_name>Airborne (ascorbate sodium) 334 mg-1.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018576</ndc>
    <ndc_label_name>Airborne (ascorbate sodium) 334 mg-1.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018630</ndc>
    <ndc_label_name>Airborne (with lysine acetate) 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865018631</ndc>
    <ndc_label_name>Airborne (with lysine acetate) 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865019500</ndc>
    <ndc_label_name>Neuriva Original 50 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865019502</ndc>
    <ndc_label_name>Neuriva Plus 0.85 mg-200 mcg-1.2 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865019504</ndc>
    <ndc_label_name>Neuriva De-Stress 100 mg-200 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865020221</ndc>
    <ndc_label_name>Airborne (with lysine acetate) 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865020334</ndc>
    <ndc_label_name>Airborne (with lysine acetate) 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865020339</ndc>
    <ndc_label_name>Neuriva Original 50 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865020992</ndc>
    <ndc_label_name>Airborne Immune Support 250 mg-8.875 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865090052</ndc>
    <ndc_label_name>Airborne Gummy 250 mg-11.66 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865090378</ndc>
    <ndc_label_name>Airborne Elderberry 1,000 mg-50 mg-35.5 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865090403</ndc>
    <ndc_label_name>Airborne Vits Zinc Elderberry 90 mg-3.15 mcg-3.35 mg-65 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865090846</ndc>
    <ndc_label_name>Airborne Gummy 250 mg-11.66 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865095566</ndc>
    <ndc_label_name>Airborne Gummy 250 mg-11.66 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096297</ndc>
    <ndc_label_name>Airborne (ascorbic acid) 250 mg-8.875 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096298</ndc>
    <ndc_label_name>Airborne 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096299</ndc>
    <ndc_label_name>Airborne Gummy 250 mg-11.66 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096339</ndc>
    <ndc_label_name>Airborne Gummy 250 mg-11.66 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096340</ndc>
    <ndc_label_name>Airborne (ascorbic acid) 250 mg-8.875 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865096379</ndc>
    <ndc_label_name>Airborne 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865099547</ndc>
    <ndc_label_name>Neuriva Original 100 mg-100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865099550</ndc>
    <ndc_label_name>Neuriva Plus Brain Performance 1.7 mg-400 mcg-2.4 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47865099557</ndc>
    <ndc_label_name>Airborne Kids 250 mg-11.66 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884017100</ndc>
    <ndc_label_name>EasyMax V Speaking Blood Glucose System</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884017540</ndc>
    <ndc_label_name>EasyMax Normal Control solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EasyMax strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884017601</ndc>
    <ndc_label_name>EasyMax NG kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884017602</ndc>
    <ndc_label_name>EasyMax NG meter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Easymax 15 test strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884017640</ndc>
    <ndc_label_name>Easymax 15 Level 2 solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884018000</ndc>
    <ndc_label_name>TD Gold Blood Glucose Monitor</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884018001</ndc>
    <ndc_label_name>TD Gold Voice Glucose Monitor</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47884018300</ndc>
    <ndc_label_name>TD Gold Level 1 Control solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Td Gold Level 2 Control solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TD Gold Level 3 Control solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47918087490</ndc>
    <ndc_label_name>Afrezza 4 unit cartridge with inhaler</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>47918088018</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Afrezza (regular insulin) 8 unit (90)/12 unit (90) cartridge,inhaler</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48102005305</ndc>
    <ndc_label_name>Phospholine Iodide 0.125 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48102005405</ndc>
    <ndc_label_name>Phospholine Iodide 0.125 % eye drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48102005711</ndc>
    <ndc_label_name>ERYTHROMYCIN 0.5% EYE OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48107000192</ndc>
    <ndc_label_name>L-ARGININE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NIACIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48107006496</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48107021169</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 600 MG CPLT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48329000009</ndc>
    <ndc_label_name>Cath-Secure Tube Holder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48433012801</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MINERAL OIL 30 ML CUP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SODIUM CHLORIDE 23.4% ORAL SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Strong Iodine 5 % oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Wrist Brace Large</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48503048082</ndc>
    <ndc_label_name>Anti-Embolism Stockings</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48582000440</ndc>
    <ndc_label_name>Biotene Dry Mouth Oral Rinse mouthwash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48582051112</ndc>
    <ndc_label_name>BIOTENE ORALBALANCE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48582051201</ndc>
    <ndc_label_name>Biotene Oralbalance (glycerin) mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48582080220</ndc>
    <ndc_label_name>Biotene Dry Mouth Oral Rinse mouthwash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48723000999</ndc>
    <ndc_label_name>Vaginal Contraceptive Film 28 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48723010531</ndc>
    <ndc_label_name>VCF Contraceptive 4 % vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48783011208</ndc>
    <ndc_label_name>Monsel's 0.2 gram to 0.22 gram/mL topical solution, applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48783011308</ndc>
    <ndc_label_name>Monsel's 0.2 gram to 0.22 gram/mL topical solution, applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48792786501</ndc>
    <ndc_label_name>LINAGLIPTIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48796020399</ndc>
    <ndc_label_name>Hydrophilic Catheter 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48815100101</ndc>
    <ndc_label_name>SODIUM IODIDE I-123 3.7 MBQ CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48815100105</ndc>
    <ndc_label_name>SODIUM IODIDE I-123 3.7 MBQ CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48815100201</ndc>
    <ndc_label_name>SODIUM IODIDE I-123 7.4 MBQ CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48815100205</ndc>
    <ndc_label_name>SODIUM IODIDE I-123 7.4 MBQ CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878062001</ndc>
    <ndc_label_name>Peridex 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878062002</ndc>
    <ndc_label_name>Peridex 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878062003</ndc>
    <ndc_label_name>Peridex 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878062004</ndc>
    <ndc_label_name>Peridex 0.12 % mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878312004</ndc>
    <ndc_label_name>Clinpro 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878313004</ndc>
    <ndc_label_name>Clinpro 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878314004</ndc>
    <ndc_label_name>Clinpro 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878331500</ndc>
    <ndc_label_name>Perio Med 0.63 % dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878331502</ndc>
    <ndc_label_name>Perio Med 0.63 % dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48878331700</ndc>
    <ndc_label_name>Perio Med 0.63 % dental solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48964011224</ndc>
    <ndc_label_name>Nexafed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48964023224</ndc>
    <ndc_label_name>Nexafed Sinus Pressure-Pain 30 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000040</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>48985000044</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000049</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000150</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000151</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000152</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000153</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000154</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000155</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000156</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000157</ndc>
    <ndc_label_name>NICOTINE TRANSDERMAL SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>48985000170</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022007425</ndc>
    <ndc_label_name>Cut N Crush misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022008436</ndc>
    <ndc_label_name>Clotrimazole-7 1 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022008444</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022009066</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022011922</ndc>
    <ndc_label_name>Aloe Vera Pain Relieving 0.5 %-0.1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022013112</ndc>
    <ndc_label_name>Therapeutic Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022014067</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022016290</ndc>
    <ndc_label_name>thera BATH Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022017222</ndc>
    <ndc_label_name>T-Plus 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022019018</ndc>
    <ndc_label_name>Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022019150</ndc>
    <ndc_label_name>ALOE VERA BODY GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022019239</ndc>
    <ndc_label_name>Scar Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022022411</ndc>
    <ndc_label_name>Therapeutic T Plus 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022025966</ndc>
    <ndc_label_name>Hand Sanitizer 62 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022026042</ndc>
    <ndc_label_name>MINOXIDIL 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022026094</ndc>
    <ndc_label_name>MINOXIDIL 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022026096</ndc>
    <ndc_label_name>MINOXIDIL 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022026098</ndc>
    <ndc_label_name>MINOXIDIL 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022026684</ndc>
    <ndc_label_name>Moiturizing Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022031003</ndc>
    <ndc_label_name>Scalp Relief (hydrocortisone) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022033781</ndc>
    <ndc_label_name>VAPORIZER 1.2 GALLON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022036411</ndc>
    <ndc_label_name>Cold Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022036653</ndc>
    <ndc_label_name>Cold Pack Back Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037188</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037190</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037192</ndc>
    <ndc_label_name>ACE Elbow Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037193</ndc>
    <ndc_label_name>ACE Elbow Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037195</ndc>
    <ndc_label_name>Knee Support Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037197</ndc>
    <ndc_label_name>ACE Knee Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037200</ndc>
    <ndc_label_name>Knee Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037201</ndc>
    <ndc_label_name>Knee Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037202</ndc>
    <ndc_label_name>Elbow Strap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037209</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037211</ndc>
    <ndc_label_name>Wrist Support One Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037212</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037219</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037221</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037222</ndc>
    <ndc_label_name>Wrist Support Large-XLarge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037223</ndc>
    <ndc_label_name>Wrist Support Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037225</ndc>
    <ndc_label_name>Wrist Support Large-XLarge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037226</ndc>
    <ndc_label_name>Knee Brace Large-XLarge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037227</ndc>
    <ndc_label_name>Wrist Support Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022037242</ndc>
    <ndc_label_name>Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022037358</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022037359</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022037696</ndc>
    <ndc_label_name>Complete Lice Treatment 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022038200</ndc>
    <ndc_label_name>Back-Shoulder Ice and Heat Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022038201</ndc>
    <ndc_label_name>Multi-Purpose Ice and Heat Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022039938</ndc>
    <ndc_label_name>Dandruff Shampoo (selenium sulfide-aloe) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022042695</ndc>
    <ndc_label_name>Moisturizing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022042696</ndc>
    <ndc_label_name>Walgreens Dry Skin Treatment 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042784</ndc>
    <ndc_label_name>Wrist Support Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042800</ndc>
    <ndc_label_name>Wrist Support Large-XLarge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042801</ndc>
    <ndc_label_name>Wrist Support One Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042802</ndc>
    <ndc_label_name>Wrist Support Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042803</ndc>
    <ndc_label_name>Wrist Support Large-XLarge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042806</ndc>
    <ndc_label_name>Wrist Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042812</ndc>
    <ndc_label_name>Knee Support Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042813</ndc>
    <ndc_label_name>Knee Support Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042814</ndc>
    <ndc_label_name>Knee Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042815</ndc>
    <ndc_label_name>Knee Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042816</ndc>
    <ndc_label_name>Knee Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042819</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042820</ndc>
    <ndc_label_name>Elastic Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042821</ndc>
    <ndc_label_name>Elbow Strap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042822</ndc>
    <ndc_label_name>ACE Elbow Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042823</ndc>
    <ndc_label_name>ACE Elbow Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042831</ndc>
    <ndc_label_name>Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042832</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042834</ndc>
    <ndc_label_name>Back Support S/M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042835</ndc>
    <ndc_label_name>ACE DELUXE BACK STABILIZER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042839</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042840</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042841</ndc>
    <ndc_label_name>Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022042854</ndc>
    <ndc_label_name>Antibacterial (triclosan) Liquid Soap 0.15 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043341</ndc>
    <ndc_label_name>ACE Elbow Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043342</ndc>
    <ndc_label_name>Deluxe Wrist Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043343</ndc>
    <ndc_label_name>Deluxe Wrist Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043344</ndc>
    <ndc_label_name>Deluxe Wrist Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043345</ndc>
    <ndc_label_name>Deluxe Wrist Stabilizer misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043346</ndc>
    <ndc_label_name>Hand Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022043347</ndc>
    <ndc_label_name>Hand Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045109</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045145</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045146</ndc>
    <ndc_label_name>Dandruff Shampoo/Conditioner 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045147</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022045382</ndc>
    <ndc_label_name>BENZOYL PEROXIDE 10% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045385</ndc>
    <ndc_label_name>Therapeutic Moisturizing topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045671</ndc>
    <ndc_label_name>Cotton Balls</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045687</ndc>
    <ndc_label_name>COOL MIST HUMIDIFIER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022045977</ndc>
    <ndc_label_name>WARM STEAM VAPORIZER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022047563</ndc>
    <ndc_label_name>Moisture Recovery lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022047625</ndc>
    <ndc_label_name>Self-Adhering Bandage 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022047627</ndc>
    <ndc_label_name>Self-Adhering Bandage 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022047629</ndc>
    <ndc_label_name>ACE ELASTIC BANDAGE 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022047719</ndc>
    <ndc_label_name>HEATING PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022050013</ndc>
    <ndc_label_name>ACE Ankle Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022050352</ndc>
    <ndc_label_name>ULTRASONIC HUMIDIFIER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022050752</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051166</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051183</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051185</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051186</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051187</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051188</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051190</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051191</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051202</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022051745</ndc>
    <ndc_label_name>NICE DISTILLED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022053437</ndc>
    <ndc_label_name>Wrist Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022054863</ndc>
    <ndc_label_name>COOL MOISTURE HUMIDIFIER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022059372</ndc>
    <ndc_label_name>Antibacterial (triclosan) Liquid Soap 0.15 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022059403</ndc>
    <ndc_label_name>Natural Oatmeal Bath Treatment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022059840</ndc>
    <ndc_label_name>Acne Treatment (benzoyl peroxide) 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022060833</ndc>
    <ndc_label_name>Cocoa butter cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022060834</ndc>
    <ndc_label_name>Studio 35 Beauty Cocoa Butter lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49022061339</ndc>
    <ndc_label_name>Studio 35 Moisturizing Skin cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022061341</ndc>
    <ndc_label_name>Cocoa Butter Petroleum topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022064132</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022064133</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022064226</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022067498</ndc>
    <ndc_label_name>Acne Foaming Wash 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022072307</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022072308</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022072309</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022073664</ndc>
    <ndc_label_name>Scar Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022075496</ndc>
    <ndc_label_name>ELASTIC BANDAGE 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022079844</ndc>
    <ndc_label_name>Daily Face Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49022083000</ndc>
    <ndc_label_name>Acne Pads 2 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035000525</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035001103</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035001608</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035001709</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035002272</ndc>
    <ndc_label_name>Acid Reducer (cimetidine) 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035002419</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035002996</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035003516</ndc>
    <ndc_label_name>EQ MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035003827</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035003854</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035004226</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035004860</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035005034</ndc>
    <ndc_label_name>First Aid Antiseptic (povidone-iodine) 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035006108</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035006716</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035006764</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035007021</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035007580</ndc>
    <ndc_label_name>EQ NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035007841</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035007860</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035008003</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035008234</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035008412</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035008424</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035010104</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035010146</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035010224</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035010490</ndc>
    <ndc_label_name>Antacid Anti-Gas (calcium carb-simeth) 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035010608</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035011534</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035011635</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035011890</ndc>
    <ndc_label_name>EQ FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035011901</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012116</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012180</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012210</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012249</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012307</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012409</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012410</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012524</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035012694</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035013606</ndc>
    <ndc_label_name>EQ LIDOCAINE PAIN RLF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035014202</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035014794</ndc>
    <ndc_label_name>Fiber Therapy (ca polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035015712</ndc>
    <ndc_label_name>EQ ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035016130</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035017029</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035017096</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035018380</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035018816</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019008</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019010</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019150</ndc>
    <ndc_label_name>Restore PM 57.3 %-42.5 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019401</ndc>
    <ndc_label_name>EQ NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019402</ndc>
    <ndc_label_name>EQ NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019412</ndc>
    <ndc_label_name>ChlorTabs 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019478</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019502</ndc>
    <ndc_label_name>EQ NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019602</ndc>
    <ndc_label_name>EQ NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035019900</ndc>
    <ndc_label_name>EQ MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035020001</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035020110</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035020696</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035022402</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035022416</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035022423</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035022482</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035022631</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035022908</ndc>
    <ndc_label_name>Tussin CF MAX 5 mg-10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035023003</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035023512</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035023814</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035023860</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035025121</ndc>
    <ndc_label_name>Arthricream 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035025242</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035026201</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035026935</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035027408</ndc>
    <ndc_label_name>EQ ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035027601</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035027608</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035027609</ndc>
    <ndc_label_name>Children's Cetirizine 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035027808</ndc>
    <ndc_label_name>Pain Relief Adult 500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035029112</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030410</ndc>
    <ndc_label_name>Original Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030601</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030602</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030603</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030882</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030890</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035030978</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035031326</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035031607</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035032163</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035032171</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035032712</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035032910</ndc>
    <ndc_label_name>EQ MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035033540</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035034190</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035206</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035278</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035590</ndc>
    <ndc_label_name>EQ ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035740</ndc>
    <ndc_label_name>Antacid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035926</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035035934</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036578</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036654</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036862</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036878</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036887</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035036964</ndc>
    <ndc_label_name>EQ HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035037003</ndc>
    <ndc_label_name>EQ ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035037012</ndc>
    <ndc_label_name>EQ ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035037730</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035037926</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035037934</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035038038</ndc>
    <ndc_label_name>EQ MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035038421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035038428</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035038600</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035038810</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035039110</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035039116</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035039255</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035039727</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035039733</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035039752</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035040319</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035040520</ndc>
    <ndc_label_name>Vegetable Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035041101</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035041103</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035041412</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035041578</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035041690</ndc>
    <ndc_label_name>EQ ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035042168</ndc>
    <ndc_label_name>Antacid and Pain Relief 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035042296</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035043015</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035043308</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035044206</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035044260</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035044278</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035044301</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045415</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045430</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045508</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045606</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045660</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045678</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045866</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045875</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045887</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035045895</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035045934</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035045940</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035045950</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035046208</ndc>
    <ndc_label_name>Suphedrine PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035046243</ndc>
    <ndc_label_name>Suphedrine PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035046708</ndc>
    <ndc_label_name>EQ ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035046768</ndc>
    <ndc_label_name>EQ ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035048462</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035048482</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035048490</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035048508</ndc>
    <ndc_label_name>Allergy and Sinus Relief 25 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035049078</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035049101</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035049401</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035049424</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035049860</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035050535</ndc>
    <ndc_label_name>EQ FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035051026</ndc>
    <ndc_label_name>EQ BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035051314</ndc>
    <ndc_label_name>Daily Fiber (psyllium-sucrose) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035051626</ndc>
    <ndc_label_name>Tussin CF Cough-Cold 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035051634</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035051908</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035051912</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035051920</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035052012</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035052162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035052614</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035052640</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035052708</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035053112</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035053206</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035053260</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035053278</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035053422</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035054309</ndc>
    <ndc_label_name>Severe Allergy-Sinus Headache 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035054485</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035054663</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035054671</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035055020</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035055026</ndc>
    <ndc_label_name>EQ HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035055072</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035055203</ndc>
    <ndc_label_name>Children's Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035055631</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035055822</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035055908</ndc>
    <ndc_label_name>Allergy Relief Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035056008</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035056311</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035056314</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035056317</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035056332</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035057139</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035057172</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035057175</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035058364</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035059016</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035059026</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035059944</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060400</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060458</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060462</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060478</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060482</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060485</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035060490</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035061246</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035061247</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035061272</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035061287</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035061344</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035062264</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035063812</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035064030</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035064526</ndc>
    <ndc_label_name>EQ LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035064782</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035064790</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035064810</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035065082</ndc>
    <ndc_label_name>EQ FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035065770</ndc>
    <ndc_label_name>Restore Plus (carboxymethylcellulose) 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035066026</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035069309</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035069960</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035070001</ndc>
    <ndc_label_name>Pain Relieving Cream 4 %-30 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035070209</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035070210</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035070301</ndc>
    <ndc_label_name>EQ BUDESONIDE 32 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035070764</ndc>
    <ndc_label_name>EQ HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035072469</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D 10 mg-240 mg tablet,extended release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035073007</ndc>
    <ndc_label_name>EQ MICONAZOLE 2% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035073401</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035073403</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035073927</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035073952</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035074101</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035074178</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035078429</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035078430</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035078443</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035079341</ndc>
    <ndc_label_name>Hemorrhoidal (witch hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035079926</ndc>
    <ndc_label_name>Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035080372</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035080609</ndc>
    <ndc_label_name>EQ LORATADINE 10 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035080958</ndc>
    <ndc_label_name>Antibiotic Plus (pramoxine) 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035081227</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035082529</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035082824</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035085135</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035085140</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035085478</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035086201</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035086389</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035086630</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035087067</ndc>
    <ndc_label_name>Cold Relief 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035087303</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035087308</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035087309</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035087310</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035089212</ndc>
    <ndc_label_name>Natural Vegetable Laxative (sennosides) 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035089734</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035090603</ndc>
    <ndc_label_name>Mix-In Laxative 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091048</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091212</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091432</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091501</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091503</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091530</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091762</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035091920</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035092835</ndc>
    <ndc_label_name>EQ TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035092912</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035092951</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035093915</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035094610</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035094616</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035095828</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035095926</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035096073</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035096491</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Nighttime 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035096678</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035097583</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035099803</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49035099810</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035438601</ndc>
    <ndc_label_name>RELION BP100 MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49035626601</ndc>
    <ndc_label_name>RELION BP200W WRIST MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100036374</ndc>
    <ndc_label_name>Culturelle 15 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100036404</ndc>
    <ndc_label_name>Culturelle 15 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100038164</ndc>
    <ndc_label_name>Culturelle 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040007</ndc>
    <ndc_label_name>Culturelle 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040008</ndc>
    <ndc_label_name>Culturelle Kids Probiotics 5 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040009</ndc>
    <ndc_label_name>Culturelle Digestive Health 10 billion cell-200 mg sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040010</ndc>
    <ndc_label_name>Culturelle 15 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040012</ndc>
    <ndc_label_name>Culturelle Digestive Health 10 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040015</ndc>
    <ndc_label_name>Culturelle Kids Probiotics 5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040021</ndc>
    <ndc_label_name>Culturelle Digestive Health 10 billion cell-200 mg sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040022</ndc>
    <ndc_label_name>Culturelle Digestive Health 10 billion cell-200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040023</ndc>
    <ndc_label_name>Culturelle Kids Probiotics 5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040024</ndc>
    <ndc_label_name>Culturelle Kids Probiotics 5 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040026</ndc>
    <ndc_label_name>Culturelle Kids Probiotics 5 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040035</ndc>
    <ndc_label_name>Culturelle Ultimate 20 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Pro-Well 3-In-1  10 billion cell-70 mg-240 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Digestive Health 10 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Ultimate 20 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Kids Ultimate Balance 10 billion cell chewable tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Metabolism-Weight Mgmt 12 billion cell-1.7mg-2.4mcg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Probiotic-Multivit 1 billion cell-1 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Kids Probiotic-Fiber 1 billion cell-1 gram-15mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Probiotic-Prebiotic 1 billion cell-1 gram-15 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CULTURELLE TOTAL BALANCE CAP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Immune Defense 10 billion cell-90 mg-3 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040124</ndc>
    <ndc_label_name>Culturelle Kids Grow-Thrive 3.5B cell -1 gram-10 mcg oral powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Kids 4 in 1 Immune 5 billion cell-90 mg-20 mcg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040143</ndc>
    <ndc_label_name>CULTURELLE DIGEST 12B CELL CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Culturelle Kids Probiotic-Multivit-Lutein 500 million cell chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040149</ndc>
    <ndc_label_name>Culturelle Women's Wellness 12 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Advanced Regularity 11 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040155</ndc>
    <ndc_label_name>Culturelle Baby Colic-Soothing 250 mm cell-10 mcg/5 drops oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Men's Daily Health 10 billion cell-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Abdominal Support-Comft 2 billion cell-4 gram oral powd pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Bloating Gas 5 billion cell-285 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040183</ndc>
    <ndc_label_name>Culturelle SlimBiotics 12 billion cell-1.7 mg-2.4mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lacteol DiarrhEase 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040187</ndc>
    <ndc_label_name>Lacteol DiarrhEase 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49100040188</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lacteol DiarrhEase Kids 10 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Culturelle Women's 4-in-1 15 billion cell-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 1.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 1.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 1.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 1.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 2.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-SM with 2.5 % dextrose calcium 3.5 mEq/L-magnesium 1.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020625</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020630</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020632</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020650</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020662</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-LC with 1.5% Dextrose low calcium 2.5 mEq/L-magnesium 0.5mEq/L</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020923</ndc>
    <ndc_label_name>Delflex-LC with 2.5 % Dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020925</ndc>
    <ndc_label_name>Delflex-LC with 2.5 % Dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delflex-LC with 2.5 % Dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020932</ndc>
    <ndc_label_name>Delflex-LC with 2.5 % Dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020950</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020991</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020992</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020994</ndc>
    <ndc_label_name>Delflex with 2.5 % dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230020995</ndc>
    <ndc_label_name>Delflex with 2.5 % dextrose calcium 2.5 mEq/L-magnesium 0.5 mEq/L</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230021223</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230021225</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230021230</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49230021252</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281021515</ndc>
    <ndc_label_name>Tenivac (PF) 5 Lf unit-2 Lf unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281021558</ndc>
    <ndc_label_name>Tenivac (PF) 5 Lf unit-2 Lf unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281021588</ndc>
    <ndc_label_name>Tenivac (PF) 5 Lf unit-2 Lf unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281024658</ndc>
    <ndc_label_name>Imovax Rabies Vaccine (PF) 2.5 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281024858</ndc>
    <ndc_label_name>Imovax Rabies Vaccine (PF) 2.5 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281024901</ndc>
    <ndc_label_name>Diluent for Imovax syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281025051</ndc>
    <ndc_label_name>Imovax Rabies Vaccine (PF) 2.5 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281025251</ndc>
    <ndc_label_name>Imovax Rabies Vaccine (PF) 2.5 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281026358</ndc>
    <ndc_label_name>Diluent for Imovax syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281028610</ndc>
    <ndc_label_name>Daptacel (DTaP Pediatric) (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281028658</ndc>
    <ndc_label_name>Daptacel (DTaP Pediatric) (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281032450</ndc>
    <ndc_label_name>FLUZONE QUAD SOUTH HEM2024 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281032488</ndc>
    <ndc_label_name>FLUZONE QUAD SOUTH HEM2024 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281032550</ndc>
    <ndc_label_name>Fluzone Triv South Hem2025(PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281032588</ndc>
    <ndc_label_name>Fluzone Triv South Hem2025(PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281039815</ndc>
    <ndc_label_name>FLUZONE QUAD SOUTH HEM 2024 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281039878</ndc>
    <ndc_label_name>FLUZONE QUAD SOUTH HEM 2024 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281040010</ndc>
    <ndc_label_name>Adacel (Tdap Adolesn/Adult)(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281040020</ndc>
    <ndc_label_name>Adacel (Tdap Adolesn/Adult)(PF)2 Lf-(2.5-5-3-5)-5 Lf/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281040058</ndc>
    <ndc_label_name>Adacel (Tdap Adolesn/Adult)(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281040089</ndc>
    <ndc_label_name>Adacel (Tdap Adolesn/Adult)(PF)2 Lf-(2.5-5-3-5)-5 Lf/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281042350</ndc>
    <ndc_label_name>FLUZONE QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281042388</ndc>
    <ndc_label_name>FLUZONE QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281042450</ndc>
    <ndc_label_name>FLUZONE TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281042488</ndc>
    <ndc_label_name>FLUZONE TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281042550</ndc>
    <ndc_label_name>Fluzone 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281042588</ndc>
    <ndc_label_name>Fluzone 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281051105</ndc>
    <ndc_label_name>Pentacel (PF) 15 Lf-20 mcg-5 Lf-62 DU-10 mcg/0.5 mL intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281054458</ndc>
    <ndc_label_name>Pentacel ActHIB Component (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281054503</ndc>
    <ndc_label_name>ActHIB (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281054605</ndc>
    <ndc_label_name>Diluent For ActHIB 0.4 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281054658</ndc>
    <ndc_label_name>Diluent For ActHIB 0.4 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281054758</ndc>
    <ndc_label_name>ActHIB (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281054958</ndc>
    <ndc_label_name>Diluent for Dengvaxia 0.4 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281056101</ndc>
    <ndc_label_name>Pentacel DTaP-IPV Component (PF) 15 Lf-48 mcg-62 DU/0.5 mL IM susp</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056210</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056258</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056410</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056415</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056458</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281056488</ndc>
    <ndc_label_name>Quadracel (PF) 15 Lf-48 mcg-5 Lf unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281057415</ndc>
    <ndc_label_name>Beyfortus 100 mg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281057488</ndc>
    <ndc_label_name>Beyfortus 100 mg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281057500</ndc>
    <ndc_label_name>Beyfortus 50 mg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281057515</ndc>
    <ndc_label_name>Beyfortus 50 mg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281059005</ndc>
    <ndc_label_name>MenQuadfi (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281059010</ndc>
    <ndc_label_name>MenQuadfi (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281059058</ndc>
    <ndc_label_name>MenQuadfi (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281060501</ndc>
    <ndc_label_name>Dengvaxia (PF) 10exp4.5-6 CCID50/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281060658</ndc>
    <ndc_label_name>Dengvaxia (PF) 10exp4.5-6 CCID50/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281063915</ndc>
    <ndc_label_name>FLUZONE QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281063978</ndc>
    <ndc_label_name>FLUZONE QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281064115</ndc>
    <ndc_label_name>FLUZONE TRIVALENT 2024-25 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281064178</ndc>
    <ndc_label_name>FLUZONE TRIVALENT 2024-25 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281064315</ndc>
    <ndc_label_name>Fluzone 2025-2026 45 mcg (15 mcg x 3)/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281064378</ndc>
    <ndc_label_name>Fluzone 2025-2026 45 mcg (15 mcg x 3)/0.5 mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281072310</ndc>
    <ndc_label_name>FLUBLOK QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281072388</ndc>
    <ndc_label_name>FLUBLOK QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281072410</ndc>
    <ndc_label_name>FLUBLOK TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281072488</ndc>
    <ndc_label_name>FLUBLOK TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281072510</ndc>
    <ndc_label_name>Flublok 2025-2026 (PF) 135 mcg (45 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281072588</ndc>
    <ndc_label_name>Flublok 2025-2026 (PF) 135 mcg (45 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281075221</ndc>
    <ndc_label_name>Tubersol 5 tub. unit/0.1 mL intradermal injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281075222</ndc>
    <ndc_label_name>Tubersol 5 tub. unit/0.1 mL intradermal injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281075278</ndc>
    <ndc_label_name>Tubersol 5 tub. unit/0.1 mL intradermal injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281075298</ndc>
    <ndc_label_name>Tubersol 5 tub. unit/0.1 mL intradermal injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281079020</ndc>
    <ndc_label_name>Typhim Vi 25 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281079038</ndc>
    <ndc_label_name>Typhim Vi 25 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281079051</ndc>
    <ndc_label_name>Typhim Vi 25 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281079088</ndc>
    <ndc_label_name>Typhim Vi 25 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281086010</ndc>
    <ndc_label_name>IPOL 40 unit-8 unit-32 unit/0.5 mL suspension for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281086078</ndc>
    <ndc_label_name>IPOL 40 unit-8 unit-32 unit/0.5 mL suspension for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091158</ndc>
    <ndc_label_name>DILUENT FOR STAMARIL SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091201</ndc>
    <ndc_label_name>Diluent for YF-Vax (1 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091203</ndc>
    <ndc_label_name>Diluent for YF-Vax (5 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091205</ndc>
    <ndc_label_name>Diluent for YF-Vax (1 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091258</ndc>
    <ndc_label_name>Diluent for YF-Vax (1 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091259</ndc>
    <ndc_label_name>Diluent for YF-Vax (1 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091268</ndc>
    <ndc_label_name>Diluent for YF-Vax (5 Dose) 0.9 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091301</ndc>
    <ndc_label_name>Stamaril (PF) 1,000 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49281091358</ndc>
    <ndc_label_name>Stamaril (PF) 1,000 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281091501</ndc>
    <ndc_label_name>YF-Vax (PF) 10 exp4.74 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281091505</ndc>
    <ndc_label_name>YF-Vax (PF) 10 exp4.74 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281091558</ndc>
    <ndc_label_name>YF-Vax (PF) 10 exp4.74 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49281091568</ndc>
    <ndc_label_name>YF-Vax (PF) 10 exp4.74 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348001134</ndc>
    <ndc_label_name>SM CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348001737</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348002827</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348003040</ndc>
    <ndc_label_name>SM ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348003205</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348003210</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348003729</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348004209</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348004210</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348004214</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348006137</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348006139</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348007644</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348009529</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348011537</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348011610</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348011704</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348011934</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348012844</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348013027</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348013327</ndc>
    <ndc_label_name>SM IODINE 2% TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348013534</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348013537</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348014370</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348014392</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348014707</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348014830</ndc>
    <ndc_label_name>SM CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348014929</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348015078</ndc>
    <ndc_label_name>Lice Treatment (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348015339</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348015472</ndc>
    <ndc_label_name>Antibiotic (bacitracin zinc) 500 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348015529</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348016162</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348017934</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348017937</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348017938</ndc>
    <ndc_label_name>SM HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348018138</ndc>
    <ndc_label_name>SM WITCH HAZEL 86% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018235</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018267</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018520</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018614</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018620</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348018810</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348019013</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348019609</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348019610</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348019635</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348019727</ndc>
    <ndc_label_name>SM NOSE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348019878</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348023027</ndc>
    <ndc_label_name>SM NASAL SPRAY 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348023127</ndc>
    <ndc_label_name>SM NASAL SPRAY SINUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348027472</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348027972</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348030239</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348030339</ndc>
    <ndc_label_name>Antacid Maximum Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348030539</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348030609</ndc>
    <ndc_label_name>SM NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348030611</ndc>
    <ndc_label_name>SM NAPROXEN SODIUM 220 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348032944</ndc>
    <ndc_label_name>Lubricating Plus 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348033736</ndc>
    <ndc_label_name>Caldyphen 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348035543</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348035625</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348037469</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348037954</ndc>
    <ndc_label_name>3-Day Vaginal 2 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348043739</ndc>
    <ndc_label_name>Multipurpose Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348044172</ndc>
    <ndc_label_name>Hydrocortisone Plus 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348044334</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348050859</ndc>
    <ndc_label_name>SM TIOCONAZOLE-1 6.5% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348052178</ndc>
    <ndc_label_name>SM HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348052272</ndc>
    <ndc_label_name>SM HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348052902</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348052904</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348053077</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348054110</ndc>
    <ndc_label_name>SM FIBER LAXATIVE 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348054301</ndc>
    <ndc_label_name>SM LORATA-DINE D 24HR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348054357</ndc>
    <ndc_label_name>SM LORATA-DINE D 24HR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057041</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057141</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057208</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057236</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057308</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348057336</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348061036</ndc>
    <ndc_label_name>SM CALDYPHEN CLEAR LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348062237</ndc>
    <ndc_label_name>SM POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348062238</ndc>
    <ndc_label_name>SM POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348063634</ndc>
    <ndc_label_name>SM LORATADINE 5 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348064227</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348064573</ndc>
    <ndc_label_name>Miconazole-3 4 % (200 mg)-2 % (9 gram) vaginal pack,prefil appl, cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348068972</ndc>
    <ndc_label_name>SM MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348069069</ndc>
    <ndc_label_name>Antibiotic Plus (pramoxine) 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348069136</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348069236</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348069729</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348070007</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348070604</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348070609</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348070610</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348070614</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348070616</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348071130</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348071236</ndc>
    <ndc_label_name>SM BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348071334</ndc>
    <ndc_label_name>Sweet Oil oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348072809</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348072909</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348073734</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348073737</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348075337</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348075707</ndc>
    <ndc_label_name>SM ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348078710</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348078810</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348079072</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348079376</ndc>
    <ndc_label_name>SM CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348080234</ndc>
    <ndc_label_name>SM CALAMINE PHENOLATED LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348081233</ndc>
    <ndc_label_name>SM TWO-STEP PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348081705</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348081709</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348083361</ndc>
    <ndc_label_name>SM MICONAZOLE 7 100 MG VAG SUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348084678</ndc>
    <ndc_label_name>SM OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348085216</ndc>
    <ndc_label_name>SM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348085316</ndc>
    <ndc_label_name>SM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348085472</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348086134</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348086137</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348087277</ndc>
    <ndc_label_name>SM MICONAZOLE 2% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348087359</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348089350</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348093434</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348094729</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348095344</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348097310</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49348097539</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348098015</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348098023</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348098053</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348098115</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348099136</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49348099810</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401008801</ndc>
    <ndc_label_name>Benlysta 200 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401008835</ndc>
    <ndc_label_name>Benlysta 200 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401008842</ndc>
    <ndc_label_name>Benlysta 200 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401008847</ndc>
    <ndc_label_name>Benlysta 200 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401008861</ndc>
    <ndc_label_name>Benlysta 200 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401010101</ndc>
    <ndc_label_name>Benlysta 120 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49401010201</ndc>
    <ndc_label_name>Benlysta 400 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49406000315</ndc>
    <ndc_label_name>Formula 3 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49406000475</ndc>
    <ndc_label_name>FungiFoam 1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49406000715</ndc>
    <ndc_label_name>Formula 7  1 % topical solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Hyalo4 Care Clear 0.2 % topical gel</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>49430000100</ndc>
    <ndc_label_name>Ultraderm Base cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483022206</ndc>
    <ndc_label_name>Nitro-Time 6.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483022210</ndc>
    <ndc_label_name>Nitro-Time 6.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483022306</ndc>
    <ndc_label_name>Nitro-Time 9 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483022310</ndc>
    <ndc_label_name>Nitro-Time 9 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483024201</ndc>
    <ndc_label_name>Allergy-Time 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483024210</ndc>
    <ndc_label_name>Allergy-Time 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483027206</ndc>
    <ndc_label_name>Mucosa 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483028006</ndc>
    <ndc_label_name>Mucosa DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483033101</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483033110</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483033301</ndc>
    <ndc_label_name>Motion-Time 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483033310</ndc>
    <ndc_label_name>Motion-Time 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483033463</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483034001</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483034010</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483034101</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483034110</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483034150</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483037000</ndc>
    <ndc_label_name>Extra Pain Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483038710</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483038712</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483048110</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483048112</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060101</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060110</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060201</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060250</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060301</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060350</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060401</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060450</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060501</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060510</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060550</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060601</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060610</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060650</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060701</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060710</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060750</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060901</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483060905</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061701</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061750</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061801</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061850</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061901</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483061950</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062001</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062010</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062050</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062081</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062101</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062110</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062150</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062181</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062201</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062210</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062250</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062281</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062301</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062309</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062310</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062350</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062401</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483062450</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483068201</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483068703</ndc>
    <ndc_label_name>PARICALCITOL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483068803</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49483068903</ndc>
    <ndc_label_name>PARICALCITOL 4 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483069250</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483069901</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070101</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070110</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070201</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070210</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070301</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070303</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483070350</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49483072001</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502010101</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502010102</ndc>
    <ndc_label_name>EPINEPHRINE 0.15 MG AUTO-INJCT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502010201</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502010202</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG AUTO-INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020301</ndc>
    <ndc_label_name>Ace Aerosol Cloud Enhancer spacer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020701</ndc>
    <ndc_label_name>EasiVent Holding Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020725</ndc>
    <ndc_label_name>EasiVent Holding Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020801</ndc>
    <ndc_label_name>EasiVent Mask Small</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020802</ndc>
    <ndc_label_name>EasiVent Mask Medium</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502020803</ndc>
    <ndc_label_name>EasiVent Mask Large</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502025080</ndc>
    <ndc_label_name>Semglee (insulin glargine-yfgn) 100 unit/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502034573</ndc>
    <ndc_label_name>Tobi 300 mg/5 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502034599</ndc>
    <ndc_label_name>Tobi 300 mg/5 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502037815</ndc>
    <ndc_label_name>ERMEZA 150 MCG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502037875</ndc>
    <ndc_label_name>ERMEZA 150 MCG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038002</ndc>
    <ndc_label_name>Hulio(CF) Pen 40 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038006</ndc>
    <ndc_label_name>HULIO(CF) PEN 40 MG/0.8 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038102</ndc>
    <ndc_label_name>Hulio(CF) 20 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038106</ndc>
    <ndc_label_name>HULIO(CF) 20 MG/0.4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038202</ndc>
    <ndc_label_name>Hulio(CF) 40 mg/0.8 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502038206</ndc>
    <ndc_label_name>HULIO(CF) 40 MG/0.8 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502040111</ndc>
    <ndc_label_name>Tobi Podhaler 28 mg capsule with inhalation device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502040124</ndc>
    <ndc_label_name>Tobi Podhaler 28 mg capsule with inhalation device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502040156</ndc>
    <ndc_label_name>Tobi Podhaler 28 mg capsule with inhalation device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041602</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041606</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041702</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) 20 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041706</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) 20 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041802</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502041806</ndc>
    <ndc_label_name>ADALIMUMAB-FKJP(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502042593</ndc>
    <ndc_label_name>SYMFI LO 400-300-300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502045093</ndc>
    <ndc_label_name>Cimduo 300 mg-300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502047593</ndc>
    <ndc_label_name>Symfi 600 mg-300 mg-300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502047626</ndc>
    <ndc_label_name>PRETOMANID 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502050001</ndc>
    <ndc_label_name>EpiPen 0.3 mg/0.3 mL injection, auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502050002</ndc>
    <ndc_label_name>EpiPen 2-Pak 0.3 mg/0.3 mL injection, auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502050101</ndc>
    <ndc_label_name>EpiPen Jr 0.15 mg/0.3 mL injection,auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49502050102</ndc>
    <ndc_label_name>EpiPen Jr 2-Pak 0.15 mg/0.3 mL injection,auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502060530</ndc>
    <ndc_label_name>Perforomist 20 mcg/2 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502060561</ndc>
    <ndc_label_name>Perforomist 20 mcg/2 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502060595</ndc>
    <ndc_label_name>Perforomist 20 mcg/2 mL solution for nebulization</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502080632</ndc>
    <ndc_label_name>Yupelri 175 mcg/3 mL solution for nebulization</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502080687</ndc>
    <ndc_label_name>Yupelri 175 mcg/3 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502080693</ndc>
    <ndc_label_name>Yupelri 175 mcg/3 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090001</ndc>
    <ndc_label_name>Emsam 6 mg/24 hr transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090030</ndc>
    <ndc_label_name>Emsam 6 mg/24 hr transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090101</ndc>
    <ndc_label_name>Emsam 9 mg/24 hr transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090130</ndc>
    <ndc_label_name>Emsam 9 mg/24 hr transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49502090230</ndc>
    <ndc_label_name>Emsam 12 mg/24 hr transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49580026803</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49580032901</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49580033406</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591005105</ndc>
    <ndc_label_name>HepaGam B greater than 312 unit/mL 5 mL injection solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591005151</ndc>
    <ndc_label_name>HepaGam B greater than 312 unit/mL 5 mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591005211</ndc>
    <ndc_label_name>HepaGam B &gt;312 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591005251</ndc>
    <ndc_label_name>HepaGam B &gt;312 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591012611</ndc>
    <ndc_label_name>Varizig 125 unit/1.2 mL intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591012651</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591030013</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591030051</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591033011</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591033051</ndc>
    <ndc_label_name>WinRho SDF 1,500 unit (300 mcg)/1.3 mL injection solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591035002</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591053250</ndc>
    <ndc_label_name>CytoGam 50 mg/mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49591053251</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49609000201</ndc>
    <ndc_label_name>SODIUM FLUORIDE F-18 VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49609010101</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49609010102</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49609010201</ndc>
    <ndc_label_name>SODIUM FLUORIDE F-18 VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49648008013</ndc>
    <ndc_label_name>Bufferin 325 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49648008402</ndc>
    <ndc_label_name>NUPERCAINAL 1% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702020318</ndc>
    <ndc_label_name>Epivir 150 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702020413</ndc>
    <ndc_label_name>Epivir 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702020548</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702021248</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702021301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702021326</ndc>
    <ndc_label_name>Retrovir 10 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ziagen 20 mg/mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Selzentry 150 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CABOTEGRAVIR ER 600 MG/3 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Apretude 600 mg/3 mL (200 mg/mL) IM suspension, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Cabenuva 600 mg/3 mL-900 mg/3 mL IM suspension, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Juluca 50 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702024302</ndc>
    <ndc_label_name>RILPIVIRINE ER 900 MG/3 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dovato 50 mg-300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dovato 50 mg-300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dovato 50 mg-300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dovato 50 mg-300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vocabria 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49702024902</ndc>
    <ndc_label_name>RILPIVIRINE ER 600 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702025018</ndc>
    <ndc_label_name>Rukobia 600 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Cabenuva 400 mg/2 mL-600 mg/2 mL IM suspension, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702025537</ndc>
    <ndc_label_name>Tivicay PD 5 mg tablet for oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702025837</ndc>
    <ndc_label_name>Triumeq PD 60 mg-5 mg-30 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702026055</ndc>
    <ndc_label_name>Selzentry 20 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702026423</ndc>
    <ndc_label_name>Apretude 600 mg/3 mL (200 mg/mL) IM suspension, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702026663</ndc>
    <ndc_label_name>Cabenuva 600 mg/3 mL-900 mg/3 mL IM suspension, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702027259</ndc>
    <ndc_label_name>Triumeq PD 60 mg-5 mg-30 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49702028063</ndc>
    <ndc_label_name>Apretude 600 mg/3 mL (200 mg/mL) IM suspension, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708014501</ndc>
    <ndc_label_name>Bactrim 400 mg-80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708014601</ndc>
    <ndc_label_name>Bactrim DS 800 mg-160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708015307</ndc>
    <ndc_label_name>Qualaquin 324 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708052188</ndc>
    <ndc_label_name>Flumadine 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708075441</ndc>
    <ndc_label_name>BromSite 0.075 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49708075541</ndc>
    <ndc_label_name>BROMFENAC SOD 0.075% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49730011130</ndc>
    <ndc_label_name>NITROGLYCERIN 0.2 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49730011230</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49730011330</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000056</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-321 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000058</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-295 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000059</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000075</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-387 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000083</ndc>
    <ndc_label_name>Prunes-Pears-Pumpkin oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000085</ndc>
    <ndc_label_name>Pro-Stat Sugar Free with Fiber 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000086</ndc>
    <ndc_label_name>Pro-Stat Sugar Free with Fiber 15 gram-100 kcal/30 mL oral liquid pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000091</ndc>
    <ndc_label_name>Pepticate 2.4-5.2-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000099</ndc>
    <ndc_label_name>Neocate Syneo Junior 3.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000101</ndc>
    <ndc_label_name>Pepticate 2.4-4.7-12.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000103</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-322 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000124</ndc>
    <ndc_label_name>Complete Amino Acid Mix 82 gram-328 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000164</ndc>
    <ndc_label_name>PKU Periflex Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000168</ndc>
    <ndc_label_name>MSUD Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000169</ndc>
    <ndc_label_name>HCU Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000170</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-306 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000171</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-318 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000173</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-333 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000174</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-333 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000175</ndc>
    <ndc_label_name>Complex MSD Essential 25 gram-372 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000176</ndc>
    <ndc_label_name>Glutarade Essential 25 gram-382 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000177</ndc>
    <ndc_label_name>PhenylAde 60 60 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000178</ndc>
    <ndc_label_name>PhenylAde 60 60 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000179</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000180</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000181</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000182</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000183</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000184</ndc>
    <ndc_label_name>Phenylade MTE Amino Acids 78 gram-312 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000185</ndc>
    <ndc_label_name>Complex MSD Amino Acid Blend 81 gram-336 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000186</ndc>
    <ndc_label_name>Turkey-Pears-Pumpkin oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000187</ndc>
    <ndc_label_name>Chicken-Zucchini-Potatoes oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000196</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-387 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000211</ndc>
    <ndc_label_name>IVA Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000212</ndc>
    <ndc_label_name>SOD Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000215</ndc>
    <ndc_label_name>MMA-PA Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000217</ndc>
    <ndc_label_name>GA-1 Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000218</ndc>
    <ndc_label_name>TYR Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735000627</ndc>
    <ndc_label_name>Neocate Junior With Prebiotics 14.8 gram-472 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001436</ndc>
    <ndc_label_name>Neocate Syneo Infant 2.9-4.9-11.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001490</ndc>
    <ndc_label_name>ESSENTIAL AMINO ACID MIX 79 gram-316 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001618</ndc>
    <ndc_label_name>PKU Periflex Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001619</ndc>
    <ndc_label_name>TYR Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001622</ndc>
    <ndc_label_name>GA-1 Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001623</ndc>
    <ndc_label_name>MMA-PA Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001624</ndc>
    <ndc_label_name>SOD Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001625</ndc>
    <ndc_label_name>IVA Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001626</ndc>
    <ndc_label_name>HCU Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001627</ndc>
    <ndc_label_name>MSUD Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001790</ndc>
    <ndc_label_name>Neocate Junior 14.8 gram-479 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001842</ndc>
    <ndc_label_name>Ketocal 4:1 (milk-soy) 14.4 gram-701 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001951</ndc>
    <ndc_label_name>Phlexy-10  8.33 gram-35 kcal/10 tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735001957</ndc>
    <ndc_label_name>Liquigen 50 gram-450 kcal/100 mL oral emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002301</ndc>
    <ndc_label_name>PKU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002302</ndc>
    <ndc_label_name>PKU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002311</ndc>
    <ndc_label_name>XPhe Maxamum 40 gram-305 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002312</ndc>
    <ndc_label_name>XPhe Maxamum 40 gram-305 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002341</ndc>
    <ndc_label_name>HCU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002342</ndc>
    <ndc_label_name>MMA-PA Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002343</ndc>
    <ndc_label_name>IVA Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002435</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002436</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002437</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735002595</ndc>
    <ndc_label_name>Neocate Infant DHA-ARA 2.8 gram-5.1 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735004451</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735005426</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-334 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735005757</ndc>
    <ndc_label_name>TYR Lophlex GMP Mix-In 80 gram-324 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735006033</ndc>
    <ndc_label_name>Monogen 12.9 gram-444 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735006456</ndc>
    <ndc_label_name>Neocate Junior With Prebiotics 16 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735006832</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-396 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735007155</ndc>
    <ndc_label_name>Ketocal 3:1 15.4 gram-711 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735008324</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-396 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009292</ndc>
    <ndc_label_name>UCD Anamix Junior 12 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009293</ndc>
    <ndc_label_name>UCD Anamix Junior 12 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009470</ndc>
    <ndc_label_name>HCU Anamix Next 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009471</ndc>
    <ndc_label_name>IVA Anamix Next 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009472</ndc>
    <ndc_label_name>MMA-PA Anamix Next 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009474</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009476</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009477</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009478</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009479</ndc>
    <ndc_label_name>TYR Anamix Next 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735009686</ndc>
    <ndc_label_name>PhenylAde GMP Ready 10 gram-110 kcal/250 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010004</ndc>
    <ndc_label_name>preOp 24 gram-100 kcal/27 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010056</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-321 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010058</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-295 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010059</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010060</ndc>
    <ndc_label_name>Ketocal 4:1 3.09 gram-153 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010075</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-387 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010083</ndc>
    <ndc_label_name>Prunes-Pears-Pumpkin oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010085</ndc>
    <ndc_label_name>Pro-Stat Sugar Free with Fiber 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010086</ndc>
    <ndc_label_name>Pro-Stat Sugar Free with Fiber 15 gram-100 kcal/30 mL oral liquid pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010091</ndc>
    <ndc_label_name>Pepticate 2.4-5.2-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010099</ndc>
    <ndc_label_name>Neocate Syneo Junior 3.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010102</ndc>
    <ndc_label_name>Pepticate 2.4-4.7-12.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010103</ndc>
    <ndc_label_name>PhenylAde GMP Ultra 60 gram-322 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010143</ndc>
    <ndc_label_name>MSUD Aid 60 gram-250 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010164</ndc>
    <ndc_label_name>PKU Periflex Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010168</ndc>
    <ndc_label_name>MSUD Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010169</ndc>
    <ndc_label_name>HCU Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010172</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-387 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010173</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-333 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010175</ndc>
    <ndc_label_name>Complex MSD Essential 25 gram-372 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010176</ndc>
    <ndc_label_name>Glutarade Essential 25 gram-382 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010177</ndc>
    <ndc_label_name>PhenylAde 60 60 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010178</ndc>
    <ndc_label_name>PhenylAde 60 60 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010179</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010180</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010181</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010182</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010183</ndc>
    <ndc_label_name>Phenylade Essential 25 gram-383 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010184</ndc>
    <ndc_label_name>Phenylade MTE Amino Acids 78 gram-312 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010185</ndc>
    <ndc_label_name>Complex MSD Amino Acid Blend 81 gram-336 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010186</ndc>
    <ndc_label_name>Turkey-Pears-Pumpkin oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010187</ndc>
    <ndc_label_name>Chicken-Zucchini-Potatoes oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010196</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-387 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010205</ndc>
    <ndc_label_name>PKU Lophlex 20 gram-133 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010211</ndc>
    <ndc_label_name>IVA Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010212</ndc>
    <ndc_label_name>SOD Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010215</ndc>
    <ndc_label_name>MMA-PA Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010217</ndc>
    <ndc_label_name>GA-1 Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010218</ndc>
    <ndc_label_name>TYR Anamix Early Years 13.5 gram-473 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010242</ndc>
    <ndc_label_name>Methionaid 60 gram-250 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010432</ndc>
    <ndc_label_name>preOp 24 gram-100 kcal/27 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010627</ndc>
    <ndc_label_name>Neocate Junior With Prebiotics 14.8 gram-472 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735010685</ndc>
    <ndc_label_name>Phlexy-Vits 15 mg-700 mcg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011050</ndc>
    <ndc_label_name>EO28 Splash oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011152</ndc>
    <ndc_label_name>Polycal 96 gram-384 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011161</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-334 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011212</ndc>
    <ndc_label_name>Fortini Infant 2.6-5.4-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011436</ndc>
    <ndc_label_name>Neocate Syneo Infant 2.9-4.9-11.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011467</ndc>
    <ndc_label_name>Phlexy-10 Drink Mix Powder 8.33 gram-69 kcal/20 gram oral powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011618</ndc>
    <ndc_label_name>PKU Periflex Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011619</ndc>
    <ndc_label_name>TYR Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011622</ndc>
    <ndc_label_name>GA-1 Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011623</ndc>
    <ndc_label_name>MMA-PA Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011624</ndc>
    <ndc_label_name>SOD Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011625</ndc>
    <ndc_label_name>IVA Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011626</ndc>
    <ndc_label_name>HCU Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011627</ndc>
    <ndc_label_name>MSUD Anamix Early Years 13.5 gram-466 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011790</ndc>
    <ndc_label_name>Neocate Junior 14.8 gram-479 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011910</ndc>
    <ndc_label_name>Phlexy-10 Drink Mix Powder 8.33 gram-69 kcal/20 gram oral powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735011957</ndc>
    <ndc_label_name>Liquigen 50 gram-450 kcal/100 mL oral emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012124</ndc>
    <ndc_label_name>Neocate Junior 16 gram-451 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012167</ndc>
    <ndc_label_name>Lophlex 10 gram-41 kcal/14.3 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012169</ndc>
    <ndc_label_name>Lophlex 10 gram-41 kcal/14.3 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012301</ndc>
    <ndc_label_name>XPhe Maxamum 40 gram-305 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012302</ndc>
    <ndc_label_name>XPhe Maxamum 40 gram-305 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012435</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012436</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012437</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012524</ndc>
    <ndc_label_name>Periflex LQ PKU 0.06 g-0.64 kcal/ mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012551</ndc>
    <ndc_label_name>Periflex LQ PKU 0.06 g-0.64 kcal/ mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012595</ndc>
    <ndc_label_name>Neocate Infant DHA-ARA 2.8 gram-5.1 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012643</ndc>
    <ndc_label_name>Lanaflex 33 gram-253 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012666</ndc>
    <ndc_label_name>EO28 Splash 0.025 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012670</ndc>
    <ndc_label_name>EO28 Splash 0.025 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012690</ndc>
    <ndc_label_name>Neocate Junior 16 gram-451 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735012912</ndc>
    <ndc_label_name>Neocate Junior With Prebiotics 16 gram-478 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735013054</ndc>
    <ndc_label_name>Ketocal 4:1 (milk-soy) 3.09 gram-150 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735013341</ndc>
    <ndc_label_name>Complete Amino Acid Mix 82 gram-328 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735013342</ndc>
    <ndc_label_name>ESSENTIAL AMINO ACID MIX 79 gram-316 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735014116</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-396 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735014451</ndc>
    <ndc_label_name>Neocate Splash 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735015426</ndc>
    <ndc_label_name>PhenylAde GMP Mix-In 80 gram-334 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735015757</ndc>
    <ndc_label_name>TYR Lophlex GMP Mix-In 80 gram-324 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016033</ndc>
    <ndc_label_name>Monogen 12.9 gram-444 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016129</ndc>
    <ndc_label_name>PKU Lophlex 20 g-116 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016130</ndc>
    <ndc_label_name>PKU Lophlex 20 g-116 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016456</ndc>
    <ndc_label_name>Neocate Junior With Prebiotics 16 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016670</ndc>
    <ndc_label_name>Ketocal 4:1 (milk-soy) 14.4 gram-701 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016672</ndc>
    <ndc_label_name>Ketocal 3:1 15.3 gram-699 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016739</ndc>
    <ndc_label_name>Neocate Nutra 8.2 g-472 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016748</ndc>
    <ndc_label_name>HCU Lophlex 20 gram-120 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016749</ndc>
    <ndc_label_name>MSUD Lophlex 20 gram-120 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016750</ndc>
    <ndc_label_name>TYR Lophlex 20 gram-120 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735016832</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-396 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017097</ndc>
    <ndc_label_name>Monogen oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017155</ndc>
    <ndc_label_name>Ketocal 3:1 15.4 gram-711 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017246</ndc>
    <ndc_label_name>Ketocal 2.5:1  4.5 gram-153 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017779</ndc>
    <ndc_label_name>MMA-PA Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017780</ndc>
    <ndc_label_name>XLys, XTrp Maxamaid 25 gram-324 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017781</ndc>
    <ndc_label_name>MSUD Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017785</ndc>
    <ndc_label_name>XMTVI Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017786</ndc>
    <ndc_label_name>XPhe, XTrp Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017787</ndc>
    <ndc_label_name>XMet Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017788</ndc>
    <ndc_label_name>XLys, XTrp Maxamum 40 g-305 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017789</ndc>
    <ndc_label_name>MSUD Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017790</ndc>
    <ndc_label_name>IVA Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017791</ndc>
    <ndc_label_name>XLeu Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017792</ndc>
    <ndc_label_name>XPhe Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017793</ndc>
    <ndc_label_name>XPhe Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017794</ndc>
    <ndc_label_name>XPhe Maxamaid 25 gram-324 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735017795</ndc>
    <ndc_label_name>HCU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018187</ndc>
    <ndc_label_name>Real Food Blends oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018262</ndc>
    <ndc_label_name>Duocal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018301</ndc>
    <ndc_label_name>XPhe, XTyr Analog 13 g-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018302</ndc>
    <ndc_label_name>MSUD Analog 13 gram-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018303</ndc>
    <ndc_label_name>XMTVI Analog 13 g-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018304</ndc>
    <ndc_label_name>PhenylAde GMP 30 gram-396 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018305</ndc>
    <ndc_label_name>Periflex Advance 35 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018306</ndc>
    <ndc_label_name>Periflex Advance 35 gram-369 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018307</ndc>
    <ndc_label_name>Periflex Advance 35 gram-369 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018308</ndc>
    <ndc_label_name>Periflex Junior 25 gram-394 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018309</ndc>
    <ndc_label_name>Periflex Junior 25 gram-374 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018310</ndc>
    <ndc_label_name>Periflex Junior 25 gram-374 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018323</ndc>
    <ndc_label_name>PKU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018324</ndc>
    <ndc_label_name>PKU Maxamum 40 gram-305 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018326</ndc>
    <ndc_label_name>Periflex Infant 13 gram-421 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018327</ndc>
    <ndc_label_name>XMet Analog 13 g-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018328</ndc>
    <ndc_label_name>XLys- XTrp Analog 13 gram-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018361</ndc>
    <ndc_label_name>XLeu Analog 13 gram-475 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018796</ndc>
    <ndc_label_name>Ketocal 4:1 (milk-soy) 3.09 gram-150 kcal/100 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018842</ndc>
    <ndc_label_name>Acerflex 20 gram-395 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735018843</ndc>
    <ndc_label_name>XPTM Analog 13 g-475 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019292</ndc>
    <ndc_label_name>UCD Anamix Junior 12 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019293</ndc>
    <ndc_label_name>UCD Anamix Junior 12 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019470</ndc>
    <ndc_label_name>HCU Anamix Next 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019471</ndc>
    <ndc_label_name>IVA Anamix Next 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019472</ndc>
    <ndc_label_name>MMA-PA Anamix Next 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019474</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019476</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019477</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019478</ndc>
    <ndc_label_name>PKU Periflex Junior Plus 28 gram-377 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019479</ndc>
    <ndc_label_name>TYR Anamix Next 28 gram-385 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019535</ndc>
    <ndc_label_name>PKU Lophlex 20 g-116 kcal/125 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019573</ndc>
    <ndc_label_name>Liquigen 50 gram-450 kcal/100 mL oral emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49735019686</ndc>
    <ndc_label_name>PhenylAde GMP Ready 10 gram-110 kcal/250 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49741000004</ndc>
    <ndc_label_name>Oral Relief Dry Mouth mucosal spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49741000006</ndc>
    <ndc_label_name>Oral Relief Dry Mouth mucosal spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49741000007</ndc>
    <ndc_label_name>Oral Relief Dry Mouth mucosal spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49741000022</ndc>
    <ndc_label_name>Oral Relief Lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49771000201</ndc>
    <ndc_label_name>Mitosol 0.2 mg ophthalmic kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49771000203</ndc>
    <ndc_label_name>Mitosol 0.2 mg ophthalmic kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884000604</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884000702</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884000901</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884000910</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002001</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002010</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002101</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002110</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002201</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884002210</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884003201</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884003801</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884004233</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884004801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005401</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005410</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005501</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005510</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005601</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884005610</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884006001</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884006501</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884006601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011052</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011074</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011152</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011174</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011302</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011309</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884011701</ndc>
    <ndc_label_name>AMILORIDE HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884011710</ndc>
    <ndc_label_name>AMILORIDE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011952</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884011991</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012201</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012205</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012301</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012305</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012401</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884012405</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012552</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012591</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012752</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012791</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012852</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884012891</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884014601</ndc>
    <ndc_label_name>PENICILLAMINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884014711</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884014809</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884014811</ndc>
    <ndc_label_name>DEXLANSOPRAZOLE DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015124</ndc>
    <ndc_label_name>BISMUTH-METRO-TETR 140-125-125</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015154</ndc>
    <ndc_label_name>BISMUTH-METRO-TETR 140-125-125</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884015576</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884015676</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015802</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015852</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015902</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884015952</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884016002</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884016052</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884016111</ndc>
    <ndc_label_name>CALCITONIN-SALMON 200 UNIT SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884017004</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE 500MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884017101</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884017111</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884018601</ndc>
    <ndc_label_name>DOXYLAMINE-PYRIDOXINE 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021002</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021009</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021109</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884021252</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884021255</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021352</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021374</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021452</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884021474</ndc>
    <ndc_label_name>ALPRAZOLAM ODT 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884022001</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884022201</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884022203</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884022205</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884023183</ndc>
    <ndc_label_name>PRAZIQUANTEL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884023911</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884024801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884025011</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 6-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884025111</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 6-50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884025211</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 12-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884025311</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 12-50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884025601</ndc>
    <ndc_label_name>MINOXIDIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884025701</ndc>
    <ndc_label_name>MINOXIDIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884025705</ndc>
    <ndc_label_name>MINOXIDIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884026495</ndc>
    <ndc_label_name>GLYCEROL PHENYLBUT 1.1 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884026911</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884026952</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884027082</ndc>
    <ndc_label_name>Nascobal 500 mcg/spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884027711</ndc>
    <ndc_label_name>OLANZAPINE-FLUOXETINE 3-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884028302</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884028352</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884028901</ndc>
    <ndc_label_name>MEGESTROL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884029001</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884029005</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030602</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG DIS TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030652</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG DIS TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030702</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030752</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030802</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG DIS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030852</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG DIS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030902</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG DIS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884030952</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG DIS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884031002</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884031052</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031152</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031155</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031191</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031552</ndc>
    <ndc_label_name>RISPERIDONE 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031555</ndc>
    <ndc_label_name>RISPERIDONE 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884031591</ndc>
    <ndc_label_name>RISPERIDONE 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032152</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032155</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032252</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032255</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032352</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884032355</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884033301</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884033501</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884033511</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884033601</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884033611</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884033901</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884034701</ndc>
    <ndc_label_name>PIMOZIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884034801</ndc>
    <ndc_label_name>PIMOZIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884035803</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884035852</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884036201</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884036301</ndc>
    <ndc_label_name>DANTROLENE SODIUM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884036401</ndc>
    <ndc_label_name>DANTROLENE SODIUM 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884036609</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040152</ndc>
    <ndc_label_name>RISPERIDONE 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040191</ndc>
    <ndc_label_name>RISPERIDONE 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040252</ndc>
    <ndc_label_name>RISPERIDONE 3 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040291</ndc>
    <ndc_label_name>RISPERIDONE 3 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040352</ndc>
    <ndc_label_name>RISPERIDONE 4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884040391</ndc>
    <ndc_label_name>RISPERIDONE 4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884041201</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884041301</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884041848</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884041872</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884042411</ndc>
    <ndc_label_name>ALISKIREN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884042511</ndc>
    <ndc_label_name>ALISKIREN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884042801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884043001</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046564</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046565</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046566</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046663</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046665</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>49884046667</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884046811</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884048411</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884048454</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884048511</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884048611</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>49884090564</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gojji Blood Ketone Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Gojji Lancets 30 gauge-Glucose Test Strips combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gojji Glucose Control Solution-Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gojji Ketone Control Solution-L1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080500</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080501</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080502</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080503</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080504</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080506</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080507</ndc>
    <ndc_label_name>KinderLyte oral packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080508</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50001080509</ndc>
    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kinderlyte Herbal Immunity 270 mg-25 mcg-140 mg-50 mg oral powder pkt</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>KinderLyte oral solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Clever Choice Peak Flow Meter</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Clever Choice Underpad 30" X 36"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Comfort EZ PRO Safety Pen Needle 30 gauge x 5/16"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>50003021303</ndc>
    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003021304</ndc>
    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003021305</ndc>
    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003021309</ndc>
    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003021310</ndc>
    <ndc_label_name>Ranger Ready Repellent 20 % topical spray with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050652</ndc>
    <ndc_label_name>Bigfoot Unity kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050653</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Lispro device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050654</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Lyumjev device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050655</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Admelog device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050656</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Aspart device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050660</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Humalog device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050661</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Apidra device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050662</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Novolog device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050663</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Tresiba device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050664</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Lantus device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050665</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Fiasp device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050666</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Basaglar device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050667</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Toujeo device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50003050668</ndc>
    <ndc_label_name>Bigfoot Unity Pen Cap-Toujeo Max device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50004072500</ndc>
    <ndc_label_name>Deflux 50 mg-15 mg/mL (1) syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50004072501</ndc>
    <ndc_label_name>Solesta 50 mg-15 mg/mL (4) syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50004072510</ndc>
    <ndc_label_name>Barrigel 60 mg/3 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50004072513</ndc>
    <ndc_label_name>Barrigel 60 mg/3 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50007042422</ndc>
    <ndc_label_name>Child Cough-Mucus-Immune 6 gram-38 mg-25 mg-34 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50007042424</ndc>
    <ndc_label_name>Child All In One Cough Plus 12 gram-76 mg-35 mg/10 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50007042426</ndc>
    <ndc_label_name>Child Soothing Throat 82 mg/4 spray oral spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50010022431</ndc>
    <ndc_label_name>CareStart COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50010022432</ndc>
    <ndc_label_name>CareStart COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50010022433</ndc>
    <ndc_label_name>CareStart COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083304</ndc>
    <ndc_label_name>Verifine Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083312</ndc>
    <ndc_label_name>Verifine Safety Lancet Mini 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083313</ndc>
    <ndc_label_name>Verifine Safety Lancet Mini 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083323</ndc>
    <ndc_label_name>Verifine Safety Lancet Mini 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083326</ndc>
    <ndc_label_name>Verifine Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083333</ndc>
    <ndc_label_name>Verifine Safety Lancet Mini 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083342</ndc>
    <ndc_label_name>Verifine Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083343</ndc>
    <ndc_label_name>Verifine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083344</ndc>
    <ndc_label_name>Verifine Universal Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083348</ndc>
    <ndc_label_name>Verifine Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083350</ndc>
    <ndc_label_name>Verifine Universal Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083355</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083357</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083358</ndc>
    <ndc_label_name>Verifine Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50011083360</ndc>
    <ndc_label_name>Verifine Universal Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083366</ndc>
    <ndc_label_name>Verifine Plus Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083368</ndc>
    <ndc_label_name>Verifine Plus Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083369</ndc>
    <ndc_label_name>Verifine Plus Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083375</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083376</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083377</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083378</ndc>
    <ndc_label_name>Verifine Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083379</ndc>
    <ndc_label_name>Verifine Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083384</ndc>
    <ndc_label_name>Verifine Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083385</ndc>
    <ndc_label_name>Verifine Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083386</ndc>
    <ndc_label_name>Verifine Plus Pen Needle-Sharps Container 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083387</ndc>
    <ndc_label_name>Verifine Plus Pen Needle-Sharps Container 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50011083394</ndc>
    <ndc_label_name>Verifine Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50014063028</ndc>
    <ndc_label_name>Natural Cycles Digital App misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50015072311</ndc>
    <ndc_label_name>Hydralyte oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50015072316</ndc>
    <ndc_label_name>Hydralyte Plus 1,000 mg-300 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016014311</ndc>
    <ndc_label_name>Iliderm topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017279</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 1 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017280</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 2.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017281</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017282</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017283</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017284</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017285</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016017286</ndc>
    <ndc_label_name>ENFIT ENTERAL SYRINGE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016032300</ndc>
    <ndc_label_name>Else Toddler Organic 5 gram-180 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016032302</ndc>
    <ndc_label_name>Else Kids 5 gram-210 kcal/45 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016032303</ndc>
    <ndc_label_name>Else Kids 5 gram-210 kcal/45 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016032321</ndc>
    <ndc_label_name>Else Toddler Omega 5 gram-180 kcal/36 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016091804</ndc>
    <ndc_label_name>Lil Mixins Peanut oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016091817</ndc>
    <ndc_label_name>Lil Mixins Egg oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016095711</ndc>
    <ndc_label_name>Gel-One 30 mg/3 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50016095721</ndc>
    <ndc_label_name>Visco-3  10 mg/mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50018070800</ndc>
    <ndc_label_name>Encala 100 kcal/18 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50018070801</ndc>
    <ndc_label_name>Encala 100 kcal/18 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056312</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 1 (34 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056313</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 2 (38 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056314</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 3 (42 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056315</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 4 (48 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056316</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 5 (52 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056317</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Size 3.5 (45 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056319</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Kit One (34 mm-38 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056321</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Kit Two (42 mm-45 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056325</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Kit Three (48 mm-52 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056326</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Kit Four (34 mm-38 mm-42 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50019056327</ndc>
    <ndc_label_name>Yoni Fit Bladder Support Kit Five (45 mm-48 mm-52 mm) vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50021047447</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50021047494</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024042800</ndc>
    <ndc_label_name>Primatene 12.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024042809</ndc>
    <ndc_label_name>Primatene 12.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024042900</ndc>
    <ndc_label_name>Alavert D-12 Allergy-Sinus 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024042902</ndc>
    <ndc_label_name>Alavert D-12 Allergy-Sinus 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024042903</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024042904</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024042905</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024042907</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024042908</ndc>
    <ndc_label_name>Alavert 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024043001</ndc>
    <ndc_label_name>FiberCon 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50024043002</ndc>
    <ndc_label_name>FiberCon 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024043100</ndc>
    <ndc_label_name>Dristan Long Lasting 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024043201</ndc>
    <ndc_label_name>Anbesol (benzocaine) Maximum Strength 20 % oral mucosal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024043203</ndc>
    <ndc_label_name>Anbesol (benzocaine) Maximum Strength 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50024092400</ndc>
    <ndc_label_name>Pixel Covid-19 HOME Collect Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015389</ndc>
    <ndc_label_name>Renovar topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015390</ndc>
    <ndc_label_name>Renovar topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015391</ndc>
    <ndc_label_name>Renovar topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015392</ndc>
    <ndc_label_name>Renovar topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015393</ndc>
    <ndc_label_name>Renovar topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015394</ndc>
    <ndc_label_name>Renovar irrigation solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015395</ndc>
    <ndc_label_name>Renovar irrigation solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025015396</ndc>
    <ndc_label_name>Renovar irrigation solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099900</ndc>
    <ndc_label_name>Superior Probiotic 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099905</ndc>
    <ndc_label_name>Digestive Wellness capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099906</ndc>
    <ndc_label_name>Superior Joint Support 300 mg-100 mg-100 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099907</ndc>
    <ndc_label_name>Superior Sleep 5 mg-50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099908</ndc>
    <ndc_label_name>Superior Prostate 100 mg-35 mg-100 mg-75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099909</ndc>
    <ndc_label_name>Superior Women's Multi 2.5 mg iron-400 mcg DFE-30mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099910</ndc>
    <ndc_label_name>Superior Men's Multi 400 mcg DFE-30 mcg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099913</ndc>
    <ndc_label_name>LC-655  118 mg magnesium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099916</ndc>
    <ndc_label_name>MYLK 200 mg-6.25 mcg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099917</ndc>
    <ndc_label_name>Superior Probiotic 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50025099918</ndc>
    <ndc_label_name>Superior Omega3 with Vit D 1,250 mg-1,375 mg-25 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066000</ndc>
    <ndc_label_name>Dimetapp DM Cold-Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066001</ndc>
    <ndc_label_name>Dimetapp DM Cold-Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066002</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brom-PE) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066003</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brom-PE) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066006</ndc>
    <ndc_label_name>Children's Dimetapp Day Night 12.5 mg-2 mg-5 mg-10 mg/10 mL oral solns</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066007</ndc>
    <ndc_label_name>Children's Dimetapp Day Night 12.5 mg-2 mg-5 mg-10 mg/10 mL oral solns</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066036</ndc>
    <ndc_label_name>Children's Dimetapp Cold-Cough 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066037</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brompheniramine) 2 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50026066040</ndc>
    <ndc_label_name>Child Dimetapp Cough-Allergy 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066042</ndc>
    <ndc_label_name>Children's Dimetapp Cold-Cough 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50026066043</ndc>
    <ndc_label_name>Dimetapp Cold-Allergy (brompheniramine) 2 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049269</ndc>
    <ndc_label_name>Navage Saline Nasal Mist 0.9 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049400</ndc>
    <ndc_label_name>True Comfort Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049401</ndc>
    <ndc_label_name>True Comfort Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049402</ndc>
    <ndc_label_name>True Comfort Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049403</ndc>
    <ndc_label_name>True Comfort Pen Needle 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049404</ndc>
    <ndc_label_name>True Comfort Pen Needle 33 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049405</ndc>
    <ndc_label_name>True Comfort Pen Needle 33 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049406</ndc>
    <ndc_label_name>True Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049407</ndc>
    <ndc_label_name>True Comfort Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049408</ndc>
    <ndc_label_name>True Comfort Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049409</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049410</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049411</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 1/2 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50027049412</ndc>
    <ndc_label_name>True Comfort Pro Alcohol Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50027049413</ndc>
    <ndc_label_name>True Comfort Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049414</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 1 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049415</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049416</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049417</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049418</ndc>
    <ndc_label_name>True Comfort Pro Ins Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049422</ndc>
    <ndc_label_name>Easy Talk Plus II Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049423</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049425</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049430</ndc>
    <ndc_label_name>Easy Talk Plus II Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049431</ndc>
    <ndc_label_name>Easy Talk Plus II High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049433</ndc>
    <ndc_label_name>True Cmft Back Compression</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049434</ndc>
    <ndc_label_name>True Comfort Knee Compression Wrap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049436</ndc>
    <ndc_label_name>ULTRASONIC MINI NEBULIZER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049441</ndc>
    <ndc_label_name>Pure Comfort Spacer-Adult Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049442</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049443</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049444</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049445</ndc>
    <ndc_label_name>PRO HEALTH BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50027049446</ndc>
    <ndc_label_name>SAPS TWIST TOP 30G LANCET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049451</ndc>
    <ndc_label_name>SmartNeb Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50027049454</ndc>
    <ndc_label_name>Pro Comfort Safety Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049459</ndc>
    <ndc_label_name>True Comfort Shoulder Compress</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049461</ndc>
    <ndc_label_name>Easy Comfort Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049465</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049466</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 0.3 mL 31 x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049486</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049487</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049488</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049489</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049490</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049491</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50027049492</ndc>
    <ndc_label_name>True Comfort Safety Insulin Syringe 1 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50033087945</ndc>
    <ndc_label_name>Advocate Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50033087946</ndc>
    <ndc_label_name>Advocate Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50033087947</ndc>
    <ndc_label_name>Advocate Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50035061501</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50035061502</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50035061503</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50035061504</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50037080606</ndc>
    <ndc_label_name>MODD1 Supply Kit combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50037080612</ndc>
    <ndc_label_name>MODD1 Patient Welcome Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50038024702</ndc>
    <ndc_label_name>RelieVRx misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50039028641</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50039028659</ndc>
    <ndc_label_name>Hydration Multiplier Sugar Free oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50039028660</ndc>
    <ndc_label_name>Hydration Multiplier Sugar Free oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50039028664</ndc>
    <ndc_label_name>Hydration Multiplier Sugar Free oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50039085944</ndc>
    <ndc_label_name>FISH OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042003715</ndc>
    <ndc_label_name>GOTOKNOW COVID-19 AG HOME TEST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042016415</ndc>
    <ndc_label_name>Stasis Nighttime 1 mg-100 mg-25 mg-2.5 mg-50mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042016445</ndc>
    <ndc_label_name>Stasis Daytime 2.5 mg-500 mcg-62.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055907</ndc>
    <ndc_label_name>CorDx Covid-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055908</ndc>
    <ndc_label_name>CorDx Covid-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055909</ndc>
    <ndc_label_name>CorDx Covid-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055912</ndc>
    <ndc_label_name>CorDx Covid-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055952</ndc>
    <ndc_label_name>CorDx Tyfast Flu-COVID-19 Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055963</ndc>
    <ndc_label_name>CorDx Tyfast Flu-COVID-19 Test kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055965</ndc>
    <ndc_label_name>CorDx Tyfast Flu-COVID-19 Test kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50042055967</ndc>
    <ndc_label_name>CorDx Tyfast COVID-19 AG Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50044011823</ndc>
    <ndc_label_name>iHealth Gluco Plus Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50045094901</ndc>
    <ndc_label_name>Xenoview Empty Delivery Bag</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050000101</ndc>
    <ndc_label_name>iLet Insulin Pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050000201</ndc>
    <ndc_label_name>iLet Starter Kit-Inset</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050000301</ndc>
    <ndc_label_name>iLet Starter Kit-Inset</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050000401</ndc>
    <ndc_label_name>iLet Starter Kit Contact</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010010</ndc>
    <ndc_label_name>iLET Infusion Kit-Inset 23" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010015</ndc>
    <ndc_label_name>iLET Infusion Kit-Inset 23" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010115</ndc>
    <ndc_label_name>iLET Infusion Kit-Contact Detach 23" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010120</ndc>
    <ndc_label_name>iLET Infusion Kit-Contact Detach 23" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010210</ndc>
    <ndc_label_name>iLET Infusion Kit-Inset 32" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010215</ndc>
    <ndc_label_name>iLET Infusion Kit-Inset 32" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50050010315</ndc>
    <ndc_label_name>iLET Infusion Kit-Flex 23" combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052033506</ndc>
    <ndc_label_name>urinary tract infection test for leukocytes strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052033539</ndc>
    <ndc_label_name>3 in 1 COVID-19 and Flu Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052033540</ndc>
    <ndc_label_name>COVID-19 Rapid At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052033541</ndc>
    <ndc_label_name>3 in 1 COVID-19 and Flu Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052033543</ndc>
    <ndc_label_name>COVID-19 Rapid At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052082404</ndc>
    <ndc_label_name>Chicken-Peas-Carrots Plus 4 gram-100 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052082405</ndc>
    <ndc_label_name>Kale-Quinoa-Berries Plus 4 gram-100 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052082408</ndc>
    <ndc_label_name>Chicken-Peas-Carrots Ped Plus 3 gram-100 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50052082409</ndc>
    <ndc_label_name>Kale-Quinoa-Berries Peds Plus 3 gram-100 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086400</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086401</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086402</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086403</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086404</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086405</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086406</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086408</ndc>
    <ndc_label_name>Easy Comfort Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086409</ndc>
    <ndc_label_name>Easy Comfort Sharps Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086410</ndc>
    <ndc_label_name>True Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086411</ndc>
    <ndc_label_name>PureComfort Peak Flow Mouthpiece device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086413</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 29 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086414</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 29 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086415</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 29 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086416</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1/2 mL 29 X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086417</ndc>
    <ndc_label_name>Easy Air Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50058086418</ndc>
    <ndc_label_name>Easy Neb Filter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50058086428</ndc>
    <ndc_label_name>Pro-Comfort Alcohol Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50058086429</ndc>
    <ndc_label_name>True-Comfort Safety Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034007</ndc>
    <ndc_label_name>PKU Easy Microtabs Plus 50 gram-339 kcal/100 gram oral del rel granule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034101</ndc>
    <ndc_label_name>PKU Go 50 gram-325 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034103</ndc>
    <ndc_label_name>PKU Easy 15 gram-97.5 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034104</ndc>
    <ndc_label_name>PKU Easy 15 gram-97.5 kcal/130 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034108</ndc>
    <ndc_label_name>PKU Easy Shake And Go 45 gram-367 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034115</ndc>
    <ndc_label_name>PKU Easy 0.92 gram-5 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034116</ndc>
    <ndc_label_name>TYR Easy 0.91 gram-5 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034117</ndc>
    <ndc_label_name>MSUD Easy 0.91 gram-5 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034118</ndc>
    <ndc_label_name>HCU Easy 0.91 gram-5 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50059034342</ndc>
    <ndc_label_name>PKU Easy Microtabs 73.6 gram-396 kcal/100 gram delayed rel granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50065000605</ndc>
    <ndc_label_name>Dario Blood Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50065000606</ndc>
    <ndc_label_name>Dario Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50065000607</ndc>
    <ndc_label_name>Dario Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50065000608</ndc>
    <ndc_label_name>DARIO 100 STERILE LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50067038801</ndc>
    <ndc_label_name>Bariatric Multivitamins 45 mg iron-800 mcg DFE-120 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50067038802</ndc>
    <ndc_label_name>Bariatric Multivitamins 45 mg iron-800 mcg DFE-120 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097913</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097914</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097917</ndc>
    <ndc_label_name>INFRARED THERMOMETER FTM-D1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097931</ndc>
    <ndc_label_name>FondCircle Blood Glucose Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097932</ndc>
    <ndc_label_name>FondCircle Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50070097933</ndc>
    <ndc_label_name>FondCircle Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097934</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097936</ndc>
    <ndc_label_name>FondCircle Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097937</ndc>
    <ndc_label_name>BLOOD GLUCOSE MONITORING SYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097940</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097941</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50070097943</ndc>
    <ndc_label_name>ELECTRONIC PEAK FLOW METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076500</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076501</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076502</ndc>
    <ndc_label_name>True Comfort Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076505</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50071076506</ndc>
    <ndc_label_name>Easy Comfort Safety Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50071076507</ndc>
    <ndc_label_name>Easy Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50071076508</ndc>
    <ndc_label_name>Pure Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076509</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076510</ndc>
    <ndc_label_name>True-Comfort Pro Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076511</ndc>
    <ndc_label_name>True-Comfort Pro Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076512</ndc>
    <ndc_label_name>True-Comfort Pro Pen Needle 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50071076513</ndc>
    <ndc_label_name>True-Comfort Pro Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50072001001</ndc>
    <ndc_label_name>Tpoxx (National Stockpile) 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50072001030</ndc>
    <ndc_label_name>Tpoxx (National Stockpile) 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50072020042</ndc>
    <ndc_label_name>Tpoxx 200 mg capsule (National Stockpile)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50074043300</ndc>
    <ndc_label_name>Reset Digital App (SUD)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50074043301</ndc>
    <ndc_label_name>Reset-O Digital App (OUD)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50074043302</ndc>
    <ndc_label_name>Reset-O Digital App (OUD)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50074043303</ndc>
    <ndc_label_name>Reset Digital App (SUD)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078018503</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078018504</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078018506</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095500</ndc>
    <ndc_label_name>PSYLLIUM HUSK SUGAR FREE POWDR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095501</ndc>
    <ndc_label_name>PSYLLIUM HUSK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095502</ndc>
    <ndc_label_name>PSYLLIUM HUSK SUGAR FREE POWDR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095503</ndc>
    <ndc_label_name>PSYLLIUM HUSK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50078095504</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095506</ndc>
    <ndc_label_name>LACTASE 3,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095507</ndc>
    <ndc_label_name>LACTASE 4,500 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095508</ndc>
    <ndc_label_name>LACTASE 9,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50078095513</ndc>
    <ndc_label_name>MELATONIN 3 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50078095514</ndc>
    <ndc_label_name>MELATONIN 5 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50078095519</ndc>
    <ndc_label_name>PSYLLIUM HUSK 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50081000300</ndc>
    <ndc_label_name>Myglucohealth kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50081000301</ndc>
    <ndc_label_name>Myglucohealth strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50081000303</ndc>
    <ndc_label_name>Myglucohealth Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50081000321</ndc>
    <ndc_label_name>Myglucohealth Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102010000</ndc>
    <ndc_label_name>Lyza 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102010001</ndc>
    <ndc_label_name>Lyza 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102010003</ndc>
    <ndc_label_name>Lyza 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102010010</ndc>
    <ndc_label_name>Lyza 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102010048</ndc>
    <ndc_label_name>Lyza 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102011101</ndc>
    <ndc_label_name>EContra EZ 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102011112</ndc>
    <ndc_label_name>EContra EZ 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012001</ndc>
    <ndc_label_name>Aubra 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012003</ndc>
    <ndc_label_name>Aubra 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012010</ndc>
    <ndc_label_name>Aubra 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012048</ndc>
    <ndc_label_name>Aubra 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012801</ndc>
    <ndc_label_name>Tarina Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102012803</ndc>
    <ndc_label_name>Tarina Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102015401</ndc>
    <ndc_label_name>Cyred 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102015403</ndc>
    <ndc_label_name>Cyred 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102020001</ndc>
    <ndc_label_name>Tulana 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102020011</ndc>
    <ndc_label_name>Tulana 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102020013</ndc>
    <ndc_label_name>Tulana 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102021101</ndc>
    <ndc_label_name>Econtra One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102021111</ndc>
    <ndc_label_name>Econtra One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102021113</ndc>
    <ndc_label_name>Econtra One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102021116</ndc>
    <ndc_label_name>Econtra One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022021</ndc>
    <ndc_label_name>Aubra EQ 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022023</ndc>
    <ndc_label_name>Aubra EQ 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022401</ndc>
    <ndc_label_name>Tarina 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022421</ndc>
    <ndc_label_name>Tarina 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022423</ndc>
    <ndc_label_name>Tarina 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022821</ndc>
    <ndc_label_name>Tarina Fe 1-20 EQ (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102022823</ndc>
    <ndc_label_name>Tarina Fe 1-20 EQ (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023021</ndc>
    <ndc_label_name>Chateal EQ (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023023</ndc>
    <ndc_label_name>Chateal EQ (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023101</ndc>
    <ndc_label_name>Tri-VyLibra Lo 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023111</ndc>
    <ndc_label_name>Tri-VyLibra Lo 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023113</ndc>
    <ndc_label_name>Tri-VyLibra Lo 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023311</ndc>
    <ndc_label_name>Tri-VyLibra (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023313</ndc>
    <ndc_label_name>Tri-VyLibra (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023511</ndc>
    <ndc_label_name>VyLibra 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102023513</ndc>
    <ndc_label_name>VyLibra 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102024001</ndc>
    <ndc_label_name>Jasmiel (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102024021</ndc>
    <ndc_label_name>Jasmiel (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102024023</ndc>
    <ndc_label_name>Jasmiel (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50102025421</ndc>
    <ndc_label_name>Cyred EQ 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50222030391</ndc>
    <ndc_label_name>Finacea 15 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222034602</ndc>
    <ndc_label_name>Adbry 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222034604</ndc>
    <ndc_label_name>Adbry 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222034622</ndc>
    <ndc_label_name>Adbry 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222034692</ndc>
    <ndc_label_name>Adbry 150 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222035000</ndc>
    <ndc_label_name>Adbry 300 mg/2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222035001</ndc>
    <ndc_label_name>Adbry 300 mg/2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50222035002</ndc>
    <ndc_label_name>Adbry 300 mg/2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50222050106</ndc>
    <ndc_label_name>Taclonex 0.005 %-0.064 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50222050166</ndc>
    <ndc_label_name>Taclonex 0.005 %-0.064 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50227010104</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50227102005</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:50,000 CART</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50227103005</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50227104005</ndc>
    <ndc_label_name>ARTICAINE 4%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50227108005</ndc>
    <ndc_label_name>MEPIVACAINE 3% CARTRIDGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010501</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010505</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010510</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010530</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010601</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010605</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010630</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010701</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010705</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010710</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228010730</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228010901</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228010905</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228010910</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011301</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011305</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011310</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011330</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011401</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011410</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011430</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011501</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011505</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011530</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011605</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011610</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011690</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011705</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011710</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011790</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011805</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011810</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011890</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011905</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011910</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011930</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228011990</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012405</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012410</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012430</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012490</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012610</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012710</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012810</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012910</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228012990</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228013010</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228013190</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228013630</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228013690</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014405</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014430</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014490</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014505</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014530</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014590</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014601</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014605</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228014610</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015660</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015701</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015705</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015801</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015805</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228015960</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017401</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017405</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017460</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017501</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017505</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017560</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017601</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017660</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017701</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017705</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017801</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017805</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017901</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017905</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228017910</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018001</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018005</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018010</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018101</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018105</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018201</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018210</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018301</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018310</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018401</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018410</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018501</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228018960</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228019060</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228019260</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228019360</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228019460</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228019560</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022501</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022510</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022601</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022610</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022701</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022710</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022801</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022810</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022901</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228022910</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023001</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023010</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023101</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023110</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023201</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023205</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023301</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023305</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228023310</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228027690</ndc>
    <ndc_label_name>Neo-Vital RX 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228027790</ndc>
    <ndc_label_name>MI-Vite RX 1 mg-1.5 mg-1.7 mg-20 mg-5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228032301</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228032305</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228033410</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228033910</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228033930</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228033990</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034010</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034030</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034090</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034110</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034130</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228034190</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035090</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035190</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035290</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035390</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035490</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035590</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035690</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228035790</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228037905</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228037930</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228037990</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228038060</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228038160</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228038260</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228038360</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228038460</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042001</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042030</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042101</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042130</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042230</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042360</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042460</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042730</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042790</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042830</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228042890</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228042990</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228043090</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228043190</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043201</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043205</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043301</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043305</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043401</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043405</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043501</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043505</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043601</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228043605</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228043760</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 375-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228043860</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 500-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228044501</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228044690</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045110</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045190</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045205</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045206</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045290</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045310</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045311</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045390</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045405</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045490</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045701</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045705</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045801</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045805</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045810</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045901</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228045905</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228046001</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228046010</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228046101</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228046110</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228046501</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228046505</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228046601</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228046605</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047005</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047012</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047105</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047112</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047205</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047212</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228047360</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048101</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048105</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048201</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048205</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048301</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048305</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228048401</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228050208</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228050230</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228050261</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228050360</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228050460</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228051318</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228051360</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228052160</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228052260</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228052390</ndc>
    <ndc_label_name>GABAPENTIN ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228052490</ndc>
    <ndc_label_name>GABAPENTIN ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50228063830</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064505</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064590</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064605</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064690</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064705</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064790</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064805</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064890</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064905</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228064990</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065005</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065090</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065105</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065190</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065205</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50228065290</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242000701</ndc>
    <ndc_label_name>Enspryng 120 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242000901</ndc>
    <ndc_label_name>TNKase 25 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242001403</ndc>
    <ndc_label_name>TNKase 25 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242003706</ndc>
    <ndc_label_name>TNKase 50 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242004062</ndc>
    <ndc_label_name>Xolair 150 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242004086</ndc>
    <ndc_label_name>Xolair 150 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242004110</ndc>
    <ndc_label_name>Cathflo Activase 2 mg intra-catheter solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242004164</ndc>
    <ndc_label_name>Cathflo Activase 2 mg intra-catheter solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242004406</ndc>
    <ndc_label_name>Activase 50 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242004413</ndc>
    <ndc_label_name>Activase 50 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242005121</ndc>
    <ndc_label_name>Rituxan 10 mg/mL concentrate,intravenous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242005306</ndc>
    <ndc_label_name>Rituxan 10 mg/mL concentrate,intravenous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242006001</ndc>
    <ndc_label_name>Avastin 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242006101</ndc>
    <ndc_label_name>Avastin 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242006201</ndc>
    <ndc_label_name>TARCEVA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242006301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242006401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007501</ndc>
    <ndc_label_name>Nutropin AQ Nuspin 5 mg/2 mL (2.5 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007601</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007812</ndc>
    <ndc_label_name>Susvimo 10 mg/0.1 mL intravitreal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007855</ndc>
    <ndc_label_name>Susvimo (Initial Fill) 10 mg/0.1 mL intravitreal implant solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242007908</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008003</ndc>
    <ndc_label_name>Lucentis 0.5 mg/0.05 mL intravitreal syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008086</ndc>
    <ndc_label_name>Lucentis 0.5 mg/0.05 mL intravitreal solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008088</ndc>
    <ndc_label_name>Lucentis 0.5 mg/0.05 mL intravitreal syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008203</ndc>
    <ndc_label_name>Lucentis 0.3 mg/0.05 mL intravitreal syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008287</ndc>
    <ndc_label_name>Lucentis 0.3 mg/0.05 mL intravitreal solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008288</ndc>
    <ndc_label_name>Lucentis 0.3 mg/0.05 mL intravitreal syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008408</ndc>
    <ndc_label_name>Itovebi 3 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008525</ndc>
    <ndc_label_name>Activase 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008527</ndc>
    <ndc_label_name>Activase 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008701</ndc>
    <ndc_label_name>Kadcyla 160 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242008801</ndc>
    <ndc_label_name>Kadcyla 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009002</ndc>
    <ndc_label_name>Zelboraf 240 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009130</ndc>
    <ndc_label_name>Rozlytrek 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009490</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009601</ndc>
    <ndc_label_name>Vabysmo 6 mg/0.05 mL intravitreal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009606</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009677</ndc>
    <ndc_label_name>Vabysmo 6 mg/0.05 mL intravitreal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242009686</ndc>
    <ndc_label_name>Vabysmo 6 mg/0.05 mL intravitreal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010039</ndc>
    <ndc_label_name>Pulmozyme 1 mg/mL solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010040</ndc>
    <ndc_label_name>Pulmozyme 1 mg/mL solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010301</ndc>
    <ndc_label_name>Polivy 30 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010501</ndc>
    <ndc_label_name>Polivy 140 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010801</ndc>
    <ndc_label_name>Rituxan Hycela 1,400 mg/11.7 mL (120 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242010901</ndc>
    <ndc_label_name>Rituxan Hycela 1,600 mg/13.4 mL (120 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242011501</ndc>
    <ndc_label_name>Piasky 340 mg/2 mL (170 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012047</ndc>
    <ndc_label_name>TNKase 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012101</ndc>
    <ndc_label_name>ESBRIET 267 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012206</ndc>
    <ndc_label_name>Esbriet 267 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012301</ndc>
    <ndc_label_name>Esbriet 801 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012501</ndc>
    <ndc_label_name>Columvi 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242012701</ndc>
    <ndc_label_name>Columvi 1 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242013001</ndc>
    <ndc_label_name>Alecensa 150 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242013201</ndc>
    <ndc_label_name>Herceptin 150 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242013501</ndc>
    <ndc_label_name>Actemra 80 mg/4 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242013601</ndc>
    <ndc_label_name>Actemra 200 mg/10 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Actemra 162 mg/0.9 mL subcutaneous syringe</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242014301</ndc>
    <ndc_label_name>Actemra ACTPen 162 mg/0.9 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242014501</ndc>
    <ndc_label_name>Perjeta 420 mg/14 mL (30 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242015001</ndc>
    <ndc_label_name>Ocrevus 30 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242015901</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242017507</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242017601</ndc>
    <ndc_label_name>TNKase 50 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242017701</ndc>
    <ndc_label_name>Lunsumio Velo 5 mg/0.5 mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242092001</ndc>
    <ndc_label_name>Hemlibra 30 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242092101</ndc>
    <ndc_label_name>Hemlibra 60 mg/0.4 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242092201</ndc>
    <ndc_label_name>Hemlibra 105 mg/0.7 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242092301</ndc>
    <ndc_label_name>Hemlibra 150 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242092701</ndc>
    <ndc_label_name>Hemlibra 12 mg/0.4 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50242093001</ndc>
    <ndc_label_name>Hemlibra 300 mg/2 mL (150 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50242093301</ndc>
    <ndc_label_name>Tecentriq Hybreza 1,875 mg-30,000 unit/15 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261010408</ndc>
    <ndc_label_name>Imvexxy Maintenance Pack 4 mcg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261010418</ndc>
    <ndc_label_name>Imvexxy Starter Pack 4 mcg vaginal insert, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261011008</ndc>
    <ndc_label_name>Imvexxy Maintenance Pack 10 mcg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261011018</ndc>
    <ndc_label_name>Imvexxy Starter Pack 10 mcg vaginal insert, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261021130</ndc>
    <ndc_label_name>Bijuva 1 mg-100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50261031301</ndc>
    <ndc_label_name>Annovera 0.15 mg-0.013 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268003611</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268003614</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268004315</ndc>
    <ndc_label_name>ARTIFICIAL TEARS 0.1-0.2-0.3%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268004430</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268006530</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 1% EYE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268006615</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 1% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268006730</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268006750</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268006770</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268006802</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268006815</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268011835</ndc>
    <ndc_label_name>ATROPINE 1% EYE OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268012615</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268015111</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268015115</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268015211</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268015215</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268018211</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268018215</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268018311</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268018330</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268019560</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268019657</ndc>
    <ndc_label_name>CAPSAICIN 0.075% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268019756</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268019842</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268020011</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268020016</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268030811</ndc>
    <ndc_label_name>Fish Oil 1,000 mg (120 mg-180 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268030815</ndc>
    <ndc_label_name>Fish Oil 1,000 mg (120 mg-180 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268033611</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268033624</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268041101</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268041111</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268041112</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268041124</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268048911</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268048915</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049701</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049711</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049801</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049811</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049901</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268049911</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268050001</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268050011</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268050101</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268050111</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268050329</ndc>
    <ndc_label_name>MICONAZOLE NITRATE 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268055211</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268055215</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268055560</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268064711</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268064714</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268064905</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268064930</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067411</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067415</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067511</ndc>
    <ndc_label_name>POTASSIUM CL20%(40MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067512</ndc>
    <ndc_label_name>POTASSIUM CL20%(40MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067701</ndc>
    <ndc_label_name>Prenatal Plus Vitamin-Mineral 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268067815</ndc>
    <ndc_label_name>POLYVINYL ALCOHOL 1.4% EYEDROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268068215</ndc>
    <ndc_label_name>PRAMOXINE HCL 1 % LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268073111</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268073124</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268073211</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268073212</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268073356</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268074001</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268074011</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268074015</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268074511</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268074514</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268082601</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268082611</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268085711</ndc>
    <ndc_label_name>Balance B-50 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50268085715</ndc>
    <ndc_label_name>Balance B-50 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268087219</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268087228</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268087285</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268099911</ndc>
    <ndc_label_name>BPCO topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50268099920</ndc>
    <ndc_label_name>BPCO topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273071681</ndc>
    <ndc_label_name>Freeflex Plus Transfer Adapter 20 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273072993</ndc>
    <ndc_label_name>Freeflex Plus Transfer Adapter 20 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273073862</ndc>
    <ndc_label_name>Twin Transfer Set 1 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273073863</ndc>
    <ndc_label_name>Twin Transfer Set 1 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075572</ndc>
    <ndc_label_name>Twin Transfer Set 2 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075573</ndc>
    <ndc_label_name>Twin Transfer Set 2 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075574</ndc>
    <ndc_label_name>Transfer Set 4 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075575</ndc>
    <ndc_label_name>Transfer Set 4 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075578</ndc>
    <ndc_label_name>Transfer Set 2 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075579</ndc>
    <ndc_label_name>Transfer Set 2 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075590</ndc>
    <ndc_label_name>Transfer Set 6 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075591</ndc>
    <ndc_label_name>Transfer Set 6 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075600</ndc>
    <ndc_label_name>Twin Transfer Set 1 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075601</ndc>
    <ndc_label_name>Twin Transfer Set 1 D-X irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075602</ndc>
    <ndc_label_name>Twin Transfer Set 2 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075603</ndc>
    <ndc_label_name>Twin Transfer Set 2 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075606</ndc>
    <ndc_label_name>Twin Transfer Set 9 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075607</ndc>
    <ndc_label_name>Twin Transfer Set 9 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075608</ndc>
    <ndc_label_name>Transfer Set 1 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50273075609</ndc>
    <ndc_label_name>Transfer Set 1 D irrigation set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50289325001</ndc>
    <ndc_label_name>A.E.R. Witch Hazel 12.5 %-50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50289420001</ndc>
    <ndc_label_name>A.E.R Traveler 12.5 %-50 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50289925001</ndc>
    <ndc_label_name>B-Sure 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50289925005</ndc>
    <ndc_label_name>B-Sure 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50379000302</ndc>
    <ndc_label_name>DripDrop 700 mg-410 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50379000312</ndc>
    <ndc_label_name>DripDrop 670 mg-380 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50379000315</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50379000316</ndc>
    <ndc_label_name>DripDrop 320 mg-190 mg-70 mg oral powder packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419010710</ndc>
    <ndc_label_name>Betapace 240 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018811</ndc>
    <ndc_label_name>Magnevist 469.01 mg/mL (46.9 %) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018836</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018837</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018838</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Magnevist 469.01 mg/mL (46.9 %) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018881</ndc>
    <ndc_label_name>Magnevist 2.5 mmol/5 mL (469.01 mg/mL) intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018882</ndc>
    <ndc_label_name>Magnevist 5 mmol/10 mL (469.01 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419018884</ndc>
    <ndc_label_name>Magnevist 10 mmol/20 mL (469.01 mg/mL) intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419020801</ndc>
    <ndc_label_name>Xofigo 1,100 kBq/mL (30 microcurie/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419025091</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419025201</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Adempas 2 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Ultravist 300 mg iodine/mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>50419034458</ndc>
    <ndc_label_name>Ultravist 300 mg iodine/mL injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Ultravist 300 mg iodine/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aliqopa 60 mg intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419048203</ndc>
    <ndc_label_name>Angeliq 0.25 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419048301</ndc>
    <ndc_label_name>Angeliq 0.5 mg-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419048303</ndc>
    <ndc_label_name>Angeliq 0.5 mg-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419048858</ndc>
    <ndc_label_name>Nexavar 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419048901</ndc>
    <ndc_label_name>Nexavar 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419049104</ndc>
    <ndc_label_name>Climara Pro 0.045 mg-0.015 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419052201</ndc>
    <ndc_label_name>Betaseron 0.3 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419052401</ndc>
    <ndc_label_name>Betaseron 0.3 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419052435</ndc>
    <ndc_label_name>Betaseron 0.3 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419053701</ndc>
    <ndc_label_name>Avelox 400 mg/250 mL in sodium chloride(iso-osm) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054001</ndc>
    <ndc_label_name>Kerendia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054002</ndc>
    <ndc_label_name>Kerendia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054005</ndc>
    <ndc_label_name>Kerendia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054006</ndc>
    <ndc_label_name>Kerendia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054070</ndc>
    <ndc_label_name>Kerendia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054101</ndc>
    <ndc_label_name>Kerendia 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054102</ndc>
    <ndc_label_name>Kerendia 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054105</ndc>
    <ndc_label_name>Kerendia 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054106</ndc>
    <ndc_label_name>Kerendia 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054170</ndc>
    <ndc_label_name>Kerendia 20 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054201</ndc>
    <ndc_label_name>Kerendia 40 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054202</ndc>
    <ndc_label_name>Kerendia 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054205</ndc>
    <ndc_label_name>Kerendia 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419054206</ndc>
    <ndc_label_name>Kerendia 40 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419074701</ndc>
    <ndc_label_name>Biltricide 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419075001</ndc>
    <ndc_label_name>Lampit 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419075101</ndc>
    <ndc_label_name>Lampit 120 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419075401</ndc>
    <ndc_label_name>Cipro 500 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419075801</ndc>
    <ndc_label_name>Cipro 250 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419077301</ndc>
    <ndc_label_name>Cipro 500 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419077701</ndc>
    <ndc_label_name>Cipro 250 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419086151</ndc>
    <ndc_label_name>Precose 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50419086251</ndc>
    <ndc_label_name>Precose 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Precose 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50425001194</ndc>
    <ndc_label_name>Scrub Care Povidone Iodine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50425001198</ndc>
    <ndc_label_name>Scrub Care Povidone Iodine 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000280</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000696</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000773</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000774</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000775</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428000776</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428001170</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428001741</ndc>
    <ndc_label_name>Nasal Decongestant Inhaler 50 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428001769</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428001770</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428001771</ndc>
    <ndc_label_name>CVS THIN 26G LANCETS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428001777</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428002097</ndc>
    <ndc_label_name>Insect Repellent (DEET) 15 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428002662</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428002824</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428003053</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428004449</ndc>
    <ndc_label_name>Advanced Healing Bandage 7/8" X 1 5/8"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428004960</ndc>
    <ndc_label_name>Hair Regrowth Treatment 2 % topical solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428005345</ndc>
    <ndc_label_name>CVS VITAMIN B-12 500 MCG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428006205</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428006551</ndc>
    <ndc_label_name>Daily Multiple For Women 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Probiotic Pearls 15 mg (1 billion cell) capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428007181</ndc>
    <ndc_label_name>CVS ALOE VERA MOISTURE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428007262</ndc>
    <ndc_label_name>Children's Daily Probiotic 5 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428008162</ndc>
    <ndc_label_name>Cranberry-Probiotic-Vitamin C 450 mg-30 mg-50 million cell tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428008199</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428008260</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 120 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428008517</ndc>
    <ndc_label_name>Itch Relief (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428008875</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428009061</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428009256</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428009422</ndc>
    <ndc_label_name>Heatwraps bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428009980</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428009981</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428010060</ndc>
    <ndc_label_name>Jock Itch (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428012283</ndc>
    <ndc_label_name>Advanced Acne Spot Treatment 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428012744</ndc>
    <ndc_label_name>Ear Drops For Swimmers 95 %-5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428013008</ndc>
    <ndc_label_name>Vit C(ascorb.calcium)(mv-mins)1,000 mg oral effervescent powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428013831</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428014675</ndc>
    <ndc_label_name>CVS CALCIUM 600-VIT D3 800 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428014702</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428015168</ndc>
    <ndc_label_name>Stool Softener 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428015169</ndc>
    <ndc_label_name>Stool Softener 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428015561</ndc>
    <ndc_label_name>CVS DISTILLED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428016638</ndc>
    <ndc_label_name>CVS MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428017145</ndc>
    <ndc_label_name>Oral Pain Reliever 20 % mucous membrane cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428017236</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428019556</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428021100</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428021103</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428021962</ndc>
    <ndc_label_name>Antibiotic(neomy-bacit-polym) 3.5 mg-400 unit-5,000 unit/gram top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428021963</ndc>
    <ndc_label_name>CVS BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025034</ndc>
    <ndc_label_name>Mepilex Border Flex Lite 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025036</ndc>
    <ndc_label_name>CVS FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025044</ndc>
    <ndc_label_name>CVS DIGITAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025138</ndc>
    <ndc_label_name>Omega-3 Krill Oil 350 mg-90 mg-24 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025147</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025172</ndc>
    <ndc_label_name>Diapers, Unisex Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025183</ndc>
    <ndc_label_name>CVS SERIES 400W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025204</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025241</ndc>
    <ndc_label_name>Diapers, Unisex Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025293</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025351</ndc>
    <ndc_label_name>Wound Wash Saline 0.9 % Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025413</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025461</ndc>
    <ndc_label_name>Sensitivity with Iron 2.14-5.4-11.1 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025485</ndc>
    <ndc_label_name>CVS WITCH HAZEL 86% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025526</ndc>
    <ndc_label_name>Adjustable Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025540</ndc>
    <ndc_label_name>Advantage with Iron Non-GMO 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025544</ndc>
    <ndc_label_name>Digital Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025547</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025561</ndc>
    <ndc_label_name>Adjustable Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025565</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025609</ndc>
    <ndc_label_name>Sheer Bandage 2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025610</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025620</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025628</ndc>
    <ndc_label_name>Children's Chewable Vitamin Complete 18 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025681</ndc>
    <ndc_label_name>CVS LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025689</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025715</ndc>
    <ndc_label_name>Lanolin (HPA) 100 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025780</ndc>
    <ndc_label_name>CVS CALCIUM-D3-K1 650 MG CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025781</ndc>
    <ndc_label_name>CVS CINNAMON CMPLX 1,250 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025829</ndc>
    <ndc_label_name>CVS CAPSAICIN 0.15% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025845</ndc>
    <ndc_label_name>Childrens Chewable Probiotic 1.5 billion cell tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428025871</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025901</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025910</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025949</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025952</ndc>
    <ndc_label_name>One Daily Men's Health 240 mcg-30 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428025970</ndc>
    <ndc_label_name>CVS MELATONIN 1 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026005</ndc>
    <ndc_label_name>Cortisone with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026012</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026016</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026023</ndc>
    <ndc_label_name>Lice-Bedbug-Mite Bedding 0.5 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026075</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026345</ndc>
    <ndc_label_name>Plantar Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026496</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026511</ndc>
    <ndc_label_name>Men 50 Plus Advanced One Daily 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026527</ndc>
    <ndc_label_name>Peas Hot-Cold Therapy Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026540</ndc>
    <ndc_label_name>Hemorrhoidal Relief 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026559</ndc>
    <ndc_label_name>Sheer Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026576</ndc>
    <ndc_label_name>Antifungal 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026593</ndc>
    <ndc_label_name>Digest Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026608</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026673</ndc>
    <ndc_label_name>Merthiolate (benzalkonium) 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026679</ndc>
    <ndc_label_name>Overnight Pad For Women</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026725</ndc>
    <ndc_label_name>infant formula with iron 2.1 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026726</ndc>
    <ndc_label_name>Lice Solution 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026753</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026771</ndc>
    <ndc_label_name>CVS TEA TREE 100% OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026853</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026854</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026857</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026873</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026896</ndc>
    <ndc_label_name>Targeted Acne Spot Treatment 2.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026905</ndc>
    <ndc_label_name>Women's Daily Multivitamin 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026915</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026926</ndc>
    <ndc_label_name>CVS GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026927</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428026937</ndc>
    <ndc_label_name>Girls Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026953</ndc>
    <ndc_label_name>CVS CALCIUM 600-VIT D3 800 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428026954</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027048</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027051</ndc>
    <ndc_label_name>Oatmeal Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027053</ndc>
    <ndc_label_name>Wrist Support One Size</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027114</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027119</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027130</ndc>
    <ndc_label_name>CVS ACIDOPHILUS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027137</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027221</ndc>
    <ndc_label_name>CVS VITAMIN C 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027277</ndc>
    <ndc_label_name>Women's Prenatal Plus DHA 28 mg-975 mcg-200 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027315</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027320</ndc>
    <ndc_label_name>Whey Protein 26 gram-160 kcal/41 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027356</ndc>
    <ndc_label_name>Diapers, Unisex Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027374</ndc>
    <ndc_label_name>Moisturizing Normal to Dry Skin lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027426</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027448</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027466</ndc>
    <ndc_label_name>Itch Relief 1 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027470</ndc>
    <ndc_label_name>Butterfly Closures 1 3/4" X 3/8" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027535</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027537</ndc>
    <ndc_label_name>CVS FLAXSEED OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027547</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027563</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027570</ndc>
    <ndc_label_name>Diapers, Unisex Size 1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027600</ndc>
    <ndc_label_name>Pinworm Treatment 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027642</ndc>
    <ndc_label_name>Adhesive Pads 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027646</ndc>
    <ndc_label_name>CVS VIT B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027661</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027662</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027684</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027692</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027709</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027723</ndc>
    <ndc_label_name>Gentle Skin Cleanser (with sodium lauryl sulfate)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027745</ndc>
    <ndc_label_name>CVS PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027769</ndc>
    <ndc_label_name>Diapers, Unisex Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027781</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027839</ndc>
    <ndc_label_name>Oral Pain Reliever 20 % mucosal paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027840</ndc>
    <ndc_label_name>Calamine Plus (pramoxine-calamine) 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027915</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428027941</ndc>
    <ndc_label_name>Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428027970</ndc>
    <ndc_label_name>Reusable Pain Relief Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028006</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028008</ndc>
    <ndc_label_name>Eye Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028011</ndc>
    <ndc_label_name>CVS MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028024</ndc>
    <ndc_label_name>CVS MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028025</ndc>
    <ndc_label_name>Ultra Moisture lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028026</ndc>
    <ndc_label_name>Mepilex Border Lite 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028091</ndc>
    <ndc_label_name>Diapers, Unisex Size 2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028092</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028110</ndc>
    <ndc_label_name>CVS VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028125</ndc>
    <ndc_label_name>Antacid Anti-Gas (calcium carb-simeth) 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028129</ndc>
    <ndc_label_name>Nighttime Underpants L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028131</ndc>
    <ndc_label_name>Anti-Itch Medicated 1 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028145</ndc>
    <ndc_label_name>Rolled Gauze 4" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028197</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028220</ndc>
    <ndc_label_name>Eye Health Plus Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028236</ndc>
    <ndc_label_name>CVS ACIDOPHILUS PROBIOTIC TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028261</ndc>
    <ndc_label_name>Mini Enema 283 mg-20 mg/5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028264</ndc>
    <ndc_label_name>Multi-Tip Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028301</ndc>
    <ndc_label_name>Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028309</ndc>
    <ndc_label_name>Fitted Briefs X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028323</ndc>
    <ndc_label_name>CVS LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028360</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028379</ndc>
    <ndc_label_name>Sinus Wash Neti Pot with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028392</ndc>
    <ndc_label_name>CVS SERIES 400 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028396</ndc>
    <ndc_label_name>Instant Food Thickener oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028430</ndc>
    <ndc_label_name>Self-Adherent Gentle Wrap 2" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028445</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028518</ndc>
    <ndc_label_name>Feminine Moisturizer and Lubricating(glyc-mnOil) vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028552</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028595</ndc>
    <ndc_label_name>CVS UNDERPAD X-LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028600</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028653</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028693</ndc>
    <ndc_label_name>CVS VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028724</ndc>
    <ndc_label_name>CVS CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028756</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028806</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028815</ndc>
    <ndc_label_name>Antacid (calcium carb-magnesium hyd) 400 mg-135 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028842</ndc>
    <ndc_label_name>CVS VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028870</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028878</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028883</ndc>
    <ndc_label_name>Tussin Nighttime Cough DM 12.5 mg-30 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028925</ndc>
    <ndc_label_name>Belted Shields</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028939</ndc>
    <ndc_label_name>CVS SERIES 400W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428028944</ndc>
    <ndc_label_name>Easy Fiber (wheat dextrin) 1 gram-100 mg calcium chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428028945</ndc>
    <ndc_label_name>CVS VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029016</ndc>
    <ndc_label_name>Probiotic 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029080</ndc>
    <ndc_label_name>Toddler Beginnings 2.6 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029088</ndc>
    <ndc_label_name>Itch Relief (pramoxine-zinc) 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029090</ndc>
    <ndc_label_name>CVS ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029113</ndc>
    <ndc_label_name>CVS NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029131</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029136</ndc>
    <ndc_label_name>Non-Stick Pad 1.5" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029211</ndc>
    <ndc_label_name>Easy Fiber 3 gram/3.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029212</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029214</ndc>
    <ndc_label_name>CVS VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029220</ndc>
    <ndc_label_name>Acne Treatment (benzoyl peroxide) 10 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029260</ndc>
    <ndc_label_name>Lice Treatment (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029270</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029276</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029311</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029391</ndc>
    <ndc_label_name>CVS VITAMIN C 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029409</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029449</ndc>
    <ndc_label_name>CVS IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029452</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029464</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029480</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029491</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029510</ndc>
    <ndc_label_name>CVS ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029527</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029532</ndc>
    <ndc_label_name>CVS OMEPRAZOLE MAG DR 20 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029608</ndc>
    <ndc_label_name>Spectravite Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029612</ndc>
    <ndc_label_name>Copper Compression Sleeve Elbow</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029627</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029650</ndc>
    <ndc_label_name>Inner Ear Plus 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029671</ndc>
    <ndc_label_name>CVS CAL CIT-D3-MAG 250 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029673</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029726</ndc>
    <ndc_label_name>Lubricating Jelly (with chlorhexidine) topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029730</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029733</ndc>
    <ndc_label_name>CVS MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029742</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029752</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029779</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029821</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029828</ndc>
    <ndc_label_name>CVS IRON 27 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029857</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029859</ndc>
    <ndc_label_name>Cleansing Eyelid Moist Pads topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029873</ndc>
    <ndc_label_name>Early Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428029877</ndc>
    <ndc_label_name>Therapeutic Dandruff Shampoo 3 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029914</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029936</ndc>
    <ndc_label_name>CVS B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428029968</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030012</ndc>
    <ndc_label_name>CVS B-12 1,000 MCG/15 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030021</ndc>
    <ndc_label_name>CVS SERIES 800 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030045</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030053</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030064</ndc>
    <ndc_label_name>Cool Mist Humidifier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030067</ndc>
    <ndc_label_name>CVS CALCIUM 500-VIT D3 125 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030074</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030081</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030101</ndc>
    <ndc_label_name>CVS SINUS RLF PRESS-PAIN CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030119</ndc>
    <ndc_label_name>Throat Relief Pops 10 mg pop</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030129</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG QUIK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030185</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030195</ndc>
    <ndc_label_name>Spectravite Men 50 Plus 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030208</ndc>
    <ndc_label_name>CVS HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030275</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030278</ndc>
    <ndc_label_name>CVS MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030282</ndc>
    <ndc_label_name>Womens Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030314</ndc>
    <ndc_label_name>Childrens Fiber Gummy Bear 1.5 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030325</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030347</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030356</ndc>
    <ndc_label_name>Hair,Skin and Nails tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030404</ndc>
    <ndc_label_name>Hair, Skin and Nails (biotin) 10,000 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030412</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030437</ndc>
    <ndc_label_name>Heatwraps bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030440</ndc>
    <ndc_label_name>8HR Muscle Aches-Pain 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030441</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030458</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030485</ndc>
    <ndc_label_name>CVS GLUCOSAMINE CHONDROIT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030503</ndc>
    <ndc_label_name>Spectravite Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030573</ndc>
    <ndc_label_name>CVS COMPRESSION SOCKS S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030585</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030588</ndc>
    <ndc_label_name>Anti-Itch (pramoxine) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030637</ndc>
    <ndc_label_name>CVS SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030638</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030704</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030712</ndc>
    <ndc_label_name>One Daily Women 50 Plus(Vit K) 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030716</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030727</ndc>
    <ndc_label_name>Non-Stick Pad 2" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030742</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030748</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030760</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030774</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030808</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030837</ndc>
    <ndc_label_name>Therapeutic Shampoo 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030842</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030862</ndc>
    <ndc_label_name>CVS WARM STEAM VAPORIZER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030876</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428030894</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030915</ndc>
    <ndc_label_name>CVS 5-HTP 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428030936</ndc>
    <ndc_label_name>CVS MELATONIN TR 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031006</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031015</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031029</ndc>
    <ndc_label_name>CVS PURE GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031058</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031075</ndc>
    <ndc_label_name>Itch Relief (diphenhydramine) 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031109</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031145</ndc>
    <ndc_label_name>Diapers, Unisex Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031170</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031180</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031182</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031194</ndc>
    <ndc_label_name>Easy Fiber 3 gram/3.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031210</ndc>
    <ndc_label_name>Heavy Duty Fabric Antibacterial Bandage 0.1 %-1" X 3 1/4" patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031243</ndc>
    <ndc_label_name>Ankle Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031250</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031251</ndc>
    <ndc_label_name>CVS VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031252</ndc>
    <ndc_label_name>CVS GLUCOSAMINE CHONDROIT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031285</ndc>
    <ndc_label_name>Cloth Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031297</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031328</ndc>
    <ndc_label_name>CVS VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031342</ndc>
    <ndc_label_name>CVS VIT D3 1,000 UNIT GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031380</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031400</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031441</ndc>
    <ndc_label_name>CVS VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031445</ndc>
    <ndc_label_name>Sunburn Relief Cooling 0.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031454</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031456</ndc>
    <ndc_label_name>Silver Wound 55 PPM topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031525</ndc>
    <ndc_label_name>Cold-Sinus Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031530</ndc>
    <ndc_label_name>Probiotic 100 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031533</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031542</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031575</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031585</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031593</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031643</ndc>
    <ndc_label_name>Clear Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031652</ndc>
    <ndc_label_name>Scalp Relief 3 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031669</ndc>
    <ndc_label_name>Diapers, Unisex Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031675</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031690</ndc>
    <ndc_label_name>Advanced Healing (Petrolatum) 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031694</ndc>
    <ndc_label_name>CVS CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031702</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031718</ndc>
    <ndc_label_name>CVS ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031740</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031787</ndc>
    <ndc_label_name>Fiber Gummies 1.7 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031802</ndc>
    <ndc_label_name>CVS OMEPRAZOLE MAG DR 20 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031818</ndc>
    <ndc_label_name>CVS MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031840</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031842</ndc>
    <ndc_label_name>Digestive Probiotic 2 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031878</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428031885</ndc>
    <ndc_label_name>Slow Release Iron 143 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428031931</ndc>
    <ndc_label_name>CVS BETA-CAROTENE 25,000 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032003</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032005</ndc>
    <ndc_label_name>CVS ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032024</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032067</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032068</ndc>
    <ndc_label_name>CVS UNDERPADS XX-LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032084</ndc>
    <ndc_label_name>CVS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032111</ndc>
    <ndc_label_name>Daily Fiber (psyllium-aspartame) 3.4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032112</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032153</ndc>
    <ndc_label_name>Total Home Insect Repellent 30 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032164</ndc>
    <ndc_label_name>One Daily Women's 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032166</ndc>
    <ndc_label_name>Sore Muscle Rub 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032239</ndc>
    <ndc_label_name>Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032283</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032287</ndc>
    <ndc_label_name>Probiotic 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032338</ndc>
    <ndc_label_name>Algal-900 DHA 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032343</ndc>
    <ndc_label_name>CVS VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032374</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032392</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032417</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032467</ndc>
    <ndc_label_name>CVS CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032507</ndc>
    <ndc_label_name>Spectravite Women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032547</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 15 mg-2.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032561</ndc>
    <ndc_label_name>Sports Tape 1 1/2" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032617</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032623</ndc>
    <ndc_label_name>CVS CALCIUM 600-D3-MIN CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032680</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032685</ndc>
    <ndc_label_name>Medicated Body Powder 0.15 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032707</ndc>
    <ndc_label_name>Probiotic 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032717</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032726</ndc>
    <ndc_label_name>CVS VITAMIN E 27,000 MG OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032743</ndc>
    <ndc_label_name>Daily Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032896</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032914</ndc>
    <ndc_label_name>CVS BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032937</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032977</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428032982</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428032999</ndc>
    <ndc_label_name>CVS SAW PALMETTO 450 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033020</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033023</ndc>
    <ndc_label_name>Gauze Pad 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033042</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033068</ndc>
    <ndc_label_name>CVS ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033091</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033099</ndc>
    <ndc_label_name>Sinus PE Pressure-Pain-Cold 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033106</ndc>
    <ndc_label_name>CVS GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033115</ndc>
    <ndc_label_name>Sore Throat and Cough 5 mg-7.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033135</ndc>
    <ndc_label_name>CVS GLUCOS-CHONDR-VIT D3 CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033156</ndc>
    <ndc_label_name>Lubricant Gel 0.25 %-0.3 % eye liquid gel drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033161</ndc>
    <ndc_label_name>Nasal Mist 0.9 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033164</ndc>
    <ndc_label_name>Digestive Probiotic 2 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033183</ndc>
    <ndc_label_name>Men's Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033213</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033222</ndc>
    <ndc_label_name>CVS HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033239</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033244</ndc>
    <ndc_label_name>Sleep Support (melatonin-hb) 1.5 mg-22 mcg chewable dispersible tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033253</ndc>
    <ndc_label_name>Yogurt Plus Calcium Gummies 250 mg-2.5 mcg (100 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033271</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033280</ndc>
    <ndc_label_name>One Daily Women's 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033291</ndc>
    <ndc_label_name>Flexible Fabric Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033343</ndc>
    <ndc_label_name>CVS BLOOD PRESSURE MANUAL KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033357</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033364</ndc>
    <ndc_label_name>Probiotic 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033399</ndc>
    <ndc_label_name>DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033440</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033528</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033566</ndc>
    <ndc_label_name>CVS L-LYSINE 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033620</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033623</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033650</ndc>
    <ndc_label_name>CVS VITAMIN A 2,400 MCG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033746</ndc>
    <ndc_label_name>CVS ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033753</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033759</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033768</ndc>
    <ndc_label_name>Cold-Flu-Sore Throat 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033770</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033796</ndc>
    <ndc_label_name>CVS NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033799</ndc>
    <ndc_label_name>Sinus PE Decongestant 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033816</ndc>
    <ndc_label_name>CVS VITAMIN B12 5,000 MCG CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033823</ndc>
    <ndc_label_name>CVS NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033826</ndc>
    <ndc_label_name>Surgical Pads 5" X 9" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033840</ndc>
    <ndc_label_name>CVS CO Q-10 50 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033841</ndc>
    <ndc_label_name>Acne Treatment (benzoyl peroxide) 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033845</ndc>
    <ndc_label_name>Calcium 600-D3 Plus (mag-zinc) 600 mg calcium-20 mcg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033847</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033860</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033863</ndc>
    <ndc_label_name>CVS CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033890</ndc>
    <ndc_label_name>Girls Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428033892</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428033939</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034017</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034019</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034053</ndc>
    <ndc_label_name>Rolled Absorbent Cotton misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034070</ndc>
    <ndc_label_name>CVS VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034114</ndc>
    <ndc_label_name>Spectravite Adult 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034138</ndc>
    <ndc_label_name>CVS MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034164</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034166</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034174</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034176</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034187</ndc>
    <ndc_label_name>Spectravite Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034210</ndc>
    <ndc_label_name>Joint Health 40 mg-10 mg-5 mg-3.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034256</ndc>
    <ndc_label_name>CVS CALCIUM 250MG-D3 10MCG CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034263</ndc>
    <ndc_label_name>Adhesive Pads 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034269</ndc>
    <ndc_label_name>CVS VIT B-12 500 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034295</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034317</ndc>
    <ndc_label_name>CVS ELASTIC BANDAGE 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034325</ndc>
    <ndc_label_name>CVS ASHWAGANDHA 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034347</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034354</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034355</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034370</ndc>
    <ndc_label_name>CVS GARLIC ODORLESS 400 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034374</ndc>
    <ndc_label_name>Spectravite Adult 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034380</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034400</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034417</ndc>
    <ndc_label_name>CVS CRANBERRY PLUS VIT C SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034453</ndc>
    <ndc_label_name>Daily Probiotic (4 Strains) 11 billion cell-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034496</ndc>
    <ndc_label_name>Fish Oil 300 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034503</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034541</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034565</ndc>
    <ndc_label_name>Severe Cough-Congestion 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034566</ndc>
    <ndc_label_name>Advanced Healing (Petrolatum) 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034575</ndc>
    <ndc_label_name>Vaginal Itch Relief 5 %-0.13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034583</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034610</ndc>
    <ndc_label_name>Sinus Relief Max Str Day-Night 5-325-200 mg(d)/25-5-325 mg(n) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034618</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034636</ndc>
    <ndc_label_name>CVS CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034714</ndc>
    <ndc_label_name>Diapers, Unisex Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034739</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034740</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034761</ndc>
    <ndc_label_name>Zinc Oxide Diaper Cream 1 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034775</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034789</ndc>
    <ndc_label_name>Fish Oil 900 mg-360 mg-455 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034792</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034819</ndc>
    <ndc_label_name>CVS CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034821</ndc>
    <ndc_label_name>CVS TURMERIC CURCUMIN 500MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034825</ndc>
    <ndc_label_name>CVS MOISTURIZING CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034903</ndc>
    <ndc_label_name>CVS CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034917</ndc>
    <ndc_label_name>Moiturizing Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034918</ndc>
    <ndc_label_name>CVS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034937</ndc>
    <ndc_label_name>Gummy Dinos chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034940</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428034945</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428034952</ndc>
    <ndc_label_name>Gripe Water (ginger, fennel) 2.5 mg-2 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035023</ndc>
    <ndc_label_name>Cloth Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035025</ndc>
    <ndc_label_name>CVS MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035036</ndc>
    <ndc_label_name>Digestive Probiotic 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035047</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035064</ndc>
    <ndc_label_name>Sheer Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035101</ndc>
    <ndc_label_name>Sheer Spot Bandages 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035112</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035136</ndc>
    <ndc_label_name>CVS GLUCOSE 3.75 GRAM CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035160</ndc>
    <ndc_label_name>Clear Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035170</ndc>
    <ndc_label_name>CVS SERIES 800 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035172</ndc>
    <ndc_label_name>CVS CAL CIT-D3 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035198</ndc>
    <ndc_label_name>CVS SERIES 600 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035240</ndc>
    <ndc_label_name>Probiotic 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035248</ndc>
    <ndc_label_name>Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035263</ndc>
    <ndc_label_name>Natural Tears (PF) 0.1 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035290</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035317</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035372</ndc>
    <ndc_label_name>Nighttime Dry-Eye Relief 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035385</ndc>
    <ndc_label_name>CVS ROLLED GAUZE ROLL 2" X 2YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035389</ndc>
    <ndc_label_name>Diapers, Unisex Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035450</ndc>
    <ndc_label_name>Antibacterial Gauze Pads 0.2 %-2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035460</ndc>
    <ndc_label_name>CVS SUPER B-COMPLEX-VIT C CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035533</ndc>
    <ndc_label_name>Whey Protein 26 gram-150 kcal/39 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035572</ndc>
    <ndc_label_name>CVS CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035581</ndc>
    <ndc_label_name>Vision Health 250 mg-90 mg-40 mg-2 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035605</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035622</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035632</ndc>
    <ndc_label_name>Adhesive Pads bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035636</ndc>
    <ndc_label_name>Balanced B-100  400 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035648</ndc>
    <ndc_label_name>CVS ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035649</ndc>
    <ndc_label_name>CVS ELASTIC BANDAGE 6" X 1.8YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035731</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035766</ndc>
    <ndc_label_name>CVS L-LYSINE 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035768</ndc>
    <ndc_label_name>CVS THERMOMETER PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035813</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428035859</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035866</ndc>
    <ndc_label_name>Smooth Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035977</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428035980</ndc>
    <ndc_label_name>Iron (ferrous sulfate) 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036006</ndc>
    <ndc_label_name>CVS LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036031</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036049</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036056</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036079</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036118</ndc>
    <ndc_label_name>CVS IODINE 2% TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036131</ndc>
    <ndc_label_name>Redness Reliever Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036138</ndc>
    <ndc_label_name>Fitted Briefs Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036173</ndc>
    <ndc_label_name>CVS LECITHIN 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036179</ndc>
    <ndc_label_name>Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036181</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036208</ndc>
    <ndc_label_name>Prenatal Gummies (zinc chelate) 180 mcg-35 mg-25 mg-5 mg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036210</ndc>
    <ndc_label_name>Medicated Heat Patch 0.025 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036214</ndc>
    <ndc_label_name>Dry Skin Therapy(with lanolin) lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036221</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036243</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036270</ndc>
    <ndc_label_name>Gauze Pad 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036307</ndc>
    <ndc_label_name>Instant Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036331</ndc>
    <ndc_label_name>Clear Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036338</ndc>
    <ndc_label_name>Child Chest Congestion-Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036356</ndc>
    <ndc_label_name>CVS LUTEIN-ZEAXAN 25-5 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036423</ndc>
    <ndc_label_name>Beanaid 300 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036435</ndc>
    <ndc_label_name>CVS BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036441</ndc>
    <ndc_label_name>CVS MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036498</ndc>
    <ndc_label_name>CVS NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036528</ndc>
    <ndc_label_name>CVS CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036535</ndc>
    <ndc_label_name>Diapers, Unisex Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036644</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036729</ndc>
    <ndc_label_name>Vitamin C Fizzy Drink 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036821</ndc>
    <ndc_label_name>Diapers, Unisex Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036823</ndc>
    <ndc_label_name>Gummy Dinos chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036825</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036826</ndc>
    <ndc_label_name>Adult 50 Plus Probiotic 4 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036851</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036854</ndc>
    <ndc_label_name>Men's Multivitamin 200 mcg-60 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428036877</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036884</ndc>
    <ndc_label_name>Advanced Skin Care lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036908</ndc>
    <ndc_label_name>Gentle Infant Formula 2.3 gram-5.3 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428036966</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037001</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037010</ndc>
    <ndc_label_name>CVS VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037042</ndc>
    <ndc_label_name>Child Cough and Sore Throat 160 mg-5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037102</ndc>
    <ndc_label_name>Soothing Bath Treatment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037108</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 10 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037110</ndc>
    <ndc_label_name>TRUEplus Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037121</ndc>
    <ndc_label_name>Heatwraps Back and Hip Pads bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037128</ndc>
    <ndc_label_name>CVS VIT E OIL 45 MG/0.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037194</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037201</ndc>
    <ndc_label_name>Dry Skin Therapy(with petrolatum) cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037205</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037298</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037300</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037359</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037364</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037438</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG CHEW TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037439</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037496</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037558</ndc>
    <ndc_label_name>CVS GLUCOSAMINE CHONDROIT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037569</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037573</ndc>
    <ndc_label_name>CVS BIOTIN 5,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037587</ndc>
    <ndc_label_name>CVS SUPER B-COMPLEX-VIT C CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037615</ndc>
    <ndc_label_name>Children's Omega-3 Gummy Fish 35 mg-25 mg-5 mg-113.5 mg chewable tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037624</ndc>
    <ndc_label_name>CVS B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037625</ndc>
    <ndc_label_name>Gentle Skin Cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037633</ndc>
    <ndc_label_name>Flexible Fabric Antibacterial Bandage 0.1 %-1" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037680</ndc>
    <ndc_label_name>CVS LUTEIN 40 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037681</ndc>
    <ndc_label_name>CVS ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037683</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037702</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037740</ndc>
    <ndc_label_name>Diapers, Unisex Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037774</ndc>
    <ndc_label_name>CVS LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037777</ndc>
    <ndc_label_name>Tussin Long-Acting 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037796</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037811</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037827</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037837</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037845</ndc>
    <ndc_label_name>Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037875</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037907</ndc>
    <ndc_label_name>Cold and Hot (m.salicylate-menthol) 30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037924</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037987</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037990</ndc>
    <ndc_label_name>Cough and Severe Cold 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428037993</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline-zinc sulfate) 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428037999</ndc>
    <ndc_label_name>Finger Injury Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038098</ndc>
    <ndc_label_name>Kids' Gummy chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038132</ndc>
    <ndc_label_name>CVS CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038158</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038220</ndc>
    <ndc_label_name>Airshield 250 mg-87.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038300</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038308</ndc>
    <ndc_label_name>Self-Adherent Gentle Wrap 3" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038354</ndc>
    <ndc_label_name>CVS VITAMIN D3 10 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038362</ndc>
    <ndc_label_name>CVS GAUZE PAD 8" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038472</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG QUIK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038501</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038540</ndc>
    <ndc_label_name>CVS RED YEAST RICE 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038550</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038555</ndc>
    <ndc_label_name>CVS VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038612</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038631</ndc>
    <ndc_label_name>Airshield 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038656</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038704</ndc>
    <ndc_label_name>CVS UNDERPADS XX-LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038706</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038730</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038748</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038789</ndc>
    <ndc_label_name>Heatwraps Back and Hip Pads bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038805</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038812</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038823</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428038879</ndc>
    <ndc_label_name>CVS CINNAMON 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038936</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428038943</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039053</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039120</ndc>
    <ndc_label_name>Daily Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039131</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 60 mg-120 mg tablet,ext.release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039163</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-UC II 125 mg-100 mg-40 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039209</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039253</ndc>
    <ndc_label_name>Vitamin C Fizzy Drink 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039256</ndc>
    <ndc_label_name>CVS MENTHOL 2% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039273</ndc>
    <ndc_label_name>Children's Antacid 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039340</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039357</ndc>
    <ndc_label_name>Wart Remover 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039390</ndc>
    <ndc_label_name>Lubricant Eye (propylene glycol) 0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039470</ndc>
    <ndc_label_name>Miconazole-3 4 % (200 mg)-2 % (9 gram) vaginal pack,prefil appl, cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039487</ndc>
    <ndc_label_name>CVS SERIES 100 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039538</ndc>
    <ndc_label_name>Hair Regrowth Treatment 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039542</ndc>
    <ndc_label_name>Allergy Eye (ketotifen) 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039561</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039565</ndc>
    <ndc_label_name>Flu HBP 2 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039571</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039634</ndc>
    <ndc_label_name>CVS CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039639</ndc>
    <ndc_label_name>CVS LIDOCAINE PAIN RLF 4% PTCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039650</ndc>
    <ndc_label_name>Intense Dry Skin Therapy lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039687</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039690</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039691</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039731</ndc>
    <ndc_label_name>Anti-Itch (menthol-camphor) 0.5 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039811</ndc>
    <ndc_label_name>Senior Probiotic 15 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039833</ndc>
    <ndc_label_name>CVS SERIES 600W BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039843</ndc>
    <ndc_label_name>Peroxide Sore Mouth Cleanser 1.5 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039877</ndc>
    <ndc_label_name>CVS CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039950</ndc>
    <ndc_label_name>Prenatal Multi-DHA (algal oil) 27 mg iron-800 mcg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428039953</ndc>
    <ndc_label_name>Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428039970</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040017</ndc>
    <ndc_label_name>CVS CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040024</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040067</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040097</ndc>
    <ndc_label_name>One Daily Women 50 Plus(Vit K) 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040203</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040216</ndc>
    <ndc_label_name>Diapers, Unisex Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040225</ndc>
    <ndc_label_name>CVS VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040264</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040284</ndc>
    <ndc_label_name>CVS OMEGA-3 KRILL OIL 500 SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040297</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040311</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040338</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040339</ndc>
    <ndc_label_name>CVS COMPRESSION SOCKS L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040372</ndc>
    <ndc_label_name>Sinus Wash System 2,300 mg-700 mg kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040416</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 %-2" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040525</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040618</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040647</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040686</ndc>
    <ndc_label_name>Kids Probiotic 2 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040714</ndc>
    <ndc_label_name>CVS BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040748</ndc>
    <ndc_label_name>CVS L-LYSINE 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040755</ndc>
    <ndc_label_name>CVS NIACIN 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040757</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040792</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040794</ndc>
    <ndc_label_name>Tubular Gauze 7/8" X 48" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040810</ndc>
    <ndc_label_name>Spectravite Adult 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040855</ndc>
    <ndc_label_name>Dairy Relief 4,500 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428040905</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428040961</ndc>
    <ndc_label_name>CVS EYE PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041004</ndc>
    <ndc_label_name>Spectravite Men's 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041018</ndc>
    <ndc_label_name>CVS POVIDONE-IODINE 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041039</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041067</ndc>
    <ndc_label_name>Urinary Pain Relief 97.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041124</ndc>
    <ndc_label_name>Advanced Wound topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041128</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041152</ndc>
    <ndc_label_name>Daily Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041177</ndc>
    <ndc_label_name>Natural Daily Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041181</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041228</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041230</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041260</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041276</ndc>
    <ndc_label_name>CVS VIT B-12 TR 2,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041280</ndc>
    <ndc_label_name>Gentle Skin Cleanser (with sodium lauryl sulfate)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041286</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041301</ndc>
    <ndc_label_name>CVS ISOPROPYL ALCOHOL 91% SPRY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041312</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041354</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041363</ndc>
    <ndc_label_name>Acne Control (benzoyl peroxide) 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041366</ndc>
    <ndc_label_name>Girls Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041389</ndc>
    <ndc_label_name>CVS VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041402</ndc>
    <ndc_label_name>CVS GLUCOSAMINE-CHONDR-MSM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041417</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041451</ndc>
    <ndc_label_name>CVS ADHESIVE TAPE 1/2"X10 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041479</ndc>
    <ndc_label_name>Natural Daily Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041506</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041515</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041536</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041539</ndc>
    <ndc_label_name>CVS VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041570</ndc>
    <ndc_label_name>Flexible Fabric Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041580</ndc>
    <ndc_label_name>Bed Underpads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041604</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041611</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041615</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041641</ndc>
    <ndc_label_name>Rolled Gauze 4" X 75" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041670</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041681</ndc>
    <ndc_label_name>CVS SERIES 600 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041685</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041709</ndc>
    <ndc_label_name>CVS VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041751</ndc>
    <ndc_label_name>CVS CO Q-10 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041769</ndc>
    <ndc_label_name>Moisturizing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041780</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041785</ndc>
    <ndc_label_name>Needle Collection and Disposal misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041787</ndc>
    <ndc_label_name>Digest Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041795</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041828</ndc>
    <ndc_label_name>CVS VIT B12 2,500 MCG SOFT CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041872</ndc>
    <ndc_label_name>Beauty 360 Daily Moisturizing 1.2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428041886</ndc>
    <ndc_label_name>Bandages/Plastic</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428041924</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042000</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042015</ndc>
    <ndc_label_name>Cortisone with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042025</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042054</ndc>
    <ndc_label_name>Daily Probiotic (B. infantis-B. longum) 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042055</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042075</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042077</ndc>
    <ndc_label_name>CVS BASAL DIGITAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042091</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042108</ndc>
    <ndc_label_name>Cortisone Cooling 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042127</ndc>
    <ndc_label_name>B12 5,000 mcg-100 mcg sublingual lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042129</ndc>
    <ndc_label_name>Advanced Acne Spot Treatment 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042135</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042136</ndc>
    <ndc_label_name>Hemorrhoidal-Analgesic 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042157</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042167</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042191</ndc>
    <ndc_label_name>Sheer Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042198</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042209</ndc>
    <ndc_label_name>Toothache Relief 20 %-0.26 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042232</ndc>
    <ndc_label_name>Lice Solution 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042234</ndc>
    <ndc_label_name>Airshield 250 mg-87.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042299</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042300</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042313</ndc>
    <ndc_label_name>Airshield 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042358</ndc>
    <ndc_label_name>CVS CALCIUM-D3-K1 650 MG CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042388</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042390</ndc>
    <ndc_label_name>Natural Fiber Supplement 6 gram/6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042413</ndc>
    <ndc_label_name>CVS GREEN TEA EXT 250 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042417</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042422</ndc>
    <ndc_label_name>Spectravite Men 50 Plus 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042459</ndc>
    <ndc_label_name>Fitted Briefs Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042476</ndc>
    <ndc_label_name>CVS COCONUT OIL 1,000 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042497</ndc>
    <ndc_label_name>CVS CALCIUM-MAGNESIUM-ZNC CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042511</ndc>
    <ndc_label_name>CVS GLUCOSAMINE-CHONDROITIN TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042563</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042669</ndc>
    <ndc_label_name>CVS MELATONIN 12 MG FAST DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042671</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042693</ndc>
    <ndc_label_name>Knee Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042738</ndc>
    <ndc_label_name>CVS GLYCERIN 2 GM ADULT SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042741</ndc>
    <ndc_label_name>Adult 50 Plus Eye Health 250 mg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042752</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042764</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042790</ndc>
    <ndc_label_name>CVS MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042799</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042809</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042817</ndc>
    <ndc_label_name>Eczema Relief 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042841</ndc>
    <ndc_label_name>Men's Daily Multivitamin 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042845</ndc>
    <ndc_label_name>CVS CAL CIT 200 MG-D3 6.25 MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042851</ndc>
    <ndc_label_name>CVS CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042853</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428042917</ndc>
    <ndc_label_name>Poly Bacitracin (zinc) 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042941</ndc>
    <ndc_label_name>Skin Therapy liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428042998</ndc>
    <ndc_label_name>CVS PLASTIC ADHESIVE BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043004</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043019</ndc>
    <ndc_label_name>CVS VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043035</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043040</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043095</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043124</ndc>
    <ndc_label_name>Dry Mouth mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043133</ndc>
    <ndc_label_name>CVS CRANBERRY 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043161</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043198</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043242</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043264</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043275</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043303</ndc>
    <ndc_label_name>Self-Adherent Gentle Wrap 1" X 2.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043319</ndc>
    <ndc_label_name>CVS LIDOCAINE 4% ROLL-ON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043368</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043370</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043400</ndc>
    <ndc_label_name>One Daily Essential 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043405</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043418</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043423</ndc>
    <ndc_label_name>Nighttime Underpants L-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043474</ndc>
    <ndc_label_name>Boys Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043476</ndc>
    <ndc_label_name>CVS VITAMIN B-12 500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043495</ndc>
    <ndc_label_name>CVS PREMIUM UNDERPAD DAY-NIGHT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043544</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043545</ndc>
    <ndc_label_name>Sinus PE Decongestant 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043575</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043641</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043673</ndc>
    <ndc_label_name>Triple Magnesium Complex 400 mg magnesium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043702</ndc>
    <ndc_label_name>Window Bandages 2.36" X 2.75"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043715</ndc>
    <ndc_label_name>CVS MAGNESIUM 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043784</ndc>
    <ndc_label_name>CVS FISH OIL 600 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043790</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043840</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043852</ndc>
    <ndc_label_name>CVS MAGNESIUM 250 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043886</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043890</ndc>
    <ndc_label_name>CVS VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043908</ndc>
    <ndc_label_name>CVS ROLLED GAUZE 4"X2 YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043923</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 60 mg-120 mg tablet,ext.release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043926</ndc>
    <ndc_label_name>CVS VITAMIN D3 10 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043930</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428043940</ndc>
    <ndc_label_name>Nighttime Underpants S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428043984</ndc>
    <ndc_label_name>Flavor Chews Antacid 300 mg (as calcium carbonate 750 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428044192</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428044257</ndc>
    <ndc_label_name>Prenatal Multi-DHA (algal oil) 27 mg iron-800 mcg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428044588</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428044672</ndc>
    <ndc_label_name>Instant Food Thickener oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428044738</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428044904</ndc>
    <ndc_label_name>CVS INTENSE HYDRATION SKIN CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045254</ndc>
    <ndc_label_name>Manuka Honey 80 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045300</ndc>
    <ndc_label_name>Child Multi-Symptom Cold-Fever 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045350</ndc>
    <ndc_label_name>CVS MAGNESIUM GLYCINATE 100 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045366</ndc>
    <ndc_label_name>Foaming Acne Face Wash 10 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045391</ndc>
    <ndc_label_name>Asthma Relief 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045393</ndc>
    <ndc_label_name>Rolled Gauze 4.5" X 3 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045469</ndc>
    <ndc_label_name>Fiber (dextrin) 3 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428045563</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428045606</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045637</ndc>
    <ndc_label_name>Advanced Healing Pad 3" X 2.3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045674</ndc>
    <ndc_label_name>Gauze Pad 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045835</ndc>
    <ndc_label_name>Daytime-Nighttime Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428045850</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046055</ndc>
    <ndc_label_name>Slow Release Iron 143 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046094</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046276</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046298</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046386</ndc>
    <ndc_label_name>Anti-Diarrheal 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046387</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046475</ndc>
    <ndc_label_name>Oral Anesthetic 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046507</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046596</ndc>
    <ndc_label_name>CVS GINKGO BILOBA 120 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046636</ndc>
    <ndc_label_name>CVS GLUCOSAMINE-CHONDROIT CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046729</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046735</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428046812</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046815</ndc>
    <ndc_label_name>Acne Cleansing Bar 10 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046905</ndc>
    <ndc_label_name>CVS SODIUM CHLORIDE 5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046941</ndc>
    <ndc_label_name>Diapers, Unisex Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428046962</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047056</ndc>
    <ndc_label_name>Creamy Acne Face 4 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428047059</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047092</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047181</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428047200</ndc>
    <ndc_label_name>Probiotic 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047235</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047280</ndc>
    <ndc_label_name>Advanced Exfoliating Cleanser 5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047304</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047377</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047392</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047458</ndc>
    <ndc_label_name>Natural Daily Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047559</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428047676</ndc>
    <ndc_label_name>Fiber Gummies (with B-complex) 2.5 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047777</ndc>
    <ndc_label_name>Daily Fiber (psyllium-sucrose) 3.4 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047795</ndc>
    <ndc_label_name>CVS FIBER 2 GM GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047796</ndc>
    <ndc_label_name>Skin Treatment 12 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047857</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428047931</ndc>
    <ndc_label_name>Natural Daily Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428047932</ndc>
    <ndc_label_name>Saline Nasal Mist 3 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428047986</ndc>
    <ndc_label_name>CVS BLACK COHOSH 40 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048051</ndc>
    <ndc_label_name>CVS TURMERIC 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048125</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048156</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048193</ndc>
    <ndc_label_name>Diapers, Unisex Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048229</ndc>
    <ndc_label_name>CVS VITAMIN B-2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048526</ndc>
    <ndc_label_name>Digestive Probiotic 2 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048545</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048572</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 60 mg-120 mg tablet,ext.release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428048579</ndc>
    <ndc_label_name>C-Lax Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048603</ndc>
    <ndc_label_name>CVS BIOTIN 10,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048690</ndc>
    <ndc_label_name>Advanced Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048828</ndc>
    <ndc_label_name>Tussin CF MAX 5 mg-10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428048977</ndc>
    <ndc_label_name>Psoriasis Medicated 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428049081</ndc>
    <ndc_label_name>Men's Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049095</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049159</ndc>
    <ndc_label_name>Womens Daily Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049173</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049267</ndc>
    <ndc_label_name>Protein Nutritional Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049307</ndc>
    <ndc_label_name>Prostate Max Plus 125 mg-10 mcg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428049435</ndc>
    <ndc_label_name>CVS VITAMIN C 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049453</ndc>
    <ndc_label_name>Nutritional Shake 0.04 gram-0.93 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428049789</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049903</ndc>
    <ndc_label_name>Probiotic (B. coagulans) 250 million cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428049917</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428050667</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428050854</ndc>
    <ndc_label_name>Purelax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428051090</ndc>
    <ndc_label_name>Skin Protectant A and D (petrolatum, lanolin) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428051108</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG QUICK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428051206</ndc>
    <ndc_label_name>CVS VITAMIN B12 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428051307</ndc>
    <ndc_label_name>CVS TURMERIC CURCUMIN 1,000 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428051468</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428051703</ndc>
    <ndc_label_name>CVS PREGNANCY TEST KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428051783</ndc>
    <ndc_label_name>Pain Relieving (camphor-m.salicyl-menth) topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428051790</ndc>
    <ndc_label_name>CryoMAX Cold Pack-Shoulder pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428051855</ndc>
    <ndc_label_name>Children's Stuffy Nose-Cold 2.5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428051962</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052066</ndc>
    <ndc_label_name>Children's Cold-Cough Daytime 2.5 mg-5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052130</ndc>
    <ndc_label_name>COVID-19 At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052192</ndc>
    <ndc_label_name>Lubricant Eye (propylene glycol) 0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052219</ndc>
    <ndc_label_name>Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052223</ndc>
    <ndc_label_name>Multi-Symptom Severe Cold-Nt 10mg(dy)/25mg-10mg-650mg(nt) powder packs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052327</ndc>
    <ndc_label_name>Severe Congestion Relief 10 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052473</ndc>
    <ndc_label_name>Children's Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052557</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052632</ndc>
    <ndc_label_name>Diaper Rash 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052671</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052685</ndc>
    <ndc_label_name>At Home A1C device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428052790</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428052804</ndc>
    <ndc_label_name>CVS BUDESONIDE 32 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053028</ndc>
    <ndc_label_name>Cleansing Eyelid Wipes Extra Strength topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053297</ndc>
    <ndc_label_name>Arthritis Pain Relief(histamine dihydrochloride) 0.025 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053302</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053389</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053459</ndc>
    <ndc_label_name>CVS LIDOCAINE PAIN RLF 4% PTCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053491</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053560</ndc>
    <ndc_label_name>CVS SERIES 100 BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053655</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053716</ndc>
    <ndc_label_name>CVS TURMERIC COMPLEX 500 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053791</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG/15 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053801</ndc>
    <ndc_label_name>Multi-Purpose Ointment 53.4 %-15.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428053833</ndc>
    <ndc_label_name>Adult 50 Plus Eye Health 250 mg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053895</ndc>
    <ndc_label_name>Hand Wash 2 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053927</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428053982</ndc>
    <ndc_label_name>Manuka Honey 100 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054024</ndc>
    <ndc_label_name>Prenatal Gummies 400 mcg-35 mg-25 mg-5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054031</ndc>
    <ndc_label_name>Heartburn Relief 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054076</ndc>
    <ndc_label_name>CVS VITAMIN D3 25 MCG GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054089</ndc>
    <ndc_label_name>CVS VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054144</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054198</ndc>
    <ndc_label_name>CVS MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054208</ndc>
    <ndc_label_name>CVS PAIN RELIEF 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054214</ndc>
    <ndc_label_name>Advanced Glucose Meter Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054229</ndc>
    <ndc_label_name>CVS CRANBERRY-VITAMIN C SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054266</ndc>
    <ndc_label_name>CVS VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054363</ndc>
    <ndc_label_name>CVS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054452</ndc>
    <ndc_label_name>CVS MAGNESIUM 200 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054474</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054477</ndc>
    <ndc_label_name>Vagicaine 20 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054512</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054582</ndc>
    <ndc_label_name>Tussin DM Day-Night 12.5 mg-30 mg/10 mL (night) oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054587</ndc>
    <ndc_label_name>Stretch Fit Brief Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054607</ndc>
    <ndc_label_name>Overnight Underwear Small-Med</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054774</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 325 MG LIQGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054780</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428054880</ndc>
    <ndc_label_name>Prenatal 400 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054913</ndc>
    <ndc_label_name>CVS OMEPRAZOLE-BICARB 20-1,100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428054928</ndc>
    <ndc_label_name>Overnight Underwear Ex-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428055066</ndc>
    <ndc_label_name>CVS OMEPRAZOLE-BICARB 20-1,100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428055096</ndc>
    <ndc_label_name>Overnight Underwear Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428055114</ndc>
    <ndc_label_name>Stretch Fit Brief Large-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428055505</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428055554</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428055723</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428055807</ndc>
    <ndc_label_name>Fish Oil 300 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428055955</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428056283</ndc>
    <ndc_label_name>Anti-Gas Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428056457</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428056804</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428056820</ndc>
    <ndc_label_name>CVS CHARCOAL 260 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428056900</ndc>
    <ndc_label_name>Children's Probiotic 5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428056984</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057257</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428057262</ndc>
    <ndc_label_name>Mepilex Border 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057404</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428057405</ndc>
    <ndc_label_name>CVS VALERIAN 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057523</ndc>
    <ndc_label_name>VIT D3 125 MCG (5000 UNIT) TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428057621</ndc>
    <ndc_label_name>CVS MANUAL BLOOD PRESS KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428057730</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428057807</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057834</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057953</ndc>
    <ndc_label_name>Allergy Relief (levocetirizine) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428057988</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058168</ndc>
    <ndc_label_name>Nasal Wash packet with sinus rinse device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058200</ndc>
    <ndc_label_name>Eczema Care 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058421</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058468</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058483</ndc>
    <ndc_label_name>Fitted Briefs Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058488</ndc>
    <ndc_label_name>Fitted Briefs X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058533</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058595</ndc>
    <ndc_label_name>Hot and Cold Pain Relief 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058601</ndc>
    <ndc_label_name>CVS DIGITAL THERMOMETER TEMPLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428058608</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058631</ndc>
    <ndc_label_name>Fitted Briefs Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058641</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428058783</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428058835</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428058951</ndc>
    <ndc_label_name>Advanced Healing (Petrolatum) 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059002</ndc>
    <ndc_label_name>CVS LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059017</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428059035</ndc>
    <ndc_label_name>Medicated Foot Powder (menthol) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059136</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059159</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG QUICK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428059232</ndc>
    <ndc_label_name>Mood Support Probiotic 3 billion cell-57 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428059243</ndc>
    <ndc_label_name>CVS ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428059311</ndc>
    <ndc_label_name>Advanced Healing Pad 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428059435</ndc>
    <ndc_label_name>Transparent Mepitel Film Dress 4" X 4.8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059453</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428059700</ndc>
    <ndc_label_name>CVS MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428060021</ndc>
    <ndc_label_name>CVS TRANSPARENT DRESS 4X4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428060059</ndc>
    <ndc_label_name>Moisturizing Normal to Dry Skin lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428060423</ndc>
    <ndc_label_name>Allergy Nasal (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428060633</ndc>
    <ndc_label_name>Stool Softener 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428060700</ndc>
    <ndc_label_name>CVS LIDO-MENTHOL 4%-1% ROLL-ON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428061154</ndc>
    <ndc_label_name>CVS LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428061242</ndc>
    <ndc_label_name>CVS MOISTURIZING CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428061765</ndc>
    <ndc_label_name>Liquid Bandage topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428061906</ndc>
    <ndc_label_name>CVS MELATONIN 1 MG GUMMIES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428062002</ndc>
    <ndc_label_name>Medicated Hemorrhoidal Rapid Pain Relief 5 %-0.25 %-20 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428062110</ndc>
    <ndc_label_name>CVS MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428062160</ndc>
    <ndc_label_name>Resistance Formula Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428062162</ndc>
    <ndc_label_name>CVS MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428062209</ndc>
    <ndc_label_name>CVS ANTACID-ANTI-GAS CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428062922</ndc>
    <ndc_label_name>Protective Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428063201</ndc>
    <ndc_label_name>Saline Nasal Mist 3 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428063305</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428063412</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428063448</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428063517</ndc>
    <ndc_label_name>Immune Support (vit c, d and zinc) 180 mg-10 mcg-5.5 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428063587</ndc>
    <ndc_label_name>Pain Relief (menthol) 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428063687</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428064244</ndc>
    <ndc_label_name>Therapeutic Dandruff Shampoo 3 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428064681</ndc>
    <ndc_label_name>CVS MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428065064</ndc>
    <ndc_label_name>CVS ASHWAGANDHA 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428065144</ndc>
    <ndc_label_name>CVS VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428065163</ndc>
    <ndc_label_name>Cold and Flu HBP 2 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428065289</ndc>
    <ndc_label_name>Acne Control (salicylic acid) 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428067309</ndc>
    <ndc_label_name>CVS VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428067584</ndc>
    <ndc_label_name>Heartburn Relief 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428068182</ndc>
    <ndc_label_name>CVS DIGITAL THERMOMETER TEMPLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428070109</ndc>
    <ndc_label_name>CVS GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428070249</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428076501</ndc>
    <ndc_label_name>CVS DIGITAL THERMOMETER EAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428077769</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428083884</ndc>
    <ndc_label_name>Airshield 1,000 mg-50 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428084608</ndc>
    <ndc_label_name>CVS DAY-NIGHT UNDERPADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428085942</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428086419</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428092378</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428096918</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428096924</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428145514</ndc>
    <ndc_label_name>CVS GLUCOSAMINE-CHONDR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428147124</ndc>
    <ndc_label_name>Lubricating Jelly (with chlorhexidine) topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428152355</ndc>
    <ndc_label_name>CVS MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428152702</ndc>
    <ndc_label_name>CVS WITCH HAZEL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428156053</ndc>
    <ndc_label_name>CVS PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428164199</ndc>
    <ndc_label_name>Hot Steam Liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428165902</ndc>
    <ndc_label_name>CVS PLASTIC SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428166363</ndc>
    <ndc_label_name>CVS BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428166790</ndc>
    <ndc_label_name>CVS GLUCOSAMINE CHONDROITIN TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428178608</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428186577</ndc>
    <ndc_label_name>Enema Disposable 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428186739</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428186748</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428191659</ndc>
    <ndc_label_name>Antacid (calcium carb-magnesium hyd) 400 mg-135 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428199229</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428200236</ndc>
    <ndc_label_name>CVS GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428207688</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428207690</ndc>
    <ndc_label_name>Sleep Comforts misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428209452</ndc>
    <ndc_label_name>CVS MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428209478</ndc>
    <ndc_label_name>CVS HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428211344</ndc>
    <ndc_label_name>CVS LATEX GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428211938</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428212266</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428212654</ndc>
    <ndc_label_name>Latex Gloves, Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428212753</ndc>
    <ndc_label_name>CVS NYPLEX DISP GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428219204</ndc>
    <ndc_label_name>Redness Reliever Lubricant 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428251591</ndc>
    <ndc_label_name>CVS EYE PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428251660</ndc>
    <ndc_label_name>Spectravite Advanced Formula 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428252794</ndc>
    <ndc_label_name>Fiber Therapy Laxative (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428258150</ndc>
    <ndc_label_name>Aloe Vera Latex Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428266387</ndc>
    <ndc_label_name>Cherry Menthol 7 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428266403</ndc>
    <ndc_label_name>Honey Lemon 8 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428266569</ndc>
    <ndc_label_name>Menthol Drops 6.5 mg (lozenges)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428267635</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428268428</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428268431</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428268432</ndc>
    <ndc_label_name>Hearing Aid Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428271250</ndc>
    <ndc_label_name>CVS ASPIRIN 325 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428271255</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428272877</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428289058</ndc>
    <ndc_label_name>Alkaline Batteries</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428297917</ndc>
    <ndc_label_name>Anti-Dandruff With Menthol 1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428304659</ndc>
    <ndc_label_name>CVS ETHYL ALCOHOL 70% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428306422</ndc>
    <ndc_label_name>Ketone Care strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428309751</ndc>
    <ndc_label_name>Vitamin E plus 30,000 unit topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428317699</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428317861</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428317912</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428317914</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428318599</ndc>
    <ndc_label_name>Therapeutic Shampoo 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428321147</ndc>
    <ndc_label_name>Hand Sanitizer 62 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428328152</ndc>
    <ndc_label_name>Spectravite Adult 50 Plus(with lutein) 500 mcg-250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428334566</ndc>
    <ndc_label_name>Foot and Sneaker 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428334568</ndc>
    <ndc_label_name>foam toe bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428336795</ndc>
    <ndc_label_name>Paper Tape, Hypoallergenic 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428336797</ndc>
    <ndc_label_name>All Purpose Cloth Tape 2" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428337097</ndc>
    <ndc_label_name>Eye Wash drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428343398</ndc>
    <ndc_label_name>Sinus Headache PE 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428345280</ndc>
    <ndc_label_name>Moleskin Plus pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428348642</ndc>
    <ndc_label_name>Fiber Laxative (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428350440</ndc>
    <ndc_label_name>Perianal Cleansing topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428351091</ndc>
    <ndc_label_name>CVS ALOE VERA-LIDOCAINE GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428352238</ndc>
    <ndc_label_name>Sinus Daytime-Nightime 5-325 mg(dy)/6.25-5-325mg(nt) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428372441</ndc>
    <ndc_label_name>CVS HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428375469</ndc>
    <ndc_label_name>CVS B-COMPLEX-VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428381793</ndc>
    <ndc_label_name>Chest Congestion Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428401472</ndc>
    <ndc_label_name>Medicated Wipes 50 % (pads)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428402513</ndc>
    <ndc_label_name>CVS FIRST AID KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428402521</ndc>
    <ndc_label_name>Jock Itch (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428416122</ndc>
    <ndc_label_name>CVS GLUCOSAMINE-CHONDROITIN CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428420928</ndc>
    <ndc_label_name>CVS GLUCOSE LIQUID SHOT</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428421418</ndc>
    <ndc_label_name>Cleansing Wash</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428444797</ndc>
    <ndc_label_name>Alcohol Wipes</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428452271</ndc>
    <ndc_label_name>Menopause Support 30 unit-400 mcg-80 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428457517</ndc>
    <ndc_label_name>Diuretic Softgels 50 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428457802</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428459954</ndc>
    <ndc_label_name>CVS COENZYME Q-10 100 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428459961</ndc>
    <ndc_label_name>CVS BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428460442</ndc>
    <ndc_label_name>Probiotic 20 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428460446</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-MSM 750 mg-625 mg-30 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428460447</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-MSM 750 mg-625 mg-30 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428460967</ndc>
    <ndc_label_name>Slow Release Iron 143 mg (45 mg iron) tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428461007</ndc>
    <ndc_label_name>CVS OVULATION PREDICTOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50428466075</ndc>
    <ndc_label_name>CVS HEATING PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428470490</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428470493</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50428473604</ndc>
    <ndc_label_name>CVS NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458002800</ndc>
    <ndc_label_name>Spravato 28 mg nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458002802</ndc>
    <ndc_label_name>Spravato 56 mg (28 mg x 2) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458002803</ndc>
    <ndc_label_name>Spravato 84 mg (28 mg x 3) nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458009801</ndc>
    <ndc_label_name>Elmiron 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458014001</ndc>
    <ndc_label_name>Invokana 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458014030</ndc>
    <ndc_label_name>Invokana 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458014090</ndc>
    <ndc_label_name>Invokana 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Invokana 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458017800</ndc>
    <ndc_label_name>Ortho-Novum 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458017820</ndc>
    <ndc_label_name>Ortho-Novum 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458019120</ndc>
    <ndc_label_name>Ortho Tri-Cyclen (28) 0.18 mg(7)/0.215mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458025303</ndc>
    <ndc_label_name>HALDOL DECANOATE 50 AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458025414</ndc>
    <ndc_label_name>HALDOL DECANOATE 100 AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458029001</ndc>
    <ndc_label_name>Sporanox 100 mg capsule</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458029004</ndc>
    <ndc_label_name>Sporanox 100 mg capsule</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPORANOX 10 MG/ML SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Risperdal 1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Risperdal 1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458030503</ndc>
    <ndc_label_name>Risperdal 1 mg/mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 25 mg/2 mL intramuscular susp,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 25 mg/2 mL intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458030701</ndc>
    <ndc_label_name>Risperdal Consta 37.5 mg/2 mL intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 37.5 mg/2 mL intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 50 mg/2 mL intramuscular susp,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 12.5 mg/2 mL intramuscular susp,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Risperdal Consta 12.5 mg/2 mL intramuscular susp,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Risperdal 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458054060</ndc>
    <ndc_label_name>Invokamet 50 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Invokamet 50 mg-1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458054260</ndc>
    <ndc_label_name>Invokamet 150 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458054360</ndc>
    <ndc_label_name>Invokamet 150 mg-1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458055001</ndc>
    <ndc_label_name>Invega 3 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458055101</ndc>
    <ndc_label_name>Invega 6 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458055201</ndc>
    <ndc_label_name>Invega 9 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056001</ndc>
    <ndc_label_name>Invega Sustenna 39 mg/0.25 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056101</ndc>
    <ndc_label_name>Invega Sustenna 78 mg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056201</ndc>
    <ndc_label_name>Invega Sustenna 117 mg/0.75 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056301</ndc>
    <ndc_label_name>Invega Sustenna 156 mg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056303</ndc>
    <ndc_label_name>Invega Sustenna 156 mg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056401</ndc>
    <ndc_label_name>Invega Sustenna 234 mg/1.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458056403</ndc>
    <ndc_label_name>Invega Sustenna 234 mg/1.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057501</ndc>
    <ndc_label_name>Xarelto 1 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057701</ndc>
    <ndc_label_name>Xarelto 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057710</ndc>
    <ndc_label_name>Xarelto 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057714</ndc>
    <ndc_label_name>Xarelto 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057718</ndc>
    <ndc_label_name>Xarelto 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057760</ndc>
    <ndc_label_name>Xarelto 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057801</ndc>
    <ndc_label_name>Xarelto 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057810</ndc>
    <ndc_label_name>Xarelto 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057830</ndc>
    <ndc_label_name>Xarelto 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057890</ndc>
    <ndc_label_name>Xarelto 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057901</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057907</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057910</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057930</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057989</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458057990</ndc>
    <ndc_label_name>Xarelto 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458058001</ndc>
    <ndc_label_name>Xarelto 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458058010</ndc>
    <ndc_label_name>Xarelto 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458058030</ndc>
    <ndc_label_name>Xarelto 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458058090</ndc>
    <ndc_label_name>Xarelto 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458058451</ndc>
    <ndc_label_name>Xarelto DVT-PE Treatment 30-Day Starter 15 mg(42)-20 mg(9) tablet pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458058501</ndc>
    <ndc_label_name>Concerta 18 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458058601</ndc>
    <ndc_label_name>Concerta 36 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458058701</ndc>
    <ndc_label_name>Concerta 54 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458058801</ndc>
    <ndc_label_name>Concerta 27 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458059601</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458060601</ndc>
    <ndc_label_name>Invega Trinza 273 mg/0.88 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458060701</ndc>
    <ndc_label_name>Invega Trinza 410 mg/1.32 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458060801</ndc>
    <ndc_label_name>Invega Trinza 546 mg/1.75 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458060901</ndc>
    <ndc_label_name>Invega Trinza 819 mg/2.63 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458061101</ndc>
    <ndc_label_name>Invega Hafyera 1,092 mg/3.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50458061201</ndc>
    <ndc_label_name>Invega Hafyera 1,560 mg/5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458063965</ndc>
    <ndc_label_name>Topamax 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458064065</ndc>
    <ndc_label_name>Topamax 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458064165</ndc>
    <ndc_label_name>Topamax 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458064265</ndc>
    <ndc_label_name>Topamax 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458064565</ndc>
    <ndc_label_name>Topamax 25 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458064765</ndc>
    <ndc_label_name>Topamax 15 mg sprinkle capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458070714</ndc>
    <ndc_label_name>Ponvory 14-Day Starter Pack 2-3-4-5-6-7-8-9-10 mg tablets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458072030</ndc>
    <ndc_label_name>Ponvory 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458084002</ndc>
    <ndc_label_name>Nucynta 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458094001</ndc>
    <ndc_label_name>Invokamet XR 50 mg-500 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458094101</ndc>
    <ndc_label_name>Invokamet XR 50 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458094201</ndc>
    <ndc_label_name>Invokamet XR 150 mg-500 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50458094301</ndc>
    <ndc_label_name>Invokamet XR 150 mg-1,000 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474000148</ndc>
    <ndc_label_name>Keppra 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474000263</ndc>
    <ndc_label_name>Keppra 500 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474035001</ndc>
    <ndc_label_name>Kygevvi 4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474035030</ndc>
    <ndc_label_name>Kygevvi 4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474037066</ndc>
    <ndc_label_name>Briviact 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474047009</ndc>
    <ndc_label_name>Briviact 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474047066</ndc>
    <ndc_label_name>Briviact 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50474050014</ndc>
    <ndc_label_name>Nayzilam 5 mg/spray (0.1 mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50474050015</ndc>
    <ndc_label_name>Nayzilam 5 mg/spray (0.1 mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474054706</ndc>
    <ndc_label_name>Healon EndoCoat 30 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474057009</ndc>
    <ndc_label_name>Briviact 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474057066</ndc>
    <ndc_label_name>Briviact 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059440</ndc>
    <ndc_label_name>Keppra 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059540</ndc>
    <ndc_label_name>Keppra 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059640</ndc>
    <ndc_label_name>Keppra 750 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059766</ndc>
    <ndc_label_name>Keppra 1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059866</ndc>
    <ndc_label_name>Keppra XR 500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474059966</ndc>
    <ndc_label_name>Keppra XR 750 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474063697</ndc>
    <ndc_label_name>Healon Pro 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474063698</ndc>
    <ndc_label_name>Healon Pro 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474063699</ndc>
    <ndc_label_name>Healon5 Pro 23 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474065165</ndc>
    <ndc_label_name>Healon GV Pro 18 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474067066</ndc>
    <ndc_label_name>Briviact 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474070061</ndc>
    <ndc_label_name>Cimzia Powder for Recon 400 mg (200 mg x 2 vials) subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474070062</ndc>
    <ndc_label_name>Cimzia Powder for Recon 400 mg (200 mg x 2 vials) subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474071079</ndc>
    <ndc_label_name>Cimzia 400 mg/2 mL (200 mg/mL x 2) subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474071080</ndc>
    <ndc_label_name>Cimzia 400 mg/2 mL (200 mg/mL x 2) subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474071081</ndc>
    <ndc_label_name>Cimzia Starter Kit 400 mg/2 mL (200 mg/mL x2) subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474075010</ndc>
    <ndc_label_name>Cimzia 200 mg/mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474077009</ndc>
    <ndc_label_name>Briviact 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474077066</ndc>
    <ndc_label_name>Briviact 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078078</ndc>
    <ndc_label_name>Bimzelx 160 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078079</ndc>
    <ndc_label_name>Bimzelx 160 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078184</ndc>
    <ndc_label_name>Bimzelx Autoinjector 160 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078185</ndc>
    <ndc_label_name>Bimzelx Autoinjector 160 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078187</ndc>
    <ndc_label_name>Bimzelx Autoinjector 160 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078284</ndc>
    <ndc_label_name>Bimzelx Autoinjector 320 mg/2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078286</ndc>
    <ndc_label_name>Bimzelx Autoinjector 320 mg/2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474078378</ndc>
    <ndc_label_name>Bimzelx 320 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080103</ndc>
    <ndc_label_name>Neupro 1 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080203</ndc>
    <ndc_label_name>Neupro 2 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080303</ndc>
    <ndc_label_name>Neupro 3 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080403</ndc>
    <ndc_label_name>Neupro 4 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080503</ndc>
    <ndc_label_name>Neupro 6 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080603</ndc>
    <ndc_label_name>Neupro 8 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080617</ndc>
    <ndc_label_name>Neupro 8 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080744</ndc>
    <ndc_label_name>Healon Pro 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474080746</ndc>
    <ndc_label_name>Healon5 Pro 23 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474087015</ndc>
    <ndc_label_name>Briviact 10 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474097063</ndc>
    <ndc_label_name>Briviact 50 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474097075</ndc>
    <ndc_label_name>Briviact 50 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474098079</ndc>
    <ndc_label_name>Rystiggo 140 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474098183</ndc>
    <ndc_label_name>Rystiggo 140 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474098284</ndc>
    <ndc_label_name>Rystiggo 140 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474098386</ndc>
    <ndc_label_name>Rystiggo 140 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474099080</ndc>
    <ndc_label_name>Zilbrysq 16.6 mg/0.416 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474099180</ndc>
    <ndc_label_name>Zilbrysq 23 mg/0.574 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50474099280</ndc>
    <ndc_label_name>Zilbrysq 32.4 mg/0.81 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484001030</ndc>
    <ndc_label_name>Santyl 250 unit/gram topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484001090</ndc>
    <ndc_label_name>Santyl 250 unit/gram topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484004409</ndc>
    <ndc_label_name>Proshield Plus 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484030200</ndc>
    <ndc_label_name>Secura Total Body Cleanser 0.13 % foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484030300</ndc>
    <ndc_label_name>Secura Total Body Cleanser 0.13 % foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484030500</ndc>
    <ndc_label_name>Secura Personal 0.13 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484030800</ndc>
    <ndc_label_name>Secura Moisturizing 0.13 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484030900</ndc>
    <ndc_label_name>Secura Moisturizing 0.13 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484031100</ndc>
    <ndc_label_name>Secura Protective (zinc oxide) 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484031500</ndc>
    <ndc_label_name>Secura Protective topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484031600</ndc>
    <ndc_label_name>Secura Protective topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484032200</ndc>
    <ndc_label_name>Secura Dimethicone 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50484032900</ndc>
    <ndc_label_name>Secura Antifungal Extra Thick 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484034200</ndc>
    <ndc_label_name>Secura Starter Kit 0.13 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484034300</ndc>
    <ndc_label_name>Secura Personal Skin Care 0.13 % Combo Pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484034400</ndc>
    <ndc_label_name>Secura Two-Step Kit 10 %-0.13 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484034500</ndc>
    <ndc_label_name>Secura Dimethicone Kit 5 %-0.13 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484045000</ndc>
    <ndc_label_name>Unicare Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484045400</ndc>
    <ndc_label_name>Unicare Moisturizing lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484049200</ndc>
    <ndc_label_name>Dermal Wound Cleanser 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50484081015</ndc>
    <ndc_label_name>REGRANEX 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50486055032</ndc>
    <ndc_label_name>Zilactin-B 10 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488011100</ndc>
    <ndc_label_name>Scarcin topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488041001</ndc>
    <ndc_label_name>MENTHOL-CAMPHOR 10%-4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488070801</ndc>
    <ndc_label_name>Genicin 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488090101</ndc>
    <ndc_label_name>Laxacin 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488091601</ndc>
    <ndc_label_name>Somnicin 2 mg-50 mg-100 mg-10 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488100101</ndc>
    <ndc_label_name>Terocin (lidocaine-menthol) 4 %-4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488101501</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488101505</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488101605</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CRM PUMP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488102501</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488102502</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488102505</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488103001</ndc>
    <ndc_label_name>METHYL SALICYLATE 30% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488103006</ndc>
    <ndc_label_name>METHYL SALICYLATE 30% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488103501</ndc>
    <ndc_label_name>CAPSAICIN 0.035% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488104001</ndc>
    <ndc_label_name>MENTHOL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488106006</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488107501</ndc>
    <ndc_label_name>CAPSAICIN 0.075% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488112900</ndc>
    <ndc_label_name>New Terocin 0.025 %-25 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488112901</ndc>
    <ndc_label_name>New Terocin 0.025 %-25 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488113001</ndc>
    <ndc_label_name>Limencin(capsaicin-methyl salicylate-menthol) 0.025 %-25 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488120101</ndc>
    <ndc_label_name>Limencin (lidocaine-menthol) 4 %-4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488170101</ndc>
    <ndc_label_name>MenCaps 0.0225 %-4.5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488200401</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488201001</ndc>
    <ndc_label_name>METHYL SALICYLATE 10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488202501</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488203501</ndc>
    <ndc_label_name>CAPSAICIN 0.035% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488412501</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG TAB CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488604006</ndc>
    <ndc_label_name>METHYL SALICYLATE 40% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488626201</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50488626301</ndc>
    <ndc_label_name>Lidocaine Plus 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488654101</ndc>
    <ndc_label_name>LIDOCAINE-MENTHOL 4%-1% ROLLON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50488664101</ndc>
    <ndc_label_name>LIDOCAINE-MENTHOL 4%-1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50532006603</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50532006605</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50532006606</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580010018</ndc>
    <ndc_label_name>Infant's Motrin 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580011052</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580013024</ndc>
    <ndc_label_name>Tylenol Cold-Flu M-S Day 325 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580013404</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580013408</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580013444</ndc>
    <ndc_label_name>Imodium A-D 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580017001</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580017002</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580017004</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580017708</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580018401</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580018450</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580018452</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580019101</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580019850</ndc>
    <ndc_label_name>Infant's Motrin 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580020808</ndc>
    <ndc_label_name>Motrin Dual Action with Tylenol 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580020902</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580020904</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022620</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022633</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022650</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022651</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022652</ndc>
    <ndc_label_name>Benadryl Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580022824</ndc>
    <ndc_label_name>Benadryl 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023002</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023003</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023005</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023006</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023007</ndc>
    <ndc_label_name>Motrin IB 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580023201</ndc>
    <ndc_label_name>Children's Benadryl Allergy 12.5 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580023901</ndc>
    <ndc_label_name>Sudafed PE Day and Night 10 mg (day)/25 mg-10 mg (nt) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580024201</ndc>
    <ndc_label_name>Sudafed 12 Hour 120 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580024202</ndc>
    <ndc_label_name>Sudafed 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580024203</ndc>
    <ndc_label_name>Sudafed 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580024501</ndc>
    <ndc_label_name>Child's Tylenol plus Cough,Runny Nose 1 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580025002</ndc>
    <ndc_label_name>Sudafed 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580025003</ndc>
    <ndc_label_name>Sudafed 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580029901</ndc>
    <ndc_label_name>Children's Tylenol Cold-Flu 1 mg-2.5 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580030901</ndc>
    <ndc_label_name>Tylenol 8 Hour 650 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580030902</ndc>
    <ndc_label_name>Tylenol 8 Hour 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580031701</ndc>
    <ndc_label_name>Imodium A-D 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580031703</ndc>
    <ndc_label_name>Imodium A-D 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580032501</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580033812</ndc>
    <ndc_label_name>Imodium Multi-Symptom Relief 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580033818</ndc>
    <ndc_label_name>Imodium Multi-Symptom Relief 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580034101</ndc>
    <ndc_label_name>Child Benadryl Plus Congestion 12.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580034401</ndc>
    <ndc_label_name>Tylenol Cold-Flu Multi-Action Day 30 mg-15 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580036302</ndc>
    <ndc_label_name>Sudafed 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580036303</ndc>
    <ndc_label_name>Sudafed 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580036701</ndc>
    <ndc_label_name>Imodium A-D 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580036702</ndc>
    <ndc_label_name>Imodium A-D 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580037401</ndc>
    <ndc_label_name>Tylenol Cold-Flu Multi-Act D-N 30-15-500mg(d)/2-30-15-500 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580037808</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580037837</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580040226</ndc>
    <ndc_label_name>Tylenol Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tylenol Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Motrin IB 200 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580041403</ndc>
    <ndc_label_name>Tylenol Cold-Flu Severe Day-Nt 2 mg-5 mg-10 mg-325 mg-200 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580041501</ndc>
    <ndc_label_name>Benadryl Allergy Plus Congestion 25 mg-10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580043301</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580043302</ndc>
    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580043401</ndc>
    <ndc_label_name>Sudafed Sinus 12Hr Pressure-Pain 220 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580043501</ndc>
    <ndc_label_name>Sudafed PE Pressure-Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580043601</ndc>
    <ndc_label_name>Sudafed PE Head Congestion-Pain 200 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580043701</ndc>
    <ndc_label_name>Sudafed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580043702</ndc>
    <ndc_label_name>Sudafed PE 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044701</ndc>
    <ndc_label_name>Sudafed PE Head Congestion-Mucus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044908</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044910</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044913</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044915</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044934</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044935</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044936</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044937</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580044961</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580045001</ndc>
    <ndc_label_name>Sudafed PE Head Congestion-Flu 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580045711</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580045770</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580045810</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580045811</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580047204</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580047511</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580048810</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580048824</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580048825</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580048828</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049010</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049025</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049090</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049110</ndc>
    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049501</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049660</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580049698</ndc>
    <ndc_label_name>Tylenol 325 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580050701</ndc>
    <ndc_label_name>Tylenol Sinus Severe 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580050901</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580052124</ndc>
    <ndc_label_name>Children's Tylenol 160 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580052224</ndc>
    <ndc_label_name>Children's Tylenol 160 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580053324</ndc>
    <ndc_label_name>Benadryl Allergy 50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053404</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053408</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053418</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053501</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053502</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053504</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053508</ndc>
    <ndc_label_name>Benadryl Allergy 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580053604</ndc>
    <ndc_label_name>Children's Sudafed 15 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's Tylenol 160 mg oral powder packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's Tylenol 160 mg oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580056320</ndc>
    <ndc_label_name>Motrin PM 200 mg-38 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580056380</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Motrin Arthritis Pain 1 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tylenol Extra Strength 500 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Infant's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580060122</ndc>
    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580060304</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's Motrin 100 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580060801</ndc>
    <ndc_label_name>Tylenol PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tylenol PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580060804</ndc>
    <ndc_label_name>Tylenol PM Extra Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50580061201</ndc>
    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Tylenol 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580071912</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580072105</ndc>
    <ndc_label_name>Children's Zyrtec Allergy 1 mg/mL oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580072630</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580072632</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>50580075324</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580075435</ndc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50580078212</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tylenol Arthritis Pain 650 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tylenol 8 Hour 650 mg tablet,extended release</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's Sudafed PE Nasal Decongestant 2.5 mg/5 mL oral solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051400</ndc>
    <ndc_label_name>GLYCOSADE POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051448</ndc>
    <ndc_label_name>PKU Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051455</ndc>
    <ndc_label_name>PKU GEL POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051462</ndc>
    <ndc_label_name>PKU GEL POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051486</ndc>
    <ndc_label_name>HCU Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051493</ndc>
    <ndc_label_name>MSUD Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051509</ndc>
    <ndc_label_name>TYR Gel Powder 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051516</ndc>
    <ndc_label_name>GA Gel 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051523</ndc>
    <ndc_label_name>MMA-PA Gel 41.7 gram-338 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051622</ndc>
    <ndc_label_name>GA Express15 60 gram-297 kcal/100 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600051998</ndc>
    <ndc_label_name>PKU COOLER 15 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600052001</ndc>
    <ndc_label_name>PKU COOLER 20 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600052285</ndc>
    <ndc_label_name>S.O.S. 25 POWDER SACHET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600053527</ndc>
    <ndc_label_name>HCU COOLER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600053992</ndc>
    <ndc_label_name>TYR COOLER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054302</ndc>
    <ndc_label_name>Isoleucine Amino Acid Supplement 50 mg/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054326</ndc>
    <ndc_label_name>TYR COOLER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054333</ndc>
    <ndc_label_name>Valine Amino Acid Supplement 50 mg/4 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054371</ndc>
    <ndc_label_name>MMA-PA EXPRESS15 PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054456</ndc>
    <ndc_label_name>GLYCINE 500 MG POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054500</ndc>
    <ndc_label_name>PKU COOLER 15 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054562</ndc>
    <ndc_label_name>PKU COOLER 15 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054654</ndc>
    <ndc_label_name>MSUD EXPRESS COOLER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054692</ndc>
    <ndc_label_name>ARGININE PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054777</ndc>
    <ndc_label_name>CYSTINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054791</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054814</ndc>
    <ndc_label_name>PKU COOLER 20 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054838</ndc>
    <ndc_label_name>PKU COOLER 20 LIQ COOLER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054906</ndc>
    <ndc_label_name>EAA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054920</ndc>
    <ndc_label_name>LEUCINE POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600054944</ndc>
    <ndc_label_name>PHENYLALANINE POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600055095</ndc>
    <ndc_label_name>Citrulline 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600055118</ndc>
    <ndc_label_name>Isoleucine 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600055132</ndc>
    <ndc_label_name>Valine 1000 1 gram/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600055440</ndc>
    <ndc_label_name>methionine 100 mg/4 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50600056122</ndc>
    <ndc_label_name>MMA-PA COOLER15 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000101</ndc>
    <ndc_label_name>Jynneos (PF) 0.5x to 3.95x 10exp8 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000102</ndc>
    <ndc_label_name>Jynneos (PF) 0.5x to 3.95x 10exp8 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000103</ndc>
    <ndc_label_name>Jynneos (PF) 0.5x to 3.95x 10exp8 unit/0.5 mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000700</ndc>
    <ndc_label_name>Pro Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000701</ndc>
    <ndc_label_name>Pro Comfort Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000702</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000703</ndc>
    <ndc_label_name>Pro Comfort Alcohol Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000704</ndc>
    <ndc_label_name>Pro Comfort Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000705</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000706</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000707</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000708</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000709</ndc>
    <ndc_label_name>Pro Comfort Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000710</ndc>
    <ndc_label_name>Pro Comfort Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000711</ndc>
    <ndc_label_name>Pro Comfort Pen Needle 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000712</ndc>
    <ndc_label_name>Pro Comfort Lancet 31 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000715</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000716</ndc>
    <ndc_label_name>SAPS TWIST TOP 30G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000718</ndc>
    <ndc_label_name>Pro Comfort Tens Unit combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000721</ndc>
    <ndc_label_name>Pro Comfort Tens Electrode pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000722</ndc>
    <ndc_label_name>Easy Neb Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000723</ndc>
    <ndc_label_name>SAPS 30"X36" UNDERPAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000724</ndc>
    <ndc_label_name>Pure Comfort Humidifier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000725</ndc>
    <ndc_label_name>Pro Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000726</ndc>
    <ndc_label_name>Pro Health Mini Talk BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000727</ndc>
    <ndc_label_name>Pro Comfort Spacer-Adult Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000728</ndc>
    <ndc_label_name>Pro Comfort Spacer-Child Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000729</ndc>
    <ndc_label_name>Pro Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000730</ndc>
    <ndc_label_name>Pro Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000731</ndc>
    <ndc_label_name>Easy Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000732</ndc>
    <ndc_label_name>SAPS TWIST TOP 30G LANCET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000733</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000734</ndc>
    <ndc_label_name>Tempa Check Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000736</ndc>
    <ndc_label_name>Easy Trak II Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000737</ndc>
    <ndc_label_name>Easy Trak II Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000738</ndc>
    <ndc_label_name>Easy Trak II Control Solution-Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000739</ndc>
    <ndc_label_name>VAPORIZER 1.2 GALLON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000740</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1/2 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000741</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000742</ndc>
    <ndc_label_name>Easy Feed Electric Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000744</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000745</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 33 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000746</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 33 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000747</ndc>
    <ndc_label_name>Comfort Shield Adult Diaper</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000748</ndc>
    <ndc_label_name>Comfort Shield Adult Diaper</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000749</ndc>
    <ndc_label_name>Comfort Shield Adult Diaper</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000754</ndc>
    <ndc_label_name>Tempa Check Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000755</ndc>
    <ndc_label_name>PureAir Mini Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000756</ndc>
    <ndc_label_name>Pro Comfort Spacer-Infant Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000757</ndc>
    <ndc_label_name>Pro Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000758</ndc>
    <ndc_label_name>Pro Temp Oral Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000759</ndc>
    <ndc_label_name>Quick Temp Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000760</ndc>
    <ndc_label_name>LifestyleComfort Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000761</ndc>
    <ndc_label_name>Quick Temp Pro Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000762</ndc>
    <ndc_label_name>LifestyleComfort Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000764</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000765</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000766</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000767</ndc>
    <ndc_label_name>Pure-Comfort Nitrile Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000768</ndc>
    <ndc_label_name>Pure-Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000769</ndc>
    <ndc_label_name>Pure-Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000770</ndc>
    <ndc_label_name>Pure-Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000771</ndc>
    <ndc_label_name>Pure-Comfort Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000772</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30G 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000773</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30G 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000774</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30G 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000776</ndc>
    <ndc_label_name>Twist Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000777</ndc>
    <ndc_label_name>PEN NEEDLE 31G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000778</ndc>
    <ndc_label_name>PEN NEEDLE 31G 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000779</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000780</ndc>
    <ndc_label_name>PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000782</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30G 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000786</ndc>
    <ndc_label_name>Twist Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632000787</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000788</ndc>
    <ndc_label_name>Easy Comfort Sharps Collector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000789</ndc>
    <ndc_label_name>Pure Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000790</ndc>
    <ndc_label_name>Pure Comfort Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632000791</ndc>
    <ndc_label_name>Pure Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001001</ndc>
    <ndc_label_name>RabAvert (PF) 2.5 unit IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50632001101</ndc>
    <ndc_label_name>Diluent For Rabavert syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001301</ndc>
    <ndc_label_name>RabAvert (PF) 2.5 unit IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001502</ndc>
    <ndc_label_name>Vaxchora Vaccine 4x10exp8 to 2x10exp9 CF unit oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001602</ndc>
    <ndc_label_name>Vivotif 2 billion unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001604</ndc>
    <ndc_label_name>Vivotif 2 billion unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001802</ndc>
    <ndc_label_name>Vimkunya 40 mcg/0.8 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50632001804</ndc>
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    <ndc_label_name>CroFab 1 gram solution for injection</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Voraxaze 1,000 unit intravenous solution</ndc_label_name>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50633022010</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cyanokit 5 gram intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>EDETATE CAL DISOD 500 MG/10 ML</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Xuriden 2 gram oral granules in packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50633034001</ndc>
    <ndc_label_name>Aurlumyn 100 mcg/mL intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>50652000009</ndc>
    <ndc_label_name>NutraSea Omega-3 500 mg-750 mg-4.5 gram/5 mL oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>50653000601</ndc>
    <ndc_label_name>GenVisc 850 10 mg/mL intra-articular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50653000604</ndc>
    <ndc_label_name>TriVisc 10 mg/mL intra-articular syringe</ndc_label_name>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50716000713</ndc>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742015501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742015590</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742017501</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742017505</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742017601</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742017605</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742018130</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742018212</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742019390</ndc>
    <ndc_label_name>TOLCAPONE 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742022415</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742022515</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742022615</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742023301</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742023830</ndc>
    <ndc_label_name>QUININE SULFATE 324 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742023901</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742024001</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742024101</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742024618</ndc>
    <ndc_label_name>ISOSORBIDE-HYDRALAZINE 20-37.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742024690</ndc>
    <ndc_label_name>ISOSORBIDE-HYDRALAZINE 20-37.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742024760</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742024830</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742024890</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742024930</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742024990</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025030</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025090</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025130</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025190</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025230</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025290</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742025601</ndc>
    <ndc_label_name>CARISOPRODOL-ASPIRIN-CODEIN TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025701</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025801</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742025901</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026001</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026003</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026101</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026103</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026201</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026301</ndc>
    <ndc_label_name>PROBENECID-COLCHICINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742026750</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742027801</ndc>
    <ndc_label_name>DICLOFENAC SOD ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742027901</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028313</ndc>
    <ndc_label_name>BISMUTH-METRO-TETR 140-125-125</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742028412</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028530</ndc>
    <ndc_label_name>Hemiclor 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028590</ndc>
    <ndc_label_name>Hemiclor 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028704</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028760</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028804</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742028860</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742029909</ndc>
    <ndc_label_name>FROVATRIPTAN SUCC 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742031025</ndc>
    <ndc_label_name>MAFENIDE ACETATE 50 GM POWD PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742031050</ndc>
    <ndc_label_name>MAFENIDE ACETATE 50 GM POWD PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742031501</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742031550</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742031725</ndc>
    <ndc_label_name>FLUNISOLIDE 0.025% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742032305</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742032360</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033130</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033230</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033330</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033430</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 2.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033530</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033630</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033730</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 4.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033905</ndc>
    <ndc_label_name>TAFLUPROST 0.0015% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742033930</ndc>
    <ndc_label_name>TAFLUPROST 0.0015% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742034001</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742034101</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742034901</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742035001</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742035101</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742035201</ndc>
    <ndc_label_name>HER STYLE 1.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742035401</ndc>
    <ndc_label_name>MESNA 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742035410</ndc>
    <ndc_label_name>MESNA 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036260</ndc>
    <ndc_label_name>IVABRADINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036360</ndc>
    <ndc_label_name>IVABRADINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036401</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036430</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036501</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 12-3MG FLM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036530</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 12-3MG FLM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742036630</ndc>
    <ndc_label_name>GEFITINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037201</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037204</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037301</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037304</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037401</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037404</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037501</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037504</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037601</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742037604</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038306</ndc>
    <ndc_label_name>PREDNISOLONE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038312</ndc>
    <ndc_label_name>PREDNISOLONE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038406</ndc>
    <ndc_label_name>PREDNISOLONE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038412</ndc>
    <ndc_label_name>PREDNISOLONE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038506</ndc>
    <ndc_label_name>PREDNISOLONE ODT 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038512</ndc>
    <ndc_label_name>PREDNISOLONE ODT 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742038642</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038701</ndc>
    <ndc_label_name>CONJUGATED ESTROGENS 0.3 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038801</ndc>
    <ndc_label_name>CONJUGATED ESTROGENS 0.45MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742038901</ndc>
    <ndc_label_name>CONJUGATED ESTROGEN 0.625MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039001</ndc>
    <ndc_label_name>CONJUGATED ESTROGENS 0.9 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039101</ndc>
    <ndc_label_name>CONJUGATED ESTROGENS 1.25MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742039205</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742039225</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742039305</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742039325</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039401</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039430</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039460</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039505</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039530</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039560</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039701</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039730</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039801</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 4-1MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742039830</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 4-1MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742040102</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742040205</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742040401</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742040510</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742040620</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742041605</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742042802</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742043001</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742043108</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742043810</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742044505</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742044615</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742044745</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742044860</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742046316</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742048401</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742049417</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 175 MG/17.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742049525</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 250 MG/25 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742049626</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742049753</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742049805</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742050501</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742050504</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742050510</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742050524</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051220</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051301</ndc>
    <ndc_label_name>Nitro-Dur 0.1 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051330</ndc>
    <ndc_label_name>Nitro-Dur 0.1 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051401</ndc>
    <ndc_label_name>Nitro-Dur 0.2 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051430</ndc>
    <ndc_label_name>Nitro-Dur 0.2 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051501</ndc>
    <ndc_label_name>Nitro-Dur 0.3 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051530</ndc>
    <ndc_label_name>Nitro-Dur 0.3 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051601</ndc>
    <ndc_label_name>Nitro-Dur 0.4 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051630</ndc>
    <ndc_label_name>Nitro-Dur 0.4 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051701</ndc>
    <ndc_label_name>Nitro-Dur 0.6 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051730</ndc>
    <ndc_label_name>Nitro-Dur 0.6 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051801</ndc>
    <ndc_label_name>Nitro-Dur 0.8 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051830</ndc>
    <ndc_label_name>Nitro-Dur 0.8 mg/hr transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742051902</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG/2.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742052005</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742052110</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742054901</ndc>
    <ndc_label_name>FENTANYL 12 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742054905</ndc>
    <ndc_label_name>FENTANYL 12 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055001</ndc>
    <ndc_label_name>FENTANYL 25 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055005</ndc>
    <ndc_label_name>FENTANYL 25 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055101</ndc>
    <ndc_label_name>FENTANYL 37.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055105</ndc>
    <ndc_label_name>FENTANYL 37.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055201</ndc>
    <ndc_label_name>FENTANYL 50 MCG/HR PATCH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055205</ndc>
    <ndc_label_name>FENTANYL 50 MCG/HR PATCH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055301</ndc>
    <ndc_label_name>FENTANYL 62.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055305</ndc>
    <ndc_label_name>FENTANYL 62.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055401</ndc>
    <ndc_label_name>FENTANYL 75 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055405</ndc>
    <ndc_label_name>FENTANYL 75 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055501</ndc>
    <ndc_label_name>FENTANYL 87.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742055505</ndc>
    <ndc_label_name>FENTANYL 87.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055601</ndc>
    <ndc_label_name>FENTANYL 100 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742055605</ndc>
    <ndc_label_name>FENTANYL 100 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742056401</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742056501</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742056601</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742061101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742061201</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742061301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061605</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061610</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061705</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061710</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061801</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742061805</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742062001</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742062101</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742062201</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742063360</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742063460</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742063560</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742063660</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742063760</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742063860</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742063960</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742064501</ndc>
    <ndc_label_name>TRIAZOLAM 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742064601</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742065601</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742065605</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065728</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 1-0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065784</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 1-0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065828</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 0.5-0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065884</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 0.5-0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065928</ndc>
    <ndc_label_name>Dolishale 90 mcg-20 mcg (28) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50742065984</ndc>
    <ndc_label_name>Dolishale 90 mcg-20 mcg (28) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742066504</ndc>
    <ndc_label_name>PHENOBARB-HYO-ATROP-SCOP ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742066516</ndc>
    <ndc_label_name>PHENOBARB-HYO-ATROP-SCOP ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742066604</ndc>
    <ndc_label_name>PHENOBARB-HYO-ATROP-SCOP ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742066616</ndc>
    <ndc_label_name>PHENOBARB-HYO-ATROP-SCOP ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50742066701</ndc>
    <ndc_label_name>PHENOBARB-HYOSC-ATROP-SCOP TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000122</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 0.5 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000123</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 1 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000124</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000125</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 6 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000126</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 12 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000127</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 20 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000128</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 35 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000129</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 60 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000136</ndc>
    <ndc_label_name>NeoMed ENFit Syringe 35 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000312</ndc>
    <ndc_label_name>NeoMed ENFit Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50770000313</ndc>
    <ndc_label_name>NeoMed ENFit Bottle Adapter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000631</ndc>
    <ndc_label_name>ENFIT SYRINGE 60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000632</ndc>
    <ndc_label_name>ENFIT SYRINGE 5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000633</ndc>
    <ndc_label_name>ENFIT SYRINGE 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000634</ndc>
    <ndc_label_name>ENFIT SYRINGE 20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000635</ndc>
    <ndc_label_name>ENFIT SYRINGE 35 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000636</ndc>
    <ndc_label_name>ENFit Thumb Control Ring Syrin 60 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000637</ndc>
    <ndc_label_name>ENFit Irrigation Syringe and Container kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000638</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 1 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000639</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000640</ndc>
    <ndc_label_name>ENFIT TRANSITION CONNECTOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000641</ndc>
    <ndc_label_name>ENFIT SYRINGE 35 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000668</ndc>
    <ndc_label_name>ENFIT SYRINGE 1 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000669</ndc>
    <ndc_label_name>ENFIT SYRINGE 3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000670</ndc>
    <ndc_label_name>ENFIT SYRINGE 5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000675</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000676</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000678</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 35 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000679</ndc>
    <ndc_label_name>ENFIT SYRINGE STERILE 60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000681</ndc>
    <ndc_label_name>ENFIT SYRINGE 35 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000682</ndc>
    <ndc_label_name>ENFIT SYRINGE 60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000690</ndc>
    <ndc_label_name>ENFIT SYRINGE 1 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000691</ndc>
    <ndc_label_name>ENFIT SYRINGE 3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000692</ndc>
    <ndc_label_name>ENFIT SYRINGE 5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000693</ndc>
    <ndc_label_name>ENFIT SYRINGE 10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000694</ndc>
    <ndc_label_name>ENFIT SYRINGE 20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50801000695</ndc>
    <ndc_label_name>ENFIT SYRINGE 60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804000401</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804000402</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804000603</ndc>
    <ndc_label_name>GS PRESSURE-PAIN PE PLUS MUCUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804000701</ndc>
    <ndc_label_name>GS ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804001330</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804001430</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804002130</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804002518</ndc>
    <ndc_label_name>Sore Throat (benzocaine with menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804002736</ndc>
    <ndc_label_name>Antacid Ultra Strength 470 mg (calcium carb 1,177 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804002825</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804004760</ndc>
    <ndc_label_name>Medicated Pads 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804004893</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804007601</ndc>
    <ndc_label_name>Antibiotic Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804007701</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804007801</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804007901</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804009108</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804011001</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804011217</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804011317</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804011701</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804011711</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012101</ndc>
    <ndc_label_name>Eye Drops Irritation Relief 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012204</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012249</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804012305</ndc>
    <ndc_label_name>Sinus Headache PE 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804012605</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012722</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804012802</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012822</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804012922</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804013001</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804014101</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804014352</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804014794</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804015616</ndc>
    <ndc_label_name>GS HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804015712</ndc>
    <ndc_label_name>GS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804016001</ndc>
    <ndc_label_name>Ultra Lubricant Eye 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804016438</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804016638</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804017168</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804017402</ndc>
    <ndc_label_name>GS PRESSURE-PAIN PE PLUS COLD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804017568</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804019110</ndc>
    <ndc_label_name>Oral Pain Relief 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804019802</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804019920</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804019940</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804025304</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804026210</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804026221</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804027516</ndc>
    <ndc_label_name>GS ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804027793</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804030410</ndc>
    <ndc_label_name>Stimulant Laxative Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804032756</ndc>
    <ndc_label_name>GS BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804034161</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804037130</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804037201</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804039501</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804039504</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804041038</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804042136</ndc>
    <ndc_label_name>Antacid and Pain Relief 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804042425</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804043230</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804047606</ndc>
    <ndc_label_name>PRESSURE AND PAIN PE CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804050308</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804055102</ndc>
    <ndc_label_name>Cold Max Day-Night 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804059101</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804059201</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804059301</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804060105</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804061912</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804062912</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804063812</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804063912</ndc>
    <ndc_label_name>Advanced Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804064712</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804064812</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804064912</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804067205</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804068921</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804070001</ndc>
    <ndc_label_name>Lubricating Plus 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804074803</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804074903</ndc>
    <ndc_label_name>Corn-Callus Remover 17 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804080443</ndc>
    <ndc_label_name>GS ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804080503</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804081072</ndc>
    <ndc_label_name>GS ISOPROPYL ALCOHOL 70% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804082502</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804082603</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804083143</ndc>
    <ndc_label_name>GS MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804083805</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804084010</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804084543</ndc>
    <ndc_label_name>GS ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804086225</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804087134</ndc>
    <ndc_label_name>GS HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804087320</ndc>
    <ndc_label_name>Cold Relief 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50804087643</ndc>
    <ndc_label_name>ETHYL RUBBING ALCOHOL 70% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804088001</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804088004</ndc>
    <ndc_label_name>GS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804088210</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50804099008</ndc>
    <ndc_label_name>Menstrual Relief 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816002502</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816002503</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816005002</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816005003</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816010002</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816010003</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816020002</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50816020003</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50844011215</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50844021114</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50844032907</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50844056314</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50856060018</ndc>
    <ndc_label_name>CompleteGest capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881000560</ndc>
    <ndc_label_name>Jakafi 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881000603</ndc>
    <ndc_label_name>Zynyz 500 mg/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881000704</ndc>
    <ndc_label_name>Opzelura 1.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881000705</ndc>
    <ndc_label_name>Opzelura 1.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881001060</ndc>
    <ndc_label_name>Jakafi 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881001303</ndc>
    <ndc_label_name>Monjuvi 200 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881001560</ndc>
    <ndc_label_name>Jakafi 15 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50881002311</ndc>
    <ndc_label_name>Niktimvo 50 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jakafi 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50914772008</ndc>
    <ndc_label_name>Volumex 0.025 mCi/mL intravenous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50914773104</ndc>
    <ndc_label_name>Megatope 0.5 mCi/mL to 1 mCi/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50924004301</ndc>
    <ndc_label_name>Coaguchek Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>50924007920</ndc>
    <ndc_label_name>Accu-Chek Safe-T-Pro Plus 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50924010910</ndc>
    <ndc_label_name>Chemstrip 9</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Chemstrip 10/SG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Coaguchek PT strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50924046706</ndc>
    <ndc_label_name>Chemstrip 50B</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Chemstrip bG Log Book</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Accu-Chek Softclix Lancets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50930009802</ndc>
    <ndc_label_name>MouthKote Spray</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pretz nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cool Bottoms 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Neutraphor 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nestabs 32 mg-1,000 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>50991078490</ndc>
    <ndc_label_name>Alahist CF 2 mg-10 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991078890</ndc>
    <ndc_label_name>Alahist PE 2 mg-7.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991082616</ndc>
    <ndc_label_name>Alahist DM (dexbromphen-PE-DM) 2 mg-7.5 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991086590</ndc>
    <ndc_label_name>Durahist (dexbromph-pse) 2 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991097730</ndc>
    <ndc_label_name>Folite 1 mg-200 mg-50 mcg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991098830</ndc>
    <ndc_label_name>Tolectin 600 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>50991099960</ndc>
    <ndc_label_name>Norgesic Forte 50 mg-770 mg-60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51013011501</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021015005</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021016406</ndc>
    <ndc_label_name>Lidozion 3 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021025005</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021037901</ndc>
    <ndc_label_name>Diclofex DC 1.5 %-0.025 % topical, solution and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021044006</ndc>
    <ndc_label_name>Pro DNA Collection 2 % mucosal kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021080155</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021080255</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51021080355</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000100</ndc>
    <ndc_label_name>Chamosyn 0.45 %-20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000101</ndc>
    <ndc_label_name>Chamosyn 0.45 %-20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000102</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000103</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000105</ndc>
    <ndc_label_name>Hydrasyn25 25 %-6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000121</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000125</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000128</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51028000133</ndc>
    <ndc_label_name>Medlance Plus Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000139</ndc>
    <ndc_label_name>LinkTemp Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000158</ndc>
    <ndc_label_name>Microdot Blood Glucose Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000159</ndc>
    <ndc_label_name>PIVOT Calcium Alginate 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000161</ndc>
    <ndc_label_name>PIVOT Calcium Alginate 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000162</ndc>
    <ndc_label_name>PIVOT Calcium Alginate 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000163</ndc>
    <ndc_label_name>PIVOT Calcium Alginate 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000165</ndc>
    <ndc_label_name>PIVOT Silver Alginate 2" X 2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000166</ndc>
    <ndc_label_name>PIVOT Silver Alginate 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000167</ndc>
    <ndc_label_name>PIVOT Silver Alginate 4" X 4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000168</ndc>
    <ndc_label_name>PIVOT Silver Alginate 6" X 6" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000169</ndc>
    <ndc_label_name>PIVOT Silicone Foam Border 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000170</ndc>
    <ndc_label_name>PIVOT Silicone Foam Border 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000171</ndc>
    <ndc_label_name>Microdot Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000172</ndc>
    <ndc_label_name>Microdot High-Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000174</ndc>
    <ndc_label_name>PIVOT Silver Alginate 1" X 12" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000175</ndc>
    <ndc_label_name>Microdot Blood Glucose Monitoring System strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000178</ndc>
    <ndc_label_name>PIVOT Silicone Foam Border 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51028000179</ndc>
    <ndc_label_name>PIVOT Silicone Foam Border 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51044000842</ndc>
    <ndc_label_name>EVERLYWELL COVID19 HOM COLLECT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002001</ndc>
    <ndc_label_name>BUDESONIDE EC 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002003</ndc>
    <ndc_label_name>BUDESONIDE EC 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002301</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002320</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002401</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002420</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002801</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079002820</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079005101</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079005120</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079005801</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079005820</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007201</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007220</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007320</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007401</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007420</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007501</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007520</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007601</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079007620</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008301</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008320</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008601</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008620</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008701</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008720</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008801</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079008820</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079009301</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079009303</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079010301</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079010320</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079010901</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079010903</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079011801</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079011820</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079012101</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079012108</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079012901</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079012906</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079013001</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079013020</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079013301</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079013320</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014101</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014120</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014201</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014220</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014901</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079014920</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079016401</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079016403</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079016501</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079016503</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079016901</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079016920</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079017001</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079017020</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079017101</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079017103</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079018001</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079018020</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079018201</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079018220</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020001</ndc>
    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020101</ndc>
    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020406</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020601</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020620</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020801</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020820</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020901</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079020920</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079021001</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079021020</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079021101</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079021103</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079021201</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079021204</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079021501</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079021520</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079022401</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079022420</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079023501</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079023520</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079024101</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079024106</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079024601</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079024620</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079025501</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079025520</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079027301</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079027303</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028401</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028420</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028501</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028520</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028601</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079028620</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079028801</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079028804</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079029401</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079029420</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079030101</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079030120</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079030601</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079030630</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079034801</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079034820</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037401</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037420</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037501</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037520</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037901</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079037920</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079039101</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079039120</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079041801</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079041820</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079041901</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079041920</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079042301</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079042320</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043101</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043120</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043601</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043620</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043701</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043720</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043801</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079043820</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044001</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044020</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044101</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044120</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044201</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044220</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044301</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044320</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044401</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044420</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044501</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079044520</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045301</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045320</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045401</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045420</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045501</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045520</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045601</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045620</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045801</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079045820</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079046601</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079046620</ndc>
    <ndc_label_name>DICLOFENAC SOD EC 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048001</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048020</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048201</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048220</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048501</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079048520</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079049901</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079049920</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079050801</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079050820</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079051001</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079051005</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051101</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051120</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051301</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051320</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051401</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051420</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051601</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051620</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051701</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051720</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051801</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051820</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051901</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079051920</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079052701</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079052720</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079054401</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079054420</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079055067</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079055068</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056201</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056203</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056501</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056520</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056601</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056620</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056701</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079056720</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057201</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057220</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057301</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057320</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057401</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057420</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057501</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079057520</ndc>
    <ndc_label_name>TRIFLUOPERAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079058001</ndc>
    <ndc_label_name>THIORIDAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079058020</ndc>
    <ndc_label_name>THIORIDAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079058101</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079058106</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079059701</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079059720</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079059901</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079059920</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079060801</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079060820</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079062484</ndc>
    <ndc_label_name>Sulfamylon 50 gram topical packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079062485</ndc>
    <ndc_label_name>Sulfamylon 50 gram topical packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063001</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063020</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063101</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063120</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063201</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079063220</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079064401</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079064420</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079065101</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079065120</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079067001</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079067005</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079068401</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079068420</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079068501</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079068520</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079069001</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079069020</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072101</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072120</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072201</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072220</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072301</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072320</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072401</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072420</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072501</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079072520</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073301</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073320</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073401</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073420</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073501</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073520</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073601</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079073620</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074501</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074520</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074701</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074720</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074901</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079074920</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079075301</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079075320</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079075901</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079075920</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079076601</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079076608</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079076701</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079076708</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079077101</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079077120</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079077801</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079077820</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078201</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078220</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078801</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078820</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078901</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079078920</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079079001</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079079020</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079080101</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079080120</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079080201</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079080220</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081001</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081020</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081201</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081220</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081701</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081720</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081801</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079081820</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082001</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082020</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082101</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082120</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082201</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079082220</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079085201</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079085203</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079085301</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079085303</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079086001</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079086006</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079086601</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079086620</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079087001</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079087020</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088201</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088220</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088301</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088320</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088601</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088620</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088801</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079088820</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090101</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090120</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090201</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090220</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090301</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079090320</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079091701</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51079091720</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092101</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092120</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092201</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092220</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092301</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092320</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092401</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092420</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092501</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092520</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092601</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092620</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092801</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092820</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092901</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079092920</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093001</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093020</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093101</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093120</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093201</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093220</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093701</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079093720</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079094301</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079094320</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079095801</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079095820</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079095901</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079095920</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079096001</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079096020</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079096601</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079096620</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079097801</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079097820</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079097901</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079097920</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079098501</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079098520</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079098601</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079098620</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099101</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099120</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099201</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099220</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099301</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099320</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099401</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099420</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099801</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51079099820</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51097000101</ndc>
    <ndc_label_name>Adasuve 10 mg breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51097000102</ndc>
    <ndc_label_name>Adasuve 10 mg breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51119000252</ndc>
    <ndc_label_name>Stomaseal Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131000015</ndc>
    <ndc_label_name>Nexcare Gentle Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131000020</ndc>
    <ndc_label_name>3M Nexcare Durapore 1" X 10 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131000022</ndc>
    <ndc_label_name>Opticlude Eye Patch Junior misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131000023</ndc>
    <ndc_label_name>Opticlude Eye Patch misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131001594</ndc>
    <ndc_label_name>Nexcare All Purpose Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131020114</ndc>
    <ndc_label_name>Futuro Restoring Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131020166</ndc>
    <ndc_label_name>Futuro Anti-Embolism Stockings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131064113</ndc>
    <ndc_label_name>Nexcare Tegaderm 4" X 4 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131064114</ndc>
    <ndc_label_name>Tegaderm Transparent Dressing 2 3/8" X 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131064119</ndc>
    <ndc_label_name>Coban Action Wrap 3" X 5 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131067442</ndc>
    <ndc_label_name>Ultrathon 34.34 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131067777</ndc>
    <ndc_label_name>Ultrathon 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131086101</ndc>
    <ndc_label_name>Nexcare Skin Crack Care topical film-forming liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51131091386</ndc>
    <ndc_label_name>Nexcare Gentle Paper Tape 1" X 10 yard</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51137000028</ndc>
    <ndc_label_name>SalivaSure lozenges</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51144000212</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51144000301</ndc>
    <ndc_label_name>Tivdak 40 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51144002001</ndc>
    <ndc_label_name>Padcev 20 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51144003001</ndc>
    <ndc_label_name>Padcev 30 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51144005001</ndc>
    <ndc_label_name>Adcetris 50 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167010602</ndc>
    <ndc_label_name>Trikafta 50-25-37.5 mg (d)/75 mg (n) tablets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167011301</ndc>
    <ndc_label_name>Symdeko 50 mg-75 mg (day)/75 mg (night) tablets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167012101</ndc>
    <ndc_label_name>Alyftrek 10 mg-50 mg-125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167012201</ndc>
    <ndc_label_name>Orkambi 75 mg-94 mg oral granules in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kalydeco 150 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Casgevy 4x10exp6 to 13x10exp6 cell/mL intravenous suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167029009</ndc>
    <ndc_label_name>Casgevy 4x10exp6 to 13x10exp6 cell/mL intravenous suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Trikafta 80-40-60 mg (d)/59.5 mg (n) granule pack</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Orkambi 150 mg-188 mg oral granules in packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Journavx 50 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51167054834</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Symdeko 100 mg-150 mg (day)/150 mg (night) tablets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Orkambi 200 mg-125 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224001120</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224001210</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224001220</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224001301</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224001310</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224001325</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224001850</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224001870</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002060</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002070</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002150</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002160</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002206</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002218</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002230</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224002250</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224002450</ndc>
    <ndc_label_name>METHAZOLAMIDE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224010150</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224010170</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224010750</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224010760</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224011850</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012060</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012070</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012150</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012160</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012203</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012209</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012230</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224012250</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51224012450</ndc>
    <ndc_label_name>METHAZOLAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020250</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020270</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020350</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020370</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020630</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224020650</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224022060</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224022070</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224022230</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224042510</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51224042610</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51228000005</ndc>
    <ndc_label_name>Ddrops 25 mcg/drop (1,000 unit/drop) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51228000006</ndc>
    <ndc_label_name>Baby Ddrops 10 mcg/drop (400 unit/drop) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51228000009</ndc>
    <ndc_label_name>Ddrops 50 mcg/drop (2,000 unit/drop) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51228000037</ndc>
    <ndc_label_name>Baby Ddrops 10 mcg/drop (400 unit/drop) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51230041801</ndc>
    <ndc_label_name>Tru-Micin 10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51248015001</ndc>
    <ndc_label_name>Vesicare 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51248015101</ndc>
    <ndc_label_name>Vesicare 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51248025099</ndc>
    <ndc_label_name>VESICARE LS 5 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51267089007</ndc>
    <ndc_label_name>Contrave 8 mg-90 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51267089099</ndc>
    <ndc_label_name>Contrave 8 mg-90 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51272000530</ndc>
    <ndc_label_name>Ultrient 1.5 0.07 gram-1.5 kcal/mL liquid in ENFit bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51285012570</ndc>
    <ndc_label_name>Loestrin Fe 1/20 (28-Day) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51285012797</ndc>
    <ndc_label_name>Loestrin 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51285012870</ndc>
    <ndc_label_name>Loestrin Fe 1.5/30 (28-Day) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51285013197</ndc>
    <ndc_label_name>Loestrin 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285013850</ndc>
    <ndc_label_name>ADENOVIRUS TYPE 4 &amp; 7 EC TABS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285017402</ndc>
    <ndc_label_name>ADENOVIRUS TYPE 4 EC TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285017502</ndc>
    <ndc_label_name>ADENOVIRUS TYPE 7 EC TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285036601</ndc>
    <ndc_label_name>Trexall 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285036701</ndc>
    <ndc_label_name>Trexall 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285036801</ndc>
    <ndc_label_name>Trexall 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51285036901</ndc>
    <ndc_label_name>Trexall 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51290000200</ndc>
    <ndc_label_name>Meter-Check solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51290000201</ndc>
    <ndc_label_name>Meter-Check solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51290000202</ndc>
    <ndc_label_name>Meter-Check solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51290000203</ndc>
    <ndc_label_name>Meter-Check solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51290000209</ndc>
    <ndc_label_name>Meter-Check solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293061101</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293061505</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293061601</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293061605</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293061801</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293061810</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062501</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062510</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062601</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062610</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062701</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062710</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062801</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293062810</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293063901</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293064001</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS F.S. TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293064501</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293064601</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293064701</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293064801</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069105</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069201</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069205</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069305</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069401</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293069405</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293069601</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293069610</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293080301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293080305</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293080401</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293081001</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293081101</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293082001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293083197</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293083268</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293083885</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293084064</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293084164</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51293084264</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084301</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084305</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084401</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084405</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084501</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084505</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084601</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51293084610</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51316001810</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 180 mg-240 mg tablet,ext.release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allergy Relief-D (fexofenadine) 180 mg-240 mg tablet,ext.release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51316007168</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51316033901</ndc>
    <ndc_label_name>Sinus and Cold-D 220 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Smooth Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CVS IVERMECTIN 0.5% LOTION</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Overnight Lubricating Eye 94 %-3 % ointment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allergy-Hives Relief 180 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>51316077823</ndc>
    <ndc_label_name>Tussin Cough (DM only) 15 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>51316099318</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51316099336</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51383000312</ndc>
    <ndc_label_name>Vashe 0.033 % irrigation solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51383000314</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51383000322</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vashe 0.033 % irrigation solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407004860</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407004905</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407004990</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407042612</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407055701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407055801</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407055901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056490</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056505</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056590</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056605</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407056690</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CALCIPOTRIENE 0.005% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407064101</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407064110</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407064190</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407066305</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407066401</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407066405</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067301</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067302</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067903</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067906</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067911</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407067918</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068003</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068006</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068011</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068018</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068103</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068106</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068112</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068118</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068203</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068206</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068212</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407068218</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070101</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070105</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070111</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070202</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070206</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070211</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070222</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070306</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070366</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407070403</ndc>
    <ndc_label_name>APREPITANT 125-80-80 MG PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407070701</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407070801</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407070901</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407073725</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407073750</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407074802</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG/2.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407074905</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407075010</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407076590</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407076690</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407076790</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081301</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081310</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081330</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081390</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081401</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081405</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081430</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081490</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081601</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081605</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081630</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081690</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081760</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081830</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081890</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081910</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407081930</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407082701</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407082730</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407083205</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407083305</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407087033</ndc>
    <ndc_label_name>ALVIMOPAN 12 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407092401</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 18 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407092501</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407092601</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407092701</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407092911</ndc>
    <ndc_label_name>Imuldosa 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407093011</ndc>
    <ndc_label_name>Imuldosa 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407093111</ndc>
    <ndc_label_name>Imuldosa 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407094300</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407094301</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407094305</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407094390</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51407094530</ndc>
    <ndc_label_name>CARBOXYMETHYLCELL 0.5% EYE DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407095010</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407095090</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407095110</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51407095190</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000700</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000701</ndc>
    <ndc_label_name>New Skin (benzethonium) 0.2 % topical film-forming liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000702</ndc>
    <ndc_label_name>New Skin (benzethonium) 0.2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000722</ndc>
    <ndc_label_name>Dermoplast (with menthol) 20 %-0.5 % topical aerosol</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000724</ndc>
    <ndc_label_name>Dermoplast First Aid 20 %-0.2 % topical aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000736</ndc>
    <ndc_label_name>Kerasal Multi-Purpose Nail Repair topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000739</ndc>
    <ndc_label_name>Kerasal Fungal Nail Renewal topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000746</ndc>
    <ndc_label_name>New Skin Sensitive topical film-forming liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000747</ndc>
    <ndc_label_name>New Skin Kids topical film-forming liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51409000748</ndc>
    <ndc_label_name>New Skin Botanicals topical film-forming liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51452017201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51452017205</ndc>
    <ndc_label_name>Lidospot 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51459006504</ndc>
    <ndc_label_name>Natural Care Gel topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525011201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525011301</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525011501</ndc>
    <ndc_label_name>HYOSCYAMINE ER 0.375 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525023403</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525044203</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525044208</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525047096</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51525590101</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552000206</ndc>
    <ndc_label_name>COCOA BUTTER OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552000308</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552000405</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 PD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552000407</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 PD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552000604</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pegblend 59 %-39 %-2 % wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552001605</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552001805</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552001807</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552001904</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552001906</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002001</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002003</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002004</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002005</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002006</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002007</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002102</ndc>
    <ndc_label_name>HYDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002103</ndc>
    <ndc_label_name>HYDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002104</ndc>
    <ndc_label_name>HYDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002105</ndc>
    <ndc_label_name>HYDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002201</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002202</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002209</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002301</ndc>
    <ndc_label_name>BETAMETHASONE VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002302</ndc>
    <ndc_label_name>BETAMETHASONE VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002303</ndc>
    <ndc_label_name>BETAMETHASONE VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002403</ndc>
    <ndc_label_name>DEXAMETHASONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002404</ndc>
    <ndc_label_name>DEXAMETHASONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002501</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002502</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002503</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002504</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002505</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002602</ndc>
    <ndc_label_name>PREDNISOLONE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002604</ndc>
    <ndc_label_name>PREDNISOLONE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002605</ndc>
    <ndc_label_name>PREDNISOLONE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002704</ndc>
    <ndc_label_name>PREDNISOLONE AC MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002705</ndc>
    <ndc_label_name>PREDNISOLONE AC MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002804</ndc>
    <ndc_label_name>PREDNISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002805</ndc>
    <ndc_label_name>PREDNISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002901</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002902</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002903</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002904</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002905</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002906</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552002907</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003001</ndc>
    <ndc_label_name>TESTOSTERONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003002</ndc>
    <ndc_label_name>TESTOSTERONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003004</ndc>
    <ndc_label_name>TESTOSTERONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003005</ndc>
    <ndc_label_name>TESTOSTERONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003301</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003302</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003303</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003304</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003305</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003704</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003705</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003706</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003709</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003803</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003804</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003805</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003806</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003905</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003906</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552003907</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004101</ndc>
    <ndc_label_name>NYSTATIN 150 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004102</ndc>
    <ndc_label_name>NYSTATIN 50 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004103</ndc>
    <ndc_label_name>NYSTATIN 500 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004104</ndc>
    <ndc_label_name>NYSTATIN 2 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004105</ndc>
    <ndc_label_name>NYSTATIN 5 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004106</ndc>
    <ndc_label_name>NYSTATIN 1 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004201</ndc>
    <ndc_label_name>GLYCOPYRROLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004202</ndc>
    <ndc_label_name>GLYCOPYRROLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004504</ndc>
    <ndc_label_name>MENTHOL LEVO CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004505</ndc>
    <ndc_label_name>MENTHOL LEVO CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004506</ndc>
    <ndc_label_name>MENTHOL LEVO CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004604</ndc>
    <ndc_label_name>BORIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004606</ndc>
    <ndc_label_name>BORIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004705</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004707</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004804</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004806</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004807</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004902</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004904</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552004906</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005003</ndc>
    <ndc_label_name>EUGENOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005004</ndc>
    <ndc_label_name>EUGENOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005005</ndc>
    <ndc_label_name>EUGENOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005106</ndc>
    <ndc_label_name>ACETIC ACID 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005109</ndc>
    <ndc_label_name>ACETIC ACID 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005205</ndc>
    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005206</ndc>
    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005303</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005305</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005307</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005503</ndc>
    <ndc_label_name>ACETIC ACID 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005506</ndc>
    <ndc_label_name>ACETIC ACID 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005508</ndc>
    <ndc_label_name>ACETIC ACID 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005601</ndc>
    <ndc_label_name>FLUOCINONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005602</ndc>
    <ndc_label_name>FLUOCINONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005704</ndc>
    <ndc_label_name>UREA BEADS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005705</ndc>
    <ndc_label_name>UREA BEADS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005709</ndc>
    <ndc_label_name>UREA BEADS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005904</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005905</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552005907</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006205</ndc>
    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006208</ndc>
    <ndc_label_name>SODIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006401</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006402</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006403</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006504</ndc>
    <ndc_label_name>ACACIA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006506</ndc>
    <ndc_label_name>ACACIA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006604</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006606</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006607</ndc>
    <ndc_label_name>HYDROQUINONE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006706</ndc>
    <ndc_label_name>POTASSIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006905</ndc>
    <ndc_label_name>SOD METABISULFITE ANHYDROUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006906</ndc>
    <ndc_label_name>SOD METABISULFITE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552006909</ndc>
    <ndc_label_name>SOD METABISULFITE ANHYDROUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007105</ndc>
    <ndc_label_name>POTASSIUM HYD 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007205</ndc>
    <ndc_label_name>POTASSIUM HYD 20% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007604</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007606</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007705</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007708</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007805</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007807</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552007809</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 20% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008003</ndc>
    <ndc_label_name>SODIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008006</ndc>
    <ndc_label_name>SODIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008203</ndc>
    <ndc_label_name>POTASSIUM NITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008206</ndc>
    <ndc_label_name>POTASSIUM NITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008306</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008309</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008506</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008508</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008602</ndc>
    <ndc_label_name>ACETAMINOPHEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008604</ndc>
    <ndc_label_name>ACETAMINOPHEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008606</ndc>
    <ndc_label_name>ACETAMINOPHEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008607</ndc>
    <ndc_label_name>ACETAMINOPHEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008704</ndc>
    <ndc_label_name>SILVER NITRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008705</ndc>
    <ndc_label_name>SILVER NITRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008806</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008809</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552008906</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1000 PD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009005</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009007</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009205</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009207</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009209</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009304</ndc>
    <ndc_label_name>COCONUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009306</ndc>
    <ndc_label_name>COCONUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009404</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009405</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009406</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009408</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009409</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009506</ndc>
    <ndc_label_name>GELATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552009605</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552009608</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009905</ndc>
    <ndc_label_name>CARBOXYMETHYL SOD GRANULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552009906</ndc>
    <ndc_label_name>CARBOXYMETHYL SOD GRANULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010005</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010009</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010103</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010106</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010204</ndc>
    <ndc_label_name>PROPYLPARABEN CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010306</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010307</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010308</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010402</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010404</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010405</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010407</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010409</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010604</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010605</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010607</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010608</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010609</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010704</ndc>
    <ndc_label_name>CARBOMER HOMOPOLYMER TYP C PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010804</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552010904</ndc>
    <ndc_label_name>FD&amp;C GREEN #3 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011205</ndc>
    <ndc_label_name>AZELAIC ACID FLAKES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011404</ndc>
    <ndc_label_name>COAL TAR SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011406</ndc>
    <ndc_label_name>COAL TAR SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011408</ndc>
    <ndc_label_name>COAL TAR SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011504</ndc>
    <ndc_label_name>CLIOQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011505</ndc>
    <ndc_label_name>CLIOQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011506</ndc>
    <ndc_label_name>CLIOQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011603</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011605</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011607</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011704</ndc>
    <ndc_label_name>FLEXIBLE COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011706</ndc>
    <ndc_label_name>FLEXIBLE COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011803</ndc>
    <ndc_label_name>PHENOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011805</ndc>
    <ndc_label_name>PHENOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552011904</ndc>
    <ndc_label_name>SIMETHICONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012001</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012002</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012003</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012004</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012008</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012103</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012104</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012105</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012107</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012202</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012203</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012204</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012205</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012306</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012404</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012405</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012406</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012605</ndc>
    <ndc_label_name>SILICA GEL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012607</ndc>
    <ndc_label_name>SILICA GEL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012702</ndc>
    <ndc_label_name>TANNIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012705</ndc>
    <ndc_label_name>TANNIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012804</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012807</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012808</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012901</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552012902</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013002</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013004</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013006</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013007</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013205</ndc>
    <ndc_label_name>TROLAMINE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013206</ndc>
    <ndc_label_name>TROLAMINE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013401</ndc>
    <ndc_label_name>FLUOCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013402</ndc>
    <ndc_label_name>FLUOCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013506</ndc>
    <ndc_label_name>BENTONITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013601</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013603</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013605</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013606</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013608</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013609</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013704</ndc>
    <ndc_label_name>CHLORPHENIRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013705</ndc>
    <ndc_label_name>CHLORPHENIRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013802</ndc>
    <ndc_label_name>CLOTRIMAZOLE CRYSTALLINE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013804</ndc>
    <ndc_label_name>CLOTRIMAZOLE CRYSTALLINE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013805</ndc>
    <ndc_label_name>CLOTRIMAZOLE CRYSTALLINE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013904</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013905</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552013908</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014005</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014006</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014007</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014304</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014305</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014406</ndc>
    <ndc_label_name>POTASSIUM BROMIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014409</ndc>
    <ndc_label_name>POTASSIUM BROMIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014504</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014505</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014506</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014507</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014604</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014701</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014702</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014704</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014705</ndc>
    <ndc_label_name>PROMETHAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014904</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014905</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014906</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552014907</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015206</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015304</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015305</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015405</ndc>
    <ndc_label_name>BARIUM SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015602</ndc>
    <ndc_label_name>ATROPINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015604</ndc>
    <ndc_label_name>ATROPINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015706</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552015805</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016105</ndc>
    <ndc_label_name>BUTYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016209</ndc>
    <ndc_label_name>BISMUTH SUBNITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016304</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016306</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016307</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016309</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016404</ndc>
    <ndc_label_name>ASCORBIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016406</ndc>
    <ndc_label_name>ASCORBIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016407</ndc>
    <ndc_label_name>ASCORBIC ACID GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016503</ndc>
    <ndc_label_name>GRAPE CONCENTRATE FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016603</ndc>
    <ndc_label_name>ORANGE CONCENTRATE FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016706</ndc>
    <ndc_label_name>CALCIUM HYDROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552016803</ndc>
    <ndc_label_name>Banana Concentrate liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017304</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017305</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017404</ndc>
    <ndc_label_name>SODIUM SACCHARIN GRANULAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017506</ndc>
    <ndc_label_name>ASPIRIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017704</ndc>
    <ndc_label_name>BENZOIN TINCTURE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552017905</ndc>
    <ndc_label_name>ALLANTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018207</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018304</ndc>
    <ndc_label_name>GLYCOLIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018305</ndc>
    <ndc_label_name>GLYCOLIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018404</ndc>
    <ndc_label_name>IODINE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018406</ndc>
    <ndc_label_name>IODINE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018505</ndc>
    <ndc_label_name>ALUMINUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018507</ndc>
    <ndc_label_name>ALUMINUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552018704</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019105</ndc>
    <ndc_label_name>SODIUM CITRATE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019106</ndc>
    <ndc_label_name>SODIUM CITRATE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019305</ndc>
    <ndc_label_name>SODIUM SULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019308</ndc>
    <ndc_label_name>SODIUM SULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019404</ndc>
    <ndc_label_name>Strong Iodine 5 %-10 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019405</ndc>
    <ndc_label_name>Strong Iodine 5 %-10 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019506</ndc>
    <ndc_label_name>KAOLIN COLLOIDAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019605</ndc>
    <ndc_label_name>PECTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552019606</ndc>
    <ndc_label_name>PECTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020005</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020007</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020009</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020104</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020105</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020107</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020205</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020207</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020305</ndc>
    <ndc_label_name>COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020306</ndc>
    <ndc_label_name>COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020504</ndc>
    <ndc_label_name>FORMALDEHYDE 37% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020506</ndc>
    <ndc_label_name>FORMALDEHYDE 37% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020508</ndc>
    <ndc_label_name>FORMALDEHYDE 37% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020806</ndc>
    <ndc_label_name>SULFUR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552020905</ndc>
    <ndc_label_name>ACETIC ACID GLACIAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021004</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021006</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021007</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021009</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021306</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021309</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021404</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021406</ndc>
    <ndc_label_name>POTASSIUM SORBATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021505</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021605</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021804</ndc>
    <ndc_label_name>AMMONIUM ALUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021806</ndc>
    <ndc_label_name>AMMONIUM ALUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021905</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552021909</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022003</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022005</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022006</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022105</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022304</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022306</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022307</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022403</ndc>
    <ndc_label_name>CROTON OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022504</ndc>
    <ndc_label_name>BENZOIC ACID CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022705</ndc>
    <ndc_label_name>CETYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022706</ndc>
    <ndc_label_name>CETYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552022709</ndc>
    <ndc_label_name>CETYL ALCOHOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023004</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023006</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023009</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023104</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023105</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023108</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023109</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023202</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023204</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023205</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023504</ndc>
    <ndc_label_name>POTASSIUM IODIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023506</ndc>
    <ndc_label_name>POTASSIUM IODIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023603</ndc>
    <ndc_label_name>RASPBERRY CONCENTRATE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023804</ndc>
    <ndc_label_name>ACETONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023805</ndc>
    <ndc_label_name>ACETONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023809</ndc>
    <ndc_label_name>ACETONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023904</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023905</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552023907</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024205</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024207</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024306</ndc>
    <ndc_label_name>LANOLIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024308</ndc>
    <ndc_label_name>LANOLIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024405</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024406</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024704</ndc>
    <ndc_label_name>FD&amp;C BLUE #2 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024804</ndc>
    <ndc_label_name>FD and C Red no. 40 (allura red)(bulk) powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552024904</ndc>
    <ndc_label_name>FD&amp;C YELLOW #5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025006</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025008</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025102</ndc>
    <ndc_label_name>DOXYLAMINE SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025104</ndc>
    <ndc_label_name>DOXYLAMINE SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025105</ndc>
    <ndc_label_name>DOXYLAMINE SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025405</ndc>
    <ndc_label_name>SODIUM BUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025406</ndc>
    <ndc_label_name>SODIUM BUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025407</ndc>
    <ndc_label_name>SODIUM BUTYRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025505</ndc>
    <ndc_label_name>SULFAPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025507</ndc>
    <ndc_label_name>SULFAPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025605</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025606</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025607</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025608</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025706</ndc>
    <ndc_label_name>PEANUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025708</ndc>
    <ndc_label_name>PEANUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025806</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552025808</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026102</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 85%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026106</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 85%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026202</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026204</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026205</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026304</ndc>
    <ndc_label_name>SODIUM LAURYL SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026306</ndc>
    <ndc_label_name>SODIUM LAURYL SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026405</ndc>
    <ndc_label_name>SALICYLIC ACID CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026506</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026508</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026509</ndc>
    <ndc_label_name>LECITHIN GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026705</ndc>
    <ndc_label_name>DOCUSATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026804</ndc>
    <ndc_label_name>TARTARIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026805</ndc>
    <ndc_label_name>TARTARIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026902</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026904</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026905</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026906</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552026909</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027204</ndc>
    <ndc_label_name>NITROFURAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027205</ndc>
    <ndc_label_name>NITROFURAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027206</ndc>
    <ndc_label_name>NITROFURAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027302</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 20%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027402</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 100%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027406</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 100%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027601</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027602</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027604</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027605</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027706</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027905</ndc>
    <ndc_label_name>POLYOXYL 40 STEARATE WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027908</ndc>
    <ndc_label_name>POLYOXYL 40 STEARATE WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552027909</ndc>
    <ndc_label_name>POLYOXYL 40 STEARATE WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552028303</ndc>
    <ndc_label_name>STRAWBERRY CONCENTRATE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552028504</ndc>
    <ndc_label_name>L-Glutamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552028505</ndc>
    <ndc_label_name>L-Glutamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552028507</ndc>
    <ndc_label_name>L-Glutamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552028903</ndc>
    <ndc_label_name>CHOCOLATE CONCENTRATE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029003</ndc>
    <ndc_label_name>CHERRY CONCENTRATE FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029305</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029309</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029506</ndc>
    <ndc_label_name>CALCIUM LACTATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029604</ndc>
    <ndc_label_name>FERRIC SUBSULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029606</ndc>
    <ndc_label_name>FERRIC SUBSULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552029905</ndc>
    <ndc_label_name>HYDROXYPROPYLCELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030005</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030007</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030401</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030402</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030403</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030404</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030405</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030409</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030704</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030705</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030706</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030707</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552030709</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552030905</ndc>
    <ndc_label_name>PETROLATUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031102</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 30%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031106</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 30%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031202</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 35%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031305</ndc>
    <ndc_label_name>AMINOPHYLLINE ANHYDROUS PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031404</ndc>
    <ndc_label_name>ICHTHAMMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031602</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 50%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031603</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 50%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031704</ndc>
    <ndc_label_name>PERUVIAN BALSAM LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031706</ndc>
    <ndc_label_name>PERUVIAN BALSAM LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552031809</ndc>
    <ndc_label_name>Lip Balm Base (Bulk) 1.3 gm/3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032005</ndc>
    <ndc_label_name>GLYCERYL MONOSTEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032007</ndc>
    <ndc_label_name>GLYCERYL MONOSTEARATE FLAKE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032009</ndc>
    <ndc_label_name>GLYCERYL MONOSTEARATE FLAKE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032204</ndc>
    <ndc_label_name>FD&amp;C YELLOW #6 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032302</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032304</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032305</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032307</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032308</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032405</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032407</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032506</ndc>
    <ndc_label_name>CALCIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032603</ndc>
    <ndc_label_name>METHYL SALICYLATE OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032606</ndc>
    <ndc_label_name>METHYL SALICYLATE OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032804</ndc>
    <ndc_label_name>CHLOROBUTANOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552032805</ndc>
    <ndc_label_name>CHLOROBUTANOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033002</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033003</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033102</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033103</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033202</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033203</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033402</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033403</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033705</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033707</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552033709</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034002</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034003</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034104</ndc>
    <ndc_label_name>FD and C Red no.3 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034206</ndc>
    <ndc_label_name>POTASSIUM CITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034303</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034306</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034401</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2 GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552034402</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2 GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035001</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2 GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035002</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2 GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035302</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035303</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035401</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035402</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035409</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035506</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035508</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035604</ndc>
    <ndc_label_name>SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035606</ndc>
    <ndc_label_name>SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035703</ndc>
    <ndc_label_name>FERRIC SUBSULFATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035705</ndc>
    <ndc_label_name>FERRIC SUBSULFATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035804</ndc>
    <ndc_label_name>QUINACRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035805</ndc>
    <ndc_label_name>QUINACRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552035806</ndc>
    <ndc_label_name>QUINACRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036002</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036003</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036202</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036203</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036402</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 80%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036403</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 80%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036606</ndc>
    <ndc_label_name>UNDECYLENIC ACID LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036706</ndc>
    <ndc_label_name>FRUCTOSE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036707</ndc>
    <ndc_label_name>FRUCTOSE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036806</ndc>
    <ndc_label_name>MAGNESIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036903</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552036905</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037002</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037003</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037202</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037203</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037402</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037403</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037501</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037502</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037503</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037604</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037606</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037607</ndc>
    <ndc_label_name>Epsom Salt 100 % crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037804</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037805</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037806</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037807</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037902</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552037903</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038005</ndc>
    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038007</ndc>
    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038202</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038203</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038401</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038402</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038404</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038405</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038406</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038407</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038408</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE MICR PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038504</ndc>
    <ndc_label_name>Copper Sulfate crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038506</ndc>
    <ndc_label_name>Copper Sulfate crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038702</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552038703</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039002</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039003</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039402</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039404</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039405</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039502</ndc>
    <ndc_label_name>Capsule #000 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039503</ndc>
    <ndc_label_name>Capsule #000 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039604</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039606</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039804</ndc>
    <ndc_label_name>L-Valine powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552039805</ndc>
    <ndc_label_name>L-Valine powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040005</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040103</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040104</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040105</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040106</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040502</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040503</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040805</ndc>
    <ndc_label_name>SODIUM BROMIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040808</ndc>
    <ndc_label_name>SODIUM BROMIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552040906</ndc>
    <ndc_label_name>FULLER'S EARTH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041204</ndc>
    <ndc_label_name>L-Isoleucine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041205</ndc>
    <ndc_label_name>L-Isoleucine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041404</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041406</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041408</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041602</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041604</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041605</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041606</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041706</ndc>
    <ndc_label_name>STEARYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041803</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041804</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552041805</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042005</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042007</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042205</ndc>
    <ndc_label_name>veegum granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042302</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042304</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042305</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042601</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2 CC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042706</ndc>
    <ndc_label_name>FORMALDEHYDE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042709</ndc>
    <ndc_label_name>FORMALDEHYDE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042902</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552042903</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043001</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043002</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043004</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043102</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043103</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043402</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 40%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043702</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043703</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043802</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043804</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043805</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043806</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043906</ndc>
    <ndc_label_name>CORN STARCH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552043909</ndc>
    <ndc_label_name>CORN STARCH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044006</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044008</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 8000 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044104</ndc>
    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044205</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044207</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044401</ndc>
    <ndc_label_name>SCOPOLAMINE HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044402</ndc>
    <ndc_label_name>SCOPOLAMINE HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044409</ndc>
    <ndc_label_name>SCOPOLAMINE HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044501</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044502</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044504</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044505</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044507</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044508</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044509</ndc>
    <ndc_label_name>ESTRONE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044704</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 100% GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044706</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 100% GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044804</ndc>
    <ndc_label_name>SODIUM BISULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552044806</ndc>
    <ndc_label_name>SODIUM BISULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045205</ndc>
    <ndc_label_name>POLYSORBATE 20 SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045402</ndc>
    <ndc_label_name>EPINEPHRINE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045409</ndc>
    <ndc_label_name>EPINEPHRINE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045504</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045506</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045601</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045602</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045604</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045605</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045607</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045702</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045704</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045705</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045706</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045707</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045806</ndc>
    <ndc_label_name>DEXTROSE ANHYDROUS GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045808</ndc>
    <ndc_label_name>DEXTROSE ANHYDROUS GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045902</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552045903</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046202</ndc>
    <ndc_label_name>METHYLCELLULOSE 1,500 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046206</ndc>
    <ndc_label_name>METHYLCELLULOSE 1,500 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046304</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046305</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046306</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046307</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046402</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046404</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046405</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046406</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046407</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046502</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046504</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046505</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046506</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046507</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552046902</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 25%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552047106</ndc>
    <ndc_label_name>Spermaceti 100 % flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552047802</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 90%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048001</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048002</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048004</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048005</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048204</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048205</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048206</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048207</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048302</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048304</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048305</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048306</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048307</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048705</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048706</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048904</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048905</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552048907</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049205</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049206</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049207</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049302</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID 75%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049601</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049602</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049603</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049604</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049605</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049606</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049607</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049609</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049801</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049802</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049803</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049804</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049805</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552049809</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552050105</ndc>
    <ndc_label_name>SODIUM PROPIONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552050205</ndc>
    <ndc_label_name>SUCROSE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552050505</ndc>
    <ndc_label_name>PROCAINE HCL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552050605</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051305</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051309</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051404</ndc>
    <ndc_label_name>AMMONIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051405</ndc>
    <ndc_label_name>AMMONIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051506</ndc>
    <ndc_label_name>CALCIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051509</ndc>
    <ndc_label_name>CALCIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051901</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552051902</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052504</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052505</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052506</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052603</ndc>
    <ndc_label_name>EPINEPHRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052706</ndc>
    <ndc_label_name>Peg Ointment Base (Bulk) 40 %-60 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052804</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052806</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052809</ndc>
    <ndc_label_name>CHLORAL HYDRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052902</ndc>
    <ndc_label_name>CLINDAMYCIN PHOS CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052903</ndc>
    <ndc_label_name>CLINDAMYCIN PHOS CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552052905</ndc>
    <ndc_label_name>CLINDAMYCIN PHOS CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053006</ndc>
    <ndc_label_name>CALCIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053102</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053104</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053105</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053108</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053204</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053205</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053302</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053304</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053306</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053307</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053309</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053602</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053604</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053605</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053606</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053607</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053805</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552053806</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054105</ndc>
    <ndc_label_name>CHONDROITIN SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054107</ndc>
    <ndc_label_name>CHONDROITIN SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054108</ndc>
    <ndc_label_name>Chondroitin Sulfate 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054404</ndc>
    <ndc_label_name>D-GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054405</ndc>
    <ndc_label_name>D-GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054502</ndc>
    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054504</ndc>
    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054505</ndc>
    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054805</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054807</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054808</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054809</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054905</ndc>
    <ndc_label_name>Polox 20 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054907</ndc>
    <ndc_label_name>Polox 20 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552054909</ndc>
    <ndc_label_name>Polox 20 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055004</ndc>
    <ndc_label_name>Lipoil liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055006</ndc>
    <ndc_label_name>Lipoil liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055008</ndc>
    <ndc_label_name>Lipoil liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055204</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055205</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055206</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055304</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055305</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055504</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055505</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055905</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552055906</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056202</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056203</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056402</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056404</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056405</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056407</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056501</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056502</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056503</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056604</ndc>
    <ndc_label_name>NITROFURANTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552056605</ndc>
    <ndc_label_name>NITROFURANTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057002</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057102</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057104</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057105</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057302</ndc>
    <ndc_label_name>Capsule #5 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057303</ndc>
    <ndc_label_name>Capsule #5 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057505</ndc>
    <ndc_label_name>Ethoxy Ethoxy Ethanol Reagent liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057506</ndc>
    <ndc_label_name>Ethoxy Ethoxy Ethanol Reagent liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057508</ndc>
    <ndc_label_name>Ethoxy Ethoxy Ethanol Reagent liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057704</ndc>
    <ndc_label_name>FD AND C RED NO. 40 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057901</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057902</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552057904</ndc>
    <ndc_label_name>2-DEOXY-D-GLUCOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058305</ndc>
    <ndc_label_name>DL-MALIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058307</ndc>
    <ndc_label_name>DL-MALIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058606</ndc>
    <ndc_label_name>FERROUS SULFATE DRIED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058804</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058806</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058905</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552058909</ndc>
    <ndc_label_name>Polox 30 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552059205</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE KCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552059406</ndc>
    <ndc_label_name>CALCIUM PHOSPHATE TRIBASIC PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552059605</ndc>
    <ndc_label_name>ZINC CHLORIDE GRANULES</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552059901</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552059902</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060302</ndc>
    <ndc_label_name>METHYLPREDNISOLONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060304</ndc>
    <ndc_label_name>METHYLPREDNISOLONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060501</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060502</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060509</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552060705</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061005</ndc>
    <ndc_label_name>L-METHIONINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061302</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061304</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061305</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061306</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061307</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061805</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061902</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061904</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552061905</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062606</ndc>
    <ndc_label_name>SAFFLOWER OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062608</ndc>
    <ndc_label_name>SAFFLOWER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062702</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062703</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062704</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062705</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062708</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062801</ndc>
    <ndc_label_name>BETAMETHASONE ACET MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552062802</ndc>
    <ndc_label_name>BETAMETHASONE ACET MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063002</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN L-5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063004</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN L-5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063005</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN L-5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063006</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN L-5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063007</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN L-5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063101</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063107</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063109</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063305</ndc>
    <ndc_label_name>SODIUM ACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063506</ndc>
    <ndc_label_name>TITANIUM DIOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063701</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 3.0 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063804</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063805</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552063807</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064102</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064106</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064108</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064204</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064206</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064602</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064604</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064605</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064607</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064905</ndc>
    <ndc_label_name>L-CARNITINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064906</ndc>
    <ndc_label_name>L-CARNITINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552064907</ndc>
    <ndc_label_name>L-CARNITINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065104</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065201</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065202</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065209</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065304</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065305</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065306</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065401</ndc>
    <ndc_label_name>BIOTIN-D POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065402</ndc>
    <ndc_label_name>BIOTIN-D POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065404</ndc>
    <ndc_label_name>BIOTIN-D POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065405</ndc>
    <ndc_label_name>BIOTIN-D POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552065406</ndc>
    <ndc_label_name>BIOTIN-D POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066301</ndc>
    <ndc_label_name>CYCLOSPORINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066302</ndc>
    <ndc_label_name>CYCLOSPORINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066304</ndc>
    <ndc_label_name>CYCLOSPORINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066305</ndc>
    <ndc_label_name>CYCLOSPORINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066505</ndc>
    <ndc_label_name>L-CITRULLINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066507</ndc>
    <ndc_label_name>L-Citrulline powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066702</ndc>
    <ndc_label_name>MEGESTROL ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066704</ndc>
    <ndc_label_name>MEGESTROL ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552066705</ndc>
    <ndc_label_name>MEGESTROL ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067101</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067102</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067103</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067104</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067105</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067106</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067505</ndc>
    <ndc_label_name>Hydrophilic Ointment Base (Fagron)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067604</ndc>
    <ndc_label_name>DIMENHYDRINATE 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067605</ndc>
    <ndc_label_name>DIMENHYDRINATE 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067701</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067702</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067704</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067706</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067804</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067805</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067806</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552067808</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068005</ndc>
    <ndc_label_name>Mineral Oil Light</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068009</ndc>
    <ndc_label_name>Mineral Oil Light</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068102</ndc>
    <ndc_label_name>Capsule #1 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068103</ndc>
    <ndc_label_name>Capsule #1 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068201</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068202</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068203</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068204</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068205</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068206</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068305</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068402</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068404</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068405</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068501</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068502</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068504</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068506</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068602</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068604</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068701</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068702</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068703</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068705</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068709</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068801</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068802</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068803</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552068804</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552069206</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552069208</ndc>
    <ndc_label_name>SIMPLE SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069305</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069405</ndc>
    <ndc_label_name>ZINC OXIDE PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069506</ndc>
    <ndc_label_name>Anhydrous Ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069602</ndc>
    <ndc_label_name>Hydrous Emulsified Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069606</ndc>
    <ndc_label_name>Hydrous Emulsified Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069608</ndc>
    <ndc_label_name>Hydrous Emulsified Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069702</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069703</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069704</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069705</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069706</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069707</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069805</ndc>
    <ndc_label_name>ARGININE-L POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069807</ndc>
    <ndc_label_name>ARGININE-L POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552069906</ndc>
    <ndc_label_name>EMOLLIENT CREAM BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552070205</ndc>
    <ndc_label_name>METHYLCELLULOSE 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552070207</ndc>
    <ndc_label_name>METHYLCELLULOSE 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552070503</ndc>
    <ndc_label_name>Bubble Gum Concentrate liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071202</ndc>
    <ndc_label_name>SQUARIC AC DIBUTYLESTER POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071204</ndc>
    <ndc_label_name>SQUARIC AC DIBUTYLESTER POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071304</ndc>
    <ndc_label_name>FD&amp;C YELLOW #5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071406</ndc>
    <ndc_label_name>ALUMINUM POTASSIUM SULF GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071504</ndc>
    <ndc_label_name>RIFAMPIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071505</ndc>
    <ndc_label_name>RIFAMPIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071605</ndc>
    <ndc_label_name>ZINC ACETATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071905</ndc>
    <ndc_label_name>Trochibase powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552071906</ndc>
    <ndc_label_name>Trochibase powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072002</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072004</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072005</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072007</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072105</ndc>
    <ndc_label_name>METHYLCELLULOSE 2% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072106</ndc>
    <ndc_label_name>METHYLCELLULOSE 2% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072302</ndc>
    <ndc_label_name>Lozibase gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072306</ndc>
    <ndc_label_name>Lozibase gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072405</ndc>
    <ndc_label_name>Carbogel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072406</ndc>
    <ndc_label_name>Carbogel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072408</ndc>
    <ndc_label_name>Carbogel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072409</ndc>
    <ndc_label_name>Carbogel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072604</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072605</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072607</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072705</ndc>
    <ndc_label_name>Carbohol gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072707</ndc>
    <ndc_label_name>Carbohol gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072708</ndc>
    <ndc_label_name>Carbohol gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072801</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072802</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072804</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072806</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072901</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072902</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072904</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072905</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552072909</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073004</ndc>
    <ndc_label_name>PRAMOXINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073104</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073105</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073301</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073302</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073304</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073305</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073502</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073504</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073701</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073702</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073704</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073705</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073804</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073805</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073806</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552073807</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074002</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074004</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074005</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074104</ndc>
    <ndc_label_name>DICYCLOMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074404</ndc>
    <ndc_label_name>PYRUVIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074405</ndc>
    <ndc_label_name>PYRUVIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074502</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074504</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074506</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074509</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552074605</ndc>
    <ndc_label_name>THREONINE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075205</ndc>
    <ndc_label_name>SODIUM ACETATE TRIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075306</ndc>
    <ndc_label_name>Hydrophilic Petrolatum topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075405</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075408</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075704</ndc>
    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075705</ndc>
    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552075707</ndc>
    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076105</ndc>
    <ndc_label_name>CYSTEINE-L HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076305</ndc>
    <ndc_label_name>6-AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076307</ndc>
    <ndc_label_name>6-AMINOCAPROIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076501</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076506</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552076509</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077004</ndc>
    <ndc_label_name>EUCALYPTOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077105</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077106</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077107</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077305</ndc>
    <ndc_label_name>PHOSPHATIDYL SERINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077306</ndc>
    <ndc_label_name>PHOSPHATIDYL SERINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077307</ndc>
    <ndc_label_name>PHOSPHATIDYL SERINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077404</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077409</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077501</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077502</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077504</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077505</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077507</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077802</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077804</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077805</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077902</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552077904</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078001</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078002</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078004</ndc>
    <ndc_label_name>DIETHYLSTILBESTROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078502</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078503</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078805</ndc>
    <ndc_label_name>L-TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078806</ndc>
    <ndc_label_name>L-TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078807</ndc>
    <ndc_label_name>L-TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078901</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078902</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078904</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552078905</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079004</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079005</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079007</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079304</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079305</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079801</ndc>
    <ndc_label_name>ERGOLOID MESYLATES POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552079802</ndc>
    <ndc_label_name>ERGOLOID MESYLATES POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552080604</ndc>
    <ndc_label_name>INDOLE-3-CARBINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552080605</ndc>
    <ndc_label_name>INDOLE-3-CARBINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552080607</ndc>
    <ndc_label_name>INDOLE-3-CARBINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552080706</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552080708</ndc>
    <ndc_label_name>CHERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081005</ndc>
    <ndc_label_name>RASPBERRY SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081102</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081103</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081506</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081802</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081804</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081805</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081806</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081807</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552081907</ndc>
    <ndc_label_name>CALCIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082102</ndc>
    <ndc_label_name>BUSPIRONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082103</ndc>
    <ndc_label_name>BUSPIRONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082202</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082204</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082205</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082505</ndc>
    <ndc_label_name>CORN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082507</ndc>
    <ndc_label_name>CORN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082602</ndc>
    <ndc_label_name>BETAHISTINE DIHYDROCHL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082603</ndc>
    <ndc_label_name>BETAHISTINE DIHYDROCHL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082604</ndc>
    <ndc_label_name>BETAHISTINE DIHYDROCHL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082605</ndc>
    <ndc_label_name>BETAHISTINE DIHYDROCHL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082705</ndc>
    <ndc_label_name>METHYLCELLULOSE 3% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082707</ndc>
    <ndc_label_name>METHYLCELLULOSE 3% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082709</ndc>
    <ndc_label_name>METHYLCELLULOSE 3% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082903</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082904</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082905</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082906</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552082907</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552083105</ndc>
    <ndc_label_name>GRAPE FLAVOR SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552083605</ndc>
    <ndc_label_name>Mineral Oil Heavy</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552083609</ndc>
    <ndc_label_name>Mineral Oil Heavy</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552083705</ndc>
    <ndc_label_name>U-Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552083802</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084304</ndc>
    <ndc_label_name>D-XYLOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084401</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084402</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084404</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084405</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084602</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552084603</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085104</ndc>
    <ndc_label_name>HYDROXYUREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085106</ndc>
    <ndc_label_name>HYDROXYUREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085109</ndc>
    <ndc_label_name>HYDROXYUREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085204</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085205</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085208</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085505</ndc>
    <ndc_label_name>ACETAZOLAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085806</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085808</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085809</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085905</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552085907</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086004</ndc>
    <ndc_label_name>ISONIAZID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086005</ndc>
    <ndc_label_name>ISONIAZID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086506</ndc>
    <ndc_label_name>Jessner's 14 %-14 %-14 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086604</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086605</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086606</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086706</ndc>
    <ndc_label_name>METHYL SULFONE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552086708</ndc>
    <ndc_label_name>METHYL SULFONE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087105</ndc>
    <ndc_label_name>CYPROHEPTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087202</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087203</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087306</ndc>
    <ndc_label_name>SOYBEAN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087504</ndc>
    <ndc_label_name>Stevia 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087505</ndc>
    <ndc_label_name>Stevia 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087506</ndc>
    <ndc_label_name>Stevia 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087605</ndc>
    <ndc_label_name>PFCB cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087704</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087705</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552087706</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088101</ndc>
    <ndc_label_name>COCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088102</ndc>
    <ndc_label_name>COCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088201</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088202</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088204</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088301</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088302</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088309</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088604</ndc>
    <ndc_label_name>IMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088605</ndc>
    <ndc_label_name>IMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088606</ndc>
    <ndc_label_name>IMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088706</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088709</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088801</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088802</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088804</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088902</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552088905</ndc>
    <ndc_label_name>SUFENTANIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552089706</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552089709</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552089802</ndc>
    <ndc_label_name>BIOFLAVONOID LEMON POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552089904</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552089906</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090202</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090204</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090205</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090206</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090207</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090208</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090604</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090605</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090606</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090702</ndc>
    <ndc_label_name>BUTALBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090704</ndc>
    <ndc_label_name>BUTALBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552090806</ndc>
    <ndc_label_name>SODIUM BORATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091004</ndc>
    <ndc_label_name>PROPRANOLOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091105</ndc>
    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091201</ndc>
    <ndc_label_name>FLUDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091404</ndc>
    <ndc_label_name>ATENOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091504</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091905</ndc>
    <ndc_label_name>Pentravan transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552091908</ndc>
    <ndc_label_name>Pentravan transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092002</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092004</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092005</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092006</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092007</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092105</ndc>
    <ndc_label_name>Trochibase S flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552092106</ndc>
    <ndc_label_name>Trochibase S flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552093904</ndc>
    <ndc_label_name>4-AMINOPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552094002</ndc>
    <ndc_label_name>FUROSEMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552094404</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552094405</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552094609</ndc>
    <ndc_label_name>POLYMYXIN B 100 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552095104</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552095703</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552095802</ndc>
    <ndc_label_name>METHYLPREDNISOLONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552095804</ndc>
    <ndc_label_name>METHYLPREDNISOLONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552095805</ndc>
    <ndc_label_name>METHYLPREDNISOLONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096105</ndc>
    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096307</ndc>
    <ndc_label_name>BIOFLAVONOID CITRUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096503</ndc>
    <ndc_label_name>SILVER SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096606</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096609</ndc>
    <ndc_label_name>ETHYL ALCOHOL 190 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552096704</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Calcium Saccharate 100 % powder</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552103702</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552103703</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552103704</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552104405</ndc>
    <ndc_label_name>SULFASALAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552104501</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552104502</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552104507</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552104509</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105002</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105004</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105007</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105101</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105102</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2.0 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105304</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105305</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105306</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105307</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105509</ndc>
    <ndc_label_name>NORETHINDRONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105601</ndc>
    <ndc_label_name>ESTRADIOL CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105602</ndc>
    <ndc_label_name>ESTRADIOL CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105905</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105906</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552105907</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106107</ndc>
    <ndc_label_name>PSYLLIUM HUSK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106301</ndc>
    <ndc_label_name>Vitamin K1 100 % liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106302</ndc>
    <ndc_label_name>Vitamin K1 100 % liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106603</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106604</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106605</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106606</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106607</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552106902</ndc>
    <ndc_label_name>OXYTETRACYCLINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552107202</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552107204</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552107205</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552107909</ndc>
    <ndc_label_name>SyrSpend SF Liquid oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552108006</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552108901</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552108909</ndc>
    <ndc_label_name>HYALURONIC ACID SOD SALT POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PENICILLAMINE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lip Balm Natural</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113205</ndc>
    <ndc_label_name>Ora-Hesive Base ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113606</ndc>
    <ndc_label_name>MAGNESIUM HYDROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113902</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113905</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113906</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552113909</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552114901</ndc>
    <ndc_label_name>NALOXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552114902</ndc>
    <ndc_label_name>NALOXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552115005</ndc>
    <ndc_label_name>Lipobase Base (Gel Matrix) topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552115007</ndc>
    <ndc_label_name>Lipobase Base (Gel Matrix) topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552115206</ndc>
    <ndc_label_name>Anhydrous Gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552115605</ndc>
    <ndc_label_name>Supposiblend wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552115607</ndc>
    <ndc_label_name>Supposiblend wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552116105</ndc>
    <ndc_label_name>Versigel cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552116106</ndc>
    <ndc_label_name>Versigel cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552116206</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552116306</ndc>
    <ndc_label_name>ZINC SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552116506</ndc>
    <ndc_label_name>PARAFFIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552116705</ndc>
    <ndc_label_name>SyrSpend SF Liquid oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51552116709</ndc>
    <ndc_label_name>SyrSpend SF Liquid oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117101</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117102</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117505</ndc>
    <ndc_label_name>SHEA BUTTER WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117507</ndc>
    <ndc_label_name>SHEA BUTTER WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117901</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552117902</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 2.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118002</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118108</ndc>
    <ndc_label_name>Rapid Dissolve Tablet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118502</ndc>
    <ndc_label_name>CHEW-HESIVE GELATIN BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118504</ndc>
    <ndc_label_name>CHEW-HESIVE GELATIN BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118506</ndc>
    <ndc_label_name>CHEW-HESIVE GELATIN BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118601</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 1.3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118602</ndc>
    <ndc_label_name>SUPPOSITORY MOLD 1.3 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118702</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118703</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118802</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118803</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118902</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552118903</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119401</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119402</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119404</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119405</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119606</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119702</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552119703</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120102</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120105</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120106</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120109</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120301</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120302</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120303</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120506</ndc>
    <ndc_label_name>Phytobase cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120507</ndc>
    <ndc_label_name>Phytobase cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120508</ndc>
    <ndc_label_name>Phytobase cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120603</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120604</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552120605</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121004</ndc>
    <ndc_label_name>LORATADINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121302</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121303</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121402</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121403</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121702</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121703</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552121802</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122002</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122003</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122302</ndc>
    <ndc_label_name>Capsule #0 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122303</ndc>
    <ndc_label_name>Capsule #0 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122809</ndc>
    <ndc_label_name>Capsule #11 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552122905</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552123806</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552123807</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552123808</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552123902</ndc>
    <ndc_label_name>LANSOPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552123904</ndc>
    <ndc_label_name>LANSOPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552124805</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552124807</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552125304</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552125308</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552125309</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552126601</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552126604</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552126606</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552126806</ndc>
    <ndc_label_name>Unibase topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127306</ndc>
    <ndc_label_name>Vanibase Traditional Formula topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127308</ndc>
    <ndc_label_name>Vanibase Traditional Formula topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127402</ndc>
    <ndc_label_name>Syrspend SF oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127704</ndc>
    <ndc_label_name>ACESULFAME POTASSIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127705</ndc>
    <ndc_label_name>ACESULFAME POTASSIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127903</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127904</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127905</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127906</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127907</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552127909</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128506</ndc>
    <ndc_label_name>Pentravan Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128507</ndc>
    <ndc_label_name>Pentravan Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128508</ndc>
    <ndc_label_name>Pentravan Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128509</ndc>
    <ndc_label_name>Pentravan Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128706</ndc>
    <ndc_label_name>Lollibase powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128803</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128806</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552128807</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552129101</ndc>
    <ndc_label_name>Squaric Acid In Butanol 150 mg liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552129109</ndc>
    <ndc_label_name>Squaric Acid In Butanol 150 mg liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552129609</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130006</ndc>
    <ndc_label_name>Pharmabase Heavy topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130105</ndc>
    <ndc_label_name>Pharmabase Light topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130107</ndc>
    <ndc_label_name>Pharmabase Light topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130305</ndc>
    <ndc_label_name>GRAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130307</ndc>
    <ndc_label_name>GRAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130404</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130405</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130406</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130604</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552130605</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131005</ndc>
    <ndc_label_name>FLUTICASONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131305</ndc>
    <ndc_label_name>UREA PEROXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131501</ndc>
    <ndc_label_name>BACITRACIN 5 MILLION UNITS PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131602</ndc>
    <ndc_label_name>ECONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131604</ndc>
    <ndc_label_name>ECONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131902</ndc>
    <ndc_label_name>CHLOROQUINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552131904</ndc>
    <ndc_label_name>CHLOROQUINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132006</ndc>
    <ndc_label_name>HYDROCHLORIC ACID 37% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132205</ndc>
    <ndc_label_name>HYDROCHLORIC ACID 10% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132305</ndc>
    <ndc_label_name>POVIDONE K-30 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132604</ndc>
    <ndc_label_name>Aminosalicylic Acid-5 powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132605</ndc>
    <ndc_label_name>Aminosalicylic Acid-5 powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132606</ndc>
    <ndc_label_name>Aminosalicylic Acid-5 powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132705</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132805</ndc>
    <ndc_label_name>Pharmabase topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552132908</ndc>
    <ndc_label_name>POTASSIUM PERMANGANATE GRAN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133104</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133105</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133403</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133405</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133603</ndc>
    <ndc_label_name>TESTOSTERONE ENANTHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133605</ndc>
    <ndc_label_name>TESTOSTERONE ENANTHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133702</ndc>
    <ndc_label_name>Capsule #0 DRcaps capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133805</ndc>
    <ndc_label_name>Pharmabase Vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552133905</ndc>
    <ndc_label_name>Espumil foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134205</ndc>
    <ndc_label_name>Trochibase S Classic flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134207</ndc>
    <ndc_label_name>Trochibase S Classic flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134305</ndc>
    <ndc_label_name>Versatile topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134307</ndc>
    <ndc_label_name>Versatile topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134308</ndc>
    <ndc_label_name>Versatile topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134309</ndc>
    <ndc_label_name>Versatile topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134605</ndc>
    <ndc_label_name>Pharmabase Barrier 9.38 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134703</ndc>
    <ndc_label_name>PHENOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134704</ndc>
    <ndc_label_name>PHENOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134705</ndc>
    <ndc_label_name>PHENOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134803</ndc>
    <ndc_label_name>LEVODOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134804</ndc>
    <ndc_label_name>LEVODOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552134904</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135202</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135203</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135204</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135205</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135207</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135301</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135303</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135305</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135403</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135406</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135502</ndc>
    <ndc_label_name>DIHYDROCODEINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552135505</ndc>
    <ndc_label_name>DIHYDROCODEINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136003</ndc>
    <ndc_label_name>BHT GRANULAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136108</ndc>
    <ndc_label_name>LAMOTRIGINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136204</ndc>
    <ndc_label_name>UBIQUINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136205</ndc>
    <ndc_label_name>UBIQUINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136208</ndc>
    <ndc_label_name>UBIQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136308</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE 40% WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136501</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136503</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136505</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136605</ndc>
    <ndc_label_name>Versatile Rich topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136705</ndc>
    <ndc_label_name>MEFENAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552136805</ndc>
    <ndc_label_name>Seraqua topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137308</ndc>
    <ndc_label_name>SERTRALINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137403</ndc>
    <ndc_label_name>MINOCYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137604</ndc>
    <ndc_label_name>SUMATRIPTAN SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137704</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137705</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137708</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137803</ndc>
    <ndc_label_name>MISOPROSTOL HPMC 1% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137902</ndc>
    <ndc_label_name>ANTHRALIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552137904</ndc>
    <ndc_label_name>ANTHRALIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138305</ndc>
    <ndc_label_name>Fitalite Cream Base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138405</ndc>
    <ndc_label_name>Nourivan Antioxidant topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138407</ndc>
    <ndc_label_name>Nourivan Antioxidant topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138704</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138705</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138706</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552138707</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139201</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139202</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139203</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139205</ndc>
    <ndc_label_name>ESTRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139305</ndc>
    <ndc_label_name>Solydra topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139406</ndc>
    <ndc_label_name>Nourisil topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139408</ndc>
    <ndc_label_name>Nourisil topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139506</ndc>
    <ndc_label_name>Occluvan topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139605</ndc>
    <ndc_label_name>Emolivan topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139705</ndc>
    <ndc_label_name>Nourilite topical emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139804</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139805</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139806</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139903</ndc>
    <ndc_label_name>L-Alanine powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552139905</ndc>
    <ndc_label_name>L-Alanine powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140202</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140204</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140205</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140206</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140207</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140302</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140303</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140402</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140404</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140405</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140701</ndc>
    <ndc_label_name>BETA GLUCAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140702</ndc>
    <ndc_label_name>BETA GLUCAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140704</ndc>
    <ndc_label_name>BETA GLUCAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140705</ndc>
    <ndc_label_name>BETA GLUCAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140804</ndc>
    <ndc_label_name>Bromelain powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140805</ndc>
    <ndc_label_name>Bromelain powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140806</ndc>
    <ndc_label_name>Bromelain powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140902</ndc>
    <ndc_label_name>MEXILETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140904</ndc>
    <ndc_label_name>MEXILETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552140905</ndc>
    <ndc_label_name>MEXILETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141005</ndc>
    <ndc_label_name>D-RIBOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141007</ndc>
    <ndc_label_name>D-RIBOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141205</ndc>
    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141502</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141504</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552141505</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142204</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142205</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142505</ndc>
    <ndc_label_name>Fagron LS Ultra cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142507</ndc>
    <ndc_label_name>Fagron LS Ultra cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142508</ndc>
    <ndc_label_name>Fagron LS Ultra cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142509</ndc>
    <ndc_label_name>Lipopen Ultra Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142603</ndc>
    <ndc_label_name>Fagron Capfill Pro powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142605</ndc>
    <ndc_label_name>Fagron Capfill Pro powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142607</ndc>
    <ndc_label_name>Fagron Capfill Pro powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142703</ndc>
    <ndc_label_name>Fagron Dispersapro powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552142705</ndc>
    <ndc_label_name>Fagron Dispersapro powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143005</ndc>
    <ndc_label_name>Fagron Supreme Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143007</ndc>
    <ndc_label_name>Fagron Supreme Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143008</ndc>
    <ndc_label_name>Fagron Supreme Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143105</ndc>
    <ndc_label_name>Fagron Natural Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143107</ndc>
    <ndc_label_name>Fagron Natural Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143108</ndc>
    <ndc_label_name>Fagron Natural Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143205</ndc>
    <ndc_label_name>Fagron LS Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143207</ndc>
    <ndc_label_name>Fagron LS Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143208</ndc>
    <ndc_label_name>Fagron LS Plus topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143303</ndc>
    <ndc_label_name>Fagron Versifix liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143305</ndc>
    <ndc_label_name>Fagron Versifix liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143307</ndc>
    <ndc_label_name>Fagron Versifix liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143406</ndc>
    <ndc_label_name>Syrspend SF PH4 oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552143705</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552144705</ndc>
    <ndc_label_name>Lozibase S flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552144805</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145404</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145405</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145406</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145407</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145408</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145704</ndc>
    <ndc_label_name>Auxipro Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145705</ndc>
    <ndc_label_name>Auxipro Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145707</ndc>
    <ndc_label_name>Auxipro Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552145708</ndc>
    <ndc_label_name>Auxipro Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552146105</ndc>
    <ndc_label_name>CELECOXIB POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552146805</ndc>
    <ndc_label_name>DULOXETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552147002</ndc>
    <ndc_label_name>FINASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552147304</ndc>
    <ndc_label_name>Freedom Adaptaderm gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552147306</ndc>
    <ndc_label_name>Freedom Adaptaderm gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552148703</ndc>
    <ndc_label_name>Freedom PEG Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552148704</ndc>
    <ndc_label_name>Freedom PEG Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552148706</ndc>
    <ndc_label_name>Freedom PEG Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552149904</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552150407</ndc>
    <ndc_label_name>Lipopen Absorption Enhancing Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552150505</ndc>
    <ndc_label_name>Lipopen Anhydrous cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552150507</ndc>
    <ndc_label_name>Lipopen Anhydrous cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552151201</ndc>
    <ndc_label_name>ONDANSETRON HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552151503</ndc>
    <ndc_label_name>PROPANEDIOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152003</ndc>
    <ndc_label_name>TOBRAMYCIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152005</ndc>
    <ndc_label_name>TOBRAMYCIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152205</ndc>
    <ndc_label_name>UREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152604</ndc>
    <ndc_label_name>ETHOXY DIGLYCOL LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152705</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552152804</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153102</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153103</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153104</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153106</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153302</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153304</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153305</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153307</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153503</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153504</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153505</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153506</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552153507</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154405</ndc>
    <ndc_label_name>Unispend Anhydrous Sweet oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154407</ndc>
    <ndc_label_name>Unispend Anhydrous Sweet oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154601</ndc>
    <ndc_label_name>L-METHYLFOLATE CALCIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154602</ndc>
    <ndc_label_name>L-METHYLFOLATE CALCIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154603</ndc>
    <ndc_label_name>L-METHYLFOLATE CALCIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154703</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154704</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154705</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154706</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154802</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154803</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154805</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154904</ndc>
    <ndc_label_name>METOCLOPRAMIDE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552154905</ndc>
    <ndc_label_name>METOCLOPRAMIDE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552155007</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156105</ndc>
    <ndc_label_name>Intimae Vaginal Cream Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156701</ndc>
    <ndc_label_name>CLONAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156702</ndc>
    <ndc_label_name>CLONAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156703</ndc>
    <ndc_label_name>CLONAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156902</ndc>
    <ndc_label_name>LEVOTHYROXINE SOD 1:1000 DILUT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156903</ndc>
    <ndc_label_name>LEVOTHYROXINE SOD 1:1000 DILUT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552156905</ndc>
    <ndc_label_name>LEVOTHYROXINE SOD 1:1000 DILUT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552157002</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 1:1000 DILUTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552157003</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 1:1000 DILUTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552157005</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 1:1000 DILUTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552157207</ndc>
    <ndc_label_name>ZONISAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552157603</ndc>
    <ndc_label_name>Cleoderm topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552159503</ndc>
    <ndc_label_name>HEPARIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552159603</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552160103</ndc>
    <ndc_label_name>PRILOCAINE POWDER (BASE)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552160105</ndc>
    <ndc_label_name>PRILOCAINE POWDER (BASE)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552606701</ndc>
    <ndc_label_name>Occluvan topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552606901</ndc>
    <ndc_label_name>Versatile Anhydrous cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552606902</ndc>
    <ndc_label_name>Versatile Anhydrous cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552606903</ndc>
    <ndc_label_name>Versatile Anhydrous cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51552610401</ndc>
    <ndc_label_name>SyrSpend SF Alka oral powder for suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070301</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070310</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070399</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070501</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070510</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070601</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645070610</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ANIMAL CHEWS tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Chewable Multivitamin 300 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645071308</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Acidophilus-Pectin 75 million cell-100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073106</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073110</ndc>
    <ndc_label_name>Calcium 600 + D(3) 600 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073206</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073208</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073210</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073299</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073306</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073308</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073310</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073399</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645073515</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645073706</ndc>
    <ndc_label_name>CRANBERRY 425 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645073801</ndc>
    <ndc_label_name>Certa Plus 18 mg-0.4 mg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074001</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074010</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074099</ndc>
    <ndc_label_name>Daily Vitamin Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645074101</ndc>
    <ndc_label_name>Daily Vitamin with Iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074110</ndc>
    <ndc_label_name>Daily Vitamin Formula-Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074201</ndc>
    <ndc_label_name>DAILY VITAMIN FORMULA-MINERALS tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074301</ndc>
    <ndc_label_name>Daily Multi-Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645074399</ndc>
    <ndc_label_name>Daily Multi-Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645075001</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645075010</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645076001</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645076010</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645076099</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645078508</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645078510</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645078599</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645078806</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645079201</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645079210</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645082601</ndc>
    <ndc_label_name>Oyster Shell + D3 250 mg-3.125 mcg (125 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645082699</ndc>
    <ndc_label_name>Oyster Shell + D3 250 mg-3.125 mcg (125 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082706</ndc>
    <ndc_label_name>Oyster Shell Calcium 500 mg (as calcium carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082710</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082799</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082806</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082808</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082810</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082899</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645082906</ndc>
    <ndc_label_name>Calcium 500 + D 500 mg-10 mcg (400 unit) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645083701</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645084001</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645084003</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085001</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085006</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085010</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085099</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085101</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085110</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645085199</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645086001</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645087006</ndc>
    <ndc_label_name>SIMETHICONE 125 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645087510</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645087513</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645087599</ndc>
    <ndc_label_name>Thera-M 27 mg-0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645090501</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645090599</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645090901</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645091001</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645091301</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645091401</ndc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645091999</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645092001</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645092010</ndc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645092199</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645093201</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645093310</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645099101</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Chew Multivit with Iron 15 mg iron tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645099401</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51645099410</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645099501</ndc>
    <ndc_label_name>Renal-Vite 0.8 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51645099712</ndc>
    <ndc_label_name>EyeProtect 7,160 unit-113 mg-100 unit tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51660002714</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51660099628</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51660099830</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51660099855</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000500</ndc>
    <ndc_label_name>Optimal D3 1,250 mcg (50,000 unit) capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000501</ndc>
    <ndc_label_name>Optimal D3 1,250 mcg (50,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000503</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000505</ndc>
    <ndc_label_name>Omera 750 mg (300 mg-400 mg-50 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Optimal D3 M 350 mcg (14,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VITAMIN D3 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000508</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000509</ndc>
    <ndc_label_name>Florasave 10 billion cell-15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000510</ndc>
    <ndc_label_name>Vitabex Plus 500 mcg-25 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000511</ndc>
    <ndc_label_name>Optimal D3 M 350 mcg (14,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000512</ndc>
    <ndc_label_name>Vitabex Iron 65 mg iron-50 mg-1 mg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000517</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG (1,000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51663000520</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000522</ndc>
    <ndc_label_name>Apetibex 12.5 mg-12.5 mcg-30 mg-5 mg sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000531</ndc>
    <ndc_label_name>Lipidsave 10 mg-300 mg-50 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000532</ndc>
    <ndc_label_name>Vicectin 325 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51663000534</ndc>
    <ndc_label_name>Atabex One 27 mg iron-1,000 mcg DFE capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672125401</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672125402</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672125403</ndc>
    <ndc_label_name>Fluocinonide-E 0.05 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125801</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125802</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125803</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125806</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125901</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125902</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125903</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672125906</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672126003</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126101</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126103</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126201</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126203</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126207</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126301</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126302</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126303</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126401</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126402</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126403</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672126705</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672126906</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127001</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127003</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127103</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127201</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127202</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127304</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127406</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672127501</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672127502</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672127506</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672127507</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127901</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127902</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672127903</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672128001</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672128003</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672128101</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672128103</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128201</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128202</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128208</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128401</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128402</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128408</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128901</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672128902</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129001</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129003</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129006</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129201</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129203</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129206</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% OINTMT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129302</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129303</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129401</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129402</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129403</ndc>
    <ndc_label_name>CLOBETASOL 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129501</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129502</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129503</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129602</ndc>
    <ndc_label_name>DIFLORASONE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672129603</ndc>
    <ndc_label_name>DIFLORASONE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129701</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129702</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129703</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129801</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129802</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672129803</ndc>
    <ndc_label_name>KETOCONAZOLE 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130005</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130009</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130100</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130102</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130104</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130200</ndc>
    <ndc_label_name>TERCONAZOLE 0.8% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130301</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130302</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130308</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672130406</ndc>
    <ndc_label_name>TERCONAZOLE 0.4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130601</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130603</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130606</ndc>
    <ndc_label_name>ALCLOMETASONE DIPRO 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130803</ndc>
    <ndc_label_name>CLOTRIMAZOLE-BETAMETHASONE LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130901</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672130903</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131001</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131003</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672131200</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672131201</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131601</ndc>
    <ndc_label_name>ALCLOMETASONE DIPR 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131603</ndc>
    <ndc_label_name>ALCLOMETASONE DIPR 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131606</ndc>
    <ndc_label_name>ALCLOMETASONE DIPR 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131801</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131802</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672131808</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672133505</ndc>
    <ndc_label_name>Oralone 0.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672134003</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672134004</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% LOT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672134708</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135004</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135008</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135108</ndc>
    <ndc_label_name>CICLOPIROX 1% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135203</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135207</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135302</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135303</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135304</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135608</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135708</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135802</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135902</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135903</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672135908</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672136001</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672136002</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136105</ndc>
    <ndc_label_name>ACYCLOVIR 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136203</ndc>
    <ndc_label_name>NAFTIFINE HCL 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136208</ndc>
    <ndc_label_name>NAFTIFINE HCL 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136307</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136403</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.1-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136504</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672136606</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PEROX 1.2-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136703</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PERO 1.2-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136803</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136806</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672136908</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137001</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137002</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137108</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137303</ndc>
    <ndc_label_name>TAZAROTENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137603</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137606</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137706</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672137709</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138102</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138104</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138409</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672138508</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672138509</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138601</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138602</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138603</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138604</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138703</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138708</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138803</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138808</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672138903</ndc>
    <ndc_label_name>AZELAIC ACID 15% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139400</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139409</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139500</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139509</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672139607</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139902</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672139903</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140004</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672140204</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672140208</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672140304</ndc>
    <ndc_label_name>CLINDAMYC-BNZ PEROX 1.2-3.75%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140602</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140603</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140700</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140709</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140908</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672140909</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672141103</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672200101</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672200102</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672200201</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672200202</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672200306</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672201002</ndc>
    <ndc_label_name>HYDROCORTISONE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672201301</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672201302</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672201802</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672202001</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672202002</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672202701</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672202702</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672203506</ndc>
    <ndc_label_name>MICONAZOLE 2% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672203701</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672204402</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672206200</ndc>
    <ndc_label_name>3-Day Vaginal 2 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672206302</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672206902</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672207009</ndc>
    <ndc_label_name>Miconazole-3 200 mg/5 gram (4 %) vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672207308</ndc>
    <ndc_label_name>LORATADINE 5 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672207501</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672207502</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672208001</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672208002</ndc>
    <ndc_label_name>TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672208508</ndc>
    <ndc_label_name>LORATADINE 5 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672208808</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672209208</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672210002</ndc>
    <ndc_label_name>BUTENAFINE HCL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672210008</ndc>
    <ndc_label_name>BUTENAFINE HCL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672210208</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672210403</ndc>
    <ndc_label_name>InstaLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211400</ndc>
    <ndc_label_name>Feverall 80 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211402</ndc>
    <ndc_label_name>Feverall 80 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211404</ndc>
    <ndc_label_name>Feverall 80 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211500</ndc>
    <ndc_label_name>Feverall 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211502</ndc>
    <ndc_label_name>Feverall 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211504</ndc>
    <ndc_label_name>Feverall 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211600</ndc>
    <ndc_label_name>Feverall 325 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211602</ndc>
    <ndc_label_name>Feverall 325 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672211604</ndc>
    <ndc_label_name>Feverall 325 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672211700</ndc>
    <ndc_label_name>Feverall 650 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672211704</ndc>
    <ndc_label_name>Feverall 650 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672212001</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672212002</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672212804</ndc>
    <ndc_label_name>MINOXIDIL FOR MEN 5% FOAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672212904</ndc>
    <ndc_label_name>MINOXIDIL FOR WOMEN 5% FOAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672213001</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672213008</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672213108</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672214301</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672214306</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672215001</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672215006</ndc>
    <ndc_label_name>ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672215104</ndc>
    <ndc_label_name>MINOXIDIL 5% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672215109</ndc>
    <ndc_label_name>MINOXIDIL 5% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672215204</ndc>
    <ndc_label_name>MINOXIDIL 2% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672215209</ndc>
    <ndc_label_name>MINOXIDIL 2% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672215801</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672300302</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672300701</ndc>
    <ndc_label_name>HYDROCORTISONE-ACETIC EAR DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672300803</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672300805</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672302002</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672302009</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400101</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400102</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400105</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400201</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400202</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400205</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400301</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400302</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400305</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400401</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400402</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400405</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400501</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400502</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672400503</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401101</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401106</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401205</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401206</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401301</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401305</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672401306</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ETODOLAC 200 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672401701</ndc>
    <ndc_label_name>ETODOLAC 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402502</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402504</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672402601</ndc>
    <ndc_label_name>KETOCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672402606</ndc>
    <ndc_label_name>KETOCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402701</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402703</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402707</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402801</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402803</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402807</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402901</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402903</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672402907</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403001</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403003</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403007</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403101</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403103</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403107</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403201</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403203</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403207</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403301</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403303</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403401</ndc>
    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403403</ndc>
    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403501</ndc>
    <ndc_label_name>WARFARIN SODIUM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403503</ndc>
    <ndc_label_name>WARFARIN SODIUM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672403601</ndc>
    <ndc_label_name>ETODOLAC 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403701</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403703</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403801</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672403803</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404001</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404003</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404101</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404102</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672404201</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672404202</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672404301</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672404302</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672404401</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404501</ndc>
    <ndc_label_name>ENALAPRIL-HCTZ 5-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404601</ndc>
    <ndc_label_name>ENALAPRIL-HCTZ 10-25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404704</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404709</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404801</ndc>
    <ndc_label_name>CLOTRIMAZOLE-BETAMETHASONE CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672404806</ndc>
    <ndc_label_name>CLOTRIMAZOLE-BETAMETHASONE CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405001</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405101</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405104</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405201</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405204</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405301</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405304</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672405506</ndc>
    <ndc_label_name>AMIODARONE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672405706</ndc>
    <ndc_label_name>AMIODARONE HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672406102</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672406104</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672406201</ndc>
    <ndc_label_name>FLUOROURACIL 2% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672406301</ndc>
    <ndc_label_name>FLUOROURACIL 5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672406901</ndc>
    <ndc_label_name>PHENYTOIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672406902</ndc>
    <ndc_label_name>PHENYTOIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672407008</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672407401</ndc>
    <ndc_label_name>HYDROCORTISONE BUTY 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672407406</ndc>
    <ndc_label_name>HYDROCORTISONE BUTY 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672407904</ndc>
    <ndc_label_name>DESONIDE 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672407908</ndc>
    <ndc_label_name>DESONIDE 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672408103</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672408104</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672408301</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672408306</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672409103</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672411101</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672411103</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672411606</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672411806</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672412301</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672412401</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672412501</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672413001</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672413101</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672413204</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672413304</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672414506</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672414508</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672414601</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672415101</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672415403</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672415404</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416108</ndc>
    <ndc_label_name>LEVOCETIRIZINE 2.5 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672416403</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416409</ndc>
    <ndc_label_name>METRONIDAZOLE TOP 1% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416508</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416509</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416606</ndc>
    <ndc_label_name>CLOCORTOLONE PIVALATE 0.1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672416608</ndc>
    <ndc_label_name>CLOCORTOLONE PIVALATE 0.1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672417005</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672417201</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672417209</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672417406</ndc>
    <ndc_label_name>IMIQUIMOD 3.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672417409</ndc>
    <ndc_label_name>IMIQUIMOD 3.75% CREAM PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672418501</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672418601</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672418803</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672418807</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672419303</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672419307</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672419403</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672419407</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672419601</ndc>
    <ndc_label_name>DEFERIPRONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672420003</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672420005</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672420007</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672420201</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672420301</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420406</ndc>
    <ndc_label_name>PERAMPANEL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420506</ndc>
    <ndc_label_name>PERAMPANEL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420606</ndc>
    <ndc_label_name>PERAMPANEL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420706</ndc>
    <ndc_label_name>PERAMPANEL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420806</ndc>
    <ndc_label_name>PERAMPANEL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672420906</ndc>
    <ndc_label_name>PERAMPANEL 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672421008</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672421503</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672421509</ndc>
    <ndc_label_name>METRONIDAZOLE TOP 1% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672421701</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672421801</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672421901</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422001</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422101</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672422201</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422301</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422401</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422501</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672422708</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672422804</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672422809</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423008</ndc>
    <ndc_label_name>IVERMECTIN 0.5% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423108</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423301</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423401</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423501</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672423601</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672423704</ndc>
    <ndc_label_name>DEFERIPRONE 1,000 MG TB(3X/DY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672424006</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672424008</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672424309</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672424501</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672424503</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672424602</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672424702</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672425206</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672425306</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672425406</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672425506</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672520203</ndc>
    <ndc_label_name>Topicort 0.05 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672520303</ndc>
    <ndc_label_name>Topicort 0.25 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672520403</ndc>
    <ndc_label_name>Topicort 0.25 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672520503</ndc>
    <ndc_label_name>Topicort 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672526303</ndc>
    <ndc_label_name>Topicort 0.05 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672526307</ndc>
    <ndc_label_name>Topicort 0.05 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672528107</ndc>
    <ndc_label_name>Topicort 0.25 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672529304</ndc>
    <ndc_label_name>Ovide 0.5 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672529404</ndc>
    <ndc_label_name>MALATHION 0.5% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672529503</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672529509</ndc>
    <ndc_label_name>METRONIDAZOLE TOP 1% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672529601</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672529605</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG SUPPOS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672529701</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672529704</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672529808</ndc>
    <ndc_label_name>FLURANDRENOLIDE 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672530104</ndc>
    <ndc_label_name>FLURANDRENOLIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672530200</ndc>
    <ndc_label_name>CICLOPIROX 8% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672530502</ndc>
    <ndc_label_name>Pliaglis 7 %-7 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672530606</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672531609</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672531803</ndc>
    <ndc_label_name>Bebe Bottoms Diaper Rash 10 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51672531807</ndc>
    <ndc_label_name>Bebe Bottoms Diaper Rash 10 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672532108</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672533001</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672533002</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51672533003</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51674011702</ndc>
    <ndc_label_name>Cortane-B 1 %-1 %-0.1 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51674013005</ndc>
    <ndc_label_name>Relagard 0.9 %-0.025 % vaginal gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000608</ndc>
    <ndc_label_name>Ristela 400 mg-400 mg-40 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000609</ndc>
    <ndc_label_name>Clairvee 5 billion cell-400 mcg DFE capsule,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000610</ndc>
    <ndc_label_name>Revaree 5 mg vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000625</ndc>
    <ndc_label_name>Relizen 160 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000627</ndc>
    <ndc_label_name>Serenol 500 mcg-12 mg-312 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000636</ndc>
    <ndc_label_name>Revaree Plus 10 mg vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000637</ndc>
    <ndc_label_name>Thermella Hot Flash-Nght Sweat 300 mg-75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51678000677</ndc>
    <ndc_label_name>Noctera 150 mg-100 mg-5 mg-75 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51709000605</ndc>
    <ndc_label_name>Aimsco Latex Condom</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51715010003</ndc>
    <ndc_label_name>Xaracoll 100 mg implant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51715010004</ndc>
    <ndc_label_name>Xaracoll 100 mg implant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51715010010</ndc>
    <ndc_label_name>Xaracoll 100 mg implant</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51715066001</ndc>
    <ndc_label_name>Posimir 132 mg/mL intra-subacromial injection soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51715066010</ndc>
    <ndc_label_name>Posimir 132 mg/mL intra-subacromial injection soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51741000833</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51741000887</ndc>
    <ndc_label_name>Hydration Multiplier Immune 504 mg oral powder packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51754010201</ndc>
    <ndc_label_name>ZINC CHLORIDE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CUPRIC CHLORIDE 4 MG/10 ML VL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51754100004</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51754100601</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51754100701</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Bloxiverz 1 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Akovaz 50 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Akovaz 25 mg/5 mL (5 mg/mL) intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51770000306</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>51770000319</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51770000385</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51770000949</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801000101</ndc>
    <ndc_label_name>Effer-K 25 mEq effervescent tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Effer-K 25 mEq effervescent tablet</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Effer-K 25 mEq effervescent tablet</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801000350</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801000701</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801000901</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801001101</ndc>
    <ndc_label_name>Effer-K 20 mEq effervescent tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801001201</ndc>
    <ndc_label_name>Effer-K 20 mEq effervescent tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Effer-K 20 mEq effervescent tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51801001330</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51803000101</ndc>
    <ndc_label_name>Iosat 130 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51803000110</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51803000201</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51809000201</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51809000205</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51809000207</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51809000209</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51809000236</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000663</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000664</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000666</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000667</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000668</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000669</ndc>
    <ndc_label_name>Kate Farms Standard 1.0  0.05 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000687</ndc>
    <ndc_label_name>Kate Farms Pediatric Peptide 1.5  0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000690</ndc>
    <ndc_label_name>Kate Farms Pediatric Standard 1.2  0.05 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51823000699</ndc>
    <ndc_label_name>Kate Farms Pediatric Standard 1.2  0.05 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824000101</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824000105</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824000301</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824000309</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824000314</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51824000703</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51824001403</ndc>
    <ndc_label_name>Muscle and Joint (menthol) 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824003203</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824003204</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824003215</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824003305</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824003315</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824004104</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824004140</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51824004503</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51824004540</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824004901</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005009</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005014</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005201</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005209</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005214</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005225</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005601</ndc>
    <ndc_label_name>Complete Allergy 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005736</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824005801</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824006001</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824006101</ndc>
    <ndc_label_name>Non-Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824006301</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824006401</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824006950</ndc>
    <ndc_label_name>Non-Aspirin PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007201</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007401</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007501</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007601</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007701</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007801</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824007902</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824008501</ndc>
    <ndc_label_name>Non-Aspirin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824008601</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824008701</ndc>
    <ndc_label_name>Non-Aspirin Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824008801</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009301</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009415</ndc>
    <ndc_label_name>Arthritis-Muscle (capsaicin) 0.025 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009504</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009515</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009701</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009809</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51824009814</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Nextstellis 3 mg-14.2 mg (28) tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Tilia Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>51927100700</ndc>
    <ndc_label_name>LEVORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927100800</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101000</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101100</ndc>
    <ndc_label_name>PHENYLBUTAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101200</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101300</ndc>
    <ndc_label_name>CODEINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101400</ndc>
    <ndc_label_name>DIAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101500</ndc>
    <ndc_label_name>PHENOBARBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101600</ndc>
    <ndc_label_name>BASE E-POLYETHYLENE GLYCOL PD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101700</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101800</ndc>
    <ndc_label_name>MEPERIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927101900</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102000</ndc>
    <ndc_label_name>METHYLCELLULOSE 1,500 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102100</ndc>
    <ndc_label_name>CYPROHEPTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102200</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102300</ndc>
    <ndc_label_name>LANOLIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102400</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102600</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102700</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927102900</ndc>
    <ndc_label_name>TESTOSTERONE PROPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103100</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103200</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103300</ndc>
    <ndc_label_name>VITAMIN D3 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103400</ndc>
    <ndc_label_name>VITAMIN D3 2,400 UNITS/ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103500</ndc>
    <ndc_label_name>VITAMIN A 18,000 UNITS/ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103600</ndc>
    <ndc_label_name>VIT E ACETATE 125 UNITS/ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927103800</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104000</ndc>
    <ndc_label_name>AMINOBENZOIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104400</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104500</ndc>
    <ndc_label_name>SULFASALAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104600</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104700</ndc>
    <ndc_label_name>COCONUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104800</ndc>
    <ndc_label_name>PCCA Base Anhydrous ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927104900</ndc>
    <ndc_label_name>TRIAMCINOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105000</ndc>
    <ndc_label_name>SODIUM LAURYL SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105100</ndc>
    <ndc_label_name>COAL TAR TOPICAL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105200</ndc>
    <ndc_label_name>CLIOQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105300</ndc>
    <ndc_label_name>SULFACETAMIDE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105400</ndc>
    <ndc_label_name>POLYSORBATE 20 SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105500</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105600</ndc>
    <ndc_label_name>PCCA MBK Base wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927105700</ndc>
    <ndc_label_name>FLUOCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927106300</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927106400</ndc>
    <ndc_label_name>PHENOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927106700</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927106900</ndc>
    <ndc_label_name>PHENAZOPYRIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107000</ndc>
    <ndc_label_name>CORN STARCH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107400</ndc>
    <ndc_label_name>Mineral Oil Heavy</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107500</ndc>
    <ndc_label_name>POLYSORBATE 80 SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107600</ndc>
    <ndc_label_name>POVIDONE IODINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107700</ndc>
    <ndc_label_name>BASE H-CARBOXYMETHYLCELLULOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107800</ndc>
    <ndc_label_name>MESALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927107900</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108000</ndc>
    <ndc_label_name>DIMENHYDRINATE 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108100</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108200</ndc>
    <ndc_label_name>METOCLOPRAMIDE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108300</ndc>
    <ndc_label_name>INDOMETHACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108400</ndc>
    <ndc_label_name>NYSTATIN 1 MILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108500</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108600</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108700</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927108800</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109000</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109100</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE GEL GRANULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109200</ndc>
    <ndc_label_name>ALUMINUM CHLOROHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109300</ndc>
    <ndc_label_name>PYRIDOXINE HCL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109400</ndc>
    <ndc_label_name>DOXYLAMINE SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927109700</ndc>
    <ndc_label_name>TROLAMINE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110000</ndc>
    <ndc_label_name>TRAGACANTH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110100</ndc>
    <ndc_label_name>GELATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110300</ndc>
    <ndc_label_name>PENTYLENETETRAZOLE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110500</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110600</ndc>
    <ndc_label_name>SULFISOXAZOLE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110700</ndc>
    <ndc_label_name>POTASSIUM SORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927110900</ndc>
    <ndc_label_name>SULFADIAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111000</ndc>
    <ndc_label_name>HYDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111300</ndc>
    <ndc_label_name>METHENAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111400</ndc>
    <ndc_label_name>BENZOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111500</ndc>
    <ndc_label_name>METHYLENE BLUE MONOHYDRATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111600</ndc>
    <ndc_label_name>Base X flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111700</ndc>
    <ndc_label_name>CALCIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111800</ndc>
    <ndc_label_name>PERUVIAN BALSAM LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927111900</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112000</ndc>
    <ndc_label_name>BELLADONNA LEAF EXTRACT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112100</ndc>
    <ndc_label_name>METHIONINE DL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112200</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112300</ndc>
    <ndc_label_name>TANNIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112400</ndc>
    <ndc_label_name>HYDROQUINONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112600</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927112900</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113000</ndc>
    <ndc_label_name>MICROCRYSTAL CELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113100</ndc>
    <ndc_label_name>ISOPROPYL MYRISTATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113200</ndc>
    <ndc_label_name>COLLAGEN HYDROLYSATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113400</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113500</ndc>
    <ndc_label_name>CHLORHEXIDINE FLAVOR CONC LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113600</ndc>
    <ndc_label_name>EUGENOL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113700</ndc>
    <ndc_label_name>Eucalyptus Flavor 100 % oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927113800</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114000</ndc>
    <ndc_label_name>METHYL SALICYLATE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114200</ndc>
    <ndc_label_name>PCCA Aladerm Base ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114300</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114400</ndc>
    <ndc_label_name>SODIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114500</ndc>
    <ndc_label_name>BISMUTH SUBNITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114600</ndc>
    <ndc_label_name>BARIUM SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114700</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927114800</ndc>
    <ndc_label_name>PREDNISOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115000</ndc>
    <ndc_label_name>TITANIUM DIOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115100</ndc>
    <ndc_label_name>LEAD TETROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115300</ndc>
    <ndc_label_name>MAGNESIUM ALUM SILICATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115400</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115500</ndc>
    <ndc_label_name>PYRILAMINE MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115700</ndc>
    <ndc_label_name>ASPIRIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115800</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927115900</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116000</ndc>
    <ndc_label_name>BETAMETHASONE VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116200</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116300</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116400</ndc>
    <ndc_label_name>PROPYLPARABEN CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116500</ndc>
    <ndc_label_name>CITRIC ACID GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116600</ndc>
    <ndc_label_name>FOOD COLOR RED LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116700</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927116900</ndc>
    <ndc_label_name>POVIDONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117000</ndc>
    <ndc_label_name>COAL TAR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117200</ndc>
    <ndc_label_name>DIOXYBENZONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117400</ndc>
    <ndc_label_name>GRAMICIDIN D POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117500</ndc>
    <ndc_label_name>MANDELIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117600</ndc>
    <ndc_label_name>BACITRACIN ZINC POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117800</ndc>
    <ndc_label_name>SPEARMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927117900</ndc>
    <ndc_label_name>AZELAIC ACID FLAKES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927118300</ndc>
    <ndc_label_name>PROPYLTHIOURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927118400</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927118500</ndc>
    <ndc_label_name>PECTIN CITRUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927118600</ndc>
    <ndc_label_name>Methocel E 4 M granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927118900</ndc>
    <ndc_label_name>AMMONIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927119200</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927119400</ndc>
    <ndc_label_name>BENZOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927119500</ndc>
    <ndc_label_name>BENTONITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927119900</ndc>
    <ndc_label_name>CITRIC ACID MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120000</ndc>
    <ndc_label_name>CAMPHOR CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120100</ndc>
    <ndc_label_name>CHLOROBUTANOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120200</ndc>
    <ndc_label_name>CAFFEINE CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120300</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120400</ndc>
    <ndc_label_name>COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120500</ndc>
    <ndc_label_name>CALCIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120600</ndc>
    <ndc_label_name>CALCIUM HYDROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120700</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927120900</ndc>
    <ndc_label_name>GUAIACOL LIQUID PURIFIED</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121000</ndc>
    <ndc_label_name>GENTIAN VIOLET CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121100</ndc>
    <ndc_label_name>GLUTARALDEHYDE 25% AQ SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121200</ndc>
    <ndc_label_name>KAOLIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121300</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121400</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121500</ndc>
    <ndc_label_name>NAPHTHOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121600</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121800</ndc>
    <ndc_label_name>SULFUR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927121900</ndc>
    <ndc_label_name>PHENYLMERCURIC ACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927122000</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927122300</ndc>
    <ndc_label_name>PHENYLMERCURIC NITRATE CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927122500</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927122700</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927122900</ndc>
    <ndc_label_name>SODIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123000</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123200</ndc>
    <ndc_label_name>POTASH SULFURATED LUMP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123300</ndc>
    <ndc_label_name>SODIUM BORATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123400</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123500</ndc>
    <ndc_label_name>CARBOXYMETHYL SOD GRANULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123700</ndc>
    <ndc_label_name>SODIUM HYDROXIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123800</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927123900</ndc>
    <ndc_label_name>TALC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124000</ndc>
    <ndc_label_name>THYMOL IODIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124100</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124200</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124300</ndc>
    <ndc_label_name>TRICHLOROACETIC ACID CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124600</ndc>
    <ndc_label_name>THYMOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124700</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124800</ndc>
    <ndc_label_name>ZINC GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927124900</ndc>
    <ndc_label_name>CALCIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125000</ndc>
    <ndc_label_name>CALCIUM PHOSPHATE TRIBASIC PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125200</ndc>
    <ndc_label_name>IODINE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125500</ndc>
    <ndc_label_name>POTASSIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125600</ndc>
    <ndc_label_name>LICORICE ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125800</ndc>
    <ndc_label_name>ALLANTOIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927125900</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126200</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126300</ndc>
    <ndc_label_name>SILVER PROTEIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126400</ndc>
    <ndc_label_name>RESERPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126500</ndc>
    <ndc_label_name>FRAGRANCE, LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126600</ndc>
    <ndc_label_name>ROSEMARY OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126700</ndc>
    <ndc_label_name>ROSE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51927126800</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927126900</ndc>
    <ndc_label_name>UREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127000</ndc>
    <ndc_label_name>TRETINOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127100</ndc>
    <ndc_label_name>FRUCTOSE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127200</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127300</ndc>
    <ndc_label_name>ICHTHAMMOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127400</ndc>
    <ndc_label_name>UNDECYLENIC ACID LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127600</ndc>
    <ndc_label_name>FOOD COLOR BLUE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127700</ndc>
    <ndc_label_name>FD&amp;C YELLOW #5 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127800</ndc>
    <ndc_label_name>Food Color Green powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927127900</ndc>
    <ndc_label_name>Grape Concentrate Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927128000</ndc>
    <ndc_label_name>ORANGE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927128200</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR CONCENTRATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927128600</ndc>
    <ndc_label_name>ALUMINUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927128700</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927128800</ndc>
    <ndc_label_name>LITHIUM CITRATE TETRAHYD POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129000</ndc>
    <ndc_label_name>PINE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129100</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129200</ndc>
    <ndc_label_name>ANTIPYRINE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129300</ndc>
    <ndc_label_name>SILVER NITRATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129400</ndc>
    <ndc_label_name>SODIUM THIOSULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129700</ndc>
    <ndc_label_name>GLACIAL ACETIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129800</ndc>
    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927129900</ndc>
    <ndc_label_name>OLEIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927130200</ndc>
    <ndc_label_name>DIETHANOLAMINE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927130300</ndc>
    <ndc_label_name>PHOSPHORIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927130400</ndc>
    <ndc_label_name>MAGNESIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927130500</ndc>
    <ndc_label_name>POTASSIUM BICARBONATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927130900</ndc>
    <ndc_label_name>LECITHIN SOYA GRANULAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927131300</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927131500</ndc>
    <ndc_label_name>Toluidine Blue O powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927131700</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927131800</ndc>
    <ndc_label_name>STRONG AMMONIA 27-31% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927131900</ndc>
    <ndc_label_name>BASIC FUCHSIN HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927132300</ndc>
    <ndc_label_name>BIOTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927132500</ndc>
    <ndc_label_name>PREDNISOLONE AC MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927132600</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927132700</ndc>
    <ndc_label_name>CRESOL (M) LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927132900</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927133000</ndc>
    <ndc_label_name>DINITROCHLOROBENZENE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927133200</ndc>
    <ndc_label_name>METHYLPREDNISOLONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927133400</ndc>
    <ndc_label_name>SODIUM PERBORATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927133600</ndc>
    <ndc_label_name>DIETHYL-M-TOLUAMIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927133900</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134000</ndc>
    <ndc_label_name>CHLORPHENIRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134100</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134400</ndc>
    <ndc_label_name>VITAMIN E ACETATE 50% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134500</ndc>
    <ndc_label_name>MANGANESE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134600</ndc>
    <ndc_label_name>CALCIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134700</ndc>
    <ndc_label_name>DICYCLOMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134800</ndc>
    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927134900</ndc>
    <ndc_label_name>SODIUM METABISULFITE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927135100</ndc>
    <ndc_label_name>DIBUCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927135300</ndc>
    <ndc_label_name>CETYL ALCOHOL GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927135400</ndc>
    <ndc_label_name>STEARYL ALCOHOL FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927135600</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927135900</ndc>
    <ndc_label_name>POLYSORBATE 60 SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136000</ndc>
    <ndc_label_name>FLEXIBLE COLLODION LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136200</ndc>
    <ndc_label_name>CHLOROXYLENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136400</ndc>
    <ndc_label_name>ZINC SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136600</ndc>
    <ndc_label_name>PARACHLOROPHENOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136700</ndc>
    <ndc_label_name>L-Glutamic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927136900</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137100</ndc>
    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137200</ndc>
    <ndc_label_name>SCOPOLAMINE HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137300</ndc>
    <ndc_label_name>CITRONELLA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137500</ndc>
    <ndc_label_name>SODIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137600</ndc>
    <ndc_label_name>DICHLOROACETIC ACID LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137700</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137800</ndc>
    <ndc_label_name>FERROUS SULFATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927137900</ndc>
    <ndc_label_name>DOCUSATE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927138100</ndc>
    <ndc_label_name>EPHEDRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927138200</ndc>
    <ndc_label_name>SIMETHICONE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927138500</ndc>
    <ndc_label_name>PHENOLSULFONIC ACID 65% LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927138700</ndc>
    <ndc_label_name>PEANUT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927139100</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927139200</ndc>
    <ndc_label_name>CHLOROBUTANOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927139300</ndc>
    <ndc_label_name>POTASSIUM IODIDE GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927139600</ndc>
    <ndc_label_name>ORANGE OIL FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927139700</ndc>
    <ndc_label_name>CAPRYLIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927140000</ndc>
    <ndc_label_name>HYDROXYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927140200</ndc>
    <ndc_label_name>ISOPROPAMIDE IODIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927140400</ndc>
    <ndc_label_name>PROPANTHELINE BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927140600</ndc>
    <ndc_label_name>POTASSIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927141100</ndc>
    <ndc_label_name>SULFATHIAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927141200</ndc>
    <ndc_label_name>ZINC ACETATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927141700</ndc>
    <ndc_label_name>POTASSIUM SULFATE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927141900</ndc>
    <ndc_label_name>DIBUTYL SQUARATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142200</ndc>
    <ndc_label_name>BENZYL BENZOATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142300</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142400</ndc>
    <ndc_label_name>FOOD COLOR YELLOW LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142500</ndc>
    <ndc_label_name>Triton X-100 liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142600</ndc>
    <ndc_label_name>ANTIMONY TRICHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142700</ndc>
    <ndc_label_name>PROCAINE HCL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142800</ndc>
    <ndc_label_name>SULFACETAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927142900</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143000</ndc>
    <ndc_label_name>DEXAMETHASONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143100</ndc>
    <ndc_label_name>EDETATE ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143300</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143500</ndc>
    <ndc_label_name>PREDNISONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143600</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143800</ndc>
    <ndc_label_name>Linseed Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927143900</ndc>
    <ndc_label_name>JUNIPER TAR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927144000</ndc>
    <ndc_label_name>ERYTHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927144100</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927144400</ndc>
    <ndc_label_name>AMINOPHYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927144500</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927144900</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927145200</ndc>
    <ndc_label_name>ETHER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927145300</ndc>
    <ndc_label_name>SODIUM SULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927145400</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146000</ndc>
    <ndc_label_name>POTASSIUM NITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146300</ndc>
    <ndc_label_name>BHT GRANULAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146400</ndc>
    <ndc_label_name>CHOCOLATE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146500</ndc>
    <ndc_label_name>ANISE EXTRACT FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146600</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927146700</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147000</ndc>
    <ndc_label_name>POTASSIUM ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147100</ndc>
    <ndc_label_name>EPHEDRINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147200</ndc>
    <ndc_label_name>PHENYLALANINE (DL) CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147400</ndc>
    <ndc_label_name>ROSIN LUMP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147600</ndc>
    <ndc_label_name>CARBAMIDE PEROXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147700</ndc>
    <ndc_label_name>CROTON OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927147900</ndc>
    <ndc_label_name>LEMON FLAVOR EXTRACT LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148100</ndc>
    <ndc_label_name>ZINC CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148300</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148400</ndc>
    <ndc_label_name>CHLORAMPHENICOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148700</ndc>
    <ndc_label_name>FOOD COLOR GREEN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148800</ndc>
    <ndc_label_name>SELENIUM SULFIDE MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927148900</ndc>
    <ndc_label_name>TRIETHANOLAMINE LAURYL SULFATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927149000</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927149200</ndc>
    <ndc_label_name>SELENIUM YEAST 1,000 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927150000</ndc>
    <ndc_label_name>CRESOL (M) ACETATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927150600</ndc>
    <ndc_label_name>PYROGALLOL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927150900</ndc>
    <ndc_label_name>SODIUM CAPRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927151000</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927151200</ndc>
    <ndc_label_name>CHERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927151600</ndc>
    <ndc_label_name>LEAD (II) ACETATE TRIHYDRATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927151900</ndc>
    <ndc_label_name>RASPBERRY FLAVOR CONCENTRATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152000</ndc>
    <ndc_label_name>GELATIN BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152100</ndc>
    <ndc_label_name>MANGANESE CHLORIDE 100% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152300</ndc>
    <ndc_label_name>RED ALGAE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152400</ndc>
    <ndc_label_name>TARTARIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152600</ndc>
    <ndc_label_name>VANILLIN FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927152900</ndc>
    <ndc_label_name>QUININE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153100</ndc>
    <ndc_label_name>SODIUM ACETATE TRIHYDRATE CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153200</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153300</ndc>
    <ndc_label_name>SCARLET RED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153400</ndc>
    <ndc_label_name>ZINC UNDECYLENATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153500</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153600</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927153700</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927154200</ndc>
    <ndc_label_name>FD&amp;C BLUE #1 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927154300</ndc>
    <ndc_label_name>CASCARA SAGRADA FLUID EXTRACT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927154400</ndc>
    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927154700</ndc>
    <ndc_label_name>Lugols 5 %-10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155000</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155200</ndc>
    <ndc_label_name>PSYLLIUM HUSK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155500</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155600</ndc>
    <ndc_label_name>PANCREATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155700</ndc>
    <ndc_label_name>BETAINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927155900</ndc>
    <ndc_label_name>METRONIDAZOLE BENZOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156000</ndc>
    <ndc_label_name>TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156300</ndc>
    <ndc_label_name>MAGNESIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156500</ndc>
    <ndc_label_name>METHOTREXATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156600</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156800</ndc>
    <ndc_label_name>BENZALKONIUM CL 50% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927156900</ndc>
    <ndc_label_name>SODIUM IODIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927157100</ndc>
    <ndc_label_name>DIPYRIDAMOLE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927157300</ndc>
    <ndc_label_name>ALBUTEROL SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927157400</ndc>
    <ndc_label_name>TOLNAFTATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927157500</ndc>
    <ndc_label_name>GLYCOPYRROLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158000</ndc>
    <ndc_label_name>ANISE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158200</ndc>
    <ndc_label_name>CALCIUM LACTATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158300</ndc>
    <ndc_label_name>BRILLIANT GREEN CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158400</ndc>
    <ndc_label_name>BENZOIN COMPOUND TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158600</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158700</ndc>
    <ndc_label_name>BUTYLATED HYDROXYANISOLE WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927158800</ndc>
    <ndc_label_name>QUININE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927159300</ndc>
    <ndc_label_name>Hydrofluoric Acid 49 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927159500</ndc>
    <ndc_label_name>ANDROSTENEDIONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927159700</ndc>
    <ndc_label_name>ETHANOLAMINE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927159800</ndc>
    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927160100</ndc>
    <ndc_label_name>ACETYLCYSTEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927160300</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927160400</ndc>
    <ndc_label_name>GLYCERYL MONOSTEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927160600</ndc>
    <ndc_label_name>PROPRANOLOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927160800</ndc>
    <ndc_label_name>AMINOSALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161000</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161100</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161200</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161500</ndc>
    <ndc_label_name>TRIAMTERENE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161600</ndc>
    <ndc_label_name>FLUOCINONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927161900</ndc>
    <ndc_label_name>SASSAFRAS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162300</ndc>
    <ndc_label_name>PINA COLADA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162400</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162500</ndc>
    <ndc_label_name>IMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162600</ndc>
    <ndc_label_name>CETYL ESTERS WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162700</ndc>
    <ndc_label_name>LEMON FLAVOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927162900</ndc>
    <ndc_label_name>POLYOXYL 40 STEARATE WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163200</ndc>
    <ndc_label_name>EGME LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163300</ndc>
    <ndc_label_name>IDOXURIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163500</ndc>
    <ndc_label_name>CALCIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163600</ndc>
    <ndc_label_name>FULLER'S EARTH POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163700</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927163800</ndc>
    <ndc_label_name>NITROFURAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164000</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164100</ndc>
    <ndc_label_name>BECLOMETHASONE DIPRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164200</ndc>
    <ndc_label_name>LAURIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164300</ndc>
    <ndc_label_name>DIHYDROXYACETONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164600</ndc>
    <ndc_label_name>ALUMINUM SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164700</ndc>
    <ndc_label_name>HYDROCHLORIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164800</ndc>
    <ndc_label_name>IPRATROPIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927164900</ndc>
    <ndc_label_name>FOOD COLOR ORANGE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927165000</ndc>
    <ndc_label_name>Food Color Red powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927165400</ndc>
    <ndc_label_name>PENNYROYAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927165700</ndc>
    <ndc_label_name>PHENOL LIQUIFIED</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927165900</ndc>
    <ndc_label_name>DYPHYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166100</ndc>
    <ndc_label_name>SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166200</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166400</ndc>
    <ndc_label_name>EDETATE TETRASODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166500</ndc>
    <ndc_label_name>ISOPROPYL PALMITATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166800</ndc>
    <ndc_label_name>DIPHENYLCYCLOPROPENONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927166900</ndc>
    <ndc_label_name>BACITRACIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927167000</ndc>
    <ndc_label_name>MEGESTROL ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927167400</ndc>
    <ndc_label_name>SODIUM BISULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927167500</ndc>
    <ndc_label_name>AMMONIUM BROMIDE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927167600</ndc>
    <ndc_label_name>ETHYL ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927167900</ndc>
    <ndc_label_name>SODIUM SALICYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927168100</ndc>
    <ndc_label_name>FLUORESCEIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927168300</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927168500</ndc>
    <ndc_label_name>METHOXSALEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927168700</ndc>
    <ndc_label_name>DESOXIMETASONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927168900</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169000</ndc>
    <ndc_label_name>IODOQUINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169100</ndc>
    <ndc_label_name>POTASSIUM ACID TARTRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169200</ndc>
    <ndc_label_name>ALUMINUM POTASSIUM SULF CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169300</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169800</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927169900</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927170300</ndc>
    <ndc_label_name>CARBACHOL 99% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927170500</ndc>
    <ndc_label_name>HYALURONIC ACID SOD SALT POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927170600</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927170700</ndc>
    <ndc_label_name>NIAOULI OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927170900</ndc>
    <ndc_label_name>ESTRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927171100</ndc>
    <ndc_label_name>PANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927171400</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927171500</ndc>
    <ndc_label_name>RACEPINEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172000</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172100</ndc>
    <ndc_label_name>SULFURIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172200</ndc>
    <ndc_label_name>MENADIONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172400</ndc>
    <ndc_label_name>SODIUM NITRITE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172600</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927172900</ndc>
    <ndc_label_name>WHEAT GERM OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173100</ndc>
    <ndc_label_name>COCOA BUTTER BAR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173200</ndc>
    <ndc_label_name>LEVAMISOLE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173300</ndc>
    <ndc_label_name>GLYCOLIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173400</ndc>
    <ndc_label_name>FOOD COLOR BLACK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173500</ndc>
    <ndc_label_name>FOOD COLOR VIOLET POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173700</ndc>
    <ndc_label_name>Food Color Brown 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927173900</ndc>
    <ndc_label_name>FOOD COLOR LIME GREEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174200</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174300</ndc>
    <ndc_label_name>CETYLPYRIDINIUM CL CRYSTALS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174400</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174500</ndc>
    <ndc_label_name>CHLOROACETIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174800</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927174900</ndc>
    <ndc_label_name>ETHYLENEDIAMINE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927175400</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927176300</ndc>
    <ndc_label_name>ALBENDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927176600</ndc>
    <ndc_label_name>HYDROXYETHYLCELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927176700</ndc>
    <ndc_label_name>AMMONIUM LACTATE SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927177300</ndc>
    <ndc_label_name>DEOXY-D-GLUCOSE (2) POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927177500</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927177600</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927177800</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927178200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927178400</ndc>
    <ndc_label_name>FUROSEMIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927178600</ndc>
    <ndc_label_name>PENICILLAMINE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927178700</ndc>
    <ndc_label_name>HISTIDINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927178800</ndc>
    <ndc_label_name>STREPTOMYCIN SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927179300</ndc>
    <ndc_label_name>BROMHEXINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927179400</ndc>
    <ndc_label_name>FLUNISOLIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927179600</ndc>
    <ndc_label_name>TETRAHYDROZOLINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180000</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180300</ndc>
    <ndc_label_name>Arlacel 165 flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180400</ndc>
    <ndc_label_name>QUINIDINE SULFATE CRYSTALS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180600</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180700</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927180800</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927181100</ndc>
    <ndc_label_name>KARAYA GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927181400</ndc>
    <ndc_label_name>COUMARIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927181700</ndc>
    <ndc_label_name>LANOLIN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927182000</ndc>
    <ndc_label_name>BUBBLE GUM FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927182300</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927182500</ndc>
    <ndc_label_name>CARNAUBA WAX FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927182800</ndc>
    <ndc_label_name>CALCIUM ACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYOSCYAMINE SULFATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927183300</ndc>
    <ndc_label_name>ORIGANUM OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927183400</ndc>
    <ndc_label_name>FERROUS FUMARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FD and C Red no.3 100 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927183600</ndc>
    <ndc_label_name>FD&amp;C GREEN #3 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DANAZOL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927184600</ndc>
    <ndc_label_name>BUTYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927184700</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fluorescein C.I. 45350 100 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927185600</ndc>
    <ndc_label_name>ETHINYL ESTRADIOL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TERPIN HYDRATE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LEVOCARNITINE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927188600</ndc>
    <ndc_label_name>POTASSIUM METABISULFITE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ACETONE LIQUID</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COLCHICINE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUBBLE GUM FLAVOR CONC LIQUID</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927198800</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927199100</ndc>
    <ndc_label_name>MALIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927199300</ndc>
    <ndc_label_name>AMILORIDE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927199600</ndc>
    <ndc_label_name>HYDROXYPROPYLCELLULOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927200000</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927200200</ndc>
    <ndc_label_name>SODIUM OLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927200300</ndc>
    <ndc_label_name>TIMOLOL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927200700</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927201000</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927202100</ndc>
    <ndc_label_name>MEBENDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927202300</ndc>
    <ndc_label_name>BENACTYZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927202400</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927203800</ndc>
    <ndc_label_name>TRIPROLIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927203900</ndc>
    <ndc_label_name>BANANA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927204400</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927205400</ndc>
    <ndc_label_name>BENZOIN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927205600</ndc>
    <ndc_label_name>ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927205700</ndc>
    <ndc_label_name>ORNITHINE (L) HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927205900</ndc>
    <ndc_label_name>EDETATE CALCIUM DISODIUM POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927206700</ndc>
    <ndc_label_name>MAGNESIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927206900</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927207100</ndc>
    <ndc_label_name>SULFAPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927207500</ndc>
    <ndc_label_name>SODIUM MONOLAURATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927207700</ndc>
    <ndc_label_name>PROPYLENE GLYCOL M-STEARATE WX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927207900</ndc>
    <ndc_label_name>CHLORHEXIDINE DIACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927208500</ndc>
    <ndc_label_name>SULPHAN BLUE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209000</ndc>
    <ndc_label_name>CALCIUM THIOGLYCOLATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209200</ndc>
    <ndc_label_name>ALDOSTERONE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209400</ndc>
    <ndc_label_name>MICONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209500</ndc>
    <ndc_label_name>SODIUM LACTATE 60% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209700</ndc>
    <ndc_label_name>BETHANECHOL CHLORIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927209800</ndc>
    <ndc_label_name>SULFAMERAZINE CRYSTAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927210100</ndc>
    <ndc_label_name>COLISTIMETHATE SODIUM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927211600</ndc>
    <ndc_label_name>ADENOSINE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927211700</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR CONCENTRATE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927211800</ndc>
    <ndc_label_name>ORPHENADRINE CITRATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927211900</ndc>
    <ndc_label_name>POTASSIUM PERCHLORATE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927212300</ndc>
    <ndc_label_name>Methocel K 100 M 23 % and 10 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927212500</ndc>
    <ndc_label_name>SULINDAC POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927212600</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927212800</ndc>
    <ndc_label_name>PEG-40 CASTOR OIL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927213200</ndc>
    <ndc_label_name>ADENOSINE-5-TRIPHOSPHATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927213400</ndc>
    <ndc_label_name>PROCHLORPERAZINE MAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927213600</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE SULFATE PWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927213800</ndc>
    <ndc_label_name>SILICON DIOXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927213900</ndc>
    <ndc_label_name>LEVODOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927214000</ndc>
    <ndc_label_name>NALBUPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927214300</ndc>
    <ndc_label_name>Brij 93 100 % liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927214500</ndc>
    <ndc_label_name>GRAPE CONCENTRATE FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927214600</ndc>
    <ndc_label_name>CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927214800</ndc>
    <ndc_label_name>TRAZODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215000</ndc>
    <ndc_label_name>WATERMELON FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215100</ndc>
    <ndc_label_name>VANILLA BUTTERNUT FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215200</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215300</ndc>
    <ndc_label_name>TROPICAL PUNCH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215400</ndc>
    <ndc_label_name>PEACH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215500</ndc>
    <ndc_label_name>Tangerine Oil, Natural</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215600</ndc>
    <ndc_label_name>MAPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215700</ndc>
    <ndc_label_name>Lime Flavor oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927215800</ndc>
    <ndc_label_name>KAHLUA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216200</ndc>
    <ndc_label_name>COCONUT FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216300</ndc>
    <ndc_label_name>CARAMEL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216400</ndc>
    <ndc_label_name>Blueberry Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216500</ndc>
    <ndc_label_name>BUTTER RUM FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216600</ndc>
    <ndc_label_name>BUTTER FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216800</ndc>
    <ndc_label_name>BLACKBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927216900</ndc>
    <ndc_label_name>BANANA CREME FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217000</ndc>
    <ndc_label_name>APRICOT FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217100</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217200</ndc>
    <ndc_label_name>BITTER ALMOND OIL FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217300</ndc>
    <ndc_label_name>Polyox WSR-301 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217500</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217600</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927217900</ndc>
    <ndc_label_name>FERROUS GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927218000</ndc>
    <ndc_label_name>DMSA (Bulk) 98 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927218100</ndc>
    <ndc_label_name>VANADYL SULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927218200</ndc>
    <ndc_label_name>DROPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927218500</ndc>
    <ndc_label_name>HYDROXOCOBALAMIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219000</ndc>
    <ndc_label_name>ASPARTIC ACID POTASSIUM SALT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219100</ndc>
    <ndc_label_name>ASPARTIC ACID MAGNESIUM SALT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219300</ndc>
    <ndc_label_name>QUINACRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219600</ndc>
    <ndc_label_name>ALPROSTADIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219700</ndc>
    <ndc_label_name>MINOCYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927219900</ndc>
    <ndc_label_name>DICHLORALPHENAZONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927220000</ndc>
    <ndc_label_name>ISOMETHEPTENE MUCATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927220100</ndc>
    <ndc_label_name>PHENYLETHYLAMINE HCL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927220400</ndc>
    <ndc_label_name>STEARIC ACID FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927220600</ndc>
    <ndc_label_name>PROCHLORPERAZINE EDISYLATE POW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927220900</ndc>
    <ndc_label_name>MOLYBDENUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927221200</ndc>
    <ndc_label_name>PHENYLALANINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927221800</ndc>
    <ndc_label_name>COPPER GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927221900</ndc>
    <ndc_label_name>MANGANESE GLUCONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222000</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222100</ndc>
    <ndc_label_name>BIOFLAVONOIDS CITRUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222200</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222300</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222400</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222600</ndc>
    <ndc_label_name>Peanut Butter Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222700</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222800</ndc>
    <ndc_label_name>ARNICA FLOWER TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927222900</ndc>
    <ndc_label_name>ROSE BENGAL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927223100</ndc>
    <ndc_label_name>DEXAMETHASONE ACET MICRO POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927223200</ndc>
    <ndc_label_name>CREATININE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927223300</ndc>
    <ndc_label_name>Bubble Gum Concentrate liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927223400</ndc>
    <ndc_label_name>FLUPHENAZINE DECANOATE OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927223900</ndc>
    <ndc_label_name>HYDROXYAMPHETAMINE HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927224100</ndc>
    <ndc_label_name>CHLORAMPHENICOL PALM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927224300</ndc>
    <ndc_label_name>GRAPE ARTIFICIAL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927224600</ndc>
    <ndc_label_name>SUCROSE OCTAACETATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927225200</ndc>
    <ndc_label_name>GINGER ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927225300</ndc>
    <ndc_label_name>CLEMASTINE FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927225800</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927226200</ndc>
    <ndc_label_name>Capsule #7 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927226300</ndc>
    <ndc_label_name>Capsule #10 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927226500</ndc>
    <ndc_label_name>Capsule #13 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927226700</ndc>
    <ndc_label_name>FERRIC SULFATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927226900</ndc>
    <ndc_label_name>Orange Concentrate liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927227300</ndc>
    <ndc_label_name>CARBOMER 934P POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927227400</ndc>
    <ndc_label_name>BROMOCRIPTINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927227500</ndc>
    <ndc_label_name>CHOCOLATE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927227600</ndc>
    <ndc_label_name>ACETAZOLAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927227800</ndc>
    <ndc_label_name>THIABENDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927228400</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927228600</ndc>
    <ndc_label_name>VANADIUM GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927228700</ndc>
    <ndc_label_name>METHYLPREDNISOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927229500</ndc>
    <ndc_label_name>Canada Balsam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927230100</ndc>
    <ndc_label_name>Brij 35 100 % wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927230200</ndc>
    <ndc_label_name>Brij 700 100 % wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927230300</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927230800</ndc>
    <ndc_label_name>QUERCETIN DIHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927230900</ndc>
    <ndc_label_name>KETOGLUTARIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927231100</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927231600</ndc>
    <ndc_label_name>HYDROXYZINE PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927231800</ndc>
    <ndc_label_name>SCOPOLAMINE METHYL NITRATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927231900</ndc>
    <ndc_label_name>DOPAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232200</ndc>
    <ndc_label_name>Lemon Flavoring oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232300</ndc>
    <ndc_label_name>RASPBERRY FLAVOR SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232400</ndc>
    <ndc_label_name>DEXPANTHENOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232500</ndc>
    <ndc_label_name>AMINOBUTYRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232600</ndc>
    <ndc_label_name>ACETYLCHOLINE CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927232700</ndc>
    <ndc_label_name>CREME DE MENTHE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927233200</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927233800</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927233900</ndc>
    <ndc_label_name>PRIMIDONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927234200</ndc>
    <ndc_label_name>QUATERNIUM-15 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927234600</ndc>
    <ndc_label_name>L-CYSTEINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927235200</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927235500</ndc>
    <ndc_label_name>WITCH HAZEL EXTRACT LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927235600</ndc>
    <ndc_label_name>BETA CAROTENE BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927235700</ndc>
    <ndc_label_name>LOPERAMIDE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927235800</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927236100</ndc>
    <ndc_label_name>CALCIUM ALGINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927236600</ndc>
    <ndc_label_name>COCAMIDE DEA LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237000</ndc>
    <ndc_label_name>IMIDUREA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237300</ndc>
    <ndc_label_name>Ylang-Ylang Fragrance 100 % oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237400</ndc>
    <ndc_label_name>JOJOBA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237500</ndc>
    <ndc_label_name>TOBRAMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237700</ndc>
    <ndc_label_name>SODIUM GLUCONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927237900</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927238300</ndc>
    <ndc_label_name>Base, PCCA Vanishing Cream-Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927238800</ndc>
    <ndc_label_name>FD&amp;C BLUE #2 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927239100</ndc>
    <ndc_label_name>TINIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927239400</ndc>
    <ndc_label_name>MECLIZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927239500</ndc>
    <ndc_label_name>EPINEPHRINE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927239900</ndc>
    <ndc_label_name>CHOLINE MAGNESIUM TRISAL POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927240100</ndc>
    <ndc_label_name>SHEA BUTTER WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927240500</ndc>
    <ndc_label_name>ATTAPULGITE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927240800</ndc>
    <ndc_label_name>FLUDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927241300</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927241500</ndc>
    <ndc_label_name>FD AND C RED NO. 40 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927241600</ndc>
    <ndc_label_name>TEA TREE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927241900</ndc>
    <ndc_label_name>MILK THISTLE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927242000</ndc>
    <ndc_label_name>PODOFILOX POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927242300</ndc>
    <ndc_label_name>4-AMINOPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927243300</ndc>
    <ndc_label_name>ALKYL BENZOATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927243400</ndc>
    <ndc_label_name>yellow wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927243700</ndc>
    <ndc_label_name>AMMONIUM LAURYL SULFATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927244400</ndc>
    <ndc_label_name>CETEARYL ALCOHOL-CETEARETH-20</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927244600</ndc>
    <ndc_label_name>BUTALBITAL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927244700</ndc>
    <ndc_label_name>SULFUR SUBLIMED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927245500</ndc>
    <ndc_label_name>OXYBUTYNIN CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927246000</ndc>
    <ndc_label_name>Micro-Cellulose-CMC Na 88.3 %-11.7 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927246600</ndc>
    <ndc_label_name>SODIUM TETRADECYL SULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927246700</ndc>
    <ndc_label_name>ATENOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927247100</ndc>
    <ndc_label_name>WARFARIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927247300</ndc>
    <ndc_label_name>CEDAR LEAF OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927247500</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927248000</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927248100</ndc>
    <ndc_label_name>ERGOLOID MESYLATES POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927248200</ndc>
    <ndc_label_name>RUTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927248600</ndc>
    <ndc_label_name>CLIDINIUM BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927248700</ndc>
    <ndc_label_name>XYLOMETAZOLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927249200</ndc>
    <ndc_label_name>Cyclodextrin Reagent 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927249500</ndc>
    <ndc_label_name>GINSENG ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927249600</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927250100</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927250500</ndc>
    <ndc_label_name>SODIUM CACODYLATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927251100</ndc>
    <ndc_label_name>ZINC PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927251300</ndc>
    <ndc_label_name>PROPARACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927251600</ndc>
    <ndc_label_name>SOYBEAN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927251800</ndc>
    <ndc_label_name>SODIUM SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927251900</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927252700</ndc>
    <ndc_label_name>D &amp; C GREEN #6 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927253700</ndc>
    <ndc_label_name>D-GALACTOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927254000</ndc>
    <ndc_label_name>DIMETHYLACETAMIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927254100</ndc>
    <ndc_label_name>Methylpyrazole 100 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927254800</ndc>
    <ndc_label_name>BETAINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927254900</ndc>
    <ndc_label_name>CESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927255200</ndc>
    <ndc_label_name>LINOLEIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927255300</ndc>
    <ndc_label_name>BISACODYL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927255600</ndc>
    <ndc_label_name>LAVENDER FRAGRANCE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927256000</ndc>
    <ndc_label_name>Poloxamer 188 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927256300</ndc>
    <ndc_label_name>METHANESULFONIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927256900</ndc>
    <ndc_label_name>DIAMINOPYRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927257100</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927257300</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927257700</ndc>
    <ndc_label_name>SODIUM PYRROLIDONE CARBOXY LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927257900</ndc>
    <ndc_label_name>ALANINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927258200</ndc>
    <ndc_label_name>THIOSALICYLIC ACID SODIUM POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927258900</ndc>
    <ndc_label_name>L-SERINE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927259000</ndc>
    <ndc_label_name>L-Proline crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927259600</ndc>
    <ndc_label_name>NYLIDRIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927260400</ndc>
    <ndc_label_name>CAPRYLIC-CAPRIC TRIGLYCERIDE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927260500</ndc>
    <ndc_label_name>CERESIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927260700</ndc>
    <ndc_label_name>CHROMIUM PICOLINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927261000</ndc>
    <ndc_label_name>L-Citrulline powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927261100</ndc>
    <ndc_label_name>ACETYL-L-CARNITINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927261400</ndc>
    <ndc_label_name>RUBIDIUM CHLORIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927261600</ndc>
    <ndc_label_name>STRONTIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927262100</ndc>
    <ndc_label_name>GLYCEROL MONOOLEATE PASTE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927262200</ndc>
    <ndc_label_name>DIMETHYLGLYCINE HCL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927262700</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927262800</ndc>
    <ndc_label_name>Magnasweet 110 liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927262900</ndc>
    <ndc_label_name>Magnasweet 135 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263200</ndc>
    <ndc_label_name>THEOBROMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263300</ndc>
    <ndc_label_name>ACETAMINOPHEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263400</ndc>
    <ndc_label_name>ALOE VERA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263500</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263700</ndc>
    <ndc_label_name>Poloxamer 407 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927263800</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927264000</ndc>
    <ndc_label_name>D-RIBOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927264300</ndc>
    <ndc_label_name>GEMFIBROZIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927264400</ndc>
    <ndc_label_name>L-CYSTINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927264600</ndc>
    <ndc_label_name>Capsule #0 (cellulose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927264700</ndc>
    <ndc_label_name>NALIDIXIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927265200</ndc>
    <ndc_label_name>TETRACAINE WAX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927265400</ndc>
    <ndc_label_name>CALCIUM SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927265500</ndc>
    <ndc_label_name>HYDROXYUREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927265800</ndc>
    <ndc_label_name>ECONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927265900</ndc>
    <ndc_label_name>Pumpkin Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927266000</ndc>
    <ndc_label_name>FOOD COLOR WHITE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927266300</ndc>
    <ndc_label_name>SODIUM SELENITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927266900</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927267000</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927267100</ndc>
    <ndc_label_name>POTASSIUM HYDROXIDE 45% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927267400</ndc>
    <ndc_label_name>FOOD COLOR PINK LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927267900</ndc>
    <ndc_label_name>CALCIUM LEVULINATE DIHY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927269200</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927269700</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927269800</ndc>
    <ndc_label_name>English Toffee Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927269900</ndc>
    <ndc_label_name>MARSHMALLOW FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270100</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270200</ndc>
    <ndc_label_name>GLYCYRRHIZIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270300</ndc>
    <ndc_label_name>SODIUM LAURETH SULFATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270400</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270500</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927270600</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927271500</ndc>
    <ndc_label_name>NAPROXEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927271700</ndc>
    <ndc_label_name>ASPARAGINE MONOHYDRATE CRYSTAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927271900</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927272200</ndc>
    <ndc_label_name>ERGOCALCIFEROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927273200</ndc>
    <ndc_label_name>MAGNESIUM SULFATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927273300</ndc>
    <ndc_label_name>HYDROXYPROGESTERONE CAP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927273700</ndc>
    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927274000</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927274100</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927274200</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927274700</ndc>
    <ndc_label_name>GUANABENZ ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927274900</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927275000</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927275200</ndc>
    <ndc_label_name>MALEIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927275400</ndc>
    <ndc_label_name>POLYSORBATE 40 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927275500</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE ACS 30% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927276200</ndc>
    <ndc_label_name>THIOTEPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927276500</ndc>
    <ndc_label_name>TERBUTALINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927276600</ndc>
    <ndc_label_name>Capsule #5 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927276800</ndc>
    <ndc_label_name>ALGINIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927277100</ndc>
    <ndc_label_name>NAPROXEN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927277200</ndc>
    <ndc_label_name>ETOPOSIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927277600</ndc>
    <ndc_label_name>NADOLOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927277700</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927277800</ndc>
    <ndc_label_name>METHANOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927278100</ndc>
    <ndc_label_name>Lipoic Acid powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927278300</ndc>
    <ndc_label_name>POLYOXYL LAURYL ETHER 9 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927278700</ndc>
    <ndc_label_name>GLUTARALDEHYDE 50% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927278900</ndc>
    <ndc_label_name>CLOVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927279000</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927279200</ndc>
    <ndc_label_name>PINE NEEDLE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927279500</ndc>
    <ndc_label_name>L-CARNOSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927280300</ndc>
    <ndc_label_name>THIOGUANINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927280500</ndc>
    <ndc_label_name>DEOXYCHOLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927281000</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927281100</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927281200</ndc>
    <ndc_label_name>DIPHENIDOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927281600</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282000</ndc>
    <ndc_label_name>MAGNESIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282300</ndc>
    <ndc_label_name>ROOT BEER FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282500</ndc>
    <ndc_label_name>Lissamine Green B 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282600</ndc>
    <ndc_label_name>DEGLYCYRRHIZINATED LICORICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282800</ndc>
    <ndc_label_name>CARBIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927282900</ndc>
    <ndc_label_name>AVOCADO OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927283200</ndc>
    <ndc_label_name>NORETHINDRONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927284200</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927284300</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927284700</ndc>
    <ndc_label_name>Inositol Hexanicotinate powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927285400</ndc>
    <ndc_label_name>CORN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927285600</ndc>
    <ndc_label_name>CALCIUM CHLORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927286000</ndc>
    <ndc_label_name>Calcium Saccharate 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927286100</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 15% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927286500</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927286600</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927287000</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927287300</ndc>
    <ndc_label_name>TRYPTOPHAN (L) POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927287600</ndc>
    <ndc_label_name>CALCIUM HYDROXYAPATITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927287700</ndc>
    <ndc_label_name>COLLAGENASE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51927288000</ndc>
    <ndc_label_name>PETROLATUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927288300</ndc>
    <ndc_label_name>Base, PCCA Polypeg wax</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927288500</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927288700</ndc>
    <ndc_label_name>ASPARTIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927289500</ndc>
    <ndc_label_name>GOLD SODIUM THIOMALATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927290600</ndc>
    <ndc_label_name>ACEBUTOLOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927290700</ndc>
    <ndc_label_name>CAPTOPRIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927290900</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927291100</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927291500</ndc>
    <ndc_label_name>VALERIAN ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927291600</ndc>
    <ndc_label_name>PYRUVIC ACID SODIUM SALT POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927292400</ndc>
    <ndc_label_name>DIETHYLCARBAMAZINE CITRATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927292500</ndc>
    <ndc_label_name>EMU OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927292600</ndc>
    <ndc_label_name>MECLOFENOXATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927292700</ndc>
    <ndc_label_name>MAGNESIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927292900</ndc>
    <ndc_label_name>DIMETHYL FUMARATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927293000</ndc>
    <ndc_label_name>SUCCINIC ACID CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927293600</ndc>
    <ndc_label_name>HYDROXYETHYL METHACRYLATE LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927293700</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927294200</ndc>
    <ndc_label_name>SAW PALMETTO BERRY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927294900</ndc>
    <ndc_label_name>BETA GLUCAN (1-3) NQ POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927295200</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927295300</ndc>
    <ndc_label_name>MEXILETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927295800</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927296000</ndc>
    <ndc_label_name>Dehydroepiandrosterone (micronized) 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927296300</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927297100</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927297200</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927297600</ndc>
    <ndc_label_name>TAMOXIFEN CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927297700</ndc>
    <ndc_label_name>D-MANNOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927297800</ndc>
    <ndc_label_name>BENZETHONIUM CL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927298600</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927299400</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927299800</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927299900</ndc>
    <ndc_label_name>ETHYL ALCOHOL 200 PROOF</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300000</ndc>
    <ndc_label_name>ST. JOHN'S WORT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300100</ndc>
    <ndc_label_name>NICLOSAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300200</ndc>
    <ndc_label_name>NITRIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300400</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300700</ndc>
    <ndc_label_name>BUTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927300900</ndc>
    <ndc_label_name>Apple-Ade Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927301100</ndc>
    <ndc_label_name>Grapefruit oil</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927301600</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927301800</ndc>
    <ndc_label_name>TURMERIC POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927302100</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927302200</ndc>
    <ndc_label_name>MONOSODIUM GLUTAMATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927302500</ndc>
    <ndc_label_name>OLIVE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927303100</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927303700</ndc>
    <ndc_label_name>PERMETHRIN TECHNICAL LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927304600</ndc>
    <ndc_label_name>GRAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927305000</ndc>
    <ndc_label_name>ZINC MONOMETHIONINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927305100</ndc>
    <ndc_label_name>Capsule #1 (cellulose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927305200</ndc>
    <ndc_label_name>CALCIUM PYRUVATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927305900</ndc>
    <ndc_label_name>HEMATOXYLIN, C.I. 75290 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927306400</ndc>
    <ndc_label_name>BOSWELLIA SERRATA EXTRACT POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927306600</ndc>
    <ndc_label_name>MALTODEXTRIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927306700</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927306900</ndc>
    <ndc_label_name>CICLOPIROX OLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927307200</ndc>
    <ndc_label_name>BUTTERSCOTCH FLAVOR LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927307400</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927307600</ndc>
    <ndc_label_name>METHYLPHENIDATE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927307800</ndc>
    <ndc_label_name>HISTAMINE PHOSPHATE CRYSTALS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927307900</ndc>
    <ndc_label_name>HAWTHORNE BERRY POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308000</ndc>
    <ndc_label_name>SODIUM DICHLOROACETATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308100</ndc>
    <ndc_label_name>HYDROXYPROPYL-BETA-CYCLOD POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308200</ndc>
    <ndc_label_name>ST. JOHN'S WORT POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308500</ndc>
    <ndc_label_name>BENZOYL PEROXIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308700</ndc>
    <ndc_label_name>PARAFFIN WAX</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927308900</ndc>
    <ndc_label_name>TRIOXSALEN CRYSTALS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927309100</ndc>
    <ndc_label_name>CAPSICUM OLEORESIN LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927309200</ndc>
    <ndc_label_name>CALCIUM SULFATE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927309300</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927309400</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927309900</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRIACETIN LIQUID</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>POLYVINYL ALCOHOL POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DISULFIRAM POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <ndc>51927314700</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927315100</ndc>
    <ndc_label_name>FURAZOLIDONE POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927315300</ndc>
    <ndc_label_name>SAFFLOWER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRYPAN BLUE POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927315700</ndc>
    <ndc_label_name>PHYTIC ACID SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927316000</ndc>
    <ndc_label_name>FERROUS SULFATE DRIED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927316100</ndc>
    <ndc_label_name>ETHYL ALCOHOL 95% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PCCA Emollient Base topical cream</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927317200</ndc>
    <ndc_label_name>VITAMIN A PALMITATE LIQUID</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927317400</ndc>
    <ndc_label_name>Nicotinamide Adenine Dinucleotide Reduced NA2 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LINCOMYCIN HCL POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927317800</ndc>
    <ndc_label_name>TRANILAST POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927317900</ndc>
    <ndc_label_name>URIDINE REAGENT POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927318000</ndc>
    <ndc_label_name>METHACRYLIC ACID COPOLYMER POW</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>COPPER GLYCINATE POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927318600</ndc>
    <ndc_label_name>SECRETIN-MANNITOL POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927319600</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927320300</ndc>
    <ndc_label_name>INDOLE-3-CARBINOL POWDER</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927320900</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927321100</ndc>
    <ndc_label_name>Base, PCCA Plasticized gel</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927321200</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927321300</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927321500</ndc>
    <ndc_label_name>Krisgel 100 liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927323100</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Base, PCCA Rapid Dissolve powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PCCA Poloxamer 407 NF 30 % gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927328500</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927328800</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927329300</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927329500</ndc>
    <ndc_label_name>PCCA Vanishing Base cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927329900</ndc>
    <ndc_label_name>COFFEE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927330000</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927330700</ndc>
    <ndc_label_name>PHOSPHATIDYLCHOLINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927330800</ndc>
    <ndc_label_name>TEABERRY OIL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927330900</ndc>
    <ndc_label_name>PRALINES AND CREAM FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331000</ndc>
    <ndc_label_name>ORANGE CREAM FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331100</ndc>
    <ndc_label_name>MINT CHOCOLATE CHIP FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331200</ndc>
    <ndc_label_name>LEMONADE FLAVOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331300</ndc>
    <ndc_label_name>CRAN-RASPBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331400</ndc>
    <ndc_label_name>CHOCOLATE HAZELNUT FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927331900</ndc>
    <ndc_label_name>Capsule #00 (cellulose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332100</ndc>
    <ndc_label_name>Base, PCCA Acacia oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332300</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332400</ndc>
    <ndc_label_name>ISOSORBIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332500</ndc>
    <ndc_label_name>SILICON DIOXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332600</ndc>
    <ndc_label_name>MAGNESIUM CIT POWD TRIBASIC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927332900</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927333500</ndc>
    <ndc_label_name>NALOXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927333600</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927333700</ndc>
    <ndc_label_name>PCCA Cosmetic HRT Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927333800</ndc>
    <ndc_label_name>PCCA Lipoderm Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927334100</ndc>
    <ndc_label_name>7-KETO DHEA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927334300</ndc>
    <ndc_label_name>BORON CITRATE 5% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927334500</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927334700</ndc>
    <ndc_label_name>SUPEROXIDE DISMUTASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927334900</ndc>
    <ndc_label_name>CYCLOPENTOLATE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927335400</ndc>
    <ndc_label_name>INDOCYANINE GREEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927335500</ndc>
    <ndc_label_name>TRIPELENNAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927335700</ndc>
    <ndc_label_name>ALANINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927335800</ndc>
    <ndc_label_name>BUPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927336000</ndc>
    <ndc_label_name>Polyglycol Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927336100</ndc>
    <ndc_label_name>FERRIC SUBSULFATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927336300</ndc>
    <ndc_label_name>BASE, PCCA SORBITOL LOLLIPOP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927336500</ndc>
    <ndc_label_name>DIINDOLYLMETHANE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927337000</ndc>
    <ndc_label_name>TRIAMCINOLONE DIACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927337400</ndc>
    <ndc_label_name>PYRUVIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927337700</ndc>
    <ndc_label_name>Biopeptide Biocosmetic Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927338100</ndc>
    <ndc_label_name>Versaskin cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927338500</ndc>
    <ndc_label_name>SULFOSALICYLIC ACID DIHYD CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927338700</ndc>
    <ndc_label_name>ALUMINUM ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927338900</ndc>
    <ndc_label_name>DICUMAROL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339000</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339200</ndc>
    <ndc_label_name>RED YEAST RICE EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339400</ndc>
    <ndc_label_name>RAUWOLFIA SERPENTINA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339600</ndc>
    <ndc_label_name>LUTEIN 5% BEADLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339800</ndc>
    <ndc_label_name>CALCIUM GLUBIONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927339900</ndc>
    <ndc_label_name>BUSPIRONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340000</ndc>
    <ndc_label_name>DIIODO-L-THYRONINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340200</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340300</ndc>
    <ndc_label_name>SODIUM TARTRATE DIHYDRATE CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340600</ndc>
    <ndc_label_name>NICOTINE POLACRILEX POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340800</ndc>
    <ndc_label_name>FAMOTIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927340900</ndc>
    <ndc_label_name>FLUOXETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341000</ndc>
    <ndc_label_name>SODIUM TETRADECYL SUL 27% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341100</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341200</ndc>
    <ndc_label_name>LICORICE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341400</ndc>
    <ndc_label_name>COLA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341500</ndc>
    <ndc_label_name>COTTON CANDY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927341600</ndc>
    <ndc_label_name>SINCALIDE-MANNITOL 100 MCG/1 G</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927342200</ndc>
    <ndc_label_name>CALCITRIOL-ALMOND OIL 1 MCG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927342800</ndc>
    <ndc_label_name>RAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927342900</ndc>
    <ndc_label_name>CALCITRIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927343500</ndc>
    <ndc_label_name>PINEAPPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927343600</ndc>
    <ndc_label_name>ETHOSUXIMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927343700</ndc>
    <ndc_label_name>Sweetness Enhancer Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927343800</ndc>
    <ndc_label_name>HEPTAMINOL LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927344200</ndc>
    <ndc_label_name>PROTAMINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927344300</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927344500</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927344700</ndc>
    <ndc_label_name>Base, PCCA Bitter Drug powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927345100</ndc>
    <ndc_label_name>CHERRY-ADE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927345500</ndc>
    <ndc_label_name>CHOCOLATE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927346200</ndc>
    <ndc_label_name>Peppermint Flavoring oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927346300</ndc>
    <ndc_label_name>GYMNEMA SYLVESTRIS LEAF POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927346500</ndc>
    <ndc_label_name>Nicotine Tartrate 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927346900</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927347100</ndc>
    <ndc_label_name>LISINOPRIL 100% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927347400</ndc>
    <ndc_label_name>PIPERINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927347500</ndc>
    <ndc_label_name>WHEY PROTEIN ISOLATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927348100</ndc>
    <ndc_label_name>ASTRAGALUS ROOT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927348400</ndc>
    <ndc_label_name>PROTIRELIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927348600</ndc>
    <ndc_label_name>CHAMOMILE FLOWERS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927349400</ndc>
    <ndc_label_name>SELENOMETHIONINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927349700</ndc>
    <ndc_label_name>Curcumin 95 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927350900</ndc>
    <ndc_label_name>SALSALATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927351400</ndc>
    <ndc_label_name>NANDROLONE DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927351900</ndc>
    <ndc_label_name>BITTER STOP FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927352000</ndc>
    <ndc_label_name>SUPER SYNERSWEET FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927352100</ndc>
    <ndc_label_name>Base, PCCA Syrup Vehicle oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927352200</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927352400</ndc>
    <ndc_label_name>METHIONINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927352600</ndc>
    <ndc_label_name>METHYSERGIDE MALEATE 100% PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927353000</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927353100</ndc>
    <ndc_label_name>CELLULASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927353200</ndc>
    <ndc_label_name>PANCREATIN 8X POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927353300</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927353800</ndc>
    <ndc_label_name>LECITHIN SOYA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927354400</ndc>
    <ndc_label_name>MEQUINOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927354600</ndc>
    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927354900</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927355100</ndc>
    <ndc_label_name>CORTICOTROPHIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927355500</ndc>
    <ndc_label_name>GARDENIA FRAGRANCE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927355600</ndc>
    <ndc_label_name>PALMAROSA OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927355700</ndc>
    <ndc_label_name>TACROLIMUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927355800</ndc>
    <ndc_label_name>XYLOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927356400</ndc>
    <ndc_label_name>THREONINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927356600</ndc>
    <ndc_label_name>VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357000</ndc>
    <ndc_label_name>GREEN TEA EXTRACT POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357100</ndc>
    <ndc_label_name>SELENIUM SULFIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357300</ndc>
    <ndc_label_name>ETHOXY DIGLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357500</ndc>
    <ndc_label_name>SAGE LEAF POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357600</ndc>
    <ndc_label_name>TRICLOSAN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927357800</ndc>
    <ndc_label_name>Capsule #000 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927358000</ndc>
    <ndc_label_name>IOPANOIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927358500</ndc>
    <ndc_label_name>Soybean Casein Digest Medium powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927358800</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927358900</ndc>
    <ndc_label_name>SODIUM-L-ASCORBYL-2-PHOSPHATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927359100</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927360700</ndc>
    <ndc_label_name>Coral Calcium powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927360900</ndc>
    <ndc_label_name>ESTRADIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361000</ndc>
    <ndc_label_name>SHARK CARTILAGE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361200</ndc>
    <ndc_label_name>ALPHA PINENE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361300</ndc>
    <ndc_label_name>PENTOBARBITAL SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361400</ndc>
    <ndc_label_name>GUAR GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361500</ndc>
    <ndc_label_name>IODOFORM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361600</ndc>
    <ndc_label_name>EMULSIFYING WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361700</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927361900</ndc>
    <ndc_label_name>Cyclomethicone 100 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362000</ndc>
    <ndc_label_name>MAGNESIUM MALATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362100</ndc>
    <ndc_label_name>PROPYL GALLATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362300</ndc>
    <ndc_label_name>NORETHINDRONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362400</ndc>
    <ndc_label_name>VANILLA EXTRACT FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362500</ndc>
    <ndc_label_name>PAPAIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362800</ndc>
    <ndc_label_name>EUCALYPTOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927362900</ndc>
    <ndc_label_name>SODIUM ALGINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927363200</ndc>
    <ndc_label_name>VIDARABINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927363300</ndc>
    <ndc_label_name>NEOSTIGMINE METHYLSULFATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927363400</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927364000</ndc>
    <ndc_label_name>L-Isoleucine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927364100</ndc>
    <ndc_label_name>Versabase Cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927364200</ndc>
    <ndc_label_name>MITOMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927364300</ndc>
    <ndc_label_name>FORMOTEROL FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927364700</ndc>
    <ndc_label_name>CINNAMON BARK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927365300</ndc>
    <ndc_label_name>Versabase Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927365400</ndc>
    <ndc_label_name>Base, PCCA Versabase foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927365600</ndc>
    <ndc_label_name>Versabase Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927366000</ndc>
    <ndc_label_name>MANGO FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927367200</ndc>
    <ndc_label_name>BENZOQUINONE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368000</ndc>
    <ndc_label_name>Diethylene Glycol Monoethyl Ether liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368300</ndc>
    <ndc_label_name>CHOLINE CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368400</ndc>
    <ndc_label_name>Dimercaptopropanesulfonate Sod 97 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368500</ndc>
    <ndc_label_name>Base, PCCA DMAE Complex 38 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368600</ndc>
    <ndc_label_name>ANISINDIONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927368900</ndc>
    <ndc_label_name>CHROMIUM POT SULF DODECAH POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927369000</ndc>
    <ndc_label_name>Guanidineacetic Acid 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927369100</ndc>
    <ndc_label_name>DOCOSANOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927369600</ndc>
    <ndc_label_name>PALMITOYL PENTAPEPTIDE-4 GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927369700</ndc>
    <ndc_label_name>ACETYL HEXAPEPTIDE-8 SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927370100</ndc>
    <ndc_label_name>GLYCOSAMINOGLYCANS LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927370500</ndc>
    <ndc_label_name>YEAST EXTRACT LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371000</ndc>
    <ndc_label_name>Chrysaderm Day Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371100</ndc>
    <ndc_label_name>Chrysaderm Night Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371200</ndc>
    <ndc_label_name>CHOLINE BITARTRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371500</ndc>
    <ndc_label_name>TANGERINE SWEETENED FLAVOR PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371600</ndc>
    <ndc_label_name>PCCA Effervescent powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371700</ndc>
    <ndc_label_name>MANGO FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371800</ndc>
    <ndc_label_name>PASSION FRUIT FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927371900</ndc>
    <ndc_label_name>CLOFAZIMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927372000</ndc>
    <ndc_label_name>Effervescent powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927373900</ndc>
    <ndc_label_name>ALKYL ACRYLATE CROSSPOLYMER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927374400</ndc>
    <ndc_label_name>TOCOPHERYL ACID SUCCINATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927374500</ndc>
    <ndc_label_name>Alfalfa Flavor powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927374600</ndc>
    <ndc_label_name>BUFLOMEDIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927374900</ndc>
    <ndc_label_name>Base, Custom Polyglycol pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927376500</ndc>
    <ndc_label_name>Glycine Soya Protein topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927377300</ndc>
    <ndc_label_name>PINEAPPLE EXTRACT LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927377400</ndc>
    <ndc_label_name>CHLOROXINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927377800</ndc>
    <ndc_label_name>HYALURONIDASE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927378200</ndc>
    <ndc_label_name>THEANINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927378300</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927380100</ndc>
    <ndc_label_name>Base 7542 transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927380800</ndc>
    <ndc_label_name>IDEBENONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927381100</ndc>
    <ndc_label_name>PENTYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927381200</ndc>
    <ndc_label_name>COD LIVER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927381600</ndc>
    <ndc_label_name>HUPERZINE SERRATE A POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927381900</ndc>
    <ndc_label_name>Base, PCCA Emulsifix-205 100 % misc emul</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927382400</ndc>
    <ndc_label_name>MECHLORETHAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927382600</ndc>
    <ndc_label_name>MITOTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927383200</ndc>
    <ndc_label_name>CHONDROITIN SULFATE SODIUM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927383300</ndc>
    <ndc_label_name>Germall Plus liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927383500</ndc>
    <ndc_label_name>Pluronic L64 liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384100</ndc>
    <ndc_label_name>kidney bean extract (bulk) powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384200</ndc>
    <ndc_label_name>TITANIUM DIOXIDE 30% LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384300</ndc>
    <ndc_label_name>GREEN TEA FRAGRANCE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384400</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384500</ndc>
    <ndc_label_name>FERULIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927384900</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927385100</ndc>
    <ndc_label_name>TETRAHYDROCURCUMINOIDS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927385600</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927386900</ndc>
    <ndc_label_name>ANTHRALIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927387000</ndc>
    <ndc_label_name>MISOPROSTOL HPMC 1% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927387200</ndc>
    <ndc_label_name>SHOWER FRESH FRAGRANCE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927387500</ndc>
    <ndc_label_name>Base W301 cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927387600</ndc>
    <ndc_label_name>EGCG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927387700</ndc>
    <ndc_label_name>LANSOPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927393900</ndc>
    <ndc_label_name>LAURETH-9 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927394200</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 GRAN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927394300</ndc>
    <ndc_label_name>SODIUM 4-AMINOSALICYLATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927411100</ndc>
    <ndc_label_name>POTASSIUM AZELAOYL DIGLYCINATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927412100</ndc>
    <ndc_label_name>Peucedanum Ostruthium solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927412700</ndc>
    <ndc_label_name>BISABOLOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927416700</ndc>
    <ndc_label_name>PUMICE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927417100</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927417300</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927417900</ndc>
    <ndc_label_name>CHYMOTRYPSIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927418000</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927418100</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927418200</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927418600</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927419500</ndc>
    <ndc_label_name>Versabase Shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927420500</ndc>
    <ndc_label_name>CROTAMITON LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927421300</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927421900</ndc>
    <ndc_label_name>LORATADINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927422300</ndc>
    <ndc_label_name>CYSTEAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927422600</ndc>
    <ndc_label_name>SERTRALINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927422700</ndc>
    <ndc_label_name>HEPES POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927423700</ndc>
    <ndc_label_name>GUANETHIDINE HEMISULFATE POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927424100</ndc>
    <ndc_label_name>SODIUM PROPIONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927424200</ndc>
    <ndc_label_name>Base-I sorbitan monopalmitate cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927424300</ndc>
    <ndc_label_name>JASMINE FRAGRANCE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927424400</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927424900</ndc>
    <ndc_label_name>PCCA T4 Sodium Dilution 1 mg/gram powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927425000</ndc>
    <ndc_label_name>PCCA T3 Sodium Dilution 1 mg/gram powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927426000</ndc>
    <ndc_label_name>BETAHISTINE DIHYDROCHL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927426100</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927426700</ndc>
    <ndc_label_name>MOXISYLYTE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927426900</ndc>
    <ndc_label_name>Base, Custom Polyglycol pellet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927427000</ndc>
    <ndc_label_name>PHENOXYETHANOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927427600</ndc>
    <ndc_label_name>YOHIMBINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927427700</ndc>
    <ndc_label_name>SODIUM CHLORITE 80% FLAKES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927428000</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE SODIUM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927428300</ndc>
    <ndc_label_name>PCCA Anhydrous Lipoderma cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927428700</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927429100</ndc>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927429200</ndc>
    <ndc_label_name>BORON 95.15% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ACETARSONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DIOSGENIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927430100</ndc>
    <ndc_label_name>Hydrolyzed Hyaluronic Acid 75 % to 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927441300</ndc>
    <ndc_label_name>Placebo #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927441600</ndc>
    <ndc_label_name>GLUCONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927441700</ndc>
    <ndc_label_name>CYCLANDELATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442000</ndc>
    <ndc_label_name>N-ACETYL-L-CYSTEINE 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442100</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442200</ndc>
    <ndc_label_name>TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442300</ndc>
    <ndc_label_name>MECAMYLAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442400</ndc>
    <ndc_label_name>STANNOUS CHLOR-DIHYDRATE CRYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442700</ndc>
    <ndc_label_name>CALCIUM GLUCONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442800</ndc>
    <ndc_label_name>BISMUTH CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927442900</ndc>
    <ndc_label_name>LACTASE 5000 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443000</ndc>
    <ndc_label_name>SODIUM BROMIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443200</ndc>
    <ndc_label_name>PCCA Stevioside 15 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443300</ndc>
    <ndc_label_name>FERROUS BISGLYCINATE CHELATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443400</ndc>
    <ndc_label_name>DAPIPRAZOLE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443500</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443600</ndc>
    <ndc_label_name>Lemon Extract Flavor oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927443800</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927444100</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BROMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927444700</ndc>
    <ndc_label_name>METHSCOPOLAMINE BROMIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927444900</ndc>
    <ndc_label_name>Base, PCCA Occlusaderm topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927445000</ndc>
    <ndc_label_name>SULFANILAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927445100</ndc>
    <ndc_label_name>SIMVASTATIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927445600</ndc>
    <ndc_label_name>DIOSMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927445700</ndc>
    <ndc_label_name>MEFENAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927445900</ndc>
    <ndc_label_name>FERRIC CHLORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927446100</ndc>
    <ndc_label_name>2-METHOXYESTRADIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927446200</ndc>
    <ndc_label_name>KANAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927446500</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927446700</ndc>
    <ndc_label_name>CHLORAMBUCIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927447200</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927447300</ndc>
    <ndc_label_name>PHENELZINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927447500</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927447600</ndc>
    <ndc_label_name>MELOXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927448000</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE 40% OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927448200</ndc>
    <ndc_label_name>PCCA Custom Lipo-Max cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927448700</ndc>
    <ndc_label_name>GLYCOFUROL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927449300</ndc>
    <ndc_label_name>PERPHENAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927449500</ndc>
    <ndc_label_name>ACTIVATED CHARCOAL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927449900</ndc>
    <ndc_label_name>PENTOSAN POLYSULFATE SOD POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927450400</ndc>
    <ndc_label_name>COBAMAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927450600</ndc>
    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927450700</ndc>
    <ndc_label_name>PCCA AccuPen-15 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927450800</ndc>
    <ndc_label_name>FLUCYTOSINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451000</ndc>
    <ndc_label_name>POTASSIUM PERMANGANATE CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451100</ndc>
    <ndc_label_name>CLOMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451200</ndc>
    <ndc_label_name>TRIFLURIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451300</ndc>
    <ndc_label_name>ANTIMONY SULFIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451500</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927451700</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927453300</ndc>
    <ndc_label_name>NOREPINEPHRINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927453400</ndc>
    <ndc_label_name>ALPHA TOCOPHEROL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927453500</ndc>
    <ndc_label_name>LEUPROLIDE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927453800</ndc>
    <ndc_label_name>CHLOROQUINE PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927453900</ndc>
    <ndc_label_name>STEVIOL GLYCOSIDES POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927454100</ndc>
    <ndc_label_name>Custom Base Pcca Lipoderm topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927454200</ndc>
    <ndc_label_name>SUMATRIPTAN SUCCINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927458500</ndc>
    <ndc_label_name>GLUCOSAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927461000</ndc>
    <ndc_label_name>MAGNESIUM SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927461200</ndc>
    <ndc_label_name>PCCA Lipoderm HMW transdermal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927461300</ndc>
    <ndc_label_name>DL-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927461500</ndc>
    <ndc_label_name>NABUMETONE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927461600</ndc>
    <ndc_label_name>HALOPERIDOL DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927462100</ndc>
    <ndc_label_name>BUBBLE GUM FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927462300</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927462900</ndc>
    <ndc_label_name>CHLOROPHYLLIN SOD COPPER POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927463200</ndc>
    <ndc_label_name>L-CYSTEINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927463500</ndc>
    <ndc_label_name>LABETALOL HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927464900</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927465500</ndc>
    <ndc_label_name>Pracasil TM-Plus gel</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLONAZEPAM POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927466800</ndc>
    <ndc_label_name>Brilliant Blue G 100 % powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927466900</ndc>
    <ndc_label_name>DOCUSATE SODIUM 85% POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927467200</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Base, PCCA Pracamac Oil</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927467600</ndc>
    <ndc_label_name>TANGERINE FLAVOR POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927467800</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927482200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Methyltetrahydrofolic Acid 100 % powder</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927519400</ndc>
    <ndc_label_name>S-ADENOSYLMETHIONINE SUL TOSYL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927519500</ndc>
    <ndc_label_name>PREGNENOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927519800</ndc>
    <ndc_label_name>METHIONINE DL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927520200</ndc>
    <ndc_label_name>PCCA Liposomal Hair Gel Base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927520400</ndc>
    <ndc_label_name>ZINC SULFATE HEPTAHYDRATE POWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927520500</ndc>
    <ndc_label_name>NIFEDIPINE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927520700</ndc>
    <ndc_label_name>NITAZOXANIDE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927521700</ndc>
    <ndc_label_name>EctoSeal P2G powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927521900</ndc>
    <ndc_label_name>PODOPHYLLUM RESIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927522500</ndc>
    <ndc_label_name>SODIUM FLUORIDE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927522600</ndc>
    <ndc_label_name>TAURINE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927523000</ndc>
    <ndc_label_name>ASPARTIC ACID POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927523300</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 200 LIQ</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927523700</ndc>
    <ndc_label_name>PCCA Custom Lovo-ODF liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927524200</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927524300</ndc>
    <ndc_label_name>BETA GLUCAN POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927524600</ndc>
    <ndc_label_name>PREGABALIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927525500</ndc>
    <ndc_label_name>CARBOMER 980 POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927525700</ndc>
    <ndc_label_name>PCCA Multi-Peptide Serum Base liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927526400</ndc>
    <ndc_label_name>PCCA Uniflow powder</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927804500</ndc>
    <ndc_label_name>Universal Sleeve misc</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nasal Spray Bottle</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51927830000</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Boston Round Natural bottle</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>SILICA GEL MICRONIZED POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991005401</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991005405</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991005501</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991005505</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991007301</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAF-COD 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991007401</ndc>
    <ndc_label_name>Ascomp with Codeine 30 mg-50 mg-325 mg-40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991007405</ndc>
    <ndc_label_name>Ascomp with Codeine 30 mg-50 mg-325 mg-40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991008290</ndc>
    <ndc_label_name>Folbee Plus 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991008490</ndc>
    <ndc_label_name>Folbee 2.5 mg-25 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991014417</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991014499</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991018142</ndc>
    <ndc_label_name>Ferrocite 324 mg (106 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991019101</ndc>
    <ndc_label_name>METHSCOPOLAMINE BROM 2.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991019206</ndc>
    <ndc_label_name>METHSCOPOLAMINE BROM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991019811</ndc>
    <ndc_label_name>Ferrex 150 Forte 150 mg-25 mcg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991019899</ndc>
    <ndc_label_name>Ferrex 150 Forte 150 mg-25 mcg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991020301</ndc>
    <ndc_label_name>Ferrex 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991020311</ndc>
    <ndc_label_name>Ferrex 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991020399</ndc>
    <ndc_label_name>Ferrex 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991025201</ndc>
    <ndc_label_name>Folplex 2.2 mg-25 mg-0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029201</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029205</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029301</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029305</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029401</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991029405</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031110</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031133</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031190</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031210</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031233</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991031290</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991033301</ndc>
    <ndc_label_name>CARBINOXAMINE MALEATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991034221</ndc>
    <ndc_label_name>POMALIDOMIDE 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991034321</ndc>
    <ndc_label_name>POMALIDOMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991034421</ndc>
    <ndc_label_name>POMALIDOMIDE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991034621</ndc>
    <ndc_label_name>POMALIDOMIDE 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991034805</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991034806</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991034905</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991034906</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991035005</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991035006</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991035105</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991035106</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991035860</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991036060</ndc>
    <ndc_label_name>ASENAPINE 10 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991036278</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991036299</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991036378</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991036399</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991037906</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991037960</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991037999</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038006</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038060</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038099</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038106</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038160</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038199</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991038490</ndc>
    <ndc_label_name>Folbic 2.5 mg-25 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991047428</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 1-0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991052601</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991054390</ndc>
    <ndc_label_name>Multigen 70 mg-150 mg-10 mcg-2 mg-75mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991054490</ndc>
    <ndc_label_name>Multigen Plus 151 mg-60 mg-10 mcg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991054690</ndc>
    <ndc_label_name>Multigen Folic 70 mg-150 mg-10 mcg-1 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991058828</ndc>
    <ndc_label_name>Ferrex 28 151 mg-200 mg-1 mg-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991061690</ndc>
    <ndc_label_name>Folbic RF 2 mg-1.13 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991062010</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991062033</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991062090</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991062328</ndc>
    <ndc_label_name>ESTRADIOL-NORETH 0.5-0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991064501</ndc>
    <ndc_label_name>V-C Forte 1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991070390</ndc>
    <ndc_label_name>Ferrex 150 Plus 150 mg-50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991073520</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991073532</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991073599</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074605</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074690</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074710</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074790</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074810</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991074890</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991075033</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991075090</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991075910</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991075933</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991075990</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991079890</ndc>
    <ndc_label_name>Ferrex 150 Forte Plus 150 mg-60 mg-25 mcg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991080833</ndc>
    <ndc_label_name>L-METHYLFOLATE 7.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991080890</ndc>
    <ndc_label_name>L-METHYLFOLATE 7.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991080990</ndc>
    <ndc_label_name>L-METHYLFOLATE 15 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991081090</ndc>
    <ndc_label_name>Metafolbic 6 mg-5 mg-50 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991081190</ndc>
    <ndc_label_name>Metafolbic Plus 600 mg-2 mg-6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991081390</ndc>
    <ndc_label_name>Foltanx 2 mg-3 mg-35 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081701</ndc>
    <ndc_label_name>PROPRANOLOL ER 60 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081705</ndc>
    <ndc_label_name>PROPRANOLOL ER 60 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081801</ndc>
    <ndc_label_name>PROPRANOLOL ER 80 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081805</ndc>
    <ndc_label_name>PROPRANOLOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081901</ndc>
    <ndc_label_name>PROPRANOLOL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991081905</ndc>
    <ndc_label_name>PROPRANOLOL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991082001</ndc>
    <ndc_label_name>PROPRANOLOL ER 160 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>51991082005</ndc>
    <ndc_label_name>PROPRANOLOL ER 160 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082128</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082133</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082199</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082228</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082233</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082299</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082328</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082333</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082428</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082433</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991082499</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991087606</ndc>
    <ndc_label_name>MILNACIPRAN HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991087733</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991087790</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991087833</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>51991087890</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52304071590</ndc>
    <ndc_label_name>NovaFerrum All Good 50 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52304071650</ndc>
    <ndc_label_name>NovaFerrum Yum Pediatric Multivitamin-Iron 10 mg iron/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52304071850</ndc>
    <ndc_label_name>NovaMV MMM Pediatric Multivitamin 750 unit-35 mg-400unit/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52318000101</ndc>
    <ndc_label_name>Blanche 4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002130</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002190</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002199</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002230</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002245</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002290</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002299</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002330</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002345</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002390</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002399</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002430</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002445</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002490</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002499</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002530</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002545</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002590</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343002599</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003001</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003018</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003027</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003090</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003099</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003101</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003118</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003127</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003130</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003160</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003190</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003199</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003201</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003205</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003227</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003290</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003730</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003790</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003799</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003830</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003899</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003930</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343003999</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004030</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004099</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004130</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004199</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004230</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004299</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004330</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004399</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004401</ndc>
    <ndc_label_name>ZIDOVUDINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343004560</ndc>
    <ndc_label_name>ZIDOVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005130</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005190</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005230</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005290</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005305</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005330</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005390</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005405</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005430</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005490</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005505</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005530</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005590</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005901</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343005999</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006001</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006099</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006101</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006199</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006220</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006260</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006320</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006360</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006905</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343006912</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007005</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007012</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007105</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007112</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007260</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007330</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007390</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007399</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007430</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007490</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007499</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007530</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007590</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007599</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007630</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007690</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343007699</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008530</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008601</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008801</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008930</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008990</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343008999</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343009030</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343009090</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343009099</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011630</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011690</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011699</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011730</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011790</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011799</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011830</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011890</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011899</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343011950</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343012050</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343012120</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343012230</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52343012390</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427028601</ndc>
    <ndc_label_name>MACRODANTIN 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427028701</ndc>
    <ndc_label_name>MACRODANTIN 50 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427028801</ndc>
    <ndc_label_name>MACRODANTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427038290</ndc>
    <ndc_label_name>Tenoretic 50  50 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tenoretic 100 100 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427042990</ndc>
    <ndc_label_name>Tenormin 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043090</ndc>
    <ndc_label_name>Tenormin 50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tenormin 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043590</ndc>
    <ndc_label_name>Zestoretic 10 mg-12.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043690</ndc>
    <ndc_label_name>Zestoretic 20 mg-12.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043790</ndc>
    <ndc_label_name>Zestoretic 20 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043890</ndc>
    <ndc_label_name>Zestril 2.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427043990</ndc>
    <ndc_label_name>Zestril 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427044090</ndc>
    <ndc_label_name>Zestril 10 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zestril 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zestril 40 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FORFIVO XL 450 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427057630</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427063230</ndc>
    <ndc_label_name>VENLAFAXINE BES ER 112.5 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427065830</ndc>
    <ndc_label_name>Loreev XR 1 mg capsule,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427066130</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427066330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427066430</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427066730</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427067230</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427069130</ndc>
    <ndc_label_name>CITALOPRAM HBR 30 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427069203</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427069211</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG FM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427077530</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 7.5 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52427080460</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ERYTHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536016201</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536016401</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536016801</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536017001</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536018003</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536018303</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 333 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536018603</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536040101</ndc>
    <ndc_label_name>ENALAPRIL 1 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536048537</ndc>
    <ndc_label_name>VERAPAMIL ER PM 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536048637</ndc>
    <ndc_label_name>VERAPAMIL ER PM 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536048737</ndc>
    <ndc_label_name>VERAPAMIL ER PM 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536050001</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536050003</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536051001</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536051003</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536051503</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536052003</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52536053003</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536060011</ndc>
    <ndc_label_name>BACLOFEN 25 MG/5 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536060012</ndc>
    <ndc_label_name>BACLOFEN 25 MG/5 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536062501</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536062510</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536068210</ndc>
    <ndc_label_name>CARISOPRODOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536088001</ndc>
    <ndc_label_name>VERAPAMIL SR 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536088201</ndc>
    <ndc_label_name>VERAPAMIL SR 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536088401</ndc>
    <ndc_label_name>VERAPAMIL SR 240 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52536088601</ndc>
    <ndc_label_name>VERAPAMIL SR 360 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52544006431</ndc>
    <ndc_label_name>LAYOLIS FE CHEWABLE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544008001</ndc>
    <ndc_label_name>Fioricet 50 mg-300 mg-40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544008201</ndc>
    <ndc_label_name>FIORICET-COD 50-300-40-30 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069119</ndc>
    <ndc_label_name>Matzim LA 180 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069130</ndc>
    <ndc_label_name>Matzim LA 180 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069219</ndc>
    <ndc_label_name>Matzim LA 240 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069230</ndc>
    <ndc_label_name>Matzim LA 240 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069319</ndc>
    <ndc_label_name>Matzim LA 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069330</ndc>
    <ndc_label_name>Matzim LA 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069419</ndc>
    <ndc_label_name>Matzim LA 360 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069430</ndc>
    <ndc_label_name>Matzim LA 360 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069519</ndc>
    <ndc_label_name>Matzim LA 420 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52544069530</ndc>
    <ndc_label_name>Matzim LA 420 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013260</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013263</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013265</ndc>
    <ndc_label_name>HM NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013268</ndc>
    <ndc_label_name>HM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013277</ndc>
    <ndc_label_name>HM ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013281</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013285</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013317</ndc>
    <ndc_label_name>HM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013322</ndc>
    <ndc_label_name>HM ADV ANTIBACTERIAL BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013323</ndc>
    <ndc_label_name>Advanced Antibacterial Bandage 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013324</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 %-3/4" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013325</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013326</ndc>
    <ndc_label_name>Advanced Antibacterial Bandage 0.1 %-3/4" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013327</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 %-2" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013329</ndc>
    <ndc_label_name>HM ADV ANTIBACTERIAL BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013330</ndc>
    <ndc_label_name>ROLLED GAUZE ROLL 3"X2.5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013332</ndc>
    <ndc_label_name>Antibacterial Pad 0.1 %-2" X 3" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013333</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013334</ndc>
    <ndc_label_name>Advanced Antibacterial Bandage 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013338</ndc>
    <ndc_label_name>Antibacterial Pad 0.1 %-3" X 4" topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013339</ndc>
    <ndc_label_name>Antibacterial Bandages 0.1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013340</ndc>
    <ndc_label_name>Butterfly Closures 1 3/4" X 3/8" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013355</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013356</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013358</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013367</ndc>
    <ndc_label_name>Allergy Relief and Nasal Decongestant 10 mg-240 mg tablet,extended rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013373</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013375</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013379</ndc>
    <ndc_label_name>Original Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013384</ndc>
    <ndc_label_name>HM NOSE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013385</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013468</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013472</ndc>
    <ndc_label_name>Sterile Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013473</ndc>
    <ndc_label_name>Multi-Purpose Soft Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013474</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013475</ndc>
    <ndc_label_name>HM TEMPLE THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013478</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013481</ndc>
    <ndc_label_name>Fast Read Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013495</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013496</ndc>
    <ndc_label_name>HM ADV ANTIBACTERIAL BANDAGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013498</ndc>
    <ndc_label_name>HM BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013499</ndc>
    <ndc_label_name>HM CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013501</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013502</ndc>
    <ndc_label_name>HM IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013515</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013517</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013518</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013528</ndc>
    <ndc_label_name>HM FIBER 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013535</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013537</ndc>
    <ndc_label_name>HM FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013574</ndc>
    <ndc_label_name>Eyelid Wipes (with chamomile) towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013580</ndc>
    <ndc_label_name>INFANT EAR SYRINGE 1OZ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013585</ndc>
    <ndc_label_name>HM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013592</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013593</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013596</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013601</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013656</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013715</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013752</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013776</ndc>
    <ndc_label_name>Calcium Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013800</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013850</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013869</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013872</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013881</ndc>
    <ndc_label_name>Underwear For Men</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013888</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013899</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013933</ndc>
    <ndc_label_name>HM MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013967</ndc>
    <ndc_label_name>HM WITCH HAZEL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013970</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013971</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013972</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013977</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013978</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013979</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013988</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013990</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013991</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569013992</ndc>
    <ndc_label_name>Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569013995</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014040</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014041</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014043</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014046</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014047</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014048</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014068</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569014082</ndc>
    <ndc_label_name>HM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569014083</ndc>
    <ndc_label_name>HM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014095</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014102</ndc>
    <ndc_label_name>HM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014103</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014105</ndc>
    <ndc_label_name>HM GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014108</ndc>
    <ndc_label_name>HM CHILD LORATADINE 5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014109</ndc>
    <ndc_label_name>HM NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014110</ndc>
    <ndc_label_name>HM NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014111</ndc>
    <ndc_label_name>HM NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014137</ndc>
    <ndc_label_name>HM VITAMIN C 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014139</ndc>
    <ndc_label_name>HM VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014148</ndc>
    <ndc_label_name>HM BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569014153</ndc>
    <ndc_label_name>HM CRANBERRY 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569014180</ndc>
    <ndc_label_name>Hair,Skin and Nails (folic acid-biotin) 66.7 mcg-1,666.7 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014185</ndc>
    <ndc_label_name>HM VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014190</ndc>
    <ndc_label_name>HM VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014221</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014242</ndc>
    <ndc_label_name>HM LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52569014356</ndc>
    <ndc_label_name>MELATONIN ER 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52569014376</ndc>
    <ndc_label_name>HM WRIST BLOOD PRESR MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012101</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012105</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012201</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012205</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012301</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605012305</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605013805</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605013905</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605014005</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52605014010</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609000105</ndc>
    <ndc_label_name>Alkeran 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609300100</ndc>
    <ndc_label_name>Alkeran (as HCl) 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609300200</ndc>
    <ndc_label_name>Alkeran (as HCl) 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609450401</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609450406</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609450501</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52609450506</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52641070001</ndc>
    <ndc_label_name>IV Prep Wipes medicated</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652195001</ndc>
    <ndc_label_name>Thyquidity 20 mcg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652195002</ndc>
    <ndc_label_name>Thyquidity 20 mcg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652200101</ndc>
    <ndc_label_name>Xatmep 2.5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652200106</ndc>
    <ndc_label_name>Xatmep 2.5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652300101</ndc>
    <ndc_label_name>Qbrelis 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652400101</ndc>
    <ndc_label_name>Epaned 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652500101</ndc>
    <ndc_label_name>Katerzia 1 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652600101</ndc>
    <ndc_label_name>Fleqsuvy 25 mg/5 mL (5 mg/mL) oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652600102</ndc>
    <ndc_label_name>Fleqsuvy 25 mg/5 mL (5 mg/mL) oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652800101</ndc>
    <ndc_label_name>Zonisade 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652900101</ndc>
    <ndc_label_name>Eprontia 25 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52652900102</ndc>
    <ndc_label_name>Eprontia 25 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
    <ndc>52817020010</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817020110</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817021010</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817021050</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817023510</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817023530</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025000</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025010</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025200</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025210</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025310</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025400</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817025410</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817026010</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817026050</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817026830</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817027010</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817027030</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817027110</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817027130</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817029010</ndc>
    <ndc_label_name>OXAZEPAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817029110</ndc>
    <ndc_label_name>OXAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817029210</ndc>
    <ndc_label_name>OXAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817029500</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817029590</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817031810</ndc>
    <ndc_label_name>BACLOFEN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817031910</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032000</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032010</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032050</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032100</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032110</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032150</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032310</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032410</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817032510</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033010</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033050</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033110</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033200</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033210</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817033250</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817034550</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817034650</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817035810</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 37.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817035910</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036000</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036010</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036100</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036110</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036200</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817036210</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817036410</ndc>
    <ndc_label_name>TRIAMTERENE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817036510</ndc>
    <ndc_label_name>TRIAMTERENE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817036790</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817037530</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.17 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817038110</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817038510</ndc>
    <ndc_label_name>GLIPIZIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039010</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039050</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039100</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039110</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039150</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039200</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039210</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817039250</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817060138</ndc>
    <ndc_label_name>Versacloz 50 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817061004</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817061104</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817061204</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817061516</ndc>
    <ndc_label_name>TRAMADOL HCL 5 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817062008</ndc>
    <ndc_label_name>BACLOFEN 10 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817072001</ndc>
    <ndc_label_name>APOMORPHINE 30 MG/3 ML CARTRDG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817072005</ndc>
    <ndc_label_name>APOMORPHINE 30 MG/3 ML CARTRDG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817080030</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817081154</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817081508</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817081615</ndc>
    <ndc_label_name>ACETIC ACID 2% EAR SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817081701</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXINE 2.5-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082005</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082050</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082150</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG/8.5ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082185</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG/8.5ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082415</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817082445</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817083004</ndc>
    <ndc_label_name>LEVOCARNITINE 1 G/10 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817083160</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817083190</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817083260</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817083290</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817083530</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52817084016</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817085001</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817085030</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817085101</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52817085130</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856020101</ndc>
    <ndc_label_name>Sephience 250 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856020103</ndc>
    <ndc_label_name>Sephience 250 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856030101</ndc>
    <ndc_label_name>Sephience 1,000 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856030103</ndc>
    <ndc_label_name>Sephience 1,000 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52856050101</ndc>
    <ndc_label_name>Emflaza 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52856050203</ndc>
    <ndc_label_name>Emflaza 18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52856050303</ndc>
    <ndc_label_name>Emflaza 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52856050403</ndc>
    <ndc_label_name>Emflaza 36 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52856050522</ndc>
    <ndc_label_name>Emflaza 22.75 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856060101</ndc>
    <ndc_label_name>Kebilidi 2.8 x 10exp11 vg/0.5 mL intracranial suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52856060111</ndc>
    <ndc_label_name>Kebilidi 2.8 x 10exp11 vg/0.5 mL intracranial suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000410</ndc>
    <ndc_label_name>TruBiotics Gummy 1.5 billion cell-7.5 mcg-1.8 gram chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000411</ndc>
    <ndc_label_name>TruBiotics Kids Gummy 1.5 billion cell-1.8 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000413</ndc>
    <ndc_label_name>TruBiotics Kids Chewable 6 billion cell tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000414</ndc>
    <ndc_label_name>TruBiotics Baby 3 billion cell/0.27 mL oral drops</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TruBiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TruBiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TruBiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TruBiotics 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Children's DiaResQ 4 gram-35 kcal/7 gram oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DiaResQ 4 gram-35 kcal/7 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000470</ndc>
    <ndc_label_name>DiaResQ 3 gram-35 kcal/7 gram oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52870000484</ndc>
    <ndc_label_name>Toddler's DiaResQ 3 gram-35 kcal/7 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52919000308</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52919000505</ndc>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52919001104</ndc>
    <ndc_label_name>STERILE WATER FOR ARALAST NP</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52919001412</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52925011201</ndc>
    <ndc_label_name>Vaginal Contraceptive Film 28 %</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52925011204</ndc>
    <ndc_label_name>VCF Contraceptive Film 28 % vaginal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52925051210</ndc>
    <ndc_label_name>VCF Contraceptive 4 % vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52937000120</ndc>
    <ndc_label_name>Vascepa 1 gram capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52937000340</ndc>
    <ndc_label_name>Vascepa 0.5 gram capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52937000520</ndc>
    <ndc_label_name>Vascepa 1 gram capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52982000600</ndc>
    <ndc_label_name>Advocate Lancing Device</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>52982000604</ndc>
    <ndc_label_name>Advocate Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52982000614</ndc>
    <ndc_label_name>Advocate Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52982000615</ndc>
    <ndc_label_name>Advocate Pen Needle 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>52982000677</ndc>
    <ndc_label_name>Advocate Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53030000202</ndc>
    <ndc_label_name>Flanax (naproxen) 220 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53030000210</ndc>
    <ndc_label_name>Flanax (naproxen) 220 mg tablet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53030000211</ndc>
    <ndc_label_name>Flanax Cough Relief (menthol) 8 mg lozenges</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53030000212</ndc>
    <ndc_label_name>Flanax (methylsalicylate-menthol) 0.01 %-10 %-5 % topical liniment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alkums 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53041069009</ndc>
    <ndc_label_name>DIATRIZOATE MEGLUM-SOD 66%-10%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53062000116</ndc>
    <ndc_label_name>Beta Care lotion</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Betamide lotion</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Beta-HC 1 % lotion</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53062001316</ndc>
    <ndc_label_name>Beta Med 2 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53062001416</ndc>
    <ndc_label_name>Betasal 3 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Betatar Gel 2.5 % shampoo</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Beta XMA topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BetaTemp 160 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076000006</ndc>
    <ndc_label_name>Kaopectate (simethicone) 125 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kaopectate Ex Str (bismuth ss) 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076011112</ndc>
    <ndc_label_name>Safe Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076017333</ndc>
    <ndc_label_name>SafeTussin PM 3.125 mg-7.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076017726</ndc>
    <ndc_label_name>Fungi-Nail (tolnaftate) 1 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076018229</ndc>
    <ndc_label_name>Hongo Cura Spray 25 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076018751</ndc>
    <ndc_label_name>Fungi-Nail 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076018936</ndc>
    <ndc_label_name>Safe Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076019240</ndc>
    <ndc_label_name>Nizoral A-D 1 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076019707</ndc>
    <ndc_label_name>Kaopectate (bismuth subsalicylate) 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076019836</ndc>
    <ndc_label_name>Kaopectate (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076019864</ndc>
    <ndc_label_name>Kaopectate (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53076019964</ndc>
    <ndc_label_name>Kaopectate (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kaopectate Max 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53076020264</ndc>
    <ndc_label_name>Nizoral Psoriasis 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Kaopectate (bismuth subsalicylate) 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53097057160</ndc>
    <ndc_label_name>Marinol 2.5 mg capsule</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Panoxyl 3 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020125</ndc>
    <ndc_label_name>Children's Flonase Allergy Relief 50 mcg/actuation nasal spray,susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Flonase Allergy Relief 50 mcg/actuation nasal spray,susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020227</ndc>
    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020230</ndc>
    <ndc_label_name>Children's Flonase Sensimist 27.5 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020265</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020266</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100020334</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100022889</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100022957</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53100029616</ndc>
    <ndc_label_name>Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53100034652</ndc>
    <ndc_label_name>Flonase Nighttime Allergy Relief 2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53100046762</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53100046800</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53100046925</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53100047221</ndc>
    <ndc_label_name>Alli 60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53149210004</ndc>
    <ndc_label_name>NuLido 4 %-1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53149220001</ndc>
    <ndc_label_name>NuLido Patch 4 %-1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53149250001</ndc>
    <ndc_label_name>Astero 4 % topical gel with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53163010116</ndc>
    <ndc_label_name>Altipres-B 4 mg-10 mg-20 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53163010316</ndc>
    <ndc_label_name>Altipres Pediatric 2.5 mg-5 mg-75 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53163010416</ndc>
    <ndc_label_name>Altipres 5 mg-10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53163010616</ndc>
    <ndc_label_name>Igualtuss 10 mg-28 mg-388 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53163011316</ndc>
    <ndc_label_name>Altituss 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53177000500</ndc>
    <ndc_label_name>re:iimmune 6,000 mg-10 mg-275 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53177000501</ndc>
    <ndc_label_name>re:iimmune 6,000 mg-10 mg-275 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191002112</ndc>
    <ndc_label_name>Evac 3 gram/3 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191009401</ndc>
    <ndc_label_name>Lacto-Pectin 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191010501</ndc>
    <ndc_label_name>Lithate 5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191021801</ndc>
    <ndc_label_name>A-25 (vit A palmitate) 7,500 mcg (25,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191022701</ndc>
    <ndc_label_name>MELATONIN 3 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191024401</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191026501</ndc>
    <ndc_label_name>FA-8  0.8 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191030101</ndc>
    <ndc_label_name>B-Stress 2,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191031101</ndc>
    <ndc_label_name>MAGNESIUM SULF 100 MG CAPSULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191034301</ndc>
    <ndc_label_name>FOLIC ACID 5 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191034401</ndc>
    <ndc_label_name>FOLIC ACID 20 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191036201</ndc>
    <ndc_label_name>D3-50 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191036212</ndc>
    <ndc_label_name>D3-50 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191040901</ndc>
    <ndc_label_name>K1-1000  1,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53191044701</ndc>
    <ndc_label_name>Lithate 20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53191048901</ndc>
    <ndc_label_name>D3-50 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225102001</ndc>
    <ndc_label_name>LidoPro 4 %-27.5 %-0.0325 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225102201</ndc>
    <ndc_label_name>LidoPro 4 %-27.5 %-0.0325 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225102301</ndc>
    <ndc_label_name>LIDOPRO PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225103001</ndc>
    <ndc_label_name>VIVA PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225112301</ndc>
    <ndc_label_name>LidoPro (lidocaine-menthol) 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53225112303</ndc>
    <ndc_label_name>LidoPro (lidocaine-menthol) 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225200101</ndc>
    <ndc_label_name>Prolaxa 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307501</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307502</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307503</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307504</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307505</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307506</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53225307507</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53240015101</ndc>
    <ndc_label_name>Zephrex-D 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101001</ndc>
    <ndc_label_name>Avitene topical powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101002</ndc>
    <ndc_label_name>Avitene Flour topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101008</ndc>
    <ndc_label_name>Avitene 35 mm X 35 mm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101009</ndc>
    <ndc_label_name>Avitene 70 mm X 35 mm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101011</ndc>
    <ndc_label_name>Avitene 70 mm X 70 mm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101015</ndc>
    <ndc_label_name>Endo Avitene 10 mm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101026</ndc>
    <ndc_label_name>Endo Avitene 5 mm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101034</ndc>
    <ndc_label_name>Syringe Avitene topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276101059</ndc>
    <ndc_label_name>Avitene Flour topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276105002</ndc>
    <ndc_label_name>Ultrafoam 2 cm x 6.25 cm x 7 mm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276105003</ndc>
    <ndc_label_name>Ultrafoam 8 cm x 6.25 cm x 1 cm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276105004</ndc>
    <ndc_label_name>Ultrafoam 8 cm x 12.5 cm x 1 cm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53276105005</ndc>
    <ndc_label_name>Ultrafoam 8 cm X 12.5 cm X 3 mm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329000104</ndc>
    <ndc_label_name>Skintegrity Hydrogel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329000410</ndc>
    <ndc_label_name>Soothe and Cool Skin Paste topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329000640</ndc>
    <ndc_label_name>Stratasorb Island Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329000642</ndc>
    <ndc_label_name>Stratasorb Island Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329000646</ndc>
    <ndc_label_name>Stratasorb Island Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329001311</ndc>
    <ndc_label_name>Pure and Gentle (mineral oil) enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329001411</ndc>
    <ndc_label_name>Pure and Gentle (saline) 19 gram-7 gram/118 mL enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329001508</ndc>
    <ndc_label_name>Soothe and Cool Perineal Wash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329001525</ndc>
    <ndc_label_name>Soothe and Cool Perineal Wash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329001706</ndc>
    <ndc_label_name>Soothe and Cool soap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329001818</ndc>
    <ndc_label_name>Soothe and Cool Perineal Wash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329002028</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002110</ndc>
    <ndc_label_name>Skintegrity Skin cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002144</ndc>
    <ndc_label_name>Hydraguard-D 12.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002525</ndc>
    <ndc_label_name>Soothe and Cool Body Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002635</ndc>
    <ndc_label_name>Suresite Window 4" X 4 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002638</ndc>
    <ndc_label_name>Suresite Window 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002639</ndc>
    <ndc_label_name>Suresite IV 2" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002645</ndc>
    <ndc_label_name>Suresite 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002650</ndc>
    <ndc_label_name>Suresite Flexigrid 4" X 4 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002708</ndc>
    <ndc_label_name>Soothe and Cool Perineal Wash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329002725</ndc>
    <ndc_label_name>Soothe and Cool Perineal Wash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329003004</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329003019</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329003021</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329003229</ndc>
    <ndc_label_name>ETHYL ALCOHOL 62% NASAL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329003278</ndc>
    <ndc_label_name>ETHYL ALCOHOL 62% NASAL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329003333</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329004244</ndc>
    <ndc_label_name>Soothe-Cool Protect Medseptic 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329004277</ndc>
    <ndc_label_name>Soothe and Cool Medseptic 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329005128</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329005157</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329005367</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329006704</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329006801</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329006816</ndc>
    <ndc_label_name>Curad Petroleum Jelly topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329006857</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329006896</ndc>
    <ndc_label_name>Curad Petroleum Jelly topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007057</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 98.3 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007115</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 98.3 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007216</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 92.8 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007296</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 92.8 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007681</ndc>
    <ndc_label_name>Carrington Moisture Barrier Cr 61 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329007781</ndc>
    <ndc_label_name>Carrington Moist Barrier-Zinc 10 %-78 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329007964</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008057</ndc>
    <ndc_label_name>Inzo Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008058</ndc>
    <ndc_label_name>Inzo Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008701</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008787</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008796</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008986</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329008987</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329009014</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329009016</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329009096</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329009101</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329010514</ndc>
    <ndc_label_name>Remedy Calazime Intensive Skin Therapy 0.44 %-20.6 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329010544</ndc>
    <ndc_label_name>Remedy Calazime Intensive Skin Therapy 0.44 %-20.6 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329012109</ndc>
    <ndc_label_name>ETHYL ALCOHOL 62% TOPICAL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329012129</ndc>
    <ndc_label_name>ETHYL ALCOHOL 62% TOPICAL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329013229</ndc>
    <ndc_label_name>ETHYL ALCOHOL 62% NASAL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329013378</ndc>
    <ndc_label_name>Antiseptic Nasal Swab 62 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329013744</ndc>
    <ndc_label_name>Remedy Phytoplex Z-Guard (zinc oxide) 17 %-57 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329013844</ndc>
    <ndc_label_name>Remedy Phytoplex Z-Guard 57 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015104</ndc>
    <ndc_label_name>Remedy Dimethicone Cream 5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015344</ndc>
    <ndc_label_name>Remedy Specialized Protect 15 %-49 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015404</ndc>
    <ndc_label_name>Remedy Specialized Moisturize 1.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015644</ndc>
    <ndc_label_name>Remedy Specialized Protect-Menthol 0.44 %-20.6 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015704</ndc>
    <ndc_label_name>Remedy Nutrashield 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015713</ndc>
    <ndc_label_name>Remedy Nutrashield 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015796</ndc>
    <ndc_label_name>Remedy Nutrashield 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015808</ndc>
    <ndc_label_name>Remedy 4-in-1 Cleanser topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329015844</ndc>
    <ndc_label_name>Remedy 4-in-1 Cleanser topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016008</ndc>
    <ndc_label_name>Remedy Cleansing Body 1.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016023</ndc>
    <ndc_label_name>Remedy Cleansing Body 1.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016104</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016113</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016123</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016196</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329016204</ndc>
    <ndc_label_name>Remedy Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016357</ndc>
    <ndc_label_name>Remedy 4-In-1 Body 0.7 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016496</ndc>
    <ndc_label_name>Remedy Calazime Protect Paste 0.2 %-20 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016544</ndc>
    <ndc_label_name>Remedy Calazime Protect Paste 3.5 %-0.2 %-69 %-16.5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329016610</ndc>
    <ndc_label_name>Remedy Clear-Aid Protect 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329016710</ndc>
    <ndc_label_name>Remedy Phytoplex Antifungal 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329016979</ndc>
    <ndc_label_name>Remedy Phytoplex Antifungal 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329017079</ndc>
    <ndc_label_name>Remedy Antifungal 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329017110</ndc>
    <ndc_label_name>Remedy Phytoplex Antifungal 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329024401</ndc>
    <ndc_label_name>ReadyPrep CHG 2 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329024403</ndc>
    <ndc_label_name>ReadyPrep CHG 2 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329030124</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329030161</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329030355</ndc>
    <ndc_label_name>Arglaes 3.25"X 14" Film 3 1/4" X 14" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329030409</ndc>
    <ndc_label_name>Arglaes 10 gram topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329030509</ndc>
    <ndc_label_name>Arglaes 5 gram topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329041009</ndc>
    <ndc_label_name>Mediplast Corn-Callus-Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329041059</ndc>
    <ndc_label_name>Mediplast Corn-Callus-Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329045040</ndc>
    <ndc_label_name>Optifoam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329045042</ndc>
    <ndc_label_name>Optifoam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329045140</ndc>
    <ndc_label_name>Optifoam Non-Adhesive 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329045142</ndc>
    <ndc_label_name>Optifoam Non-Adhesive 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329049726</ndc>
    <ndc_label_name>Nasal Antiseptic Swabs 10 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051740</ndc>
    <ndc_label_name>Exuderm RCD 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051742</ndc>
    <ndc_label_name>Exuderm RCD 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051743</ndc>
    <ndc_label_name>Exuderm RCD 8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051840</ndc>
    <ndc_label_name>Exuderm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051843</ndc>
    <ndc_label_name>Exuderm 8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051940</ndc>
    <ndc_label_name>Exuderm LP 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329051942</ndc>
    <ndc_label_name>Exuderm LP 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329052146</ndc>
    <ndc_label_name>Exuderm Ultra 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329052249</ndc>
    <ndc_label_name>Exuderm 6" X 6 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329052340</ndc>
    <ndc_label_name>Exuderm Sacrum 4" X 3.6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329055040</ndc>
    <ndc_label_name>Derma-Gel 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329055251</ndc>
    <ndc_label_name>Medfix 2" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329055252</ndc>
    <ndc_label_name>Medfix 4" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329055253</ndc>
    <ndc_label_name>Medfix 6" X 11 yard tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056049</ndc>
    <ndc_label_name>Maxorb Rope 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056062</ndc>
    <ndc_label_name>Maxorb Extra 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056139</ndc>
    <ndc_label_name>Maxorb 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056240</ndc>
    <ndc_label_name>Maxorb 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056337</ndc>
    <ndc_label_name>Maxorb 4" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056440</ndc>
    <ndc_label_name>Bordered Gauze 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329056442</ndc>
    <ndc_label_name>Bordered Gauze 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329064198</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329064230</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53329067430</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329077144</ndc>
    <ndc_label_name>Sensi-Care Protective Barrier 15 %-49 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329077704</ndc>
    <ndc_label_name>Soothe and Cool Inzo Barrier 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329077796</ndc>
    <ndc_label_name>Soothe and Cool Inzo Barrier 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329093904</ndc>
    <ndc_label_name>ReadyPrep PVP 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329093913</ndc>
    <ndc_label_name>ReadyPrep PVP 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329093969</ndc>
    <ndc_label_name>ReadyPrep PVP 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329094509</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329094529</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329094602</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329094675</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329097006</ndc>
    <ndc_label_name>Epi-Clenz 62 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329097008</ndc>
    <ndc_label_name>Epi-Clenz 62 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329097044</ndc>
    <ndc_label_name>Epi-Clenz 70 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329098004</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329098008</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329098106</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329098416</ndc>
    <ndc_label_name>ActivICE 8 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329098430</ndc>
    <ndc_label_name>ActivICE 8 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099024</ndc>
    <ndc_label_name>TenderWet System 2.2" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099050</ndc>
    <ndc_label_name>TenderWet System 3" X 3" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099054</ndc>
    <ndc_label_name>TenderWet System 1.6" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099104</ndc>
    <ndc_label_name>ActivICE 8 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099124</ndc>
    <ndc_label_name>TenderWet System 2.2" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099240</ndc>
    <ndc_label_name>TenderWet System 4" X 4" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099250</ndc>
    <ndc_label_name>TenderWet System 3" X 3" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099254</ndc>
    <ndc_label_name>TenderWet System 1.6" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099440</ndc>
    <ndc_label_name>TenderWet System 4" X 4" topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53329099537</ndc>
    <ndc_label_name>TenderWet Active Dressing 3" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53352000801</ndc>
    <ndc_label_name>Arthritis Wonder 1.25 % topical cream roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53352000802</ndc>
    <ndc_label_name>Arthritis Wonder 1.25 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436001001</ndc>
    <ndc_label_name>Veltassa 1 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436001060</ndc>
    <ndc_label_name>Veltassa 1 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436008401</ndc>
    <ndc_label_name>Veltassa 8.4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436008404</ndc>
    <ndc_label_name>Veltassa 8.4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436008430</ndc>
    <ndc_label_name>Veltassa 8.4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436016801</ndc>
    <ndc_label_name>Veltassa 16.8 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436016830</ndc>
    <ndc_label_name>Veltassa 16.8 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436025201</ndc>
    <ndc_label_name>VELTASSA 25.2 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53436025230</ndc>
    <ndc_label_name>VELTASSA 25.2 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53451010101</ndc>
    <ndc_label_name>Horizant ER 600 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53451010301</ndc>
    <ndc_label_name>Horizant ER 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000071</ndc>
    <ndc_label_name>Ez Smart System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000072</ndc>
    <ndc_label_name>Ez Smart Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ez Smart Lancets 28 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000076</ndc>
    <ndc_label_name>EZ Smart Plus System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000077</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000100</ndc>
    <ndc_label_name>Ez Smart Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000770</ndc>
    <ndc_label_name>Ez Smart Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000780</ndc>
    <ndc_label_name>Ez Smart Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459000790</ndc>
    <ndc_label_name>Ez Smart Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459001727</ndc>
    <ndc_label_name>Ez Smart Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53459001737</ndc>
    <ndc_label_name>Ez Smart Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462070520</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 2% CLOTH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462070523</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 2% CLOTH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462070526</ndc>
    <ndc_label_name>CHLORHEXIDINE GLUC 2% CLOTH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462091550</ndc>
    <ndc_label_name>Comfort Shield Barrier Cloth 3 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462091551</ndc>
    <ndc_label_name>Comfort Shield Barrier Cloth 3 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462091560</ndc>
    <ndc_label_name>Comfort Shield Barrier Cloth 3 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53462091580</ndc>
    <ndc_label_name>Comfort Shield Barrier Cloth 3 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000801</ndc>
    <ndc_label_name>VivaGuard Ino Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53483000803</ndc>
    <ndc_label_name>VivaGuard Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000805</ndc>
    <ndc_label_name>VivaGuard Ino Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000807</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L1,L2,L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53483000814</ndc>
    <ndc_label_name>VivaGuard Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000817</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000818</ndc>
    <ndc_label_name>VivaGuard Ino Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000819</ndc>
    <ndc_label_name>VivaGuard Ino Control Solution-L1,L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000820</ndc>
    <ndc_label_name>VivaGuard Ino Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000823</ndc>
    <ndc_label_name>VivaGuard Ino Smart Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53483000825</ndc>
    <ndc_label_name>VivaGuard Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489011802</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489011805</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489011902</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489011905</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489012001</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489012002</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489012005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489012060</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489014101</ndc>
    <ndc_label_name>QUINIDINE GLUC ER 324 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014301</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014305</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014310</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014401</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014405</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014410</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014501</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014601</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014605</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014801</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014810</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014901</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489014910</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015001</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015010</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015601</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015605</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015610</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015701</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015705</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489015710</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489017601</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489017605</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489017701</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489017705</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489021501</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489021510</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489021601</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489021610</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489021701</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489028101</ndc>
    <ndc_label_name>ERGOLOID MESYLATES 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032801</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032805</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032806</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032807</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032901</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032905</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032906</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489032907</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489033001</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489033101</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489033201</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489036801</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489036901</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489037001</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489037601</ndc>
    <ndc_label_name>TRIMETHOBENZAMIDE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489038601</ndc>
    <ndc_label_name>MINOXIDIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489038701</ndc>
    <ndc_label_name>MINOXIDIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489040001</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT ORAL TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489043301</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489043310</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489047801</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489047805</ndc>
    <ndc_label_name>SULINDAC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489047901</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489047905</ndc>
    <ndc_label_name>SULINDAC 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489050001</ndc>
    <ndc_label_name>THIORIDAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489051101</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489055101</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489055201</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489055301</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489064701</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489064801</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489065007</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489067601</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53489067610</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489067707</ndc>
    <ndc_label_name>FENOFIBRIC ACID 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489067890</ndc>
    <ndc_label_name>FENOFIBRIC ACID 105 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53489070007</ndc>
    <ndc_label_name>QUININE SULFATE 324 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53499023201</ndc>
    <ndc_label_name>Air-Power 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53530000501</ndc>
    <ndc_label_name>Estroven 155 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53530000502</ndc>
    <ndc_label_name>Ovega-3 500 mg-270 mg-135 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53567012634</ndc>
    <ndc_label_name>Dermagran (aluminum hydroxide) 0.275 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53567012636</ndc>
    <ndc_label_name>Dermagran (aluminum hydroxide) 0.275 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53567012752</ndc>
    <ndc_label_name>Dermagran Moisturizing 0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53567025003</ndc>
    <ndc_label_name>Dermagran Hydrogel Dressing topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53598000105</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53598000205</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53703080016</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53731000206</ndc>
    <ndc_label_name>PoDiaPN 35 mg-5 mg-2 mg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53731000303</ndc>
    <ndc_label_name>XaQuil XR 25,500 mcg DFE tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746010901</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746010905</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746011001</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746011005</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746011701</ndc>
    <ndc_label_name>HYDROCODONE-IBUPROFEN 10-200</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746014501</ndc>
    <ndc_label_name>HYDROCODONE-IBUPROFEN 7.5-200</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746014601</ndc>
    <ndc_label_name>HYDROCODONE-IBUPROFEN 5-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746016960</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746017360</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746019301</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746020301</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746020305</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746020401</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746020405</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746024830</ndc>
    <ndc_label_name>ALOSETRON HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746024930</ndc>
    <ndc_label_name>ALOSETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746027101</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746027105</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746027201</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746027205</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746036101</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746036110</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746044101</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746044110</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746044201</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746044210</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746046819</ndc>
    <ndc_label_name>CLINDAMYCIN (PEDI) 75 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051101</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051105</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051110</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051401</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051405</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051501</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746051505</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746052101</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746052110</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746052201</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054201</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054205</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054210</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054401</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054405</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746054501</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746055305</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746055401</ndc>
    <ndc_label_name>DEMECLOCYCLINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746055548</ndc>
    <ndc_label_name>DEMECLOCYCLINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746055601</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746055701</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746057101</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746057201</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746057301</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746057401</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746061701</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746061705</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746061710</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746064101</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746064201</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746064301</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746066901</ndc>
    <ndc_label_name>ACEBUTOLOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746067001</ndc>
    <ndc_label_name>ACEBUTOLOL 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746071101</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746071301</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746073490</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746073518</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53746073590</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746074501</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075101</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075105</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075201</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075205</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075301</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075305</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075401</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746075405</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746077810</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53746083153</ndc>
    <ndc_label_name>CIPROFLOX-DEXAMETH OTIC SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809010178</ndc>
    <ndc_label_name>ALZ 10 mg-100 mg-65 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809020304</ndc>
    <ndc_label_name>Dometuss-DMX 10 mg-30 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809020501</ndc>
    <ndc_label_name>Dometuss G 5 mg-10 mg-325 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809020604</ndc>
    <ndc_label_name>Child Dometuss-DA 1 mg-2.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809022204</ndc>
    <ndc_label_name>Dometuss (Chlorphen-DM-PE) 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809024001</ndc>
    <ndc_label_name>Dometuss-NR 4 mg-10 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809030401</ndc>
    <ndc_label_name>Iro-Plex (iron carbonyl) 165 mg iron-600 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809030402</ndc>
    <ndc_label_name>Iro-Plex (iron polysaccharide) 165 mg iron-600 mg-2 mg/5 mL oral liqd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809030501</ndc>
    <ndc_label_name>Arkaliox 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809030702</ndc>
    <ndc_label_name>Daflonex-XL 1,300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809033305</ndc>
    <ndc_label_name>Transferon 15 mg-50 mg-1 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53809060160</ndc>
    <ndc_label_name>Calci-Max 600 mg-1 mg-500 unit-30 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53879020060</ndc>
    <ndc_label_name>Vitacel (with Lutein) 800 mcg-250 mcg-750 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53879020210</ndc>
    <ndc_label_name>Neurin-SL 600 mcg-600 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000623</ndc>
    <ndc_label_name>OneTouch Ultra Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000773</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000776</ndc>
    <ndc_label_name>OneTouch Verio Mid Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000777</ndc>
    <ndc_label_name>OneTouch Verio High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53885000810</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000971</ndc>
    <ndc_label_name>OneTouch Ultra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000972</ndc>
    <ndc_label_name>OneTouch Ultra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000975</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885000976</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53885001110</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001169</ndc>
    <ndc_label_name>OneTouch Verio Reflect Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001183</ndc>
    <ndc_label_name>OneTouch Verio Flex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001185</ndc>
    <ndc_label_name>OneTouch Ultra2 Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001218</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001243</ndc>
    <ndc_label_name>OneTouch Verio Reflect kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885001278</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885004401</ndc>
    <ndc_label_name>OneTouch Verio Flex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885004601</ndc>
    <ndc_label_name>OneTouch Ultra2 Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885024450</ndc>
    <ndc_label_name>OneTouch Ultra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885024510</ndc>
    <ndc_label_name>OneTouch Ultra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885026752</ndc>
    <ndc_label_name>OneTouch Verio Flex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027025</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027101</ndc>
    <ndc_label_name>OneTouch Verio Flex Start kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027150</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027210</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027302</ndc>
    <ndc_label_name>OneTouch Verio Mid Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885027402</ndc>
    <ndc_label_name>OneTouch Verio High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53885027810</ndc>
    <ndc_label_name>OneTouch UltraSoft 2 Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53885031820</ndc>
    <ndc_label_name>Onetouch Delica Safety Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885032850</ndc>
    <ndc_label_name>OneTouch Verio test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885033601</ndc>
    <ndc_label_name>OneTouch Verio Flex Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885045802</ndc>
    <ndc_label_name>OneTouch Ultra Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885092701</ndc>
    <ndc_label_name>OneTouch Verio Reflect Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885093701</ndc>
    <ndc_label_name>OneTouch Ultra Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>53885097301</ndc>
    <ndc_label_name>OneTouch Delica Plus Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>53885099425</ndc>
    <ndc_label_name>OneTouch Ultra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023007007</ndc>
    <ndc_label_name>LiQSorb 100 mg/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023678102</ndc>
    <ndc_label_name>Q-GEL 15 mg-3 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023694802</ndc>
    <ndc_label_name>Q-GEL with Alpha Lipoic Acid 30 mg-50 mg-100 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Q-Gel Forte 30 mg-6 unit capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Q-Up 30 mg-15 unit oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Chew Q 100 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Chew Q 600 mg oral wafer</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023929307</ndc>
    <ndc_label_name>LiQ-10 100 mg/5 mL oral syrup</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LiQSorb 15 mg/6 drop oral drops</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023982702</ndc>
    <ndc_label_name>H2Q 100 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54023996107</ndc>
    <ndc_label_name>Active Q 100 mg/5 mL oral suspension</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54027030000</ndc>
    <ndc_label_name>FoamaDerm foam</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54027030003</ndc>
    <ndc_label_name>FoamaDerm foam</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092006301</ndc>
    <ndc_label_name>Agrylin 0.5 mg capsule</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092010001</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Carbatrol 100 mg capsule, extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Carbatrol 200 mg capsule, extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54092018981</ndc>
    <ndc_label_name>Pentasa 250 mg capsule,controlled release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fosrenol 500 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fosrenol 500 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fosrenol 750 mg chewable tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092025390</ndc>
    <ndc_label_name>Fosrenol 750 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fosrenol 1,000 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092025601</ndc>
    <ndc_label_name>Fosrenol 750 mg oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092025602</ndc>
    <ndc_label_name>Fosrenol 750 mg oral powder packet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mydayis 37.5 mg capsule extended release 24 hr</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lialda 1.2 gram tablet,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lialda 1.2 gram tablet,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092047612</ndc>
    <ndc_label_name>Lialda 1.2 gram tablet,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mydayis 50 mg capsule extended release 24 hr</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Intuniv ER 1 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Intuniv ER 2 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Intuniv ER 3 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092051902</ndc>
    <ndc_label_name>Intuniv ER 4 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092054601</ndc>
    <ndc_label_name>Motegrity 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092070001</ndc>
    <ndc_label_name>Elaprase 6 mg/3 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092070104</ndc>
    <ndc_label_name>VPRIV 400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092070202</ndc>
    <ndc_label_name>Firazyr 30 mg/3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54092070203</ndc>
    <ndc_label_name>Firazyr 30 mg/3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123011430</ndc>
    <ndc_label_name>Zubsolv 11.4 mg-2.9 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123090730</ndc>
    <ndc_label_name>Zubsolv 0.7 mg-0.18 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123091430</ndc>
    <ndc_label_name>Zubsolv 1.4 mg-0.36 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123092930</ndc>
    <ndc_label_name>Zubsolv 2.9 mg-0.71 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123095730</ndc>
    <ndc_label_name>Zubsolv 5.7 mg-1.4 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54123098630</ndc>
    <ndc_label_name>Zubsolv 8.6 mg-2.1 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54234000307</ndc>
    <ndc_label_name>Acne Cleansing Bar 10 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257008902</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257027002</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257027005</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257027406</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54257027701</ndc>
    <ndc_label_name>Mucosa DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257027802</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257037907</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257047302</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257057303</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257067902</ndc>
    <ndc_label_name>Natural Senna Laxative 8.6 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257072002</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257076917</ndc>
    <ndc_label_name>Adult Low Dose Aspirin 81 mg tablet,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257077621</ndc>
    <ndc_label_name>Mucosa 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257079007</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257085802</ndc>
    <ndc_label_name>Extraprin 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257090202</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54257090206</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010001</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010301</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010310</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010502</ndc>
    <ndc_label_name>Ablysinol 99 % intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010515</ndc>
    <ndc_label_name>Ablysinol 99 % intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010601</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010701</ndc>
    <ndc_label_name>DILUENT FOR MELPHALAN 10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288010902</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288011101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288011105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288011901</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288011925</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012001</ndc>
    <ndc_label_name>EPINEPHRINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012301</ndc>
    <ndc_label_name>EPINEPHRINE 10 MG/10 ML NASAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012501</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012510</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012530</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012701</ndc>
    <ndc_label_name>TETRACAINE 1% (20 MG/2 ML) VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288012710</ndc>
    <ndc_label_name>TETRACAINE 1% (20 MG/2 ML) VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54288013501</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013601</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013610</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013625</ndc>
    <ndc_label_name>PHENOBARBITAL 65 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013701</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013710</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288013725</ndc>
    <ndc_label_name>PHENOBARBITAL 130 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014001</ndc>
    <ndc_label_name>LEVOFLOXACIN 1.5% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014101</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014104</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014201</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014210</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014225</ndc>
    <ndc_label_name>PAPAVERINE 60 MG/2 ML VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014401</ndc>
    <ndc_label_name>Ablysinol 99 % intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014410</ndc>
    <ndc_label_name>Ablysinol 99 % intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288014701</ndc>
    <ndc_label_name>METHYLENE BLUE 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288015201</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288015401</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML NASAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288015901</ndc>
    <ndc_label_name>METHYLENE BLUE 1% (20 MG/2 ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288015905</ndc>
    <ndc_label_name>METHYLENE BLUE 1% (20 MG/2 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54288016047</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54288016147</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288016401</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288016501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288016601</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288016701</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288017401</ndc>
    <ndc_label_name>SELENIOUS ACID 400 MCG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288017405</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288018301</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54288060001</ndc>
    <ndc_label_name>EPINEPHRINE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030121</ndc>
    <ndc_label_name>SOD SULFACE-SULFUR 9-4.5% WASH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030221</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030321</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030411</ndc>
    <ndc_label_name>SALICYLIC ACID 27.5% LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030720</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030723</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030815</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295030824</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295031020</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54295031118</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54323021502</ndc>
    <ndc_label_name>Flanders Buttocks topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54365040007</ndc>
    <ndc_label_name>Chloraprep One Step 2 %-70 % topical swab</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54365040034</ndc>
    <ndc_label_name>ChloraPrep Clear 2 %-70 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54436001002</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54436001004</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458000022</ndc>
    <ndc_label_name>Smart Heart Omega-3 115 mg-172 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458000111</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458010022</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458010024</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458020021</ndc>
    <ndc_label_name>GLUCOSAMINE-MSM 500-400 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458020022</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458020029</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROIT-MSM CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458021360</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458021460</ndc>
    <ndc_label_name>DHEA 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032311</ndc>
    <ndc_label_name>Co Q-10 (with Vit E) 100 mg-5 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032322</ndc>
    <ndc_label_name>Co Q-10 (with Vit E) 100 mg-5 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458032334</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458032344</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458032345</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458032355</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032360</ndc>
    <ndc_label_name>RESVERATROL 50 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032366</ndc>
    <ndc_label_name>RESVERATROL 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032560</ndc>
    <ndc_label_name>LYCOPENE 10 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032660</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032665</ndc>
    <ndc_label_name>LUTEIN-ZEAXANTHIN 20-1 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458032860</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458043110</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458058410</ndc>
    <ndc_label_name>Calcium Magnesium plus D 400 mg-167 mg-133 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458064000</ndc>
    <ndc_label_name>L-Lysine with Vit A-D-E-Cocoa Butter topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458065710</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458073950</ndc>
    <ndc_label_name>OMEGA 3 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458079924</ndc>
    <ndc_label_name>VITAMIN E OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54458079925</ndc>
    <ndc_label_name>VITAMIN E OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458094910</ndc>
    <ndc_label_name>Zinc with Vitamins A and C 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458094911</ndc>
    <ndc_label_name>Zinc with Vitamins A and C 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54458094912</ndc>
    <ndc_label_name>Zinc with Vitamins A and C 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482002002</ndc>
    <ndc_label_name>Cystaran 0.44 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482003502</ndc>
    <ndc_label_name>Cystaran 0.44 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482005401</ndc>
    <ndc_label_name>Matulane 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014407</ndc>
    <ndc_label_name>Carnitor 330 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014508</ndc>
    <ndc_label_name>Carnitor 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014509</ndc>
    <ndc_label_name>Carnitor 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014701</ndc>
    <ndc_label_name>Carnitor 200 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014801</ndc>
    <ndc_label_name>Carnitor (sugar-free) 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54482014802</ndc>
    <ndc_label_name>Carnitor (sugar-free) 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54494000300</ndc>
    <ndc_label_name>Lipotriad Visionary 200 mg-125 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54494000303</ndc>
    <ndc_label_name>Lipotriad Vision Support 12,500 unit-12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54494000304</ndc>
    <ndc_label_name>Lipotriad Vision Support Plus 100 unit-12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54494000305</ndc>
    <ndc_label_name>Lipotriad Dry Eye 700 mg-320 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629000020</ndc>
    <ndc_label_name>Cranberry Concentrate 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629000101</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629000938</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus(lycopene,lutein) 0.4 mg-300 mcg-250 mcg tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001045</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001153</ndc>
    <ndc_label_name>Glucosamine-Methylsulfonylmethane Complex 500 mg-333 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001156</ndc>
    <ndc_label_name>Acidophilus chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001157</ndc>
    <ndc_label_name>SUPER ANTIOXIDANT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001162</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001170</ndc>
    <ndc_label_name>Theratrum Complete with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001171</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001222</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001445</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001599</ndc>
    <ndc_label_name>Theratrum Complete with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001681</ndc>
    <ndc_label_name>Calcium with Vitamin D 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629001689</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629001893</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629003824</ndc>
    <ndc_label_name>MULTIVITAMINS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629004404</ndc>
    <ndc_label_name>Deep Blue Relief topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005001</ndc>
    <ndc_label_name>Children's Chew Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005024</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005101</ndc>
    <ndc_label_name>NIACIN 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005201</ndc>
    <ndc_label_name>Prenatal Multivitamins 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005501</ndc>
    <ndc_label_name>Vitamin B-2 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005701</ndc>
    <ndc_label_name>Vitamin B-1 (mononitrate) 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629005801</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629006301</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629006702</ndc>
    <ndc_label_name>Daily-Vite tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629006802</ndc>
    <ndc_label_name>Daily Vites/Iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629006900</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL EC 1,000 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629006901</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629006991</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,760 MG STGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629007001</ndc>
    <ndc_label_name>Vitamin C 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629007101</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629007200</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629007501</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERALS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629007601</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629007801</ndc>
    <ndc_label_name>GELATIN 10GR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629007870</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629008001</ndc>
    <ndc_label_name>Super B/C capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629008036</ndc>
    <ndc_label_name>LUTEIN 15 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629008038</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629008044</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629008201</ndc>
    <ndc_label_name>Super Thera Vite M tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629008602</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009043</ndc>
    <ndc_label_name>MAG-OXIDE 200 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629009275</ndc>
    <ndc_label_name>Men's Pack 0.4 mg-250 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009301</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009310</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009316</ndc>
    <ndc_label_name>Women's 50 Plus Multivitamin 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629009322</ndc>
    <ndc_label_name>Men's 50 Plus Multivitamin 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009330</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009332</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009501</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629009701</ndc>
    <ndc_label_name>C COMPLEX 500 MG TABLET SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629010001</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629010190</ndc>
    <ndc_label_name>EVENING PRIMROSE 500 MG SFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629010302</ndc>
    <ndc_label_name>BETA-CAROTENE 25,000 UNIT SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629010505</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629011001</ndc>
    <ndc_label_name>VITAMIN A 8,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629011010</ndc>
    <ndc_label_name>GINGER EXTRACT 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629011040</ndc>
    <ndc_label_name>GREEN TEA 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629011090</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629011202</ndc>
    <ndc_label_name>ALFALFA 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629011711</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629011812</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 250 mg-200 mg-30 mg-2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012001</ndc>
    <ndc_label_name>LECITHIN 19GR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012039</ndc>
    <ndc_label_name>APPLE CIDER VINGR 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012131</ndc>
    <ndc_label_name>BLACK COHOSH 160 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012201</ndc>
    <ndc_label_name>Papaya Enzyme tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012401</ndc>
    <ndc_label_name>COD LIVER OIL CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629012556</ndc>
    <ndc_label_name>Coral Calcium 185 mg-50 mg-2.5 mcg (100 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629012691</ndc>
    <ndc_label_name>Full Spectrum B-Vitamin C 0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629012800</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629012810</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629013001</ndc>
    <ndc_label_name>Balance B-50 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629013105</ndc>
    <ndc_label_name>BALANCE B-100 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629013205</ndc>
    <ndc_label_name>Complex B-100 tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629014005</ndc>
    <ndc_label_name>GINSENG 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629014170</ndc>
    <ndc_label_name>ECHINACEA &amp; GOLDENSEAL CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629014250</ndc>
    <ndc_label_name>GINKGO BILOBA 40 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629014510</ndc>
    <ndc_label_name>MILK THISTLE 175 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629014902</ndc>
    <ndc_label_name>KELP TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629015201</ndc>
    <ndc_label_name>GARLIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629015400</ndc>
    <ndc_label_name>Odorless Garlic 1250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629015605</ndc>
    <ndc_label_name>Vitamins for Hair 400 mcg-400 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629016300</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629016501</ndc>
    <ndc_label_name>Calcium with Vit D3 600 mg (as carbonate)-12.5 mcg (500 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629017101</ndc>
    <ndc_label_name>ZINC-VITAMIN C-B6 LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629017601</ndc>
    <ndc_label_name>ZINC GLUCONATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629018001</ndc>
    <ndc_label_name>ZINC GLUCONATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629020001</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629025101</ndc>
    <ndc_label_name>KELP-LECITHIN-VIT B-6 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629026001</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629028712</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROIT-MSM CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629030820</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629031630</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629033100</ndc>
    <ndc_label_name>Vitamin E Beauty with Safflower topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629033110</ndc>
    <ndc_label_name>Vitamin E Beauty topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629033120</ndc>
    <ndc_label_name>Vitamin E and K Beautiful Skin oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629033200</ndc>
    <ndc_label_name>Vitamin E and C Beauty Lotion 14,000 unit-100 mg topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629034001</ndc>
    <ndc_label_name>BEE POLLEN CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629035000</ndc>
    <ndc_label_name>ULTRA ENERGY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629035920</ndc>
    <ndc_label_name>MSM 900 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629037701</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629037702</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629038382</ndc>
    <ndc_label_name>B COMPLEX-FOLIC ACID TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629040001</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629040766</ndc>
    <ndc_label_name>MACUVITE WITH LUTEIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629041002</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629041120</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629050001</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629050016</ndc>
    <ndc_label_name>PROTEIN 80% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629050233</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629050260</ndc>
    <ndc_label_name>MELATONIN TR 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629051101</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629051309</ndc>
    <ndc_label_name>C 1,000-BIOFLAVONOIDS-RH CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629055002</ndc>
    <ndc_label_name>PROTEIN 500 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629055100</ndc>
    <ndc_label_name>Vitamin B-12  2,500 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629056001</ndc>
    <ndc_label_name>B COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629056102</ndc>
    <ndc_label_name>B COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629056301</ndc>
    <ndc_label_name>B Complex 1 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629058001</ndc>
    <ndc_label_name>Vitamin B-12 250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629058501</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629058605</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629059506</ndc>
    <ndc_label_name>Stress Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629059606</ndc>
    <ndc_label_name>Stress Formula With Iron(sulf) 500 mg-400 mcg-27 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629059706</ndc>
    <ndc_label_name>Stress Formula with Zinc tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629060001</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629060099</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629060101</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629060199</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629060900</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629061090</ndc>
    <ndc_label_name>VALERIAN ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629061500</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629063001</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629064001</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629064501</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629065002</ndc>
    <ndc_label_name>FOLIC ACID 0.4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629067200</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629068301</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629068401</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629068501</ndc>
    <ndc_label_name>Oyster Shell Calcium and Magnesium 250 mg-155 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629068700</ndc>
    <ndc_label_name>GRAPE SEED 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629068701</ndc>
    <ndc_label_name>CALCIUM 500 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629069100</ndc>
    <ndc_label_name>BILBERRY EXTRACT 40 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629070000</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629070001</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629070090</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629070500</ndc>
    <ndc_label_name>Niacin No Flush 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629070901</ndc>
    <ndc_label_name>NIACIN TR 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629071001</ndc>
    <ndc_label_name>NIACIN 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629071101</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629071201</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629071403</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629071500</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629075002</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERALS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629075806</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629076006</ndc>
    <ndc_label_name>Mega Multiple/Chelated Mineral tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629076501</ndc>
    <ndc_label_name>LYSINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629077005</ndc>
    <ndc_label_name>LYSINE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077232</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT/ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077241</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT/ML DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629077256</ndc>
    <ndc_label_name>SUPERIOR DIGESTIVE ENZYME CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077401</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077402</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077460</ndc>
    <ndc_label_name>Slow Release Iron 160 mg (50 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629077660</ndc>
    <ndc_label_name>Antioxidant A/C/E/Selenium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629077801</ndc>
    <ndc_label_name>Daily-Vite tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629078001</ndc>
    <ndc_label_name>Multi-Vitamin HP/Minerals capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629078756</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 250 mg-200 mg-30 mg-2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629079869</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,200 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629080098</ndc>
    <ndc_label_name>Tropical Liquid Nutrition oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629080412</ndc>
    <ndc_label_name>Glucosamine Chondroitin Maximum Strength 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629084121</ndc>
    <ndc_label_name>VITAMIN K 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629084800</ndc>
    <ndc_label_name>COENZYME Q10 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629085001</ndc>
    <ndc_label_name>POTASSIUM GLUC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629085401</ndc>
    <ndc_label_name>Magnesium (oxide/AA chelate) 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629087001</ndc>
    <ndc_label_name>Vitamin C 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629087301</ndc>
    <ndc_label_name>Strawberry C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629089309</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629089816</ndc>
    <ndc_label_name>ACIDOPHILUS PROBIOTIC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629089821</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629090276</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629090416</ndc>
    <ndc_label_name>CHEWABLE IRON 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629090746</ndc>
    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629090900</ndc>
    <ndc_label_name>Extreme Omega-3 120 mg-180 mg-600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629090970</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629090980</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629091040</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629092001</ndc>
    <ndc_label_name>VITAMIN C 500 MG CAPSULE SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629092570</ndc>
    <ndc_label_name>Mega Probiotic 14 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629092910</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629093002</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54629093106</ndc>
    <ndc_label_name>C Complex 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54629093205</ndc>
    <ndc_label_name>VITAMIN C 1,500 MG TABLET SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000201</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000233</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000301</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000333</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000350</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000401</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738000542</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54738000960</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738001201</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738001203</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738002003</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738002501</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738002503</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738003015</ndc>
    <ndc_label_name>Calcium Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738003503</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738005001</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738010230</ndc>
    <ndc_label_name>Bismuth 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738010301</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738010303</ndc>
    <ndc_label_name>CHLORPHENIRAMINE 4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011101</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011103</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011501</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011503</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011601</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738011603</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738012836</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738012890</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738014001</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738051801</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054001</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054003</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054101</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054102</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054801</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054803</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738054850</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738055903</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738055912</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738055925</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54738090101</ndc>
    <ndc_label_name>QUINIDINE GLUC ER 324 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738097312</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54738097401</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 420 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738098001</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738098130</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54738098160</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54738098530</ndc>
    <ndc_label_name>GUAIFENESIN-DM 400-20 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54738098560</ndc>
    <ndc_label_name>GUAIFENESIN-DM 400-20 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54746000101</ndc>
    <ndc_label_name>Alferon N 5 million unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54758000612</ndc>
    <ndc_label_name>Dandlelion Kisses 24 % oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54758000613</ndc>
    <ndc_label_name>Dandlelion Kisses 24 % oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54758000614</ndc>
    <ndc_label_name>Dandlelion Kisses 24 % oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54758000615</ndc>
    <ndc_label_name>Dandlelion Kisses 24 % oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54758000628</ndc>
    <ndc_label_name>Sweet Cheeks 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766009306</ndc>
    <ndc_label_name>Ridaura 3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766020010</ndc>
    <ndc_label_name>Motofen 1 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766059010</ndc>
    <ndc_label_name>Imuran 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766071603</ndc>
    <ndc_label_name>Pramosone 1 %-1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766071604</ndc>
    <ndc_label_name>Pramosone 1 %-1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766072604</ndc>
    <ndc_label_name>Pramosone 2.5 %-1 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54766072606</ndc>
    <ndc_label_name>Pramosone 2.5 %-1 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pramosone 1 %-1 % lotion</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pramosone 1 %-1 % topical ointment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NAFTIN 1% GEL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Analpram-HC 1 %-1 % rectal cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Analpram-HC 2.5 %-1 % rectal cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Analpram-HC Singles 2.5 %-1 % (4g) rectal cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54827000807</ndc>
    <ndc_label_name>Hydrofera Blue Classic 4" X 4" bandage</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tusnel New Formula 30 mg-15 mg-200 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dologesic Pain Relief (lidocaine) 4 % topical liquid roll-on</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Proteinex 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859051716</ndc>
    <ndc_label_name>Tusnel DM 10 mg-20 mg-400 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859052501</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859052530</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859053030</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859053501</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859053530</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859054404</ndc>
    <ndc_label_name>Tusnel Pediatric 15 mg-5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859054416</ndc>
    <ndc_label_name>Tusnel Pediatric 15 mg-5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859054930</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859055030</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859055130</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859055330</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859055430</ndc>
    <ndc_label_name>Proteinex-18  18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859056004</ndc>
    <ndc_label_name>Hematex 100 mg iron/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859060416</ndc>
    <ndc_label_name>Tusnel DM Pediatric(phenylephrine) 2.5 mg-5 mg-75 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859060501</ndc>
    <ndc_label_name>Tusnel Pediatric (guaifen-PE) 1.25 mg-25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859060601</ndc>
    <ndc_label_name>Tusnel DM Pediatric(phenylephrine) 1.25 mg-2.5 mg-25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859070260</ndc>
    <ndc_label_name>Conex 2 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859070601</ndc>
    <ndc_label_name>FLAVOVIT EAR HEALTH CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859070860</ndc>
    <ndc_label_name>Trombonex 150 mg-150 mg-150 mg-150 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859071860</ndc>
    <ndc_label_name>Trombonex-D 75 mg-375 mg-50 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080116</ndc>
    <ndc_label_name>LIQUID COLLAGEN 2,500 MG LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080160</ndc>
    <ndc_label_name>Tusnel New Formula 60 mg-30 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080204</ndc>
    <ndc_label_name>Conex 2 mg-60 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080216</ndc>
    <ndc_label_name>Conex 2 mg-60 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080316</ndc>
    <ndc_label_name>Conex Pediatric 1 mg-30 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859080616</ndc>
    <ndc_label_name>LEVOCARNITINE 1,000 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54859080808</ndc>
    <ndc_label_name>senna 8.8 mg/5 mL oral syrup</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54859080916</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54859081016</ndc>
    <ndc_label_name>FERROUS SULF 44 MG IRON/5ML LQ</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54859081116</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54859081316</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859082016</ndc>
    <ndc_label_name>Fiberex F15 15 gram/30 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54859082030</ndc>
    <ndc_label_name>Fiberex 15 gram/30 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54879000100</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54879000101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54879000201</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879000308</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML ELX</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54879000460</ndc>
    <ndc_label_name>BETAMETHASONE VA 0.1% LOTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54879000901</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879001413</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879002351</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879002413</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879002601</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-325</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879002710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879003664</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54879003710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54932020881</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54932020885</ndc>
    <ndc_label_name>GUAIFEN-CODEINE 100-10 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>54932050181</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54995000700</ndc>
    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54995000701</ndc>
    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>54995000702</ndc>
    <ndc_label_name>Campho-Phenique 10.8 %-4.7 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111000367</ndc>
    <ndc_label_name>iHealth Control Solution Level 2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111011230</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111011379</ndc>
    <ndc_label_name>Zenatane 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111011381</ndc>
    <ndc_label_name>Zenatane 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111011890</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111011901</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111011910</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012105</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012190</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012205</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012290</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012305</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012390</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012405</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012490</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111012506</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012601</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012705</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111012850</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013579</ndc>
    <ndc_label_name>Zenatane 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013581</ndc>
    <ndc_label_name>Zenatane 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013679</ndc>
    <ndc_label_name>Zenatane 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013681</ndc>
    <ndc_label_name>Zenatane 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013779</ndc>
    <ndc_label_name>Zenatane 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111013781</ndc>
    <ndc_label_name>Zenatane 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014301</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014330</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014401</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014430</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014512</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014571</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014601</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014630</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014810</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111014930</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111015001</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111015010</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111015030</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015330</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015413</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015430</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015701</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015730</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015801</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015810</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015830</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015834</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015901</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015905</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015910</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111015930</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016305</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016330</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016405</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016505</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016605</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016705</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016730</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016805</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016830</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111016905</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111017001</ndc>
    <ndc_label_name>OXAPROZIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111017005</ndc>
    <ndc_label_name>OXAPROZIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111017205</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111017290</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111017910</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111017915</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111018010</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111018015</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111018104</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111018601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111018901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019060</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019605</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019630</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019690</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019705</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019730</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019790</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019805</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019830</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019890</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019905</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019910</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019930</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111019990</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020005</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020010</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020030</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020090</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020360</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111020660</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022001</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022005</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022101</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022105</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022260</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022305</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022360</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022605</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG DISPER TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022905</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111022990</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111023005</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111023090</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111023105</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111023190</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111024860</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111024901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111024905</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025090</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025505</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025660</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025760</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025860</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111025960</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026279</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026281</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026379</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026381</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026479</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026481</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026579</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026581</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026805</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026830</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111026890</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111027405</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111027490</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111027950</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111028050</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111028130</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111028448</ndc>
    <ndc_label_name>FLUOXETINE DR 90 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111028960</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 375-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029109</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029136</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029190</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029198</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029209</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029236</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029290</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029298</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029309</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029336</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029390</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111029398</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111030230</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111030290</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111031060</ndc>
    <ndc_label_name>NIZATIDINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032001</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032005</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032101</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032105</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032201</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032205</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032890</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111032990</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111033290</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111033390</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111033801</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111033901</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111033905</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034001</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034005</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034101</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034105</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034201</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034205</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034230</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034305</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034330</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111034405</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111034930</ndc>
    <ndc_label_name>FENOFIBRATE 43 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035205</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035260</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035305</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035360</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035405</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035460</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035505</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111035560</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111035605</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111035610</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111035705</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111035710</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111036006</ndc>
    <ndc_label_name>DESLORATADINE 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111036031</ndc>
    <ndc_label_name>DESLORATADINE 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111036430</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111037290</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039590</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111039601</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039727</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039728</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039733</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039742</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039752</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039774</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20.6 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039830</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039890</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039905</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039930</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111039990</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111041930</ndc>
    <ndc_label_name>LAMOTRIGINE ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111042830</ndc>
    <ndc_label_name>LAMOTRIGINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111043890</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111044714</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 60-120 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111045305</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111045405</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111045505</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046601</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046605</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046705</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046801</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046805</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046901</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111046905</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111047181</ndc>
    <ndc_label_name>RISPERIDONE 4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111047801</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111047805</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111047901</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111049230</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111049330</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111049660</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111049704</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111051930</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052030</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052130</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052230</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052501</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052601</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052701</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111052830</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111053201</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111053205</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111053301</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111053305</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111053401</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111053405</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111054590</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111054690</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111054790</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111054890</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111054990</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111055106</ndc>
    <ndc_label_name>DESLORATADINE 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111055131</ndc>
    <ndc_label_name>DESLORATADINE 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055230</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055290</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055305</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055330</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111055610</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055707</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 180-240 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055729</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 180-240 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111055735</ndc>
    <ndc_label_name>FEXOFENADINE-PSE ER 180-240 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111056330</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111056430</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111057503</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111057511</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111057543</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111058601</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111058701</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059330</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059390</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059430</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059660</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059705</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111059760</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111060990</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111061130</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111061230</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111061330</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111061430</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111061530</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 4.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111061701</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111061901</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111062560</ndc>
    <ndc_label_name>ZAFIRLUKAST 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111062660</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111062930</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111063801</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111064001</ndc>
    <ndc_label_name>MEPROBAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111064101</ndc>
    <ndc_label_name>MEPROBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064301</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064330</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064401</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064410</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064430</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064505</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064510</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064530</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064534</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064730</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064801</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111064901</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111065001</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111065207</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111065237</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111065301</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111065401</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111065930</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111065990</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066130</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066190</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066230</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066290</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066330</ndc>
    <ndc_label_name>PARICALCITOL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066430</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111066530</ndc>
    <ndc_label_name>PARICALCITOL 4 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111067106</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111067131</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067802</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067810</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067811</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067902</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067910</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111067911</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068002</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068010</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068011</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068102</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068110</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068111</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068201</ndc>
    <ndc_label_name>IBU 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068205</ndc>
    <ndc_label_name>IBU 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068299</ndc>
    <ndc_label_name>IBU 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068301</ndc>
    <ndc_label_name>IBU 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068305</ndc>
    <ndc_label_name>IBU 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068350</ndc>
    <ndc_label_name>IBU 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068388</ndc>
    <ndc_label_name>IBU 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068401</ndc>
    <ndc_label_name>IBU 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068405</ndc>
    <ndc_label_name>IBU 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068450</ndc>
    <ndc_label_name>IBU 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111068469</ndc>
    <ndc_label_name>IBU 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068507</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068607</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068725</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111068852</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 5 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111069305</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111069312</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111069407</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111069501</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111069990</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111070160</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 500-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111071930</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072030</ndc>
    <ndc_label_name>LAMOTRIGINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072510</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072530</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072590</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072594</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111072790</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111072830</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072901</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111072910</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073001</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073005</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073130</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073190</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073290</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073390</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111073490</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111076260</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111076303</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111076307</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078301</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078330</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078401</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078430</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078911</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078927</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55111078948</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079630</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079730</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079818</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079835</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079836</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079841</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 600-60 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55111079924</ndc>
    <ndc_label_name>GUAIFENESIN-PSE ER 1200-120 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55135013201</ndc>
    <ndc_label_name>Trodelvy 180 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011310</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011420</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011599</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011601</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011610</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011620</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011701</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011710</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011720</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011801</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011899</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150011930</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012030</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012150</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012215</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012315</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012316</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012409</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012499</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012715</ndc>
    <ndc_label_name>OXACILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012824</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012825</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012909</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150012999</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150015410</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150015411</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150015520</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150015521</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016102</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016109</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016205</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016209</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016300</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016330</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 300 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016402</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016409</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016505</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016509</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016613</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/12.5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016710</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016830</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150016910</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150017030</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150017110</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150017230</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150017301</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150017305</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150017410</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150017705</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018003</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018109</ndc>
    <ndc_label_name>AMIODARONE 450 MG/9 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018218</ndc>
    <ndc_label_name>AMIODARONE 900 MG/18 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018301</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018302</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018310</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018311</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018505</ndc>
    <ndc_label_name>ESOMEPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018605</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018703</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150018810</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019183</ndc>
    <ndc_label_name>IBANDRONATE 3 MG/3 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019201</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019220</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019301</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019330</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019410</ndc>
    <ndc_label_name>ESMOLOL HCL 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019520</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019699</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019720</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019830</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150019920</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ROPIVACAINE 1% 100 MG/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020120</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020210</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020420</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020720</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020830</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150020902</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021010</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021201</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021502</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021605</ndc>
    <ndc_label_name>ATRACURIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021710</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021899</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150021910</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022099</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022110</ndc>
    <ndc_label_name>ETOMIDATE 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022220</ndc>
    <ndc_label_name>ETOMIDATE 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022310</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022505</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022610</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150022810</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023000</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023010</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023100</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023110</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023200</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023210</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023300</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023310</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023410</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023501</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023502</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023510</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023511</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023601</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023602</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023620</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023621</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023701</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023805</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150023930</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024005</ndc>
    <ndc_label_name>ISOSULFAN BLUE 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024101</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024110</ndc>
    <ndc_label_name>ARGATROBAN 50 MG/50ML-0.9%NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024251</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024346</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG/50 ML-D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024447</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024552</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024647</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024747</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024847</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150024950</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025050</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025110</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025124</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 100 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025220</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025224</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025350</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025410</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025424</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 200 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025520</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025524</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 400 MG/20 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025650</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150025930</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150026605</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027099</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027199</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027201</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150027701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028209</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028220</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028401</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028410</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028601</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028610</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028701</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028710</ndc>
    <ndc_label_name>MILRINONE-D5W 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028801</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150028810</ndc>
    <ndc_label_name>MILRINONE-D5W 40 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029201</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029302</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029405</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029520</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029601</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029610</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029701</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029710</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150029901</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030001</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030025</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030101</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030110</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030201</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030401</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030425</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030501</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030510</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150030610</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030701</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150030724</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150030801</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031301</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031401</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031601</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031625</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031701</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150031710</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150031801</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150031825</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150031901</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150031925</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032201</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032225</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032325</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032401</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150032425</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032701</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032710</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032801</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032810</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032901</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150032925</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150033001</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033101</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033201</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033500</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033501</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033701</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150033801</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150034201</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150034225</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150034301</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150034305</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150034401</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150034501</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150034510</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150035101</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55150035103</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035201</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035301</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035401</ndc>
    <ndc_label_name>IRINOTECAN HCL 300 MG/15 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035601</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035901</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150035950</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036001</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036025</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036401</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036425</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036501</ndc>
    <ndc_label_name>AMPHOTERICIN B LIPOSOME 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036601</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150036610</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037000</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037001</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037024</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037025</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037101</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037125</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037301</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037325</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037601</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037801</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150037901</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038001</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038101</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038201</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038301</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038401</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038501</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038600</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038601</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150038801</ndc>
    <ndc_label_name>POSACONAZOLE 300 MG/16.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150039101</ndc>
    <ndc_label_name>BENDAMUSTINE 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150039201</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150039301</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150039401</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150039402</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040001</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040025</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040101</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040125</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040201</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040225</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040301</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150040325</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042001</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042010</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042101</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042110</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042501</ndc>
    <ndc_label_name>DILTIAZEM 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042510</ndc>
    <ndc_label_name>DILTIAZEM 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042601</ndc>
    <ndc_label_name>DILTIAZEM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042610</ndc>
    <ndc_label_name>DILTIAZEM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042701</ndc>
    <ndc_label_name>DILTIAZEM 125 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042710</ndc>
    <ndc_label_name>DILTIAZEM 125 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150042901</ndc>
    <ndc_label_name>TIROFIBAN 5 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043001</ndc>
    <ndc_label_name>TIROFIBAN 12.5 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043101</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043201</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043202</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043301</ndc>
    <ndc_label_name>DEXRAZOXANE DILUENT-SODIUM LAC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043302</ndc>
    <ndc_label_name>DEXRAZOXANE DILUENT-SODIUM LAC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043401</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043402</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043501</ndc>
    <ndc_label_name>DEXRAZOXANE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DEXRAZOXANE DILUENT-SODIUM LAC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043701</ndc>
    <ndc_label_name>DEXRAZOXANE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043801</ndc>
    <ndc_label_name>KETAMINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043810</ndc>
    <ndc_label_name>KETAMINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043901</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150043910</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150044001</ndc>
    <ndc_label_name>KETAMINE 1,000 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150044010</ndc>
    <ndc_label_name>KETAMINE 1,000 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150044301</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150045001</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150045101</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150045201</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150045901</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150045910</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047001</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047006</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047101</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047110</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047201</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047210</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150047801</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150049801</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150049901</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55150092802</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55198000100</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55198000101</ndc>
    <ndc_label_name>DecuB-Amine 5 gram-35 kcal/8 gram oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55212004410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292012252</ndc>
    <ndc_label_name>NeoProfen (PF) 20 mg/2 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013106</ndc>
    <ndc_label_name>Signifor 0.3 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013160</ndc>
    <ndc_label_name>Signifor 0.3 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013201</ndc>
    <ndc_label_name>Signifor 0.6 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013206</ndc>
    <ndc_label_name>Signifor 0.6 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013260</ndc>
    <ndc_label_name>Signifor 0.6 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013306</ndc>
    <ndc_label_name>Signifor 0.9 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292013360</ndc>
    <ndc_label_name>Signifor 0.9 mg/mL (1 mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Signifor LAR 10 mg IM suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292014101</ndc>
    <ndc_label_name>Signifor LAR 30 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Signifor LAR 60 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292020111</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55292032020</ndc>
    <ndc_label_name>Isturisa 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Aranesp 25 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000301</ndc>
    <ndc_label_name>Aranesp 40 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000304</ndc>
    <ndc_label_name>Aranesp 40 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000401</ndc>
    <ndc_label_name>Aranesp 60 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000404</ndc>
    <ndc_label_name>Aranesp 60 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000501</ndc>
    <ndc_label_name>Aranesp 100 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000504</ndc>
    <ndc_label_name>Aranesp 100 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513000601</ndc>
    <ndc_label_name>Aranesp 200 mcg/mL (in polysorbate) Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002101</ndc>
    <ndc_label_name>Aranesp 40 mcg/0.4 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002104</ndc>
    <ndc_label_name>Aranesp 40 mcg/0.4 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002301</ndc>
    <ndc_label_name>Aranesp 60 mcg/0.3 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002304</ndc>
    <ndc_label_name>Aranesp 60 mcg/0.3 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002501</ndc>
    <ndc_label_name>Aranesp 100 mcg/0.5 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002504</ndc>
    <ndc_label_name>Aranesp 100 mcg/0.5 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002701</ndc>
    <ndc_label_name>Aranesp 150 mcg/0.3 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002704</ndc>
    <ndc_label_name>Aranesp 150 mcg/0.3 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513002801</ndc>
    <ndc_label_name>Aranesp 200 mcg/0.4 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513003201</ndc>
    <ndc_label_name>Aranesp 500 mcg/mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513005601</ndc>
    <ndc_label_name>Pavblu 2 mg/0.05 mL intravitreal syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513005701</ndc>
    <ndc_label_name>Aranesp 25 mcg/0.42 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513005704</ndc>
    <ndc_label_name>Aranesp 25 mcg/0.42 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513005901</ndc>
    <ndc_label_name>Imdelltra 1 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513006501</ndc>
    <ndc_label_name>Pavblu 2 mg/0.05 mL intravitreal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513006801</ndc>
    <ndc_label_name>IV Solution Stabilizer for Imdelltra intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513006901</ndc>
    <ndc_label_name>Imdelltra 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007330</ndc>
    <ndc_label_name>Sensipar 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007430</ndc>
    <ndc_label_name>Sensipar 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007530</ndc>
    <ndc_label_name>Sensipar 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007701</ndc>
    <ndc_label_name>Imdelltra 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007801</ndc>
    <ndc_label_name>Imlygic 10exp6 (1 million) PFU/mL suspension for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513007901</ndc>
    <ndc_label_name>Imlygic 10exp8 (100 million) PFU/mL suspension for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513009801</ndc>
    <ndc_label_name>Aranesp 10 mcg/0.4 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513009804</ndc>
    <ndc_label_name>Aranesp 10 mcg/0.4 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>55513009901</ndc>
    <ndc_label_name>Neulasta 4 mg/0.4 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513010301</ndc>
    <ndc_label_name>Imdelltra 1 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513011101</ndc>
    <ndc_label_name>Aranesp 300 mcg/0.6 mL (in polysorbate) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513011201</ndc>
    <ndc_label_name>Tezspire 210 mg/1.91 mL (110 mg/mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513011296</ndc>
    <ndc_label_name>Tezspire 210 mg/1.91 mL (110 mg/mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513012301</ndc>
    <ndc_label_name>Tezspire 210 mg/1.91 mL (110 mg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513012601</ndc>
    <ndc_label_name>Epogen 2,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513012610</ndc>
    <ndc_label_name>Epogen 2,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513013201</ndc>
    <ndc_label_name>Kanjinti 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513013221</ndc>
    <ndc_label_name>Kanjinti 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513013728</ndc>
    <ndc_label_name>Otezla 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513013750</ndc>
    <ndc_label_name>Otezla 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513013760</ndc>
    <ndc_label_name>Otezla 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513014101</ndc>
    <ndc_label_name>Kanjinti 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513014121</ndc>
    <ndc_label_name>Kanjinti 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513014401</ndc>
    <ndc_label_name>Epogen 10,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513014410</ndc>
    <ndc_label_name>Epogen 10,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513014801</ndc>
    <ndc_label_name>Epogen 4,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513014810</ndc>
    <ndc_label_name>Epogen 4,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513015001</ndc>
    <ndc_label_name>Blincyto 35 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513015201</ndc>
    <ndc_label_name>Bacteriostatic Water for Kanjinti injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513015501</ndc>
    <ndc_label_name>IV Soln Stabilizer for Blincyto intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513016001</ndc>
    <ndc_label_name>Blincyto 35 mcg intravenous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513016401</ndc>
    <ndc_label_name>Kanjinti 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513018001</ndc>
    <ndc_label_name>Bkemv 300 mg/30 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513019001</ndc>
    <ndc_label_name>Neulasta 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513019201</ndc>
    <ndc_label_name>Neulasta Onpro 6 mg/0.6 mL with wearable subcutaneous injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513020601</ndc>
    <ndc_label_name>Mvasi 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513020621</ndc>
    <ndc_label_name>Mvasi 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513020701</ndc>
    <ndc_label_name>Mvasi 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513020721</ndc>
    <ndc_label_name>Mvasi 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513020901</ndc>
    <ndc_label_name>Neupogen 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513020910</ndc>
    <ndc_label_name>Neupogen 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513020920</ndc>
    <ndc_label_name>Neupogen 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513020991</ndc>
    <ndc_label_name>Neupogen 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513022101</ndc>
    <ndc_label_name>Nplate 250 mcg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513022201</ndc>
    <ndc_label_name>Nplate 500 mcg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513022301</ndc>
    <ndc_label_name>Nplate 125 mcg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513022321</ndc>
    <ndc_label_name>Nplate 125 mcg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513022401</ndc>
    <ndc_label_name>Riabni 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513026701</ndc>
    <ndc_label_name>Epogen 3,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513026710</ndc>
    <ndc_label_name>Epogen 3,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513028301</ndc>
    <ndc_label_name>Epogen 20,000 unit/2 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513028310</ndc>
    <ndc_label_name>Epogen 20,000 unit/2 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513028320</ndc>
    <ndc_label_name>Epogen 20,000 unit/2 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513032601</ndc>
    <ndc_label_name>Riabni 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513036955</ndc>
    <ndc_label_name>Otezla Starter 10 mg (4)-20 mg (4)-30 mg(47) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513039901</ndc>
    <ndc_label_name>Amjevita(CF) 20 mg/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513040001</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 40 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513040002</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 40 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513041001</ndc>
    <ndc_label_name>Amjevita(CF) 40 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513041101</ndc>
    <ndc_label_name>AMJEVITA(CF) 20MG/0.4ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513041301</ndc>
    <ndc_label_name>Amjevita(CF) 10 mg/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513047801</ndc>
    <ndc_label_name>Epogen 20,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513047810</ndc>
    <ndc_label_name>Epogen 20,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513047820</ndc>
    <ndc_label_name>Epogen 20,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513047901</ndc>
    <ndc_label_name>Amjevita(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513047902</ndc>
    <ndc_label_name>Amjevita(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048101</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 80 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048102</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 80 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048201</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 40 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048202</ndc>
    <ndc_label_name>Amjevita(CF) Autoinjector 40 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048595</ndc>
    <ndc_label_name>Otezla Starter 10 mg (4)-20 mg (4)-30 mg(19) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048824</ndc>
    <ndc_label_name>Lumakras 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048840</ndc>
    <ndc_label_name>Lumakras 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513048896</ndc>
    <ndc_label_name>Lumakras 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513049760</ndc>
    <ndc_label_name>Otezla 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513050450</ndc>
    <ndc_label_name>Lumakras 320 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513050855</ndc>
    <ndc_label_name>Otezla Starter 10 mg (4)-20 mg (51) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513051260</ndc>
    <ndc_label_name>Lumakras 240 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513051641</ndc>
    <ndc_label_name>Otezla XR Initiation 10 mg-20 mg-30 mg tablet and 75 mg tablet,ER pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513051930</ndc>
    <ndc_label_name>Otezla XR 75 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513053001</ndc>
    <ndc_label_name>Neupogen 300 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513053010</ndc>
    <ndc_label_name>Neupogen 300 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513054601</ndc>
    <ndc_label_name>Neupogen 480 mcg/1.6 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513054610</ndc>
    <ndc_label_name>Neupogen 480 mcg/1.6 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513067001</ndc>
    <ndc_label_name>Avsola 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513071001</ndc>
    <ndc_label_name>Prolia 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513071021</ndc>
    <ndc_label_name>Prolia 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513073001</ndc>
    <ndc_label_name>Xgeva 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513073021</ndc>
    <ndc_label_name>Xgeva 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074001</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074010</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074020</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074101</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074110</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074120</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074201</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074210</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513074220</ndc>
    <ndc_label_name>Parsabiv 5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513076091</ndc>
    <ndc_label_name>Repatha SureClick 140 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513077091</ndc>
    <ndc_label_name>Repatha Pushtronex 420 mg/3.5 mL subcutaneous wearable injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513080060</ndc>
    <ndc_label_name>Corlanor 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513081060</ndc>
    <ndc_label_name>Corlanor 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513081301</ndc>
    <ndc_label_name>Corlanor 5 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513081328</ndc>
    <ndc_label_name>Corlanor 5 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513084101</ndc>
    <ndc_label_name>Aimovig Autoinjector 70 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513084301</ndc>
    <ndc_label_name>Aimovig Autoinjector 140 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513088001</ndc>
    <ndc_label_name>Evenity 105 mg/1.17 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513088002</ndc>
    <ndc_label_name>Evenity 210 mg/2.34 mL (105 mg/1.17 mL x 2) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513092401</ndc>
    <ndc_label_name>Neupogen 300 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513092410</ndc>
    <ndc_label_name>Neupogen 300 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55513092491</ndc>
    <ndc_label_name>Neupogen 300 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513095401</ndc>
    <ndc_label_name>Vectibix 100 mg/5 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513095421</ndc>
    <ndc_label_name>Vectibix 100 mg/5 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513095601</ndc>
    <ndc_label_name>Vectibix 400 mg/20 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vectibix 400 mg/20 mL (20 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55513099802</ndc>
    <ndc_label_name>Evenity 210 mg/2.34 mL (105 mg/1.17 mL x 2) subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000109</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel L-XL misc</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000110</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel S-M misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000111</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel S-M misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000112</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel L-XL misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000115</ndc>
    <ndc_label_name>Post Op Panty large-extra large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000116</ndc>
    <ndc_label_name>Post Op Panty small-medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000127</ndc>
    <ndc_label_name>Post Op Panty small-medium misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000136</ndc>
    <ndc_label_name>Post Op Panty large-extra large misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000147</ndc>
    <ndc_label_name>Milkflow 230 mg oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000150</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel 1X-2X misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000151</ndc>
    <ndc_label_name>Post Op Panty Silicone Panel 1X-2X misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000152</ndc>
    <ndc_label_name>Post Op Panty 1X-2X</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Post Op Panty 1X-2X</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55520000158</ndc>
    <ndc_label_name>Probiotic Plus Colostrum 30 mg-500 mg-50 mg oral powder packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Adstiladrin 3x10exp11 vp/mL intravesical suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Adstiladrin 3x10exp11 vp/mL intravesical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566150201</ndc>
    <ndc_label_name>Novarel 5,000 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566180101</ndc>
    <ndc_label_name>Zomacton 5 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566220000</ndc>
    <ndc_label_name>DDAVP 4 mcg/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566230000</ndc>
    <ndc_label_name>DDAVP 4 mcg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cervidil 10 mg vaginal insert,controlled release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566410000</ndc>
    <ndc_label_name>Euflexxa 10 mg/mL (mw 2.4-3.6 million) intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Euflexxa 10 mg/mL (mw 2.4-3.6 million) intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Euflexxa 10 mg/mL (mw 2.4-3.6 million) intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566410004</ndc>
    <ndc_label_name>Euflexxa 10 mg/mL (mw 2.4-3.6 million) intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nocdurna (women) 27.7 mcg disintegrating tablet,sublingual</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566507001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566650001</ndc>
    <ndc_label_name>Endometrin 100 mg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Endometrin 100 mg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Endometrin 100 mg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLENPIQ 160 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566680000</ndc>
    <ndc_label_name>Clenpiq 10 mg-3.5 gram-12 gram/175 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566680001</ndc>
    <ndc_label_name>Clenpiq 10 mg-3.5 gram-12 gram/175 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566750102</ndc>
    <ndc_label_name>Menopur 75 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566820100</ndc>
    <ndc_label_name>STERILE WATER DILUENT-FIRMAGON</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566820200</ndc>
    <ndc_label_name>STERILE WATER DILUENT-FIRMAGON</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566830301</ndc>
    <ndc_label_name>Firmagon kit with diluent syringe 80 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566840200</ndc>
    <ndc_label_name>Firmagon 120 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566840301</ndc>
    <ndc_label_name>Firmagon kit with diluent syringe 120 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566980000</ndc>
    <ndc_label_name>Rebyota 150 mL enema</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55566980002</ndc>
    <ndc_label_name>Rebyota 150 mL enema</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571001931</ndc>
    <ndc_label_name>Intrinsi B12-Folate 500 mcg-20 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571001950</ndc>
    <ndc_label_name>Intrinsi B12-Folate 500 mcg-20 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571002301</ndc>
    <ndc_label_name>Mag Glycinate 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571002496</ndc>
    <ndc_label_name>MyoCalm 25 mg-50 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571002497</ndc>
    <ndc_label_name>MyoCalm 25 mg-50 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571003061</ndc>
    <ndc_label_name>Ultra Potent-C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571003120</ndc>
    <ndc_label_name>Ultra Flora Plus 15 billion cell-170 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571091020</ndc>
    <ndc_label_name>Mag Glycinate 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571091232</ndc>
    <ndc_label_name>Iso D3 2,000 unit-64 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571091379</ndc>
    <ndc_label_name>EPA-DHA 720 290 mg-430 mg-1.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571091783</ndc>
    <ndc_label_name>EC Matrixx 100 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571091876</ndc>
    <ndc_label_name>Ostera 500 unit-500 mcg-90 mg-370 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571092673</ndc>
    <ndc_label_name>Serenagen 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571092677</ndc>
    <ndc_label_name>Serenagen 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571092903</ndc>
    <ndc_label_name>PhytoMulti 3 mg-3 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571093050</ndc>
    <ndc_label_name>AdvaClear capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571093051</ndc>
    <ndc_label_name>AdvaClear capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571093592</ndc>
    <ndc_label_name>Advanced Multi EA 22.5 mg-400 mcg-150 mcg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571093747</ndc>
    <ndc_label_name>UltraFlora Women's 2 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55571094685</ndc>
    <ndc_label_name>Estrovera 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55586000022</ndc>
    <ndc_label_name>MigreLief 200 mg-180 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55586000042</ndc>
    <ndc_label_name>Children's Migrelief 100 mg-90 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55586000045</ndc>
    <ndc_label_name>Children's Migrelief 100 mg-90 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628904704</ndc>
    <ndc_label_name>Ultracin T 10 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628905104</ndc>
    <ndc_label_name>Ultracin M 10 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628910704</ndc>
    <ndc_label_name>Ultracin M 5 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628917901</ndc>
    <ndc_label_name>Ultracin 0.025 %-28 %-10 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628917902</ndc>
    <ndc_label_name>Ultracin 0.025 %-28 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55628917904</ndc>
    <ndc_label_name>Ultracin 0.025 %-28 %-10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55636000372</ndc>
    <ndc_label_name>Rapid SARS-CoV-2 Ag Home Test kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55636000375</ndc>
    <ndc_label_name>Rapid SARS-CoV-2 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55724021111</ndc>
    <ndc_label_name>Eucrisa 2 % topical ointment</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>55724021121</ndc>
    <ndc_label_name>Eucrisa 2 % topical ointment</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55737000208</ndc>
    <ndc_label_name>Tru-Micin 10 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55741001313</ndc>
    <ndc_label_name>Bufferin 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55741022424</ndc>
    <ndc_label_name>Doan's Extra Strength 580 mg (467 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55741030404</ndc>
    <ndc_label_name>Myoflex 10 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NUPERCAINAL 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55764000702</ndc>
    <ndc_label_name>Gelmix oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55764000710</ndc>
    <ndc_label_name>Purathick oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Gelmix oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55792000701</ndc>
    <ndc_label_name>Elliotts B (PF) 73 mg-19 mg-8 mg-3 mg/10 mL intrathecal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Elliotts B (PF) 73 mg-19 mg-8 mg-3 mg/10 mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55801033803</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55801033903</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55801034003</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000300</ndc>
    <ndc_label_name>ELLURA 200 MG (36 MG PAC) CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000306</ndc>
    <ndc_label_name>Mage 15 billion cell-15 mg capsule,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000308</ndc>
    <ndc_label_name>Via vaginal gel with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000309</ndc>
    <ndc_label_name>ELLURA 206 MG (36 MG PAC) CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000310</ndc>
    <ndc_label_name>ELLURA 206 MG (36 MG PAC) CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000317</ndc>
    <ndc_label_name>GennaMD 130 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55859000318</ndc>
    <ndc_label_name>GennaMD 130 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55860004963</ndc>
    <ndc_label_name>Opsite 4" X 5 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55860004975</ndc>
    <ndc_label_name>Opsite 4" X 5 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55860004988</ndc>
    <ndc_label_name>Opsite 11" X 17 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000020</ndc>
    <ndc_label_name>XyliMelts 550 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000022</ndc>
    <ndc_label_name>XyliMelts 500 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000031</ndc>
    <ndc_label_name>XyliGel mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000046</ndc>
    <ndc_label_name>XyliMelts 500 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000051</ndc>
    <ndc_label_name>XyliMelts 550 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55933000073</ndc>
    <ndc_label_name>XyliMelts 500 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970080720</ndc>
    <ndc_label_name>Cosamin DS 500 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970080825</ndc>
    <ndc_label_name>Cosamin DS (with manganese) 500 mg-400 mg-2 mg-0.33 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970080841</ndc>
    <ndc_label_name>Cosamin DS (with manganese) 500 mg-400 mg-2 mg-0.33 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970080850</ndc>
    <ndc_label_name>Cosamin DS (with manganese) 500 mg-400 mg-2 mg-0.33 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970080860</ndc>
    <ndc_label_name>Cosamin DS (with manganese) 500 mg-400 mg-2 mg-0.33 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970082011</ndc>
    <ndc_label_name>Cosamin ASU (with AKBA) 500 mg-116.7 mg-133.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970082013</ndc>
    <ndc_label_name>Cosamin ASU (with AKBA) 500 mg-116.7 mg-133.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>55970085502</ndc>
    <ndc_label_name>Cosamin Avoca (with Boswellia) 500 mg-500 mg-33.3 mg-70 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56023000714</ndc>
    <ndc_label_name>GLUCOSE 2 GRAM GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56023000777</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56023000796</ndc>
    <ndc_label_name>CALCIUM PHOS-D3 250 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062001339</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062001352</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062001360</ndc>
    <ndc_label_name>Allergy Relief-D (loratadine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062004138</ndc>
    <ndc_label_name>Nitetime Multi-Symptom 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062005705</ndc>
    <ndc_label_name>Infants ProfenIB 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062006510</ndc>
    <ndc_label_name>PUB OXYMETAZOLINE HCL 0.05%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062016626</ndc>
    <ndc_label_name>Children's Profen IB 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062017526</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062018771</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062018778</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062019402</ndc>
    <ndc_label_name>PUB FAMOTIDINE 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062020421</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062022771</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062022778</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062023462</ndc>
    <ndc_label_name>Severe Cold 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062027262</ndc>
    <ndc_label_name>Sinus Relief (Non-Drowsy) 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062028273</ndc>
    <ndc_label_name>Dayhist Allergy 1.34 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Stomach Relief Original 262 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Severe Cold Multi-Symptom 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062032830</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pink Bismuth Maximum Strength 525 mg/15 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062034330</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062035740</ndc>
    <ndc_label_name>Antacid Plus Anti-Gas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062036862</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062036871</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062036878</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062037471</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062038810</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062041687</ndc>
    <ndc_label_name>PUB ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062042341</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062042865</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062043280</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062043771</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062043778</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062045872</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062046162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062046880</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062046965</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062047662</ndc>
    <ndc_label_name>Allergy Sinus PE 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062047775</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062047847</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062047962</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062047967</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062047978</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062048471</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062048478</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062048980</ndc>
    <ndc_label_name>Calcium Antacid 320 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062049078</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062051626</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062051634</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062054462</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062057195</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062060726</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062061275</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062064810</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062065772</ndc>
    <ndc_label_name>Gas Relief Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062072415</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062072469</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062083771</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062088210</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062089726</ndc>
    <ndc_label_name>Children's Profen IB 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062090626</ndc>
    <ndc_label_name>Children's Dibromm Cold and Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062090838</ndc>
    <ndc_label_name>Nitetime Multi-Symptom 12.5 mg-30 mg-1,000 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062091530</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062091555</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062091574</ndc>
    <ndc_label_name>PUB OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062094940</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56062097426</ndc>
    <ndc_label_name>Children's Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56062098726</ndc>
    <ndc_label_name>Children's Dibromm DM Cold-Cough 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56069000600</ndc>
    <ndc_label_name>Hydralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56069000601</ndc>
    <ndc_label_name>Hydralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56069000602</ndc>
    <ndc_label_name>Hydralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56069000675</ndc>
    <ndc_label_name>Hydralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56121000001</ndc>
    <ndc_label_name>Skin Repair lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56121000002</ndc>
    <ndc_label_name>Skin Repair lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56121000003</ndc>
    <ndc_label_name>Skin Repair lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56121000004</ndc>
    <ndc_label_name>Skin Repair lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151014201</ndc>
    <ndc_label_name>TRUEdraw Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151014260</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151014401</ndc>
    <ndc_label_name>TRUEplus Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151014402</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151014701</ndc>
    <ndc_label_name>TRUEplus Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151024221</ndc>
    <ndc_label_name>Lancets,Thin 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151034101</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151034125</ndc>
    <ndc_label_name>TRUEplus Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151060150</ndc>
    <ndc_label_name>TRUEplus Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151145001</ndc>
    <ndc_label_name>True Metrix Level 1 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151145002</ndc>
    <ndc_label_name>True Metrix Level 2 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151145003</ndc>
    <ndc_label_name>True Metrix Level 3 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146001</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146003</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146004</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146101</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146104</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146304</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146401</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146404</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146604</ndc>
    <ndc_label_name>True Metrix Pro Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151146704</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151147002</ndc>
    <ndc_label_name>True Metrix Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151149002</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151149102</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151149403</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161011</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161051</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161111</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161151</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161251</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151161351</ndc>
    <ndc_label_name>TRUEplus Glucose 3.75 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151162501</ndc>
    <ndc_label_name>TRUEplus Glucose 15 gram/32 mL oral gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151164101</ndc>
    <ndc_label_name>TRUEplus Glucose 15 gram/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151170201</ndc>
    <ndc_label_name>TRUEplus Insulin 1/2 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151170301</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 28 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151171101</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151171201</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151171301</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 29 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151172101</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151172201</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151172301</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 30 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151173101</ndc>
    <ndc_label_name>TRUEplus Insulin 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151173201</ndc>
    <ndc_label_name>TRUEplus Insulin 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151173301</ndc>
    <ndc_label_name>TRUEplus Insulin 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56151195002</ndc>
    <ndc_label_name>True Metrix Go Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151210001</ndc>
    <ndc_label_name>TRUEplus Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151210101</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151210301</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151211001</ndc>
    <ndc_label_name>TRUEplus Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151211101</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151211201</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151211301</ndc>
    <ndc_label_name>TRUEplus Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56151211401</ndc>
    <ndc_label_name>TRUEplus Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56176000800</ndc>
    <ndc_label_name>POGO AUTOMATIC BLOOD GLUC SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56176000805</ndc>
    <ndc_label_name>POGO AUTOMATIC TEST CARTRIDGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184000007</ndc>
    <ndc_label_name>Little Remedies New Baby 160 mg/5 mL-20 mg/0.3 mL kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184000009</ndc>
    <ndc_label_name>Little Remedies Saline Mist 0.9 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184000013</ndc>
    <ndc_label_name>Little Remedies Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184010176</ndc>
    <ndc_label_name>Little Remedies Fever and Pain Reliever 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184010177</ndc>
    <ndc_label_name>Little Remedies Fever and Pain Reliever 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184010653</ndc>
    <ndc_label_name>Little Remedies Fever and Pain Reliever 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184010737</ndc>
    <ndc_label_name>Little Remedies Honey Cough 5.5 gram/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184010860</ndc>
    <ndc_label_name>Little Remedies Sore Throat 5.4 mg pop</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184012011</ndc>
    <ndc_label_name>Little Remedies 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184012015</ndc>
    <ndc_label_name>Little Remedies Saline 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>56184012041</ndc>
    <ndc_label_name>Little Tummys Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184012105</ndc>
    <ndc_label_name>Little Noses 0.125 % nasal drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56184012277</ndc>
    <ndc_label_name>Little Remedies Gripe Water 5 mg-4 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000002</ndc>
    <ndc_label_name>Opurity Multivitamin 30 mg iron-800 mcg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000005</ndc>
    <ndc_label_name>Unjury 21 gram-100 kcal/27 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000011</ndc>
    <ndc_label_name>Unjury 21 gram-100 kcal/27 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000015</ndc>
    <ndc_label_name>Opurity 1,000 mcg-200 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000022</ndc>
    <ndc_label_name>Unjury 21 gram-100 kcal/27 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000033</ndc>
    <ndc_label_name>Unjury 21 gram-90 kcal/24 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000055</ndc>
    <ndc_label_name>Unjury 21 gram-100 kcal/27 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56215000077</ndc>
    <ndc_label_name>Unjury 21 gram-100 kcal/27 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56331000614</ndc>
    <ndc_label_name>CryoDose TA Mist Spray topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56331000615</ndc>
    <ndc_label_name>CryoDose TA Medium Stream Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56331000616</ndc>
    <ndc_label_name>CryoDose TA Medium Stream Spray topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56362000519</ndc>
    <ndc_label_name>iHealth Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56362000589</ndc>
    <ndc_label_name>iHealth COVID-19 Antigen Rapid Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56362000590</ndc>
    <ndc_label_name>iHealth COVID-19 Antigen Rapid Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56362000596</ndc>
    <ndc_label_name>iHealth COVID-19 Antigen Rapid Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56569000201</ndc>
    <ndc_label_name>Freeze It Relief 0.2 %-3.5 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56578000202</ndc>
    <ndc_label_name>Rycontuss 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56578000204</ndc>
    <ndc_label_name>Livetrol 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56923000115</ndc>
    <ndc_label_name>Nozin Popswab 62 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56923000116</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56923000117</ndc>
    <ndc_label_name>Nozin Nasal Sanitizer 62 % topical kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56923000121</ndc>
    <ndc_label_name>Nozin Popswab 62 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>56964000000</ndc>
    <ndc_label_name>Ellume COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57005000403</ndc>
    <ndc_label_name>Avenova 0.01 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57005000415</ndc>
    <ndc_label_name>Avenova 0.01 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000511</ndc>
    <ndc_label_name>MiroDerm Fenestrated 3 cm X 7 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000512</ndc>
    <ndc_label_name>MiroDerm Fenestrated 5 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000513</ndc>
    <ndc_label_name>MiroDerm Fenestrated 8 cm X 8 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000514</ndc>
    <ndc_label_name>MiroDerm Fenestrated 7 cm X 10 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000515</ndc>
    <ndc_label_name>MiroDerm Fenestrated 8 cm X 15 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000516</ndc>
    <ndc_label_name>MiroDerm Fenestrated 3 cm X 3 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000517</ndc>
    <ndc_label_name>MiroDerm Fenestrated 4 cm X 4 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000520</ndc>
    <ndc_label_name>MiroDerm Fenestrated Plus 3 cm X 3 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000523</ndc>
    <ndc_label_name>MiroDerm Fenestrated Plus 5 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000524</ndc>
    <ndc_label_name>MiroDerm Fenestrated Plus 8 cm X 8 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000526</ndc>
    <ndc_label_name>MiroDerm Fenestrated Plus 8 cm X 15 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000529</ndc>
    <ndc_label_name>MiroDerm Fenestrated 2 cm X 3 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000530</ndc>
    <ndc_label_name>MiroDerm Fenestrated 2 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000531</ndc>
    <ndc_label_name>Miro3D 2 cm X 2 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000532</ndc>
    <ndc_label_name>Miro3D 3 cm X 3 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000533</ndc>
    <ndc_label_name>Miro3D 5 cm X 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000534</ndc>
    <ndc_label_name>Miro3D 10 cm X 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000541</ndc>
    <ndc_label_name>Miro3D Fibers 100 mg topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000542</ndc>
    <ndc_label_name>Miro3D Fibers 250 mg topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000543</ndc>
    <ndc_label_name>Miro3D Fibers 500 mg topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000544</ndc>
    <ndc_label_name>Miro3D Fibers 700 mg topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000545</ndc>
    <ndc_label_name>Mirotract 3 mm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000546</ndc>
    <ndc_label_name>Mirotract 5 mm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000547</ndc>
    <ndc_label_name>Mirotract 3 mm X 9 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000548</ndc>
    <ndc_label_name>Mirotract 5 mm X 9 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000549</ndc>
    <ndc_label_name>MiroDry Wound Matrix 2 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000550</ndc>
    <ndc_label_name>MiroDry Wound Matrix 3 cm X 3 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000551</ndc>
    <ndc_label_name>MiroDry Wound Matrix 4 cm X 4 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000552</ndc>
    <ndc_label_name>MiroDry Wound Matrix 5 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000554</ndc>
    <ndc_label_name>MiroDry Wound Matrix 10 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000555</ndc>
    <ndc_label_name>Miro3D 4 cm X 4 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000556</ndc>
    <ndc_label_name>Miro3D 7 cm X 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000557</ndc>
    <ndc_label_name>MiroDry Wound Matrix 5 cm X 7 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000562</ndc>
    <ndc_label_name>Miro3D 5 cm X 2 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000563</ndc>
    <ndc_label_name>Miro3D 10 cm X 2 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000564</ndc>
    <ndc_label_name>Miro3D 6 cm X 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000565</ndc>
    <ndc_label_name>Miro3D 8 cm X 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000566</ndc>
    <ndc_label_name>MiroDry Wound Matrix 5 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000567</ndc>
    <ndc_label_name>MiroDry Wound Matrix 10 cm X 2 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000568</ndc>
    <ndc_label_name>MiroDry Wound Matrix 6 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57072000569</ndc>
    <ndc_label_name>MiroDry Wound Matrix 8 cm X 5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57074000161</ndc>
    <ndc_label_name>Kerasal Fungal Nail Renewal topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57074000177</ndc>
    <ndc_label_name>Domeboro 952 mg-1,347 mg topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57141000496</ndc>
    <ndc_label_name>Viactiv 650 mg-12.5 mcg-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57141000497</ndc>
    <ndc_label_name>Viactiv 650 mg-12.5 mcg-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57141000498</ndc>
    <ndc_label_name>Viactiv 650 mg-12.5 mcg-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57141000499</ndc>
    <ndc_label_name>Viactiv 650 mg-12.5 mcg-40 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145000122</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145000132</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145000242</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145000246</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145000282</ndc>
    <ndc_label_name>Breathe Right Vapor topical strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145010255</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57145024740</ndc>
    <ndc_label_name>Breathe Right strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237000101</ndc>
    <ndc_label_name>LANSOPRAZOL-AMOXICIL-CLARITHRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237000114</ndc>
    <ndc_label_name>LANSOPRAZOL-AMOXICIL-CLARITHRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000201</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000205</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000299</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000330</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000430</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000511</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000601</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000630</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000705</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000730</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000805</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000830</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000905</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237000930</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001005</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001030</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001106</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001206</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001306</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001401</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001405</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001760</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001799</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001830</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001890</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001899</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001930</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001990</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237001999</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002301</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002305</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002401</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002405</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002501</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002505</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237002601</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237002701</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002801</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002901</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237002920</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003001</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003005</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003101</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003105</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003201</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003250</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003275</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003301</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003350</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003375</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003401</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003450</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003475</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003501</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003550</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003575</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003601</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237003750</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004001</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004099</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004101</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004105</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004199</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004230</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004290</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004330</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004390</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004460</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004560</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004701</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004705</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004801</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237004805</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237004960</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237005060</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237005160</ndc>
    <ndc_label_name>GALANTAMINE HBR 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237005820</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237005860</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237005920</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237005960</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237006130</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237006190</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006205</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006230</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006290</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006301</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006401</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237006501</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007530</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007550</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007630</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007650</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007710</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007730</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007750</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007810</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007830</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237007850</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008563</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008663</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008734</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008763</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008834</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237008863</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237008901</ndc>
    <ndc_label_name>TRANDOLAPRIL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237009001</ndc>
    <ndc_label_name>TRANDOLAPRIL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237009101</ndc>
    <ndc_label_name>TRANDOLAPRIL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009601</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009650</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009701</ndc>
    <ndc_label_name>CEFADROXIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009801</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009875</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237009960</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010001</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010099</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010101</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010199</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010201</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010299</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010601</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237010605</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237010801</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237010901</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237011001</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237011490</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237011901</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237011999</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012001</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012099</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012101</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012199</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012201</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012299</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012301</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012399</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012401</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012499</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012501</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012601</ndc>
    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237012701</ndc>
    <ndc_label_name>WARFARIN SODIUM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237012953</ndc>
    <ndc_label_name>NEOMYC-BACIT-POLYMIX EYE OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237013801</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014201</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014301</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014401</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014405</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014501</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014505</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014601</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014701</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237014935</ndc>
    <ndc_label_name>FLUCONAZOLE 10 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015035</ndc>
    <ndc_label_name>FLUCONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015430</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015490</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015530</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015590</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237015630</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015701</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015801</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237015901</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016001</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016030</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016130</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016190</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016199</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016201</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016230</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016250</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016290</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016405</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016490</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016505</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016590</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016605</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016690</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016705</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016790</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016805</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016890</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016990</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237016999</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017090</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017099</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017130</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017201</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017290</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017301</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017390</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017401</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017490</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017501</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237017601</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018090</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018190</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018290</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018390</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018490</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237018590</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237020690</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237020799</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237020890</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237020999</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021230</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021290</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021330</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021390</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-500</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237021860</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237021881</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021905</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021930</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237021990</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022005</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022030</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022090</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022105</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022130</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022190</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022201</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022230</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022301</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022305</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022401</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022405</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022501</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237022505</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237023201</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237023205</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237023301</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237023305</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237023901</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237024001</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237026601</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237027424</ndc>
    <ndc_label_name>LAMIVUDINE 10 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237030124</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237030412</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237030416</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237030512</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237030516</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031005</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031054</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031105</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031151</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237031205</ndc>
    <ndc_label_name>GUAIFENESN-DM 100-10MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237031251</ndc>
    <ndc_label_name>GUAIFENESN-DM 100-10MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237031301</ndc>
    <ndc_label_name>GUAIFENSN-DM 200-20MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237031318</ndc>
    <ndc_label_name>GUAIFENSN-DM 200-20MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031403</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031431</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031603</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031631</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031705</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031751</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031801</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031811</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031903</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031915</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031931</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237031952</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032072</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032081</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032172</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032181</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032201</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032211</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032250</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032301</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032311</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032350</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032403</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032431</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032521</ndc>
    <ndc_label_name>GLYCERIN 2 GM SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032552</ndc>
    <ndc_label_name>GLYCERIN 2 GM SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032621</ndc>
    <ndc_label_name>CHILD GLYCERIN 1.2 GM SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032652</ndc>
    <ndc_label_name>CHILD GLYCERIN 1.2 GM SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032703</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237032721</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237033021</ndc>
    <ndc_label_name>URO-PAIN 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237033042</ndc>
    <ndc_label_name>URO-PAIN 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033103</ndc>
    <ndc_label_name>URO-PAIN 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237033242</ndc>
    <ndc_label_name>URO-PAIN Dual Action 162 mg-162.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033301</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033703</ndc>
    <ndc_label_name>Proctozone-B 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033704</ndc>
    <ndc_label_name>Proctozone-B 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033721</ndc>
    <ndc_label_name>Proctozone-B 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033751</ndc>
    <ndc_label_name>Proctozone-B 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033816</ndc>
    <ndc_label_name>Children's Proctozone-G rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033821</ndc>
    <ndc_label_name>Children's Proctozone-G rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033851</ndc>
    <ndc_label_name>Children's Proctozone-G rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033852</ndc>
    <ndc_label_name>Children's Proctozone-G rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033916</ndc>
    <ndc_label_name>Proctozone-GMax rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033921</ndc>
    <ndc_label_name>Proctozone-GMax rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033951</ndc>
    <ndc_label_name>Proctozone-GMax rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237033952</ndc>
    <ndc_label_name>Proctozone-GMax rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034601</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034610</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034701</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034705</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034801</ndc>
    <ndc_label_name>ASPIRIN-ACETAMINOPHEN-CAFF TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034910</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237034912</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237035912</ndc>
    <ndc_label_name>Mucolyte (guaifenesin) 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237035916</ndc>
    <ndc_label_name>Mucolyte (guaifenesin) 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237036012</ndc>
    <ndc_label_name>Mucolyte-DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237036016</ndc>
    <ndc_label_name>Mucolyte-DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57237036101</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036501</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036510</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036601</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036610</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036701</ndc>
    <ndc_label_name>Dimetane (Diphenhydramine HCL) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036799</ndc>
    <ndc_label_name>Dimetane (Diphenhydramine HCL) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036801</ndc>
    <ndc_label_name>Dimetane (Diphenhydramine HCL) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57237036899</ndc>
    <ndc_label_name>Dimetane (Diphenhydramine HCL) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57246000105</ndc>
    <ndc_label_name>LEUPROLIDE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000209</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000210</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000211</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000212</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000213</ndc>
    <ndc_label_name>Medlance Plus Special Blade 0.8 mm X 2 mm misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000217</ndc>
    <ndc_label_name>Medlance Plus Lancets 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000218</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000219</ndc>
    <ndc_label_name>Medlance Plus Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000220</ndc>
    <ndc_label_name>Medlance Plus Special Blade 0.8 mm X 2 mm misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000221</ndc>
    <ndc_label_name>Droplet Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000222</ndc>
    <ndc_label_name>Droplet Pen Needle 29 gauge x 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000223</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000224</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000225</ndc>
    <ndc_label_name>Droplet Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000226</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000227</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000228</ndc>
    <ndc_label_name>Droplet Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000230</ndc>
    <ndc_label_name>Droplet Micron Pen Needle 34 gauge x 9/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000256</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000257</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57273000258</ndc>
    <ndc_label_name>DropSafe Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57273000289</ndc>
    <ndc_label_name>Droplet Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57335000512</ndc>
    <ndc_label_name>Rejoyn Digital App (MDD) misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57344015003</ndc>
    <ndc_label_name>Cold Head Congestion Day/Nite 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57484031204</ndc>
    <ndc_label_name>Ca-Rezz 0.3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511000101</ndc>
    <ndc_label_name>Just Right 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511000201</ndc>
    <ndc_label_name>Just Right 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511000301</ndc>
    <ndc_label_name>Just Right 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511010808</ndc>
    <ndc_label_name>Just Right 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511012009</ndc>
    <ndc_label_name>Just Right 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511050301</ndc>
    <ndc_label_name>FluoriMax 5000 Sensitive 1.1 %-5 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57511050401</ndc>
    <ndc_label_name>FluoriMax 5000 1.1 % dental paste</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000627</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000628</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000629</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000630</ndc>
    <ndc_label_name>PEN NEEDLE 32G X 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57513000631</ndc>
    <ndc_label_name>Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57513000645</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000648</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000649</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000650</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000651</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000652</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57513000653</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57513000666</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515002543</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515002563</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515002583</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003219</ndc>
    <ndc_label_name>ULTICARE INS SAFETY 1ML 29X1/2</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003259</ndc>
    <ndc_label_name>ULTICARE SAFETY 0.5 ML 29GX1/2</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003543</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003553</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003563</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515003583</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515004543</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515004553</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515004562</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007315</ndc>
    <ndc_label_name>UltiCare 1 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007335</ndc>
    <ndc_label_name>UltiCare 0.3 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007355</ndc>
    <ndc_label_name>UltiCare 0.5 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007419</ndc>
    <ndc_label_name>UltiCare 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007439</ndc>
    <ndc_label_name>UltiCare 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515007459</ndc>
    <ndc_label_name>UltiCare 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515008218</ndc>
    <ndc_label_name>ULTICARE INS SYR 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515008258</ndc>
    <ndc_label_name>ULTICARE SYRIN 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009219</ndc>
    <ndc_label_name>ULTICARE INS SYR 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009239</ndc>
    <ndc_label_name>ULTICARE SYRIN 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009259</ndc>
    <ndc_label_name>ULTICARE SYR 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009315</ndc>
    <ndc_label_name>UltiCare 1 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009319</ndc>
    <ndc_label_name>ULTICARE SYR 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009335</ndc>
    <ndc_label_name>UltiCare 0.3 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009339</ndc>
    <ndc_label_name>ULTICARE SYR 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009355</ndc>
    <ndc_label_name>UltiCare 0.5 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009359</ndc>
    <ndc_label_name>ULTICARE SYR 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009419</ndc>
    <ndc_label_name>ULTCARE INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009439</ndc>
    <ndc_label_name>ULTICARE SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009459</ndc>
    <ndc_label_name>ULTICARE SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009512</ndc>
    <ndc_label_name>UltiCare Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009543</ndc>
    <ndc_label_name>UltiGuard SafePack-Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009545</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009553</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009562</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009563</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009565</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009583</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515009585</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017239</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017319</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017339</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017359</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017419</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017439</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515017459</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515018218</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515018258</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 28GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515019219</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515019259</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 29GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515019315</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515019335</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515019355</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515025110</ndc>
    <ndc_label_name>Tuberculin Syringe 1 mL 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515025158</ndc>
    <ndc_label_name>UltiCare 1 mL 25 gauge x 5/8" syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57515044000</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57515044001</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071000</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071001</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071002</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071003</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071004</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071005</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071006</ndc>
    <ndc_label_name>UltiCare Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071007</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071008</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071009</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071013</ndc>
    <ndc_label_name>UltiCare Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515071014</ndc>
    <ndc_label_name>UltiCare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091000</ndc>
    <ndc_label_name>UltiCare 0.3 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091001</ndc>
    <ndc_label_name>UltiCare 0.5 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091002</ndc>
    <ndc_label_name>UltiCare 1 mL 31 gauge x 5/16" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091003</ndc>
    <ndc_label_name>UltiCare 0.3 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091004</ndc>
    <ndc_label_name>UltiCare 0.5 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091005</ndc>
    <ndc_label_name>UltiCare 1 mL 30 gauge x 1/2" syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091006</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091007</ndc>
    <ndc_label_name>UltiCare Insulin Syringe (half unit) 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091008</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1/2 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091009</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091010</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091011</ndc>
    <ndc_label_name>UltiCare Insulin Syringe (half unit) 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091012</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1/2 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515091013</ndc>
    <ndc_label_name>UltiCare Insulin Syringe 1 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515095010</ndc>
    <ndc_label_name>INSULIN SYRINGE 0.3 ML 31GX1/4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515095011</ndc>
    <ndc_label_name>INSULIN SYR 0.3ML 31GX1/4(1/2)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57515095012</ndc>
    <ndc_label_name>INSULIN SYRINGE 0.5 ML 31GX1/4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57565096312</ndc>
    <ndc_label_name>GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599000101</ndc>
    <ndc_label_name>FreeStyle Libre 14 Day Sensor kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599000200</ndc>
    <ndc_label_name>FreeStyle Libre 14 Day Reader</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599004305</ndc>
    <ndc_label_name>Medisense Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599006305</ndc>
    <ndc_label_name>Precision PCX Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599011605</ndc>
    <ndc_label_name>Precision Point Of Care Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599013801</ndc>
    <ndc_label_name>Medisense Glucose Ketone combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599013901</ndc>
    <ndc_label_name>Medisense Glucose Ketone combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599031201</ndc>
    <ndc_label_name>Glucose Ketone Control Soln solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599033901</ndc>
    <ndc_label_name>Precision PCX Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599055001</ndc>
    <ndc_label_name>Medisense combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599055101</ndc>
    <ndc_label_name>Medisense combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599055201</ndc>
    <ndc_label_name>Medisense Mid Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599074501</ndc>
    <ndc_label_name>Precision Xtra B-Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599080000</ndc>
    <ndc_label_name>FreeStyle Libre 2 Sensor kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599080300</ndc>
    <ndc_label_name>FreeStyle Libre 2 Reader</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599081800</ndc>
    <ndc_label_name>FreeStyle Libre 3 Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599082000</ndc>
    <ndc_label_name>FreeStyle Libre 3 Reader</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599082001</ndc>
    <ndc_label_name>FreeStyle Libre 3 Reader</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599083500</ndc>
    <ndc_label_name>FreeStyle Libre 2 Plus Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599083501</ndc>
    <ndc_label_name>FreeStyle Libre 2 Plus Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599084400</ndc>
    <ndc_label_name>FreeStyle Libre 3 Plus Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599084401</ndc>
    <ndc_label_name>FreeStyle Libre 3 Plus Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599088000</ndc>
    <ndc_label_name>Minimed Instinct Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599104104</ndc>
    <ndc_label_name>Optium EZ strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599104205</ndc>
    <ndc_label_name>Optium EZ strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599150201</ndc>
    <ndc_label_name>Precision Xtra Ketone-Glucose Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599157701</ndc>
    <ndc_label_name>FreeStyle Precision Neo Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599157904</ndc>
    <ndc_label_name>FreeStyle Precision Neo Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599517501</ndc>
    <ndc_label_name>FreeStyle Precision Neo Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599740105</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599833501</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599833601</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599868105</ndc>
    <ndc_label_name>MEDISENSE THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599868205</ndc>
    <ndc_label_name>MEDISENSE THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599868206</ndc>
    <ndc_label_name>MEDISENSE THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599873204</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599873305</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599874605</ndc>
    <ndc_label_name>Unistik 2 Normal Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57599874705</ndc>
    <ndc_label_name>Unistik 2 Extra Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599875705</ndc>
    <ndc_label_name>Precision PCX Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599881401</ndc>
    <ndc_label_name>Precision Xtra Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599913404</ndc>
    <ndc_label_name>Optium Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599913505</ndc>
    <ndc_label_name>Optium Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599956505</ndc>
    <ndc_label_name>Precision PCX Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599969405</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599969504</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599972804</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599983701</ndc>
    <ndc_label_name>Precision Xtra Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599983804</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599987705</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57599987805</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629000412</ndc>
    <ndc_label_name>Genteel Vacuum Lancing Device combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629000413</ndc>
    <ndc_label_name>Genteel Vacuum Lancing Device combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629000415</ndc>
    <ndc_label_name>Genteel Vacuum Lancing Device combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629000418</ndc>
    <ndc_label_name>Genteel Vacuum Lancing Device combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629000420</ndc>
    <ndc_label_name>Butterfly Touch Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629000421</ndc>
    <ndc_label_name>Genteel Vacuum Lancing Device combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629010020</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629010121</ndc>
    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629020010</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629020110</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629020210</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57629020310</ndc>
    <ndc_label_name>HYOSCYAMINE SR 0.375 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629030010</ndc>
    <ndc_label_name>FE C 100 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629040010</ndc>
    <ndc_label_name>FE C Plus 100 mg-250 mg-25 mcg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629050012</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57629060010</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57647000716</ndc>
    <ndc_label_name>Soothing Saline-Aloe nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57647000760</ndc>
    <ndc_label_name>Chest Rub (with pine oil) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57647000761</ndc>
    <ndc_label_name>Baby Complete Cough-Immune 4 gram-45 mg-9 mg-10 mg/3 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57648000201</ndc>
    <ndc_label_name>The Magic Bullet 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57654000602</ndc>
    <ndc_label_name>Neoke Alcar 1 gram/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664001472</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664001474</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664001475</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002097</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002098</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002197</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002198</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002297</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002298</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002397</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002398</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002497</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002498</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002597</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664002598</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664002672</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664002674</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664002675</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664004688</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664004788</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664004888</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664004988</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664005088</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664005188</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664005288</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005372</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005374</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005513</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005518</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005599</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005613</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005618</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005699</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005713</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005718</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664005799</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664005888</ndc>
    <ndc_label_name>LEVORPHANOL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664006288</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664007001</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664007010</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664007101</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664007110</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664007588</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008388</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008488</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008588</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008688</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008788</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664008888</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664010788</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664010818</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664010888</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664010988</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664011688</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664011713</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664011788</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664011813</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664011888</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664012434</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664012613</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664013488</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664013560</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664013564</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664013565</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664015513</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664015588</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664015688</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664016088</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664016752</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664016758</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664017013</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664018788</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664021188</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664022388</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664022488</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664022888</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664022988</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664023088</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664023188</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664023288</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664023388</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664024188</ndc>
    <ndc_label_name>CLOZAPINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027308</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027313</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027318</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027508</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027513</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664027518</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664033688</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664033788</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664033888</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664033988</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664034088</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664034188</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664034588</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664034713</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664034788</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664035831</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664035835</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664035931</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664035935</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037088</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037188</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037688</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037708</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037713</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037718</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037888</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664037988</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039288</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039388</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039488</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039588</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039688</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039751</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039753</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664039758</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042113</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042183</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042199</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042213</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042283</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042299</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042413</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042483</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042499</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042513</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042583</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664042599</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664043551</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664043553</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664043558</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664043718</ndc>
    <ndc_label_name>DIGOXIN 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664043788</ndc>
    <ndc_label_name>DIGOXIN 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664044118</ndc>
    <ndc_label_name>DIGOXIN 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664044188</ndc>
    <ndc_label_name>DIGOXIN 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047451</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047453</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047458</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047488</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047752</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664047758</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664049918</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664049983</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050018</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050083</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050118</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050183</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050218</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050289</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050318</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050389</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050608</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050652</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050658</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050713</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050813</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050818</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050913</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050918</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664050988</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664051083</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664053713</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664053718</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664053788</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056813</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056818</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056899</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056913</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056918</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664056999</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664057013</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664057018</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664057099</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664059640</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664059650</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062188</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062288</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 10 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062388</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 15 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062488</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 20 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062588</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 30 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062688</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 40 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062888</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664062988</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE ER 35 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664063340</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664063343</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664063444</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664063445</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064108</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064208</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064308</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064408</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064508</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064608</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064708</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064888</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664064988</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664065588</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664065688</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664066383</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664066483</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664066583</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664066683</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664068331</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664068357</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664068488</ndc>
    <ndc_label_name>MIGLITOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664068588</ndc>
    <ndc_label_name>MIGLITOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664068688</ndc>
    <ndc_label_name>MIGLITOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068718</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068788</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068818</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068888</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068918</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664068988</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664069088</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664069188</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664069288</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664069836</ndc>
    <ndc_label_name>HALCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664071083</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 72 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664074513</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664074588</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664074713</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664074788</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075683</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075783</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075799</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075883</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075899</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075983</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664075999</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664076099</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664076113</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664076188</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664076288</ndc>
    <ndc_label_name>LEVORPHANOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077283</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077299</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077383</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077399</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077483</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077499</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077583</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664077599</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664078386</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664078486</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664078586</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664078686</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664078786</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079683</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079699</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079783</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079799</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079883</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079899</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079983</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664079999</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664080083</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664080099</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664080818</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664080888</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085188</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085288</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085385</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085488</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085588</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57664085685</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664095088</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 12.5MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664095188</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664095288</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 37.5MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664095388</ndc>
    <ndc_label_name>DEXTROAMPH-AMPHET ER 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57664099301</ndc>
    <ndc_label_name>DEFLAZACORT 22.75 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57665010141</ndc>
    <ndc_label_name>ABELCET 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57670000204</ndc>
    <ndc_label_name>Alkalol Nasal Wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57770005500</ndc>
    <ndc_label_name>Ocucoat 2 % intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57770049565</ndc>
    <ndc_label_name>Amvisc 12 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57770049567</ndc>
    <ndc_label_name>Amvisc Plus 16 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57770051631</ndc>
    <ndc_label_name>Adato Sil-Ol 5,000 mPas intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57770060173</ndc>
    <ndc_label_name>TotalVisc 2.5 % (1 mL) 1 % (1 mL) intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000104</ndc>
    <ndc_label_name>NanoVM t-f 2.75 mg iron/5.4 gram powder additive for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000105</ndc>
    <ndc_label_name>NanoVM 9-18 2 mg iron/2.6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000109</ndc>
    <ndc_label_name>Galaxtra 400 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000110</ndc>
    <ndc_label_name>Cyto Carn 1 gram/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000111</ndc>
    <ndc_label_name>Cyto RALA 145 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000112</ndc>
    <ndc_label_name>Neoke BCAA4 82 gram-328 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000113</ndc>
    <ndc_label_name>Nano VM 1-3 3.5 mg-75 mcg oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000114</ndc>
    <ndc_label_name>Neoke MCT70  5.84 kcal/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000116</ndc>
    <ndc_label_name>Cytolline oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000120</ndc>
    <ndc_label_name>Cytose 20 kcal/5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000121</ndc>
    <ndc_label_name>Mannxtra oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000126</ndc>
    <ndc_label_name>Cyto B-1 90 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000130</ndc>
    <ndc_label_name>Cyto C 550 mg/1.1 gram (scoop) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000131</ndc>
    <ndc_label_name>Cholextra t-f 2.5 gram-28 kcal/10 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000132</ndc>
    <ndc_label_name>VB6 P5P 100 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000133</ndc>
    <ndc_label_name>CholexMAX 1 gram-28 kcal/10 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000135</ndc>
    <ndc_label_name>NanoVM Adult 1 mg-50 mcg DFE-15.5 mcg oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000138</ndc>
    <ndc_label_name>Cytotine oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000139</ndc>
    <ndc_label_name>Cytotine MAX 1.5 gram/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000142</ndc>
    <ndc_label_name>PreKUnil 0.4 gram-2.3 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000143</ndc>
    <ndc_label_name>NeoPhe 0.4 gram-2.3 kcal tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000144</ndc>
    <ndc_label_name>NeoPhe 60 gram-345 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000145</ndc>
    <ndc_label_name>Encala 100 kcal/18 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000148</ndc>
    <ndc_label_name>Nano VM 4-8 5 mg-100 mcg oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000191</ndc>
    <ndc_label_name>Cytotine 1.5 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000192</ndc>
    <ndc_label_name>Cyto B7 10,000 mcg/mL (10 mg/mL) oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000701</ndc>
    <ndc_label_name>Cyto-Q 80 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000702</ndc>
    <ndc_label_name>Cyto-Q Max 100 mg/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000703</ndc>
    <ndc_label_name>Cyto B-2 343 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57771000704</ndc>
    <ndc_label_name>Cyto-Q t-f 8 mg/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57782039726</ndc>
    <ndc_label_name>CROMOLYN SODIUM NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57826042002</ndc>
    <ndc_label_name>ANTICOAG SODIUM CITRATE 4% SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57826045502</ndc>
    <ndc_label_name>CITRATE PHOS 2X DEXTROSE(CP2D)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57841115001</ndc>
    <ndc_label_name>Talicia 10 mg-250 mg-12.5 mg capsule,immediate - delay release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57841115002</ndc>
    <ndc_label_name>Talicia 10 mg-250 mg-12.5 mg capsule,immediate - delay release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57841120001</ndc>
    <ndc_label_name>AEMCOLO DR 194 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844010501</ndc>
    <ndc_label_name>Adderall 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844011001</ndc>
    <ndc_label_name>Adderall 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844011201</ndc>
    <ndc_label_name>Adderall 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844011501</ndc>
    <ndc_label_name>Adderall 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844011701</ndc>
    <ndc_label_name>Adderall 7.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844012001</ndc>
    <ndc_label_name>Adderall 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844013001</ndc>
    <ndc_label_name>Adderall 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844014001</ndc>
    <ndc_label_name>ADIPEX-P 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844014056</ndc>
    <ndc_label_name>ADIPEX-P 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844020852</ndc>
    <ndc_label_name>Galzin 50 mg (zinc) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844021552</ndc>
    <ndc_label_name>Galzin 25 mg (zinc) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57844037625</ndc>
    <ndc_label_name>Wilzin 25 mg (zinc) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000411</ndc>
    <ndc_label_name>Liquid Hope Original Formula oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000412</ndc>
    <ndc_label_name>Nourish Original Formula oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000424</ndc>
    <ndc_label_name>Keto Formula oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000427</ndc>
    <ndc_label_name>Nourish Peptide Formula oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000428</ndc>
    <ndc_label_name>Liquid Hope Peptide Formula oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000432</ndc>
    <ndc_label_name>Liquid Hope Peptide HP Formula oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000444</ndc>
    <ndc_label_name>Nourish Peptide Formula oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000450</ndc>
    <ndc_label_name>Liquid Hope Peptide Formula oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57858000454</ndc>
    <ndc_label_name>Nourish Original Formula oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57883040401</ndc>
    <ndc_label_name>Plexion Cleansing Cloths 9.8 %-4.8 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57883040460</ndc>
    <ndc_label_name>Plexion Cleansing Cloths 9.8 %-4.8 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57884325101</ndc>
    <ndc_label_name>BUPIVACAINE LIPO 133 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57884325201</ndc>
    <ndc_label_name>BUPIVACAINE LIPO 266 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57893020360</ndc>
    <ndc_label_name>NICAPRIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57893030201</ndc>
    <ndc_label_name>Vytone 1.9 %-1 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57893030230</ndc>
    <ndc_label_name>Vytone 1.9 %-1 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57893031210</ndc>
    <ndc_label_name>MIMYX CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57893031220</ndc>
    <ndc_label_name>MIMYX CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894003001</ndc>
    <ndc_label_name>Remicade 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894005060</ndc>
    <ndc_label_name>Akeega 50 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894005416</ndc>
    <ndc_label_name>Stelara 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894005427</ndc>
    <ndc_label_name>Stelara 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894006002</ndc>
    <ndc_label_name>Stelara 45 mg/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894006003</ndc>
    <ndc_label_name>Stelara 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894006004</ndc>
    <ndc_label_name>Stelara 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894006103</ndc>
    <ndc_label_name>Stelara 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894006104</ndc>
    <ndc_label_name>Stelara 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894007001</ndc>
    <ndc_label_name>Simponi 50 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894007002</ndc>
    <ndc_label_name>Simponi 50 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894007101</ndc>
    <ndc_label_name>Simponi 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894007102</ndc>
    <ndc_label_name>Simponi 100 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894008060</ndc>
    <ndc_label_name>Lazcluze 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894010060</ndc>
    <ndc_label_name>Akeega 100 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894011101</ndc>
    <ndc_label_name>Carvykti 0.5x 10exp6 to 1x 10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894011102</ndc>
    <ndc_label_name>Carvykti 0.5x 10exp6 to 1x 10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894015012</ndc>
    <ndc_label_name>Zytiga 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894016001</ndc>
    <ndc_label_name>INFLIXIMAB 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894019506</ndc>
    <ndc_label_name>Zytiga 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894020130</ndc>
    <ndc_label_name>Icotyde 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894022501</ndc>
    <ndc_label_name>Inlexzo 225 mg intravesical implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894024030</ndc>
    <ndc_label_name>Lazcluze 240 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894035001</ndc>
    <ndc_label_name>Simponi ARIA 12.5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894044001</ndc>
    <ndc_label_name>USTEKINUMAB 45MG/0.5ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894044003</ndc>
    <ndc_label_name>USTEKINUMAB 45 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894044101</ndc>
    <ndc_label_name>USTEKINUMAB 90 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894044401</ndc>
    <ndc_label_name>USTEKINUMAB 130 MG/26 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894044901</ndc>
    <ndc_label_name>Tecvayli 10 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894045001</ndc>
    <ndc_label_name>Tecvayli 90 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894046901</ndc>
    <ndc_label_name>Talvey 2 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894047001</ndc>
    <ndc_label_name>Talvey 40 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050100</ndc>
    <ndc_label_name>Rybrevant 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050101</ndc>
    <ndc_label_name>Rybrevant 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050205</ndc>
    <ndc_label_name>Darzalex 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050220</ndc>
    <ndc_label_name>Darzalex 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050301</ndc>
    <ndc_label_name>Darzalex Faspro 1,800 mg-30,000 unit/15 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050505</ndc>
    <ndc_label_name>Darzalex 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894050520</ndc>
    <ndc_label_name>Darzalex 20 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894051001</ndc>
    <ndc_label_name>Rybrevant Faspro 1,600 mg-20,000 unit/10 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894051401</ndc>
    <ndc_label_name>Rybrevant Faspro 2,240 mg-28,000 unit/14 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894051501</ndc>
    <ndc_label_name>Rybrevant Faspro 2,400 mg-30,000 unit/15 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894052201</ndc>
    <ndc_label_name>Rybrevant Faspro 3,520 mg-44,000 unit/22 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894064001</ndc>
    <ndc_label_name>Tremfya 100 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894064003</ndc>
    <ndc_label_name>Tremfya Pen 100 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894064006</ndc>
    <ndc_label_name>Tremfya Pen 100 mg/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894064011</ndc>
    <ndc_label_name>Tremfya One-Press 100 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894064099</ndc>
    <ndc_label_name>Tremfya One-Press 100 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065001</ndc>
    <ndc_label_name>Tremfya 200 mg/20 mL (10 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065002</ndc>
    <ndc_label_name>Tremfya 200 mg/20 mL (10 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065101</ndc>
    <ndc_label_name>Tremfya Pen 200 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065102</ndc>
    <ndc_label_name>Tremfya Pen 200 mg/2 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065104</ndc>
    <ndc_label_name>Tremfya Pen Induction Pack (2 pens) 200 mg/2 mL subcut pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065111</ndc>
    <ndc_label_name>Tremfya 200 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894065122</ndc>
    <ndc_label_name>Tremfya 200 mg/2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894080001</ndc>
    <ndc_label_name>Imaavy 185 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57894080101</ndc>
    <ndc_label_name>Imaavy 185 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010201</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010205</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010210</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010220</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896010315</ndc>
    <ndc_label_name>SILVER 55 PPM GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010410</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896010420</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896011005</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896011014</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896011405</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896011414</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896011501</ndc>
    <ndc_label_name>Hemorrhoidal Hygiene 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896011601</ndc>
    <ndc_label_name>Analgesic Balm (m.salic-menthol) 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896011603</ndc>
    <ndc_label_name>Analgesic Balm (m.salic-menthol) 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896013101</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896013905</ndc>
    <ndc_label_name>Oral Pain Relief 20 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014001</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014309</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014314</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014509</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014514</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014609</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014614</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014701</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896014803</ndc>
    <ndc_label_name>Children's Acetaminophen 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896016016</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896016106</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896016305</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896016405</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896016414</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896018016</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896018105</ndc>
    <ndc_label_name>Artificial Tears (pg400-hypromell-glycerin) 1 %-0.2 %-0.2 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896019945</ndc>
    <ndc_label_name>TOLNAFTATE 1% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896020110</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896020401</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896020405</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896020420</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896020608</ndc>
    <ndc_label_name>Pain Relief Adult 500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021601</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen-aspirin-caff) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021901</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021905</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021910</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021920</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896021950</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022110</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022210</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022220</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022401</ndc>
    <ndc_label_name>Night Time Pain Medicine 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896022405</ndc>
    <ndc_label_name>Night Time Pain Medicine 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896025101</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896025501</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896026801</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896029116</ndc>
    <ndc_label_name>Geri-Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896029205</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896029316</ndc>
    <ndc_label_name>Geri-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896030401</ndc>
    <ndc_label_name>Stool Softener-Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896030410</ndc>
    <ndc_label_name>Stool Softener-Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896031703</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896031706</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896031901</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896032401</ndc>
    <ndc_label_name>Night Time Pain Medicine 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896032405</ndc>
    <ndc_label_name>Night Time Pain Medicine 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896033345</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896033905</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896034912</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896037801</ndc>
    <ndc_label_name>Travel-Ease (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896038113</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896038125</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896040101</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896040103</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896040110</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896040120</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896040125</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041101</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041110</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041316</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041501</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041510</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041701</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041710</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896041720</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042101</ndc>
    <ndc_label_name>Stool Softener 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042110</ndc>
    <ndc_label_name>Stool Softener 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042120</ndc>
    <ndc_label_name>Stool Softener 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042316</ndc>
    <ndc_label_name>DOCUSATE SODIUM 50 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042401</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896042601</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896043401</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896043410</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896043420</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044101</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044110</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044120</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044126</ndc>
    <ndc_label_name>BISACODYL EC 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044301</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044305</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896044312</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896045401</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896045410</ndc>
    <ndc_label_name>Geri-kot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896045909</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896045950</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896046208</ndc>
    <ndc_label_name>senna 8.8 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896047113</ndc>
    <ndc_label_name>Geri-Mucil (sugar) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896047208</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896048914</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896048930</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896049001</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896049003</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896049110</ndc>
    <ndc_label_name>Geri-Mucil (aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896050101</ndc>
    <ndc_label_name>One Daily Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896050110</ndc>
    <ndc_label_name>One Daily Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896050120</ndc>
    <ndc_label_name>One Daily Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896052101</ndc>
    <ndc_label_name>One Daily Multivitamin with Iron 18 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896052110</ndc>
    <ndc_label_name>One Daily Multivitamin with Iron 18 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896053101</ndc>
    <ndc_label_name>One Daily Multivitamins with Minerals 4.5 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896053110</ndc>
    <ndc_label_name>One Daily Multivitamins with Minerals 4.5 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896053120</ndc>
    <ndc_label_name>One Daily Multivitamins with Minerals 4.5 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896053130</ndc>
    <ndc_label_name>One Daily Multivitamins with Minerals 4.5 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896055101</ndc>
    <ndc_label_name>Senior Tabs 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896055501</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896055506</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896055510</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896055520</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896056512</ndc>
    <ndc_label_name>Heartburn Relief 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896057501</ndc>
    <ndc_label_name>PRENATAL TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896059108</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896059608</ndc>
    <ndc_label_name>Tussin CF Max Multi-Symptom 20 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896060101</ndc>
    <ndc_label_name>Thera-Tabs tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896060110</ndc>
    <ndc_label_name>Thera-Tabs tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896060501</ndc>
    <ndc_label_name>Nephro Vitamins 0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896061512</ndc>
    <ndc_label_name>Gentle Laxative (magnesium hydroxide) 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896061912</ndc>
    <ndc_label_name>Geri-Lanta 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896062101</ndc>
    <ndc_label_name>Thera-M 19 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896062110</ndc>
    <ndc_label_name>Thera-M 19 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896062412</ndc>
    <ndc_label_name>Geri-Lanta Supreme 400 mg-135 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896062912</ndc>
    <ndc_label_name>Geri-Lanta 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896063106</ndc>
    <ndc_label_name>Ocular Vitamins 7,160 unit-113 mg-0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063412</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896063506</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE EC 64 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063803</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063810</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063812</ndc>
    <ndc_label_name>Geri-Mox Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063903</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063910</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896063912</ndc>
    <ndc_label_name>Geri-Mox Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064712</ndc>
    <ndc_label_name>MILK OF MAGNESIA SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064812</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064903</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064910</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064912</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064916</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896064928</ndc>
    <ndc_label_name>MILK OF MAGNESIA SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896065803</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896065809</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896065836</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896065914</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896065942</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896066108</ndc>
    <ndc_label_name>Geri-Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896066116</ndc>
    <ndc_label_name>Geri-Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896066412</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896068301</ndc>
    <ndc_label_name>Geri-Dryl 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896068310</ndc>
    <ndc_label_name>Geri-Dryl 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896068340</ndc>
    <ndc_label_name>Geri-Dryl 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896069304</ndc>
    <ndc_label_name>Geri-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896069308</ndc>
    <ndc_label_name>Geri-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896069316</ndc>
    <ndc_label_name>Geri-Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896069403</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896070301</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896070310</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896070320</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896070506</ndc>
    <ndc_label_name>IRON-VITAMIN C 65-125 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896070916</ndc>
    <ndc_label_name>FERROUS SULF 220 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896071401</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896072401</ndc>
    <ndc_label_name>FERROUS GLUCONATE 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896073101</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 250 mg-3.125 mcg (125 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896073604</ndc>
    <ndc_label_name>Guaiasorb DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896073904</ndc>
    <ndc_label_name>Guaiasorb DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074101</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074106</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074201</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074206</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074210</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074225</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074606</ndc>
    <ndc_label_name>Calcium-600 600 mg (as calcium carbonate 1,500 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074706</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 200 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074801</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896074806</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896075101</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896075201</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896075301</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896075401</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896075816</ndc>
    <ndc_label_name>SORBITOL 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896075942</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896076315</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896077701</ndc>
    <ndc_label_name>Ferric x-150 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896078572</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896079101</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896079108</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896079401</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896079406</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896079801</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896079901</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896079908</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896080901</ndc>
    <ndc_label_name>VITAMIN B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896081512</ndc>
    <ndc_label_name>VITAMIN D3 1,250 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896083001</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896083101</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896083403</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896083409</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896083701</ndc>
    <ndc_label_name>Acidophilus-Pectin 75 million cell-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896084101</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896084110</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896084120</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896084150</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896084216</ndc>
    <ndc_label_name>VITAMIN C 500 MG/5 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896084401</ndc>
    <ndc_label_name>PHOSPHORUS-SODIUM-POTASSIUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896084501</ndc>
    <ndc_label_name>cranberry 450 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896085101</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896085301</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896085401</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896085601</ndc>
    <ndc_label_name>VITAMIN B-12 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896085906</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896086406</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896086420</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896086501</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896086506</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896086601</ndc>
    <ndc_label_name>ACIDOPHILUS PROBIO 500M CFU CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896086803</ndc>
    <ndc_label_name>Probiotic Digestive Supp(L.rhamn,inuln) 20 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896086905</ndc>
    <ndc_label_name>Probiotic (S.boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896087005</ndc>
    <ndc_label_name>LACTOBACILLUS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896087401</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896087503</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896087601</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896087620</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088001</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088101</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088406</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088409</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088418</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896088601</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896089601</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896090101</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896090110</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896091136</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896092101</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896092110</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>57896092120</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896092616</ndc>
    <ndc_label_name>Eye Health (lutein-zeaxanthin) 50 mg-15 unit-4.5 mg-2.5 mg chew tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>57896092624</ndc>
    <ndc_label_name>Destress 50 mg-25 mg-37.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Control Menstrual Cramp 3 % topical cream</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151008588</ndc>
    <ndc_label_name>Celebrex 400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151008591</ndc>
    <ndc_label_name>Celebrex 400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151009891</ndc>
    <ndc_label_name>DETROL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151009991</ndc>
    <ndc_label_name>DETROL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151010377</ndc>
    <ndc_label_name>DETROL LA 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151010393</ndc>
    <ndc_label_name>DETROL LA 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151010477</ndc>
    <ndc_label_name>DETROL LA 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151010493</ndc>
    <ndc_label_name>DETROL LA 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151011001</ndc>
    <ndc_label_name>Dilantin Extended 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151011010</ndc>
    <ndc_label_name>Dilantin Extended 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151011032</ndc>
    <ndc_label_name>Dilantin Extended 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151011088</ndc>
    <ndc_label_name>Dilantin Extended 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151011535</ndc>
    <ndc_label_name>Dilantin-125 125 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58151011801</ndc>
    <ndc_label_name>Dilantin 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012577</ndc>
    <ndc_label_name>Effexor XR 37.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012593</ndc>
    <ndc_label_name>Effexor XR 37.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012677</ndc>
    <ndc_label_name>Effexor XR 75 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012693</ndc>
    <ndc_label_name>Effexor XR 75 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012777</ndc>
    <ndc_label_name>Effexor XR 150 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151012793</ndc>
    <ndc_label_name>Effexor XR 150 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151013732</ndc>
    <ndc_label_name>Geodon 20 mg/mL (final concentration) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151013781</ndc>
    <ndc_label_name>Geodon 20 mg/mL (final concentration) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151014293</ndc>
    <ndc_label_name>Inspra 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151014393</ndc>
    <ndc_label_name>INSPRA 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151015577</ndc>
    <ndc_label_name>Lipitor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151015677</ndc>
    <ndc_label_name>Lipitor 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151015777</ndc>
    <ndc_label_name>Lipitor 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151015877</ndc>
    <ndc_label_name>Lipitor 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023677</ndc>
    <ndc_label_name>Lyrica 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023732</ndc>
    <ndc_label_name>Lyrica 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023777</ndc>
    <ndc_label_name>Lyrica 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023788</ndc>
    <ndc_label_name>Lyrica 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023832</ndc>
    <ndc_label_name>Lyrica 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023877</ndc>
    <ndc_label_name>Lyrica 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023888</ndc>
    <ndc_label_name>Lyrica 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023932</ndc>
    <ndc_label_name>Lyrica 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023977</ndc>
    <ndc_label_name>Lyrica 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151023988</ndc>
    <ndc_label_name>Lyrica 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024032</ndc>
    <ndc_label_name>Lyrica 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024077</ndc>
    <ndc_label_name>Lyrica 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024088</ndc>
    <ndc_label_name>Lyrica 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024177</ndc>
    <ndc_label_name>Lyrica 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024277</ndc>
    <ndc_label_name>Lyrica 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024377</ndc>
    <ndc_label_name>Lyrica 225 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024435</ndc>
    <ndc_label_name>Lyrica 20 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024593</ndc>
    <ndc_label_name>Lyrica CR 82.5 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024693</ndc>
    <ndc_label_name>Lyrica CR 165 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151024793</ndc>
    <ndc_label_name>Lyrica CR 330 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151028101</ndc>
    <ndc_label_name>Neurontin 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151028301</ndc>
    <ndc_label_name>Neurontin 400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151028401</ndc>
    <ndc_label_name>Neurontin 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151028501</ndc>
    <ndc_label_name>Neurontin 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151029035</ndc>
    <ndc_label_name>Neurontin 250 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151030901</ndc>
    <ndc_label_name>Nitrostat 0.3 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151031001</ndc>
    <ndc_label_name>Nitrostat 0.4 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151031052</ndc>
    <ndc_label_name>Nitrostat 0.4 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151031094</ndc>
    <ndc_label_name>Nitrostat 0.4 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151031101</ndc>
    <ndc_label_name>Nitrostat 0.6 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035377</ndc>
    <ndc_label_name>Norvasc 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035430</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035432</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035477</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035488</ndc>
    <ndc_label_name>Norvasc 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035532</ndc>
    <ndc_label_name>Norvasc 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035577</ndc>
    <ndc_label_name>Norvasc 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151035588</ndc>
    <ndc_label_name>Norvasc 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151036732</ndc>
    <ndc_label_name>Relpax 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151036756</ndc>
    <ndc_label_name>Relpax 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151036832</ndc>
    <ndc_label_name>Relpax 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151036856</ndc>
    <ndc_label_name>Relpax 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151036896</ndc>
    <ndc_label_name>Relpax 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151039531</ndc>
    <ndc_label_name>Revatio 10 mg/12.5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151041935</ndc>
    <ndc_label_name>Xalatan 0.005 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151042693</ndc>
    <ndc_label_name>Viagra 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151042701</ndc>
    <ndc_label_name>Viagra 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151042793</ndc>
    <ndc_label_name>Viagra 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151042801</ndc>
    <ndc_label_name>Viagra 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151042893</ndc>
    <ndc_label_name>Viagra 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045201</ndc>
    <ndc_label_name>Xanax 0.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045205</ndc>
    <ndc_label_name>Xanax 0.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045301</ndc>
    <ndc_label_name>Xanax 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045305</ndc>
    <ndc_label_name>Xanax 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045401</ndc>
    <ndc_label_name>Xanax 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045405</ndc>
    <ndc_label_name>Xanax 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151045501</ndc>
    <ndc_label_name>Xanax 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151050391</ndc>
    <ndc_label_name>XANAX XR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151050491</ndc>
    <ndc_label_name>XANAX XR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151050591</ndc>
    <ndc_label_name>Xanax XR 2 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151050691</ndc>
    <ndc_label_name>XANAX XR 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057493</ndc>
    <ndc_label_name>Zoloft 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057532</ndc>
    <ndc_label_name>Zoloft 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057588</ndc>
    <ndc_label_name>Zoloft 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057593</ndc>
    <ndc_label_name>Zoloft 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057632</ndc>
    <ndc_label_name>Zoloft 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057688</ndc>
    <ndc_label_name>Zoloft 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151057693</ndc>
    <ndc_label_name>Zoloft 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58151060135</ndc>
    <ndc_label_name>Zoloft 20 mg/mL oral concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58154010001</ndc>
    <ndc_label_name>Shake That Ache 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58154010101</ndc>
    <ndc_label_name>Move It Along 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58154010301</ndc>
    <ndc_label_name>Tame The Flame 195 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58154010401</ndc>
    <ndc_label_name>EaZZZe The Pain 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160072303</ndc>
    <ndc_label_name>Arexvy Antigen Component 120 mcg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160072615</ndc>
    <ndc_label_name>Hiberix (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160073003</ndc>
    <ndc_label_name>Penmenvy MenACWY Component(PF) 10 mcg-5 mcg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160074002</ndc>
    <ndc_label_name>Rotarix 10exp6 CCID50/1.5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160074021</ndc>
    <ndc_label_name>Rotarix 10exp6 CCID50/1.5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160074403</ndc>
    <ndc_label_name>Arexvy Adjuvant Component (PF) intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160075003</ndc>
    <ndc_label_name>Penmenvy MenB Component (PF) 50mcg-50mcg-50mcg-25mcg/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160075715</ndc>
    <ndc_label_name>Penmenvy Men A-B-C-W-Y (PF) 0.5 mL intramuscular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081043</ndc>
    <ndc_label_name>Infanrix (DTaP)(PF) 25 Lf unit-58mcg-10 Lf/0.5mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081052</ndc>
    <ndc_label_name>Infanrix (DTaP)(PF) 25 Lf unit-58mcg-10 Lf/0.5mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081143</ndc>
    <ndc_label_name>Pediarix (PF) 10 mcg-25 Lf-25 mcg-10 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081152</ndc>
    <ndc_label_name>Pediarix (PF) 10 mcg-25 Lf-25 mcg-10 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081243</ndc>
    <ndc_label_name>Kinrix (PF) 25 Lf-58 mcg-10 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081252</ndc>
    <ndc_label_name>Kinrix (PF) 25 Lf-58 mcg-10 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081543</ndc>
    <ndc_label_name>Twinrix (PF) 720 ELISA unit-20 mcg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081552</ndc>
    <ndc_label_name>Twinrix (PF) 720 ELISA unit-20 mcg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081603</ndc>
    <ndc_label_name>Hiberix (PF) 10 mcg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160081701</ndc>
    <ndc_label_name>Diluent For Hiberix 0.9 % intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160081702</ndc>
    <ndc_label_name>Diluent For Hiberix 0.9 % intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160081705</ndc>
    <ndc_label_name>Diluent For Hiberix 0.9 % intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160081912</ndc>
    <ndc_label_name>Shingrix (PF) 50 mcg/0.5 mL intramuscular suspension, kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082043</ndc>
    <ndc_label_name>Engerix-B Pediatric (PF) 10 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082052</ndc>
    <ndc_label_name>Engerix-B Pediatric (PF) 10 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082101</ndc>
    <ndc_label_name>Engerix-B (PF) 20 mcg/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082111</ndc>
    <ndc_label_name>Engerix-B (PF) 20 mcg/mL intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082143</ndc>
    <ndc_label_name>Engerix-B (PF) 20 mcg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082152</ndc>
    <ndc_label_name>Engerix-B (PF) 20 mcg/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082311</ndc>
    <ndc_label_name>Shingrix (PF) 50 mcg/0.5 mL intramuscular suspension, kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082415</ndc>
    <ndc_label_name>Priorix (PF) 10exp3.4-4.2-3.3 CCID50/0.5mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082543</ndc>
    <ndc_label_name>Havrix (PF) 720 ELISA unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082552</ndc>
    <ndc_label_name>Havrix (PF) 720 ELISA unit/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082643</ndc>
    <ndc_label_name>Havrix (PF) 1,440 ELISA unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082652</ndc>
    <ndc_label_name>Havrix (PF) 1,440 ELISA unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082703</ndc>
    <ndc_label_name>Menveo A-C-Y-W-135-Dip (PF) 10 mcg-5 mcg/0.5 mL IM solution (1 vial)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160082730</ndc>
    <ndc_label_name>Menveo A-C-Y-W-135-Dip (PF) 10 mcg-5 mcg/0.5 mL IM solution (1 vial)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160082801</ndc>
    <ndc_label_name>Shingrix gE Antigen Component 50 mcg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160082803</ndc>
    <ndc_label_name>Shingrix gE Antigen Component 50 mcg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160082901</ndc>
    <ndc_label_name>Shingrix Adjuvant Component (PF) intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160082903</ndc>
    <ndc_label_name>Shingrix Adjuvant Component (PF) intramuscular suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160083103</ndc>
    <ndc_label_name>Priorix (PF) 10exp3.4-4.2-3.3 CCID50/0.5mL subcutaneous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160083302</ndc>
    <ndc_label_name>Diluent for Priorix (sterile water) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084201</ndc>
    <ndc_label_name>BOOSTRIX TDAP VACCINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084211</ndc>
    <ndc_label_name>BOOSTRIX TDAP VACCINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084243</ndc>
    <ndc_label_name>Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084252</ndc>
    <ndc_label_name>Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084811</ndc>
    <ndc_label_name>Arexvy (PF) 120 mcg/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084943</ndc>
    <ndc_label_name>Shingrix (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160084952</ndc>
    <ndc_label_name>Shingrix (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160085302</ndc>
    <ndc_label_name>Diluent For Rotarix oral syringe (FOR ORAL USE ONLY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160088441</ndc>
    <ndc_label_name>FLUARIX TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160088452</ndc>
    <ndc_label_name>FLUARIX TRIVALENT 2024-25 SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160090941</ndc>
    <ndc_label_name>FLUARIX QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160090952</ndc>
    <ndc_label_name>FLUARIX QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160091241</ndc>
    <ndc_label_name>Fluarix 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160091252</ndc>
    <ndc_label_name>Fluarix 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160095509</ndc>
    <ndc_label_name>Menveo A-C-Y-W-135-Dip (PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160095801</ndc>
    <ndc_label_name>Menveo MenA Component (PF) 10 mcg/0.5 mL (final) IM solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160095901</ndc>
    <ndc_label_name>Menveo MenCYW-135 Component (PF) 5 mcg x 3/0.5 mL (final) IM solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58160096702</ndc>
    <ndc_label_name>Diluent For Rabavert syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160097602</ndc>
    <ndc_label_name>Bexsero 50 mcg-50 mcg-50 mcg-25 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58160097620</ndc>
    <ndc_label_name>Bexsero 50 mcg-50 mcg-50 mcg-25 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58181304005</ndc>
    <ndc_label_name>Gleostine 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58181304105</ndc>
    <ndc_label_name>Gleostine 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58181304205</ndc>
    <ndc_label_name>Gleostine 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000400</ndc>
    <ndc_label_name>MVW Complete Formulation Multivitamin 1,500 unit-800 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000401</ndc>
    <ndc_label_name>MVW Complete Formulation Multivitamin 1,500 unit-1,000 mcg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000404</ndc>
    <ndc_label_name>MVW Complete Formulation Pediatric 750 unit-500 mcg/0.5 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000406</ndc>
    <ndc_label_name>MVW Complete Formulation D3000 3,000 unit-800 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000408</ndc>
    <ndc_label_name>MVW Complete Formulation Multivitamin 1,500 unit-1,000 mcg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58204000409</ndc>
    <ndc_label_name>MVW Complete Formulation D5000  5,000 unit-800 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000411</ndc>
    <ndc_label_name>MVW Complete Formulation D3000 3,000 unit-1,000 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000413</ndc>
    <ndc_label_name>MVW Complete Formulation D3000 3,000 unit-1,000 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000415</ndc>
    <ndc_label_name>MVW Complete Formulation Multivitamin 1,500 unit-1,000 mcg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000417</ndc>
    <ndc_label_name>Hi-D Drop 76 mcg-1,000 mcg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000418</ndc>
    <ndc_label_name>MVW Complete Formulation Multivitamin 750 unit-500 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000428</ndc>
    <ndc_label_name>MVW COMPLETE FORMLTN PROBIOTIC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58204000430</ndc>
    <ndc_label_name>MVW Complete Formulation D5000  5,000 unit-1,000 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58204000438</ndc>
    <ndc_label_name>MVW ADEK Gummies Plus Zinc 2400 mcg-18.75 mcg-67 mg-400mcg chew tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000442</ndc>
    <ndc_label_name>MVW COMPLETE FORM PROBIOT MINI</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000444</ndc>
    <ndc_label_name>HI-D ADEK GUMMIES PLUS ZINC</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000445</ndc>
    <ndc_label_name>MVW Modulator Formul Pediatric 2,000 mcg-150 mg-19 mcg/3 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000446</ndc>
    <ndc_label_name>MVW MODULATR FORM MULTIVT SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000448</ndc>
    <ndc_label_name>MVW Modulator Formultn Mini Multivt 3,000 mcg-200 mg-18.75 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000451</ndc>
    <ndc_label_name>MVW Modulator Formul Pediatric 2,000 mcg-150 mg-19 mcg/3 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000452</ndc>
    <ndc_label_name>MVW Modulator Formultn Multivit Chew 3,000 mcg-200 mg-18.75 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58204000454</ndc>
    <ndc_label_name>MVW Complete Formulation Probiotic 20 billion cell-7.5 mg cap,del rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58238022504</ndc>
    <ndc_label_name>Deltuss DMX (dexchlorphen) 1 mg-30 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58238022604</ndc>
    <ndc_label_name>Deltuss DP 1 mg-30 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58238022704</ndc>
    <ndc_label_name>TRISPEC DMX 10 mg-187 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58238022804</ndc>
    <ndc_label_name>TRISPEC PSE 30 mg-10 mg-187 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284020801</ndc>
    <ndc_label_name>Brixadi Weekly 8 mg/0.16 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284020891</ndc>
    <ndc_label_name>Brixadi Weekly 8 mg/0.16 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284021601</ndc>
    <ndc_label_name>Brixadi Weekly 16 mg/0.32 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284021691</ndc>
    <ndc_label_name>Brixadi Weekly 16 mg/0.32 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284022401</ndc>
    <ndc_label_name>Brixadi Weekly 24 mg/0.48 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284022491</ndc>
    <ndc_label_name>Brixadi Weekly 24 mg/0.48 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284022801</ndc>
    <ndc_label_name>Brixadi Monthly 128 mg/0.36 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284022891</ndc>
    <ndc_label_name>Brixadi Monthly 128 mg/0.36 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284023201</ndc>
    <ndc_label_name>Brixadi Weekly 32 mg/0.64 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284023291</ndc>
    <ndc_label_name>Brixadi Weekly 32 mg/0.64 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284026401</ndc>
    <ndc_label_name>Brixadi Monthly 64 mg/0.18 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284026491</ndc>
    <ndc_label_name>Brixadi Monthly 64 mg/0.18 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284029601</ndc>
    <ndc_label_name>Brixadi Monthly 96 mg/0.27 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58284029691</ndc>
    <ndc_label_name>Brixadi Monthly 96 mg/0.27 mL solution,extend.rel. subcut.syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58292001005</ndc>
    <ndc_label_name>Naramin 12.5 mg/5 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394001201</ndc>
    <ndc_label_name>Xyntha 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394001301</ndc>
    <ndc_label_name>Xyntha 500 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394001401</ndc>
    <ndc_label_name>Xyntha 1,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394001501</ndc>
    <ndc_label_name>Xyntha 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394001603</ndc>
    <ndc_label_name>Xyntha Solofuse 3,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394002203</ndc>
    <ndc_label_name>Xyntha Solofuse 250 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394002303</ndc>
    <ndc_label_name>Xyntha Solofuse 500 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394002403</ndc>
    <ndc_label_name>Xyntha Solofuse 1,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394002503</ndc>
    <ndc_label_name>Xyntha Solofuse 2,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394011501</ndc>
    <ndc_label_name>Xyntha 2,000 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394011603</ndc>
    <ndc_label_name>Xyntha Solofuse 3,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394012203</ndc>
    <ndc_label_name>Xyntha Solofuse 250 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394012303</ndc>
    <ndc_label_name>Xyntha Solofuse 500 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394012403</ndc>
    <ndc_label_name>Xyntha Solofuse 1,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394012503</ndc>
    <ndc_label_name>Xyntha Solofuse 2,000 (+/-) unit intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394013303</ndc>
    <ndc_label_name>BeneFIX 250 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394013403</ndc>
    <ndc_label_name>BeneFIX 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394013603</ndc>
    <ndc_label_name>BeneFIX 2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394063303</ndc>
    <ndc_label_name>BeneFIX 250 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394063403</ndc>
    <ndc_label_name>BeneFIX 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394063503</ndc>
    <ndc_label_name>BeneFIX 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394063603</ndc>
    <ndc_label_name>BeneFIX 2,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58394063703</ndc>
    <ndc_label_name>BeneFIX 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406001001</ndc>
    <ndc_label_name>Enbrel 25 mg/0.5 mL (0.5 mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406001004</ndc>
    <ndc_label_name>Enbrel 25 mg/0.5 mL (0.5 mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406002101</ndc>
    <ndc_label_name>Enbrel 50 mg/mL (1 mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406002104</ndc>
    <ndc_label_name>Enbrel 50 mg/mL (1 mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406003201</ndc>
    <ndc_label_name>Enbrel SureClick 50 mg/mL (1 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406003204</ndc>
    <ndc_label_name>Enbrel SureClick 50 mg/mL (1 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406004401</ndc>
    <ndc_label_name>Enbrel Mini 50 mg/mL (1 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406004404</ndc>
    <ndc_label_name>Enbrel Mini 50 mg/mL (1 mL) subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406005501</ndc>
    <ndc_label_name>Enbrel 25 mg/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58406005504</ndc>
    <ndc_label_name>Enbrel 25 mg/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407001010</ndc>
    <ndc_label_name>STAHIST TP 10-2.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407001213</ndc>
    <ndc_label_name>Denovo Plus B12 25,000 mcg DFE-2,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407025253</ndc>
    <ndc_label_name>Stahist T 2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407033390</ndc>
    <ndc_label_name>Omega-3 Fish Oil 910 mg-1,400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407035126</ndc>
    <ndc_label_name>Nufola 25 mg-3,500 mcg DFE-1mg-300mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407062530</ndc>
    <ndc_label_name>Stahist AD 25 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407099251</ndc>
    <ndc_label_name>WoundGelHA Matrix 2.5 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58407099253</ndc>
    <ndc_label_name>WoundGelHA Matrix 2.5 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000400</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000401</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000402</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000403</ndc>
    <ndc_label_name>ARBEM LipoPen cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000404</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000405</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000406</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58436000407</ndc>
    <ndc_label_name>ARBEM H-Cosmetic cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58438000531</ndc>
    <ndc_label_name>BABY VITAMIN D3 10 MCG/0.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58438000541</ndc>
    <ndc_label_name>Baby Soothing Chest topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58438000558</ndc>
    <ndc_label_name>Children's Sleep (melatonin) 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58438000571</ndc>
    <ndc_label_name>Children's Sleep (melatonin) 1 mg/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58438000573</ndc>
    <ndc_label_name>Child Complete Cough-Immune 6 gram-38 mg-25 mg-9 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468003001</ndc>
    <ndc_label_name>Thyrogen 0.9 mg intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468003002</ndc>
    <ndc_label_name>Thyrogen 0.9 mg intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468004001</ndc>
    <ndc_label_name>Fabrazyme 35 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468004101</ndc>
    <ndc_label_name>Fabrazyme 5 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468005001</ndc>
    <ndc_label_name>Xenpozyme 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468005101</ndc>
    <ndc_label_name>Xenpozyme 4 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468007001</ndc>
    <ndc_label_name>Aldurazyme 2.9 mg/5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468008001</ndc>
    <ndc_label_name>Thymoglobulin 25 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468009001</ndc>
    <ndc_label_name>Synvisc 16 mg/2 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468009002</ndc>
    <ndc_label_name>Synvisc 16 mg/2 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468009003</ndc>
    <ndc_label_name>Synvisc-One 48 mg/6 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468012300</ndc>
    <ndc_label_name>Hectorol 4 mcg/2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468012301</ndc>
    <ndc_label_name>Hectorol 4 mcg/2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468012700</ndc>
    <ndc_label_name>Hectorol 4 mcg/2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468012701</ndc>
    <ndc_label_name>Hectorol 4 mcg/2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468013101</ndc>
    <ndc_label_name>Renvela 2.4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468013102</ndc>
    <ndc_label_name>Renvela 2.4 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468013201</ndc>
    <ndc_label_name>Renvela 0.8 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468013202</ndc>
    <ndc_label_name>Renvela 0.8 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468013301</ndc>
    <ndc_label_name>Renvela 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468016001</ndc>
    <ndc_label_name>Lumizyme 50 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468020001</ndc>
    <ndc_label_name>Lemtrada 12 mg/1.2 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468021004</ndc>
    <ndc_label_name>Aubagio 14 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468021104</ndc>
    <ndc_label_name>Aubagio 7 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468022001</ndc>
    <ndc_label_name>Cerdelga 84 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468022501</ndc>
    <ndc_label_name>Cablivi 11 mg injection kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468022701</ndc>
    <ndc_label_name>Cablivi 11 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468022901</ndc>
    <ndc_label_name>Sterile Water Diluent for Cablivi 1 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468025106</ndc>
    <ndc_label_name>Wayrilz 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58468034701</ndc>
    <ndc_label_name>Qfitlia 20 mg/0.2 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58468034801</ndc>
    <ndc_label_name>Qfitlia Pen 50 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468035701</ndc>
    <ndc_label_name>CAMPATH 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468035703</ndc>
    <ndc_label_name>CAMPATH 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468042601</ndc>
    <ndc_label_name>Nexviazyme 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468466301</ndc>
    <ndc_label_name>Cerezyme 400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468782003</ndc>
    <ndc_label_name>Caprelsa 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58468784003</ndc>
    <ndc_label_name>Caprelsa 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000021</ndc>
    <ndc_label_name>CAL PANTOTHENATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000071</ndc>
    <ndc_label_name>CAL PANTOTHENATE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000101</ndc>
    <ndc_label_name>Durlaza 162.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000121</ndc>
    <ndc_label_name>Fruit C-200 200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000122</ndc>
    <ndc_label_name>Fruit C-200 200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000131</ndc>
    <ndc_label_name>Fruit C-100 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000141</ndc>
    <ndc_label_name>Freedavite 1.8 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000142</ndc>
    <ndc_label_name>Freedavite 1.8 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000201</ndc>
    <ndc_label_name>Gram-O-Leci 1,000 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000202</ndc>
    <ndc_label_name>Gram-O-Leci 1,000 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000231</ndc>
    <ndc_label_name>INOSITOL 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000232</ndc>
    <ndc_label_name>INOSITOL 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000271</ndc>
    <ndc_label_name>Quin B Strong 500 mg-400 mcg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000272</ndc>
    <ndc_label_name>Quin B Strong 500 mg-400 mcg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000321</ndc>
    <ndc_label_name>Kobee 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000331</ndc>
    <ndc_label_name>KPN 9 mg iron-267 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000332</ndc>
    <ndc_label_name>KPN 9 mg iron-267 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000371</ndc>
    <ndc_label_name>Monocaps 14 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000372</ndc>
    <ndc_label_name>Monocaps 14 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000422</ndc>
    <ndc_label_name>Parva-Cal 250 mg-2.5 mcg (100 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000471</ndc>
    <ndc_label_name>Parvlex 29 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000501</ndc>
    <ndc_label_name>Quintabs-M 10 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000502</ndc>
    <ndc_label_name>Quintabs-M 10 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000561</ndc>
    <ndc_label_name>Span C 200 mg-300 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000601</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000611</ndc>
    <ndc_label_name>VITAMIN A PALM 10,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000612</ndc>
    <ndc_label_name>VITAMIN A PALM 10,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000631</ndc>
    <ndc_label_name>Yelets 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487000641</ndc>
    <ndc_label_name>VITAMINS A &amp; D TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000651</ndc>
    <ndc_label_name>Vitamin B-2 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000672</ndc>
    <ndc_label_name>Vitamin C 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000751</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000753</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000761</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000762</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000763</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000801</ndc>
    <ndc_label_name>Vitamin B-1 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000811</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000821</ndc>
    <ndc_label_name>Vitamin B-1 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000841</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000842</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000843</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000871</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000872</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000881</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000882</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000961</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487000962</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001001</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001002</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001003</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001033</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001061</ndc>
    <ndc_label_name>Vitamin C (ascorbate calcium) 814 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001063</ndc>
    <ndc_label_name>Vitamin C (ascorbate calcium) 814 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001091</ndc>
    <ndc_label_name>VITAMIN E 100 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001223</ndc>
    <ndc_label_name>PSYLLIUM SEED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001271</ndc>
    <ndc_label_name>CITRUS BIOFLAVONOIDS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001301</ndc>
    <ndc_label_name>Fruit C 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001341</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001342</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001343</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001361</ndc>
    <ndc_label_name>Kelp (iodine) 150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001362</ndc>
    <ndc_label_name>Kelp (iodine) 150 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001391</ndc>
    <ndc_label_name>Quintabs 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001392</ndc>
    <ndc_label_name>Quintabs 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001471</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001472</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001501</ndc>
    <ndc_label_name>Vita-C crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001503</ndc>
    <ndc_label_name>Vita-C crystals</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001511</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001512</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001551</ndc>
    <ndc_label_name>VITAMIN E 100 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001571</ndc>
    <ndc_label_name>Fruit C-500  500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001572</ndc>
    <ndc_label_name>Fruit C-500  500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001581</ndc>
    <ndc_label_name>VITAMIN B-12 250 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001582</ndc>
    <ndc_label_name>VITAMIN B-12 250 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001611</ndc>
    <ndc_label_name>Kala 30 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001612</ndc>
    <ndc_label_name>Kala 30 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001613</ndc>
    <ndc_label_name>Kala 30 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001631</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001651</ndc>
    <ndc_label_name>Vitamin B-6 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001702</ndc>
    <ndc_label_name>Delta D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001703</ndc>
    <ndc_label_name>Delta D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001731</ndc>
    <ndc_label_name>CALCIUM GLUCONATE 50 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001733</ndc>
    <ndc_label_name>CALCIUM GLUCONATE 50 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001741</ndc>
    <ndc_label_name>Vitamin C ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001742</ndc>
    <ndc_label_name>Vitamin C ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001743</ndc>
    <ndc_label_name>Vitamin C ER 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001751</ndc>
    <ndc_label_name>MAGNESIUM GLUCONATE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001753</ndc>
    <ndc_label_name>MAGNESIUM GLUCONATE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001771</ndc>
    <ndc_label_name>Triamino 200 mg-200 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001811</ndc>
    <ndc_label_name>GARLIC 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001813</ndc>
    <ndc_label_name>GARLIC 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001821</ndc>
    <ndc_label_name>Super Quints 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001822</ndc>
    <ndc_label_name>Super Quints 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487001823</ndc>
    <ndc_label_name>Super Quints 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001853</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001861</ndc>
    <ndc_label_name>Vitamin C oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001863</ndc>
    <ndc_label_name>Vitamin C oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001893</ndc>
    <ndc_label_name>CALCIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001943</ndc>
    <ndc_label_name>Ultramino oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001971</ndc>
    <ndc_label_name>L-Phenylalanine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001981</ndc>
    <ndc_label_name>VITAMIN B12-FOLIC ACID TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001982</ndc>
    <ndc_label_name>VITAMIN B12-FOLIC ACID TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487001991</ndc>
    <ndc_label_name>Cro-Man-Zin 200 mcg-5 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002021</ndc>
    <ndc_label_name>Pan-C 500 mg-100 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002022</ndc>
    <ndc_label_name>Pan-C 500 mg-100 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002071</ndc>
    <ndc_label_name>ELEMENTAL ZINC 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002072</ndc>
    <ndc_label_name>ELEMENTAL ZINC 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002081</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002082</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002091</ndc>
    <ndc_label_name>CHELATED CALCIUM 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002101</ndc>
    <ndc_label_name>MAGNESIUM CHELATED 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002102</ndc>
    <ndc_label_name>MAGNESIUM CHELATED 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002103</ndc>
    <ndc_label_name>MAGNESIUM CHELATED 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002111</ndc>
    <ndc_label_name>PAPAYA 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002112</ndc>
    <ndc_label_name>PAPAYA 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002181</ndc>
    <ndc_label_name>CHOLINE CITRATE 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002200</ndc>
    <ndc_label_name>L-TRYPTOPHAN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002291</ndc>
    <ndc_label_name>ALFALFA 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002292</ndc>
    <ndc_label_name>ALFALFA 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002321</ndc>
    <ndc_label_name>CALCIUM LACTATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002331</ndc>
    <ndc_label_name>BETAINE HCL 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002332</ndc>
    <ndc_label_name>BETAINE HCL 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002351</ndc>
    <ndc_label_name>VIT A-BETA CAROTEN 25,000 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002371</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002373</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002381</ndc>
    <ndc_label_name>Vitamins A-D-E with selenium 10,000 unit-400 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002411</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002412</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002421</ndc>
    <ndc_label_name>L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002431</ndc>
    <ndc_label_name>OCEANIC SELENIUM 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002461</ndc>
    <ndc_label_name>L-Glutamine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002501</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002502</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002503</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002521</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002522</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002571</ndc>
    <ndc_label_name>Ultra Freeda 6 mg iron-267 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002621</ndc>
    <ndc_label_name>Chlorophyll (with alfalfa) 20 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002622</ndc>
    <ndc_label_name>Chlorophyll (with alfalfa) 20 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002651</ndc>
    <ndc_label_name>OCEANIC SELENIUM 200 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002652</ndc>
    <ndc_label_name>OCEANIC SELENIUM 200 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002691</ndc>
    <ndc_label_name>Super Cal-Mag 333 mg-167 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002692</ndc>
    <ndc_label_name>Super Cal-Mag 333 mg-167 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002693</ndc>
    <ndc_label_name>Super Cal-Mag 333 mg-167 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002721</ndc>
    <ndc_label_name>CALCIUM CARB 260 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002722</ndc>
    <ndc_label_name>CALCIUM CARB 260 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002723</ndc>
    <ndc_label_name>CALCIUM CARB 260 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002741</ndc>
    <ndc_label_name>ZINC 10 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002751</ndc>
    <ndc_label_name>Parva-Cal 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002752</ndc>
    <ndc_label_name>Parva-Cal 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002760</ndc>
    <ndc_label_name>More-Dophilus oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002761</ndc>
    <ndc_label_name>More-Dophilus oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002781</ndc>
    <ndc_label_name>CHROMIUM 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002801</ndc>
    <ndc_label_name>COPPER 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002811</ndc>
    <ndc_label_name>Ultra Freeda 267 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002831</ndc>
    <ndc_label_name>Prenatal Formula 9 mg iron-267 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002841</ndc>
    <ndc_label_name>CALCIUM CITRATE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002842</ndc>
    <ndc_label_name>CALCIUM CITRATE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487002843</ndc>
    <ndc_label_name>CALCIUM CITRATE 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002881</ndc>
    <ndc_label_name>L-THREONINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002931</ndc>
    <ndc_label_name>BIOTIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487002982</ndc>
    <ndc_label_name>BROMELAIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003001</ndc>
    <ndc_label_name>Cal-Mint 260 mg (as calcium carbonate 650 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003002</ndc>
    <ndc_label_name>Cal-Mint 260 mg (as calcium carbonate 650 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003011</ndc>
    <ndc_label_name>VITAMIN A PALM 15,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003012</ndc>
    <ndc_label_name>VITAMIN A PALM 15,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003021</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003061</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003062</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 100 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003071</ndc>
    <ndc_label_name>Anti-Allergy Formula 100 mg-100 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003072</ndc>
    <ndc_label_name>Anti-Allergy Formula 100 mg-100 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003082</ndc>
    <ndc_label_name>BROCCOLI 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003122</ndc>
    <ndc_label_name>VITAMIN D2 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003131</ndc>
    <ndc_label_name>Prenatal One Daily 27 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003141</ndc>
    <ndc_label_name>Daily Value tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003142</ndc>
    <ndc_label_name>Daily Value tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003161</ndc>
    <ndc_label_name>FERROUS FUMARATE 29 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003230</ndc>
    <ndc_label_name>COENZYME Q-10 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003231</ndc>
    <ndc_label_name>COENZYME Q-10 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003261</ndc>
    <ndc_label_name>Cal-Mag 200 mg calcium-100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003311</ndc>
    <ndc_label_name>Vitalets 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003331</ndc>
    <ndc_label_name>Vitalets 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003332</ndc>
    <ndc_label_name>Vitalets 10 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003341</ndc>
    <ndc_label_name>Vitalets chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003342</ndc>
    <ndc_label_name>Vitalets chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003361</ndc>
    <ndc_label_name>Quintabs-M Iron Free 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003362</ndc>
    <ndc_label_name>Quintabs-M Iron Free 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003383</ndc>
    <ndc_label_name>CALCIUM CITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003421</ndc>
    <ndc_label_name>Fem-Cal Citrate 200 mg-80 mg-80 unit-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003501</ndc>
    <ndc_label_name>Mini Prenatal 6.75 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003502</ndc>
    <ndc_label_name>Mini Prenatal 6.75 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003503</ndc>
    <ndc_label_name>Mini Prenatal 6.75 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003511</ndc>
    <ndc_label_name>Cal-Citrate 250 mg-2.5 mcg (100 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003512</ndc>
    <ndc_label_name>Cal-Citrate 250 mg-2.5 mcg (100 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003621</ndc>
    <ndc_label_name>GLUCOSAMINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003651</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003660</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487003681</ndc>
    <ndc_label_name>CRANBERRY 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003691</ndc>
    <ndc_label_name>VITAMIN D3 3,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003702</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487003711</ndc>
    <ndc_label_name>VITAMIN D2 2,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487017002</ndc>
    <ndc_label_name>Delta D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487017501</ndc>
    <ndc_label_name>MAGNESIUM GLUC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487017503</ndc>
    <ndc_label_name>MAGNESIUM GLUC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487029301</ndc>
    <ndc_label_name>BIOTIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080011</ndc>
    <ndc_label_name>LUTEIN 6 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080021</ndc>
    <ndc_label_name>LUTEIN 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080031</ndc>
    <ndc_label_name>ADVANCED Calcium 200 mg-200 unit-16 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080032</ndc>
    <ndc_label_name>ADVANCED Calcium 200 mg-200 unit-16 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080061</ndc>
    <ndc_label_name>FNP VITAMIN E 200 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080062</ndc>
    <ndc_label_name>FNP VITAMIN E 200 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080071</ndc>
    <ndc_label_name>FNP VITAMIN E 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080072</ndc>
    <ndc_label_name>FNP VITAMIN E 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487080081</ndc>
    <ndc_label_name>FNP VITAMIN E 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487080082</ndc>
    <ndc_label_name>FNP VITAMIN E 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080091</ndc>
    <ndc_label_name>FNP VITAMIN E LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080101</ndc>
    <ndc_label_name>FNP VITAMIN K2 40 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080131</ndc>
    <ndc_label_name>Oxi-Freeda 40 mg-75 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080141</ndc>
    <ndc_label_name>Stages Men's Multi-Vitamin 200 mcg-300 unit-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487080161</ndc>
    <ndc_label_name>FNP VITAMIN E 200 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58487080162</ndc>
    <ndc_label_name>FNP VITAMIN E 200 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58487080171</ndc>
    <ndc_label_name>FNP L-ARGININE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58526000557</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58526000559</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013004</ndc>
    <ndc_label_name>Giltuss Cough-Cold 10 mg-15 mg-300 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013104</ndc>
    <ndc_label_name>Childrens Giltuss Cough-Cold 10 mg-15 mg-300 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58552013204</ndc>
    <ndc_label_name>Giltuss HBP 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58552013304</ndc>
    <ndc_label_name>Children's Giltuss Cough-Chest 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58552013404</ndc>
    <ndc_label_name>Giltuss Diabetic 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013501</ndc>
    <ndc_label_name>Giltuss Bucalsep 6.5 %-0.1 %-0.12 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013604</ndc>
    <ndc_label_name>Giltuss Multi-Symptom Cold-Flu 4 mg-10 mg-13 mg-650 mg/10 mL oral liqd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013704</ndc>
    <ndc_label_name>Child Giltuss Mult-Sym Cold-Flu 4 mg-10 mg-13 mg-650 mg/10 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013804</ndc>
    <ndc_label_name>Giltuss Allergy Plus(dextromethorphn) 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552013904</ndc>
    <ndc_label_name>Child Giltuss Allergy Plus(dm) 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58552014004</ndc>
    <ndc_label_name>Giltuss Cough-Congestion 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58552014104</ndc>
    <ndc_label_name>Giltuss Cough-Congestion 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552014215</ndc>
    <ndc_label_name>Giltuss Severe Sinus 0.05 % nasal mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552014304</ndc>
    <ndc_label_name>Giltuss Honey DM Cough 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552014504</ndc>
    <ndc_label_name>Giltuss EX 200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552014604</ndc>
    <ndc_label_name>Childrens Giltuss EX 200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552015106</ndc>
    <ndc_label_name>Protect Iron Liquid 100 mg iron-250 mg/5 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552031630</ndc>
    <ndc_label_name>Protect Iron 60 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552032201</ndc>
    <ndc_label_name>Phenagil 3.5 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552032560</ndc>
    <ndc_label_name>Protect Cardio AF 0.5 mg-30 mg-60 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552032660</ndc>
    <ndc_label_name>Protect Plus SO 0.5 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552033320</ndc>
    <ndc_label_name>Giltuss-D Allergy-Congestion 3.5 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552033420</ndc>
    <ndc_label_name>Giltuss Allergy Plus (chlophedianol) 3.5 mg-10 mg-24 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552033501</ndc>
    <ndc_label_name>Giltuss TR 10 mg-29 mg-390 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552033601</ndc>
    <ndc_label_name>Gilphex TR 10 mg-390 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58552033701</ndc>
    <ndc_label_name>Phenagil CH (cpm-pe-dm) 3.5 mg-10 mg-29 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58593082808</ndc>
    <ndc_label_name>Rompe Pecho Max Multi Symptoms 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602000640</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602000739</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602001742</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602042324</ndc>
    <ndc_label_name>LORATADINE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602044509</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602044540</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602044594</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602060407</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070176</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070204</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070209</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070219</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070221</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070283</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070515</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070519</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070584</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070614</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602070653</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602071467</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602073094</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602075521</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602077321</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602080767</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D (fexo) 60 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58602080961</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602081097</ndc>
    <ndc_label_name>GUAIFENESIN ER 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58602081576</ndc>
    <ndc_label_name>LOPERAMIDE-SIMETH 2-125MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58602088427</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58602088458</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 240 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58604021430</ndc>
    <ndc_label_name>Addyi 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605010101</ndc>
    <ndc_label_name>Maxifed 60 mg-360 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605010301</ndc>
    <ndc_label_name>Maxichlor PEH DM 4 mg-10 mg-18 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58605010601</ndc>
    <ndc_label_name>Maxifed TR 1.25 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58605011001</ndc>
    <ndc_label_name>Chlorpap PEH 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605011101</ndc>
    <ndc_label_name>Chlorpap PEH DM 4 mg-10 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605011201</ndc>
    <ndc_label_name>Chlorpap 2 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605030316</ndc>
    <ndc_label_name>Maxi-Tuss CD 4 mg-10 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605030516</ndc>
    <ndc_label_name>Maxi-Tuss TR 1.25 mg-30 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605030616</ndc>
    <ndc_label_name>Maxi-Tuss PE 2 mg-5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605030816</ndc>
    <ndc_label_name>Maxi-Tuss Jr 2.5 mg-5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58605031116</ndc>
    <ndc_label_name>Maxi-Tuss G 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58605031216</ndc>
    <ndc_label_name>Maxi-Tuss GMX 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58605031316</ndc>
    <ndc_label_name>Maxi-Tuss AC 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605031416</ndc>
    <ndc_label_name>Maxi-Tuss PE Jr 2.5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605031516</ndc>
    <ndc_label_name>Maxi-Tuss PE Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605032016</ndc>
    <ndc_label_name>Maxi-Tuss DM (bromphen-PE-DM) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58605032116</ndc>
    <ndc_label_name>Chlor A-Hist DM 4 mg-10 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607010359</ndc>
    <ndc_label_name>Mynatal 65 mg iron-1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607010565</ndc>
    <ndc_label_name>Mynatal-Z 65 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607011185</ndc>
    <ndc_label_name>Myferon 150 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607011200</ndc>
    <ndc_label_name>Myferon 150 Forte 150 mg-25 mcg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58607011310</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58607018510</ndc>
    <ndc_label_name>Mynephron 1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58607018520</ndc>
    <ndc_label_name>Mynephron 1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58607018603</ndc>
    <ndc_label_name>Mynephrocaps 1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607052057</ndc>
    <ndc_label_name>My-Vitalife capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607052060</ndc>
    <ndc_label_name>My-Vitalife capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607080010</ndc>
    <ndc_label_name>Prenatal Vitamins Plus Low Iron 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58607081120</ndc>
    <ndc_label_name>Mynatal Plus 65 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657011801</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657011901</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657012012</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657013390</ndc>
    <ndc_label_name>Thrivite Rx 29 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657015101</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657015110</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016012</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.25 (0.55) MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016110</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG(1.1 MG)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016112</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG(1.1 MG)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016212</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1 MG (2.2 MG)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016301</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016390</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016401</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016490</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016501</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657016590</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657017001</ndc>
    <ndc_label_name>M-Natal Plus 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657031016</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657031116</ndc>
    <ndc_label_name>POTASS CIT-SOD CIT-CITRIC SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657031216</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032250</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032350</ndc>
    <ndc_label_name>Tri-Vite With Fluoride 0.25 mg fluoride (0.55 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032450</ndc>
    <ndc_label_name>Tri-Vite With Fluoride 0.5 mg fluoride (1.1 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032550</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032650</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657032750</ndc>
    <ndc_label_name>Multi-Vit with Fluoride and Iron 0.25 mg-10 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657040301</ndc>
    <ndc_label_name>Estratest H.S. 0.625 mg-1.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657040401</ndc>
    <ndc_label_name>ESTRATEST F.S. TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657040601</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657040701</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657040801</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS F.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657041601</ndc>
    <ndc_label_name>Estratest H.S. 0.625 mg-1.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657041801</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657042815</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG/ML DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657045401</ndc>
    <ndc_label_name>ME-NAPHOS-MB-HYO 1 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657045601</ndc>
    <ndc_label_name>Uro-MP 118 mg-10 mg-40.8 mg-36 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657045890</ndc>
    <ndc_label_name>URO-458 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657046801</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657046802</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 10-5% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657046916</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 8-4% SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047108</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-2% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047206</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047207</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047208</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047212</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047213</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047316</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 9-4% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047416</ndc>
    <ndc_label_name>SOD SULFACE-SULFUR 9-4.5% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047706</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047712</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047716</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657047806</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.25% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048608</ndc>
    <ndc_label_name>UREA 41% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048701</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048703</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048707</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048901</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048903</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657048907</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657049018</ndc>
    <ndc_label_name>Sodium Fluoride 5000 Plus 1.1 % dental cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657049102</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050004</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050016</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050408</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050508</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050816</ndc>
    <ndc_label_name>GUAIFENESIN 100 MG/5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657050916</ndc>
    <ndc_label_name>GUAIFENESIN 100 MG/5 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657051808</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052404</ndc>
    <ndc_label_name>M-PAP 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052416</ndc>
    <ndc_label_name>M-PAP 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052504</ndc>
    <ndc_label_name>M-PAP 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052516</ndc>
    <ndc_label_name>M-PAP 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052804</ndc>
    <ndc_label_name>M-Dryl 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657052816</ndc>
    <ndc_label_name>M-Dryl 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060201</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060250</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060301</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060350</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060401</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657060450</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657064501</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064701</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064710</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064750</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064801</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064810</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064850</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064901</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064910</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657064950</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657067501</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657067601</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657067650</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068501</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068550</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068601</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068650</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068701</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657068750</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657069716</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070001</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070101</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070201</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070301</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070310</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070401</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657070501</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657072630</ndc>
    <ndc_label_name>METFORMIN HCL 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657072730</ndc>
    <ndc_label_name>METFORMIN HCL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657073001</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657073101</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657073110</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657073201</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657073210</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657073501</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657073601</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657073701</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657073801</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657073956</ndc>
    <ndc_label_name>METRONIDAZOLE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657074001</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657074101</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657074201</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657081010</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657081021</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657086000</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657086001</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657086010</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657086025</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090001</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090010</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090101</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090110</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090201</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090210</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090301</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090310</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090401</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090410</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090501</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090503</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090510</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090601</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090610</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090701</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090710</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090801</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657090810</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093001</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093005</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093010</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093101</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093105</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093110</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093201</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093205</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093210</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093301</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093305</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093310</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093401</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093405</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657093410</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093501</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093503</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093510</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093601</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093603</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093610</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093703</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093710</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093803</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58657093810</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094001</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094010</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094101</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094110</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094201</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58657094210</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000500</ndc>
    <ndc_label_name>Halo Closed Vial Adaptor 28 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000501</ndc>
    <ndc_label_name>Halo Closed Vial Adaptor 20 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000502</ndc>
    <ndc_label_name>Halo Closed Vial Adaptor 13 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000503</ndc>
    <ndc_label_name>Halo Closed Syringe Adaptor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000504</ndc>
    <ndc_label_name>Halo Closed Line Adaptor misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000505</ndc>
    <ndc_label_name>Halo Closed Bag Adaptor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000506</ndc>
    <ndc_label_name>Halo Vial Converter 13 mm device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58743000515</ndc>
    <ndc_label_name>Halo B-Lock Closed Line Adaptor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000030</ndc>
    <ndc_label_name>TheraTears 0.25 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000115</ndc>
    <ndc_label_name>TheraTears 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000130</ndc>
    <ndc_label_name>TheraTears 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000330</ndc>
    <ndc_label_name>TheraTears 1 % gel in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000550</ndc>
    <ndc_label_name>SteriLid topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000560</ndc>
    <ndc_label_name>Thera Tears SteriLid 0.01 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000715</ndc>
    <ndc_label_name>TheraTears 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790000716</ndc>
    <ndc_label_name>TheraTears 0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58790001030</ndc>
    <ndc_label_name>TheraTears 0.25 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809018708</ndc>
    <ndc_label_name>Vanacof XP 18 mg-396 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809018908</ndc>
    <ndc_label_name>Vanacof CP 25 mg-12.5 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809019016</ndc>
    <ndc_label_name>Vanacof-2  1 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809019860</ndc>
    <ndc_label_name>VANATAB DM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809037504</ndc>
    <ndc_label_name>Z-Bum 22 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809045004</ndc>
    <ndc_label_name>COZIMA 24% DIAPER RASH CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809055508</ndc>
    <ndc_label_name>Vanacof DM 10 mg-18 mg-200 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58809065008</ndc>
    <ndc_label_name>VanaLice 0.3 %-3.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809065150</ndc>
    <ndc_label_name>PediaClear PD 0.625 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809072904</ndc>
    <ndc_label_name>NASOPEN PE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809077008</ndc>
    <ndc_label_name>PediaClear-8 12.5 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809085008</ndc>
    <ndc_label_name>VANACOF DMX 18-396-10 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58809099901</ndc>
    <ndc_label_name>Vanacof 1 mg-30 mg-12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869010101</ndc>
    <ndc_label_name>Elon topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869010103</ndc>
    <ndc_label_name>Elon topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869012101</ndc>
    <ndc_label_name>Elon Matrix Plus 3,000 mcg-100 mg-50 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869012501</ndc>
    <ndc_label_name>Elon Matrix 5000  5,000 mcg-10 mg-50 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869012601</ndc>
    <ndc_label_name>Elon Matrix 5000 Complete 33 mcg-5,000 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58869012701</ndc>
    <ndc_label_name>Elon R3 2,500 mcg-50 mg-25 mg-300 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58869017605</ndc>
    <ndc_label_name>Elon Dual Defense 25 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58892072154</ndc>
    <ndc_label_name>Total Block Cover Up SPF 60 lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58892072159</ndc>
    <ndc_label_name>Total Block Clear SPF 65 lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914008052</ndc>
    <ndc_label_name>BENTYL 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914017014</ndc>
    <ndc_label_name>CARAFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914017110</ndc>
    <ndc_label_name>Carafate 1 gram tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914030180</ndc>
    <ndc_label_name>Rectiv 0.4 % (w/w) ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914050156</ndc>
    <ndc_label_name>Canasa 1,000 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58914060120</ndc>
    <ndc_label_name>Pylera 140 mg-125 mg-125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58914079010</ndc>
    <ndc_label_name>URSO Forte 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58952033308</ndc>
    <ndc_label_name>Stopain 6 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58952043304</ndc>
    <ndc_label_name>Stopain 8 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980001110</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980001205</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980001210</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980001730</ndc>
    <ndc_label_name>Hygienic Cleansing Lotion topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980035050</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980040912</ndc>
    <ndc_label_name>GLYCERIN PEDIATRIC SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980040925</ndc>
    <ndc_label_name>GLYCERIN PEDIATRIC SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041012</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041025</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041501</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041504</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041508</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041512</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041516</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980041550</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980052240</ndc>
    <ndc_label_name>PRAMOXINE HCL 1 % LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980052280</ndc>
    <ndc_label_name>PRAMOXINE HCL 1 % LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980060530</ndc>
    <ndc_label_name>UREA 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980060860</ndc>
    <ndc_label_name>UREA 10% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980060880</ndc>
    <ndc_label_name>UREA 10% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980061030</ndc>
    <ndc_label_name>UREA 20% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980061540</ndc>
    <ndc_label_name>Arctic Relief 0.2 %-3.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980075405</ndc>
    <ndc_label_name>Collanex 100 % topical powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980078011</ndc>
    <ndc_label_name>Venelex topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980078021</ndc>
    <ndc_label_name>Venelex topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980078050</ndc>
    <ndc_label_name>Venelex topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980081102</ndc>
    <ndc_label_name>Dermazene 1 %-1 % topical cream in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980081810</ndc>
    <ndc_label_name>Azolen 2 % topical tincture</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980081960</ndc>
    <ndc_label_name>Azolen 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980082010</ndc>
    <ndc_label_name>Castellani Paint 1.5 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980082305</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980082330</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980082405</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980082415</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>58980082430</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980082630</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980082685</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980091380</ndc>
    <ndc_label_name>Peviderm 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980096012</ndc>
    <ndc_label_name>Sonafine topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980096020</ndc>
    <ndc_label_name>Sonafine topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>58980096031</ndc>
    <ndc_label_name>Sonafine topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027160</ndc>
    <ndc_label_name>Hysingla ER 20 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027260</ndc>
    <ndc_label_name>Hysingla ER 30 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027360</ndc>
    <ndc_label_name>Hysingla ER 40 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027460</ndc>
    <ndc_label_name>Hysingla ER 60 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027560</ndc>
    <ndc_label_name>Hysingla ER 80 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027660</ndc>
    <ndc_label_name>Hysingla ER 100 mg tablet, crush resistant, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011027760</ndc>
    <ndc_label_name>HYSINGLA ER 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011041010</ndc>
    <ndc_label_name>OxyContin 10 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011041020</ndc>
    <ndc_label_name>OxyContin 10 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011041510</ndc>
    <ndc_label_name>OxyContin 15 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011041520</ndc>
    <ndc_label_name>OxyContin 15 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011042010</ndc>
    <ndc_label_name>OxyContin 20 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011042020</ndc>
    <ndc_label_name>OxyContin 20 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011043010</ndc>
    <ndc_label_name>OxyContin 30 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011043020</ndc>
    <ndc_label_name>OxyContin 30 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011044010</ndc>
    <ndc_label_name>OxyContin 40 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011044020</ndc>
    <ndc_label_name>OxyContin 40 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011046010</ndc>
    <ndc_label_name>OxyContin 60 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011046020</ndc>
    <ndc_label_name>OxyContin 60 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011048010</ndc>
    <ndc_label_name>OxyContin 80 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011048020</ndc>
    <ndc_label_name>OxyContin 80 mg tablet,crush resistant,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011075004</ndc>
    <ndc_label_name>Butrans 5 mcg/hour transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011075104</ndc>
    <ndc_label_name>Butrans 10 mcg/hour transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011075204</ndc>
    <ndc_label_name>Butrans 20 mcg/hour transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011075704</ndc>
    <ndc_label_name>Butrans 7.5 mcg/hour transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011075804</ndc>
    <ndc_label_name>Butrans 15 mcg/hour transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59011096010</ndc>
    <ndc_label_name>NALMEFENE HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59011096201</ndc>
    <ndc_label_name>Zurnai 1.5 mg/0.5 mL injection,auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59016042016</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59016042017</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59016042018</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59016042019</ndc>
    <ndc_label_name>Magtab 84 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088000381</ndc>
    <ndc_label_name>Bruselix 120 mg-50 mg-25 mg-25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088000454</ndc>
    <ndc_label_name>Bolsitol 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088000554</ndc>
    <ndc_label_name>Multitol-M 2,040 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088000854</ndc>
    <ndc_label_name>Finazol 18 mg iron-1,700 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088001254</ndc>
    <ndc_label_name>Paxotin 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088001306</ndc>
    <ndc_label_name>Methylten 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088001406</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088001554</ndc>
    <ndc_label_name>Flotrex 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088001754</ndc>
    <ndc_label_name>Flotrex 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088001854</ndc>
    <ndc_label_name>DermacinRx Multivitamin 1,700 mcg DFE chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088001954</ndc>
    <ndc_label_name>DermacinRx Bacillex 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088002054</ndc>
    <ndc_label_name>Flotrex 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088008300</ndc>
    <ndc_label_name>Migranow 50 mg-10 %-4 % kit, gel and tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088009054</ndc>
    <ndc_label_name>DermacinRx PureFolix 125 mcg (5,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088009300</ndc>
    <ndc_label_name>Inflammacin 75 mg-0.025 % kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010473</ndc>
    <ndc_label_name>FLUORIDE 0.25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010564</ndc>
    <ndc_label_name>FLUORIDE 0.5 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010573</ndc>
    <ndc_label_name>FLUORIDE 0.5 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010664</ndc>
    <ndc_label_name>FLUORIDE 1 MG TABLET CHEWABLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010673</ndc>
    <ndc_label_name>FLUORIDE 1 MG TABLET CHEWABLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010759</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010859</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088010959</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088011266</ndc>
    <ndc_label_name>PureVit DualFe Plus 162 mg-115.2 mg (106 mg)-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088015654</ndc>
    <ndc_label_name>Menatrol 220 mg-15 mcg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088015854</ndc>
    <ndc_label_name>Davimet-M 1,700 mcg DFE chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016054</ndc>
    <ndc_label_name>Davimet with Iron 11 mg iron-1,700 mcg DFE chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016254</ndc>
    <ndc_label_name>Diatrol 1,700 mcg DFE-90 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016354</ndc>
    <ndc_label_name>DermacinRx Folixapure 125 mcg (5,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088016454</ndc>
    <ndc_label_name>Vitrexyl 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016554</ndc>
    <ndc_label_name>Vitrexyl Plus Iron 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016654</ndc>
    <ndc_label_name>DermacinRx Prenatrix 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088016754</ndc>
    <ndc_label_name>DermacinRx Vitrexate 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016854</ndc>
    <ndc_label_name>DermacinRx Vitrexate FE 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088016954</ndc>
    <ndc_label_name>DermacinRx Prenatryl 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088017054</ndc>
    <ndc_label_name>Davimet with Fluoride 0.75 mg fluoride chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088017154</ndc>
    <ndc_label_name>DermacinRx Vitranol 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017354</ndc>
    <ndc_label_name>DermacinRx Vitranol FE 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017457</ndc>
    <ndc_label_name>DermacinRx Promerol 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017554</ndc>
    <ndc_label_name>DermacinRx Probitrol 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088017654</ndc>
    <ndc_label_name>DermacinRx Venexa 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017754</ndc>
    <ndc_label_name>DermacinRx Venexa FE 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017854</ndc>
    <ndc_label_name>DermacinRx Pretrate 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088017954</ndc>
    <ndc_label_name>DermacinRx Lacterol 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018058</ndc>
    <ndc_label_name>DermacinRx Zintrexyl-C 9 mg iron-500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018158</ndc>
    <ndc_label_name>DermacinRx Folitin-Z 9 mg iron-500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018258</ndc>
    <ndc_label_name>DermacinRx Ribotin-E 9 mg iron-500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018354</ndc>
    <ndc_label_name>Dermacinrx Probitran 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018454</ndc>
    <ndc_label_name>DermacinRx Purefoltin 125 mcg (5,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018554</ndc>
    <ndc_label_name>DermacinRx Folditam 250 mcg (10,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088018654</ndc>
    <ndc_label_name>DermacinRx Ventrixyl 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088018754</ndc>
    <ndc_label_name>DermacinRx Ventrixyl FE 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088019154</ndc>
    <ndc_label_name>Inflamex 25mg-1,700mcgDFE-100mg-5mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088019354</ndc>
    <ndc_label_name>DermacinRx Vitramyn 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088019454</ndc>
    <ndc_label_name>DermacinRx Probinate 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088019954</ndc>
    <ndc_label_name>DermacinRx Probisol 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020054</ndc>
    <ndc_label_name>DermacinRx Foltamin 125 mcg (5,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020131</ndc>
    <ndc_label_name>LiquiCal Plus 84 mg-24 mg-10 mcg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020207</ndc>
    <ndc_label_name>Menticam 4 %-10 %-7.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020307</ndc>
    <ndc_label_name>Menticam 4 %-30 %-10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020707</ndc>
    <ndc_label_name>Lasolex AG 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088020903</ndc>
    <ndc_label_name>Hydroxym 2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088021207</ndc>
    <ndc_label_name>DermacinRx Exemax 5 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088021403</ndc>
    <ndc_label_name>Salicate 10 % topical liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088021505</ndc>
    <ndc_label_name>Mencylate 10 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088022008</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088022107</ndc>
    <ndc_label_name>DermacinRx Lidoease 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088022308</ndc>
    <ndc_label_name>CAPSAICIN 0.05% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088022400</ndc>
    <ndc_label_name>VennGel II 1 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088022705</ndc>
    <ndc_label_name>Salycim 6 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088024016</ndc>
    <ndc_label_name>DermacinRx Lidochill 4 %-1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088024107</ndc>
    <ndc_label_name>Dermacinrx Lidocaine 3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088024306</ndc>
    <ndc_label_name>METHYL SALICYLATE 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088024506</ndc>
    <ndc_label_name>Methylten 25 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088024608</ndc>
    <ndc_label_name>CAPSAICIN 0.035% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088025716</ndc>
    <ndc_label_name>Uracin 20 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088025907</ndc>
    <ndc_label_name>CAMPHOR-MENTHOL 4%-10% ROLL-ON</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088026103</ndc>
    <ndc_label_name>SALICYLIC ACID 6% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088028307</ndc>
    <ndc_label_name>Camphotrex 4 %-10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088030154</ndc>
    <ndc_label_name>DermacinRx Folixate 125 mcg (5,000 unit)-1,700 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088031008</ndc>
    <ndc_label_name>DermacinRx Penetral 0.025 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088031016</ndc>
    <ndc_label_name>DermacinRx Penetral 0.025 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088032607</ndc>
    <ndc_label_name>SCARTRATE 5%-2.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088033308</ndc>
    <ndc_label_name>DermacinRx Skin Repair Complex 5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088034300</ndc>
    <ndc_label_name>DermacinRx Lexitral 1.5 %-0.025 % topical, solution and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088035300</ndc>
    <ndc_label_name>DermacinRx Surgical PharmaPak 2 %-4 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088036500</ndc>
    <ndc_label_name>Xrylix (diclofenac-kinesiology tape) 1.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088037107</ndc>
    <ndc_label_name>Lidotral 3.88 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088037210</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088039100</ndc>
    <ndc_label_name>DermacinRx Clorhexacin 2 %-4 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088039200</ndc>
    <ndc_label_name>Ticanase 50 mcg-0.9 % kit, spray suspension and spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088039654</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088039682</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088043005</ndc>
    <ndc_label_name>Lidocort 3 %-0.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088043305</ndc>
    <ndc_label_name>DermacinRx Circata 0.05 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088043405</ndc>
    <ndc_label_name>Capasil 10 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088044107</ndc>
    <ndc_label_name>Mycozyl AC 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088044207</ndc>
    <ndc_label_name>Mycozyl AP 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088044303</ndc>
    <ndc_label_name>Mycozyl AL 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088044408</ndc>
    <ndc_label_name>DermacinRx Atrix 2 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088044508</ndc>
    <ndc_label_name>DermacinRx Atrix 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088044605</ndc>
    <ndc_label_name>DermacinRx Atrix 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088044754</ndc>
    <ndc_label_name>DermacinRx Foltrexyl 125 mcg (5,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088046607</ndc>
    <ndc_label_name>DermacinRx Lidogel 2.8 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088047507</ndc>
    <ndc_label_name>DermacinRx Lidorex 2.8 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088047607</ndc>
    <ndc_label_name>Micotrin AC 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088047703</ndc>
    <ndc_label_name>Micotrin AL 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088047807</ndc>
    <ndc_label_name>Micotrin AP 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088047905</ndc>
    <ndc_label_name>DermacinRx Circatrix 0.05 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088048058</ndc>
    <ndc_label_name>DermacinRx Foliflex 9 mg iron-500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088048807</ndc>
    <ndc_label_name>Camphotrol 4 %-10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088048916</ndc>
    <ndc_label_name>UREA 41% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088052454</ndc>
    <ndc_label_name>DermacinRx Dotremin 250 mcg (10,000 unit)-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088052554</ndc>
    <ndc_label_name>DermacinRx Multitam 1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088059616</ndc>
    <ndc_label_name>DermacinRx DiaSinc 0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088062308</ndc>
    <ndc_label_name>DermacinRx Dimopair 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088062705</ndc>
    <ndc_label_name>Zinctral 20 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088063000</ndc>
    <ndc_label_name>Naprotin 500 mg-0.025 % kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59088064003</ndc>
    <ndc_label_name>Micomitin 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088064354</ndc>
    <ndc_label_name>DermacinRx Dexatran 18 mg iron-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088065931</ndc>
    <ndc_label_name>Livita for Adult 1,700 mcg DFE-500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088066016</ndc>
    <ndc_label_name>Livita for Children oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088069554</ndc>
    <ndc_label_name>DermacinRx Davimet 1,000 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088069705</ndc>
    <ndc_label_name>VIT D2-K1 20-120 MCG/0.1ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088069816</ndc>
    <ndc_label_name>UREA 39.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088070001</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-1% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088070900</ndc>
    <ndc_label_name>VennGel One 1 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071100</ndc>
    <ndc_label_name>Aprizio Pak 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071200</ndc>
    <ndc_label_name>LidoPure Patch 5 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071300</ndc>
    <ndc_label_name>DermacinRx Atrix System 1 2 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071400</ndc>
    <ndc_label_name>Zilacaine Patch 5 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071500</ndc>
    <ndc_label_name>Lidotor 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088071600</ndc>
    <ndc_label_name>Diclotrex 1.5 %-10 %-4 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088072100</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088072700</ndc>
    <ndc_label_name>Clofenax 1.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088073000</ndc>
    <ndc_label_name>Triasil 0.1 %-4" X 4" topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088073100</ndc>
    <ndc_label_name>Xyliderm 5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088074100</ndc>
    <ndc_label_name>Prilo Patch 5 % medicated patch and 2.5 %-2.5 % cream, kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088075400</ndc>
    <ndc_label_name>Fluopar 0.1 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088075600</ndc>
    <ndc_label_name>Ibupak 600 mg oral kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088076700</ndc>
    <ndc_label_name>Cyclopak 5 mg-2.5 %-2.5 % oral and topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088076890</ndc>
    <ndc_label_name>Nuvazil II 10 cm X 12 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088077120</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-1% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088077800</ndc>
    <ndc_label_name>Miconatate 2 %-1 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088078050</ndc>
    <ndc_label_name>Nuva III 10 cm X 12 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088078150</ndc>
    <ndc_label_name>Nuvagel 10 cm X 12 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088078400</ndc>
    <ndc_label_name>LEXITRAL PHARMAPAK II</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088078500</ndc>
    <ndc_label_name>DICLOTREX II 1.5%-4%-10% KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088079405</ndc>
    <ndc_label_name>DermacinRx Diabecin CS 0.05 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088079554</ndc>
    <ndc_label_name>Folcyteine 1 mg-47 mg-20 mcg-16 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088080100</ndc>
    <ndc_label_name>Lextol 1.5 %-0.025 % topical, solution and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088080200</ndc>
    <ndc_label_name>Diclogen 1.5 %-10 %-4 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088080400</ndc>
    <ndc_label_name>Lixofen 1.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088080500</ndc>
    <ndc_label_name>DermacinRx ZRM Pak 5 %-5 % kit, patch, medicated and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088080700</ndc>
    <ndc_label_name>DermacinRx PHN Pak 5 % kit, patch, medicated and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081624</ndc>
    <ndc_label_name>LIDOCAINE-HC 2-2% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081701</ndc>
    <ndc_label_name>LIDOCAINE-HC 2.8-0.55% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081903</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081907</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081914</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088081920</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088083820</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-2.5% GEL KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088084600</ndc>
    <ndc_label_name>Ellzia Pak 0.1 %-5 % topical kit, ointment and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088087300</ndc>
    <ndc_label_name>DermacinRx Prizopak 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088089300</ndc>
    <ndc_label_name>DermacinRx Therazole Pak 1 %-0.05 %-20 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090554</ndc>
    <ndc_label_name>DermacinRx Lidocan 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090582</ndc>
    <ndc_label_name>DermacinRx Lidocan 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090584</ndc>
    <ndc_label_name>DermacinRx Lidocan 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090754</ndc>
    <ndc_label_name>Lidocan III 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090784</ndc>
    <ndc_label_name>Lidocan III 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090954</ndc>
    <ndc_label_name>Lidocan V 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088090984</ndc>
    <ndc_label_name>Lidocan V 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088091054</ndc>
    <ndc_label_name>Lidocan IV 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088091084</ndc>
    <ndc_label_name>Lidocan IV 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088099703</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59088099707</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59108000300</ndc>
    <ndc_label_name>2Tek Glucose/Blood Pressure kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59108000301</ndc>
    <ndc_label_name>Neutek 2Tek Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59108000302</ndc>
    <ndc_label_name>Neutek 2Tek Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59108000303</ndc>
    <ndc_label_name>2Tek Control (High-Normal) solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022824</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022844</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022850</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022924</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022944</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59133022950</ndc>
    <ndc_label_name>Aleve 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000207</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000208</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000209</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000245</ndc>
    <ndc_label_name>Acti-Lance Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000246</ndc>
    <ndc_label_name>Acti-Lance Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59135000247</ndc>
    <ndc_label_name>Acti-Lance Lancets 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000254</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000255</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000256</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000257</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000258</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000259</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000260</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000261</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000262</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000263</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000264</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000265</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000266</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000267</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000268</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000270</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000271</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000273</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000274</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000275</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000276</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000277</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000278</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000279</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000280</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000281</ndc>
    <ndc_label_name>Droplet Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000282</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000283</ndc>
    <ndc_label_name>Droplet Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000284</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59135000285</ndc>
    <ndc_label_name>Droplet Insulin Syringe (half unit) 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137023101</ndc>
    <ndc_label_name>Gleolan 30 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027001</ndc>
    <ndc_label_name>Ixinity 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027101</ndc>
    <ndc_label_name>Ixinity 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027201</ndc>
    <ndc_label_name>Ixinity 1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027501</ndc>
    <ndc_label_name>IXINITY 250 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027601</ndc>
    <ndc_label_name>IXINITY 2,000 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137027701</ndc>
    <ndc_label_name>Ixinity 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028205</ndc>
    <ndc_label_name>Ixinity 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028305</ndc>
    <ndc_label_name>Ixinity 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028405</ndc>
    <ndc_label_name>Ixinity 1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028705</ndc>
    <ndc_label_name>IXINITY 250 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028805</ndc>
    <ndc_label_name>IXINITY 2,000 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59137028905</ndc>
    <ndc_label_name>Ixinity 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137033500</ndc>
    <ndc_label_name>Grafapex 1 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137033501</ndc>
    <ndc_label_name>Grafapex 1 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137036500</ndc>
    <ndc_label_name>Grafapex 5 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137036501</ndc>
    <ndc_label_name>Grafapex 5 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137050500</ndc>
    <ndc_label_name>Rasuvo (PF) 7.5 mg/0.15 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137050504</ndc>
    <ndc_label_name>Rasuvo (PF) 7.5 mg/0.15 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137051000</ndc>
    <ndc_label_name>Rasuvo (PF) 10 mg/0.2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137051004</ndc>
    <ndc_label_name>Rasuvo (PF) 10 mg/0.2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137051500</ndc>
    <ndc_label_name>Rasuvo (PF) 12.5 mg/0.25 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137051504</ndc>
    <ndc_label_name>Rasuvo (PF) 12.5 mg/0.25 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137052000</ndc>
    <ndc_label_name>Rasuvo (PF) 15 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137052004</ndc>
    <ndc_label_name>Rasuvo (PF) 15 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137052500</ndc>
    <ndc_label_name>Rasuvo (PF) 17.5 mg/0.35 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137052504</ndc>
    <ndc_label_name>Rasuvo (PF) 17.5 mg/0.35 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137053000</ndc>
    <ndc_label_name>Rasuvo (PF) 20 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137053001</ndc>
    <ndc_label_name>Rasuvo (PF) 20 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137053004</ndc>
    <ndc_label_name>Rasuvo (PF) 20 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137053500</ndc>
    <ndc_label_name>Rasuvo (PF) 22.5 mg/0.45 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137053504</ndc>
    <ndc_label_name>Rasuvo (PF) 22.5 mg/0.45 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137054000</ndc>
    <ndc_label_name>Rasuvo (PF) 25 mg/0.5 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137054004</ndc>
    <ndc_label_name>Rasuvo (PF) 25 mg/0.5 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137055000</ndc>
    <ndc_label_name>Rasuvo (PF) 30 mg/0.6 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137055004</ndc>
    <ndc_label_name>Rasuvo (PF) 30 mg/0.6 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59137057001</ndc>
    <ndc_label_name>Hexatrione 20 mg/mL suspension for injection</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148000613</ndc>
    <ndc_label_name>Abilify 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148000713</ndc>
    <ndc_label_name>Abilify 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148000813</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148000913</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148001013</ndc>
    <ndc_label_name>Abilify 20 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148001113</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59148001870</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59148001871</ndc>
    <ndc_label_name>Abilify Maintena 300 mg intramuscular suspension,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59148001970</ndc>
    <ndc_label_name>Abilify Maintena 400 mg intramuscular suspension,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59148001971</ndc>
    <ndc_label_name>Abilify Maintena 400 mg intramuscular suspension,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59148001991</ndc>
    <ndc_label_name>Abilify Maintena 400 mg intramuscular suspension,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148002050</ndc>
    <ndc_label_name>Samsca 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148002150</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148002961</ndc>
    <ndc_label_name>ABILIFY MYCITE 2 MG START KIT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003072</ndc>
    <ndc_label_name>ABILIFY MYCITE 5 MG MAINT KIT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003161</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003172</ndc>
    <ndc_label_name>ABILIFY MYCITE 10 MG MAINT KIT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ABILIFY MYCITE 15 MG MAINT KIT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003361</ndc>
    <ndc_label_name>ABILIFY MYCITE 20 MG START KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003372</ndc>
    <ndc_label_name>ABILIFY MYCITE 20 MG MAINT KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003461</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003472</ndc>
    <ndc_label_name>ABILIFY MYCITE 30 MG MAINT KIT</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003513</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003607</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003613</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148003707</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Abilify Maintena 300 mg suspension,extended rel. intramuscular syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nuedexta 20 mg-10 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59148007090</ndc>
    <ndc_label_name>Busulfex 60 mg/10 mL intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002160</ndc>
    <ndc_label_name>Belbuca 75 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002201</ndc>
    <ndc_label_name>Belbuca 150 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002260</ndc>
    <ndc_label_name>Belbuca 150 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002301</ndc>
    <ndc_label_name>Belbuca 300 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002360</ndc>
    <ndc_label_name>Belbuca 300 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002401</ndc>
    <ndc_label_name>Belbuca 450 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002460</ndc>
    <ndc_label_name>Belbuca 450 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002501</ndc>
    <ndc_label_name>Belbuca 600 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002560</ndc>
    <ndc_label_name>Belbuca 600 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002601</ndc>
    <ndc_label_name>Belbuca 750 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002660</ndc>
    <ndc_label_name>Belbuca 750 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002701</ndc>
    <ndc_label_name>Belbuca 900 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385002760</ndc>
    <ndc_label_name>Belbuca 900 mcg buccal film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385004130</ndc>
    <ndc_label_name>Symproic 0.2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385005501</ndc>
    <ndc_label_name>Elyxyb 120 mg/4.8 mL (25 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59385005506</ndc>
    <ndc_label_name>Elyxyb 120 mg/4.8 mL (25 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390002317</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390002617</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390002714</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390002717</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390003022</ndc>
    <ndc_label_name>Acne-Clear 10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390003526</ndc>
    <ndc_label_name>Altamist 0.65 % nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390003613</ndc>
    <ndc_label_name>12 Hour Nasal Relief Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390008017</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390012541</ndc>
    <ndc_label_name>senna 8.8 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390014005</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017513</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017518</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017535</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017541</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017546</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390017548</ndc>
    <ndc_label_name>Eye Wash Sterile solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390018013</ndc>
    <ndc_label_name>Altazine 0.05 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390018018</ndc>
    <ndc_label_name>Altazine 0.05 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018113</ndc>
    <ndc_label_name>Altacaine 0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018118</ndc>
    <ndc_label_name>TETRACAINE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018213</ndc>
    <ndc_label_name>Goniotaire 2.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018313</ndc>
    <ndc_label_name>Altachlore 5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018318</ndc>
    <ndc_label_name>Altachlore 5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390018450</ndc>
    <ndc_label_name>Altachlore 5 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390018513</ndc>
    <ndc_label_name>Ultra Fresh 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390018518</ndc>
    <ndc_label_name>Ultra Fresh 0.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390018950</ndc>
    <ndc_label_name>For Sty Relief eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390019050</ndc>
    <ndc_label_name>Ultra Fresh PM eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390019205</ndc>
    <ndc_label_name>Homatropaire 5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390019613</ndc>
    <ndc_label_name>POLYVINYL ALCOHOL 1.4% EYEDROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390019713</ndc>
    <ndc_label_name>Pure and Gentle Eye 0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390019718</ndc>
    <ndc_label_name>Pure and Gentle Eye 0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390020505</ndc>
    <ndc_label_name>FLUORESCEIN-PROPARACAINE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390020713</ndc>
    <ndc_label_name>Sterile Lubricant 0.7 % eye liquid gel drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390021702</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390021705</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59390021710</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59390021805</ndc>
    <ndc_label_name>Altafluor Benox 0.25 %-0.4 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010110</ndc>
    <ndc_label_name>Vyvanse 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010210</ndc>
    <ndc_label_name>Vyvanse 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010310</ndc>
    <ndc_label_name>Vyvanse 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010410</ndc>
    <ndc_label_name>Vyvanse 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010510</ndc>
    <ndc_label_name>Vyvanse 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010610</ndc>
    <ndc_label_name>Vyvanse 60 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59417010710</ndc>
    <ndc_label_name>Vyvanse 70 mg capsule</ndc_label_name>
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    <drug_tier>0</drug_tier>
    <ndc>59572050321</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59572050400</ndc>
    <ndc_label_name>Pomalyst 4 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59572050421</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Idhifa 50 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59572071101</ndc>
    <ndc_label_name>Reblozyl 25 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Inrebic 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Reblozyl 75 mg subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59572089021</ndc>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59572089028</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59584013801</ndc>
    <ndc_label_name>Candin FDA STANDARD allergen prep intradermal</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59627000206</ndc>
    <ndc_label_name>Avonex 30 mcg/0.5 mL intramuscular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59627000207</ndc>
    <ndc_label_name>Avonex 30 mcg/0.5 mL intramuscular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59627000301</ndc>
    <ndc_label_name>Avonex 30 mcg/0.5 mL intramuscular pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59627022205</ndc>
    <ndc_label_name>Avonex 30 mcg/0.5 mL intramuscular syringe kit</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Avonex 30 mcg/0.5 mL intramuscular pen kit</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fetroja 1 gram intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59630026610</ndc>
    <ndc_label_name>Fetroja 1 gram intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651000101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651000290</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002130</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002190</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002601</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002655</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002675</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002928</ndc>
    <ndc_label_name>Lo-Zumandimine (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651002988</ndc>
    <ndc_label_name>Lo-Zumandimine (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651003028</ndc>
    <ndc_label_name>Zumandimine (28) 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651003085</ndc>
    <ndc_label_name>Zumandimine (28) 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651003212</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651003247</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651004260</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651004360</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651004730</ndc>
    <ndc_label_name>ARMODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651005205</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651005230</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651005290</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651005430</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651005530</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651006330</ndc>
    <ndc_label_name>DUTASTERIDE-TAMSULOSIN 0.5-0.4</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651006390</ndc>
    <ndc_label_name>DUTASTERIDE-TAMSULOSIN 0.5-0.4</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651008314</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651008460</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651008560</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651008630</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651008736</ndc>
    <ndc_label_name>SEVELAMER HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651008818</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651009530</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651009630</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651009690</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651010406</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651010469</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651010506</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651010569</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651011055</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651011330</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651011430</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651011860</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651011960</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651012060</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013628</ndc>
    <ndc_label_name>Emzahh 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013688</ndc>
    <ndc_label_name>Emzahh 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013730</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013830</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013890</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013930</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651013990</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651014030</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651014090</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651014601</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651015201</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651015301</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651016530</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 100-150MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651016630</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 133-200MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651016730</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 167-250MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651017301</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651017401</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651017501</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651017601</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651017701</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018030</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018090</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018201</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018305</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018325</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018330</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018405</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018425</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651018430</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651019421</ndc>
    <ndc_label_name>POMALIDOMIDE 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651019521</ndc>
    <ndc_label_name>POMALIDOMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651019621</ndc>
    <ndc_label_name>POMALIDOMIDE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651019721</ndc>
    <ndc_label_name>POMALIDOMIDE 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020101</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020201</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020301</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020460</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020508</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651020623</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651021430</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651021530</ndc>
    <ndc_label_name>AZELASTINE 0.15% NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651021690</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651021790</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651022401</ndc>
    <ndc_label_name>PILOCARPINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651022501</ndc>
    <ndc_label_name>PILOCARPINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023201</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023299</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023301</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023305</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023401</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023405</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023630</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651023690</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651023827</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651023890</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651023990</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651024090</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651024130</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651024601</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651024701</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651024801</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651024901</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025001</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025101</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025201</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025601</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025701</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651025801</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651026001</ndc>
    <ndc_label_name>CLOZAPINE ODT 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651026101</ndc>
    <ndc_label_name>CLOZAPINE ODT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651026201</ndc>
    <ndc_label_name>CLOZAPINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651026301</ndc>
    <ndc_label_name>CLOZAPINE ODT 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651026401</ndc>
    <ndc_label_name>CLOZAPINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651026830</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651026901</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651026905</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027001</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027005</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027101</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027199</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027201</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027299</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027301</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027325</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027530</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651027590</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651027660</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651027760</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651027860</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651028501</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651028599</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651028601</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651028605</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651029160</ndc>
    <ndc_label_name>ZAFIRLUKAST 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651029260</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651029501</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651029601</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651029701</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651029960</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651030030</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651030090</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030501</ndc>
    <ndc_label_name>CHLORZOXAZONE 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030601</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030605</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030701</ndc>
    <ndc_label_name>CHLORZOXAZONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030801</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030830</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030901</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651030930</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651031305</ndc>
    <ndc_label_name>TIMOLOL 0.5% GEL-SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651031477</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651031577</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651031677</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651032430</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651032930</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651033101</ndc>
    <ndc_label_name>FLUCYTOSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651033201</ndc>
    <ndc_label_name>FLUCYTOSINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651033701</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651033801</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651033950</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034001</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034005</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034101</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034105</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034228</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034328</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034428</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034521</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034621</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651034721</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034830</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651034930</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651035308</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036001</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036005</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036101</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036105</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036201</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651036205</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651036607</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651036650</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651036701</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651037590</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651037690</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651037790</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651037801</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651037901</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038001</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038101</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038130</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038190</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038201</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038230</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038290</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038301</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038330</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038390</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038901</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651038905</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039001</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039101</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039105</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039201</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039205</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039360</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039401</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039405</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039499</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039501</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039505</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039599</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651039708</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651040112</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651040217</ndc>
    <ndc_label_name>MOMETASONE FUROATE 50 MCG SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040430</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040530</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040590</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040630</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040730</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651040790</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651041030</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651041130</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651041230</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651041350</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651041401</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651041501</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651041756</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651041856</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042011</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042101</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651042201</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042601</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042605</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042699</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042701</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042705</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651042801</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043547</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043601</ndc>
    <ndc_label_name>DIGOXIN 62.5 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651043701</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651043799</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651043801</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651043899</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043904</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043906</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043908</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651043918</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044401</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044601</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044630</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044730</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044738</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044830</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044877</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044930</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651044954</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045153</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045260</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045360</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045501</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045530</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045601</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045701</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045705</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045801</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651045805</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651046428</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651046528</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651046628</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651046728</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048401</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048499</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048501</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048601</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048699</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048701</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048705</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048801</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048805</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651048901</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651049101</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651049347</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651049430</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651049530</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651049901</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651049905</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050001</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050005</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050099</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050101</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050105</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651050199</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651050501</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651050530</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651051630</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651052401</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651052955</ndc>
    <ndc_label_name>ENALAPRIL 1 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651053901</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651053905</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651054001</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651054005</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651054101</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054260</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054360</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054460</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054530</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054630</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651054730</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651055101</ndc>
    <ndc_label_name>AMPICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651055105</ndc>
    <ndc_label_name>AMPICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651056130</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651056230</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651056290</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651056360</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651056501</ndc>
    <ndc_label_name>DICLOXACILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651056601</ndc>
    <ndc_label_name>DICLOXACILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651057308</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651057408</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651057590</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651057690</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651058208</ndc>
    <ndc_label_name>PAZOPANIB HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651058505</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651058530</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651058901</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651059001</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651059660</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651059760</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651059901</ndc>
    <ndc_label_name>DEFLAZACORT 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651060030</ndc>
    <ndc_label_name>DEFLAZACORT 18 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651060130</ndc>
    <ndc_label_name>DEFLAZACORT 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651060230</ndc>
    <ndc_label_name>DEFLAZACORT 36 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060690</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060699</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060790</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060799</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060890</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060899</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060990</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651060999</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651061608</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651061708</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651062108</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651062208</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651062401</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651062405</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063103</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063110</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063203</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063210</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063303</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063310</ndc>
    <ndc_label_name>ISOTRETINOIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063403</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063410</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063503</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063510</ndc>
    <ndc_label_name>ISOTRETINOIN 35 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063603</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651063610</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651063801</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651063805</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651064626</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651065103</ndc>
    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065201</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065205</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065301</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065305</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065399</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065401</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065405</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065499</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065700</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065800</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065804</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065825</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651065900</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651066660</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651066690</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651067130</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068601</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068701</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068801</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068805</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068901</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651068905</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651069101</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651069105</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651070150</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651071214</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651071246</ndc>
    <ndc_label_name>TRETINOIN 0.01% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651071314</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651071346</ndc>
    <ndc_label_name>TRETINOIN 0.025% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651071901</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651071999</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072001</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072099</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072201</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072299</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072301</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072399</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072401</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651072405</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651072820</ndc>
    <ndc_label_name>CEPHALEXIN 750 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651072850</ndc>
    <ndc_label_name>CEPHALEXIN 750 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651073214</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651073230</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651073246</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651073260</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651075301</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077046</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077301</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077401</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077501</ndc>
    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077601</ndc>
    <ndc_label_name>Sotalol AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651077701</ndc>
    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078030</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078101</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078105</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078201</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078205</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651078301</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651078401</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651078901</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079001</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079101</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079201</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079299</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079301</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079401</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651079501</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079601</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079699</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079701</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079799</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079801</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651079805</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651080128</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651080230</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 5 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651080330</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 10 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651080430</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651080530</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651080701</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651080801</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651080899</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651081360</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651082301</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651082401</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651082501</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651082601</ndc>
    <ndc_label_name>CIMETIDINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651083460</ndc>
    <ndc_label_name>ELIMITE 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651083930</ndc>
    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084001</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084101</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084201</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084260</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084299</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084301</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084305</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084360</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084399</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651084430</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651084530</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084601</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084605</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084701</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084705</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084801</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651084860</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651084918</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651084960</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085401</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085405</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085499</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085501</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085505</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085601</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085605</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651085699</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651086601</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651086701</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651086705</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651087350</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651087401</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651087501</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651088901</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651088905</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089201</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089299</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089399</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089499</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089599</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089800</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089899</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089900</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651089999</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090000</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090005</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090030</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090099</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090501</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090601</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090714</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651090730</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651094301</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651096430</ndc>
    <ndc_label_name>CITALOPRAM HBR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651097360</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651097460</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59651097560</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651097701</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651097705</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59651097850</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59652000301</ndc>
    <ndc_label_name>GeloNasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59675000300</ndc>
    <ndc_label_name>Zephrex-D 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676003056</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676003084</ndc>
    <ndc_label_name>Balversa 3 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Balversa 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Edurant 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676028001</ndc>
    <ndc_label_name>Edurant Ped 2.5 mg tablet for oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676028090</ndc>
    <ndc_label_name>Edurant Ped 2.5 mg tablet for oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676030200</ndc>
    <ndc_label_name>Procrit 2,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676030201</ndc>
    <ndc_label_name>Procrit 2,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676030300</ndc>
    <ndc_label_name>Procrit 3,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676030301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676030400</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Procrit 4,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676031000</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676031001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676031002</ndc>
    <ndc_label_name>Procrit 10,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676031200</ndc>
    <ndc_label_name>Procrit 20,000 unit/2 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676031204</ndc>
    <ndc_label_name>Procrit 20,000 unit/2 mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676032000</ndc>
    <ndc_label_name>Procrit 20,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676032004</ndc>
    <ndc_label_name>Procrit 20,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676034000</ndc>
    <ndc_label_name>Procrit 40,000 unit/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676034001</ndc>
    <ndc_label_name>Procrit 40,000 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676036001</ndc>
    <ndc_label_name>ORTHOVISC 30 mg/2 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676056201</ndc>
    <ndc_label_name>Prezista 600 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676056301</ndc>
    <ndc_label_name>Prezista 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676056401</ndc>
    <ndc_label_name>Prezista 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676056501</ndc>
    <ndc_label_name>Prezista 100 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676056630</ndc>
    <ndc_label_name>Prezista 800 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676057001</ndc>
    <ndc_label_name>Intelence 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676057101</ndc>
    <ndc_label_name>Intelence 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676057201</ndc>
    <ndc_label_name>Intelence 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676057530</ndc>
    <ndc_label_name>Prezcobix 800 mg-150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676057830</ndc>
    <ndc_label_name>Prezcobix 675 mg-150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676060012</ndc>
    <ndc_label_name>Erleada 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676060430</ndc>
    <ndc_label_name>Erleada 240 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676061001</ndc>
    <ndc_label_name>Yondelis 1 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676070101</ndc>
    <ndc_label_name>Sirturo 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676070260</ndc>
    <ndc_label_name>Sirturo 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676080030</ndc>
    <ndc_label_name>Symtuza 800 mg-150 mg-200 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59676080099</ndc>
    <ndc_label_name>Symtuza 800 mg-150 mg-200 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59676082001</ndc>
    <ndc_label_name>Monovisc 88 mg/4 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000100</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000101</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000102</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000103</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000104</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000105</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000106</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000107</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707000110</ndc>
    <ndc_label_name>Sure-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707000112</ndc>
    <ndc_label_name>Sure-Lance Ultra Thin 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707000120</ndc>
    <ndc_label_name>Sure-Prep Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000130</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000150</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000152</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000155</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000156</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707000157</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707000165</ndc>
    <ndc_label_name>Sure-Touch Lancet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707000166</ndc>
    <ndc_label_name>Sure-Lance</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707002912</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707003105</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707003108</ndc>
    <ndc_label_name>Sure-Fine Pen Needles 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707010001</ndc>
    <ndc_label_name>Sure-Pen Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707011101</ndc>
    <ndc_label_name>Sure-Prep Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707012801</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707012850</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707012901</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707012930</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707012950</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013001</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013030</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013050</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013101</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013130</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707013150</ndc>
    <ndc_label_name>Sure-Ject Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707022201</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707026101</ndc>
    <ndc_label_name>Sure-Lance 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707028101</ndc>
    <ndc_label_name>Sure-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707028128</ndc>
    <ndc_label_name>Sure-Lance</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59707030101</ndc>
    <ndc_label_name>Sure-Lance Ultra Thin 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707051001</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707055001</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59707055101</ndc>
    <ndc_label_name>Sure-Test EasyPlus Mini Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59741026216</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59741030112</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59741030124</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746000103</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746000106</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746000204</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746000314</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746001032</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746001504</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746002022</ndc>
    <ndc_label_name>RISPERIDONE 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746003022</ndc>
    <ndc_label_name>RISPERIDONE 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746004022</ndc>
    <ndc_label_name>RISPERIDONE 3 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746005022</ndc>
    <ndc_label_name>RISPERIDONE 4 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746011306</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746011506</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746012106</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746012110</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746012206</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746012210</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017106</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017110</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017206</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017210</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017306</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017310</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017506</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017509</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017706</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746017710</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021106</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021110</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021601</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021605</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021606</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021609</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021701</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021706</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021801</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746021806</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022105</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022205</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022305</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022405</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022505</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746022605</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024501</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024505</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024601</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024610</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024705</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024760</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024805</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746024860</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746027910</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746028010</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746028110</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746028190</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030612</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030632</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030712</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030732</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030812</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030832</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030912</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746030932</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032430</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032437</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032490</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032530</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032590</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032930</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746032990</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033030</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033090</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033310</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033390</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033410</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033430</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033490</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033510</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033530</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033590</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033710</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033730</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033790</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033810</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033830</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033890</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033910</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033930</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746033990</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746036030</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746036190</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746036290</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746036390</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038306</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038310</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038406</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038410</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038506</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038510</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038606</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746038610</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746043204</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746043216</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746043304</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746043313</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044730</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044790</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044830</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044890</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044930</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746044990</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746046116</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746046213</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746046330</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746046530</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746046590</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746046630</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746046690</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746066860</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746067034</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746067134</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59746067234</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746070001</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746070101</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746070201</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746070301</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746070401</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071030</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071090</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071130</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071190</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071230</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746071290</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746073501</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746076001</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746076036</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746076101</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746076201</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746076206</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078001</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078005</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078101</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078105</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078201</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078301</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746078901</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746079001</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746079101</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746079701</ndc>
    <ndc_label_name>METHENAMINE HIPP 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746079801</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746079901</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746080001</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746080170</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746080230</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59746080290</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762001601</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762002801</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762002802</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762002901</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762003301</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762003303</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003401</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003501</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003502</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003601</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003602</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003702</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003802</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762003902</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762004001</ndc>
    <ndc_label_name>TRIFLURIDINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762004701</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762004702</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762004801</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762004802</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762004901</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762005001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762005101</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005501</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005502</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005601</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005602</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762005701</ndc>
    <ndc_label_name>ALPRAZOLAM XR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005801</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762005802</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762005901</ndc>
    <ndc_label_name>ALPRAZOLAM XR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762006601</ndc>
    <ndc_label_name>ALPRAZOLAM XR 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762006701</ndc>
    <ndc_label_name>SERTRALINE 20 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762006801</ndc>
    <ndc_label_name>ALPRAZOLAM XR 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762007301</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762007401</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762007501</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762010405</ndc>
    <ndc_label_name>SULFASALAZINE DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762010406</ndc>
    <ndc_label_name>SULFASALAZINE DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762011701</ndc>
    <ndc_label_name>MESALAMINE DR 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762011801</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762011803</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762011901</ndc>
    <ndc_label_name>PHENELZINE SULFATE 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013100</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013102</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013104</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013105</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013106</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762013108</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762014001</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762014501</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762015201</ndc>
    <ndc_label_name>TRANDOLAPR-VERAPAM ER 1-240 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015501</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015502</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015601</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015602</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015701</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762015801</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762017001</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762017006</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018003</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018004</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018103</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018104</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018203</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762018204</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762022001</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762024502</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762024503</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762026001</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762026002</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762026003</ndc>
    <ndc_label_name>COLESTIPOL HCL GRANULES</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762033302</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762038601</ndc>
    <ndc_label_name>DISOPYRAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040001</ndc>
    <ndc_label_name>DISOPYRAMIDE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762040101</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762040105</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040504</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040505</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040601</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040603</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762040704</ndc>
    <ndc_label_name>RISEDRONATE SOD DR 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762045001</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762048901</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762053102</ndc>
    <ndc_label_name>PHENYTOIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762054001</ndc>
    <ndc_label_name>GLIPIZIDE XL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762054101</ndc>
    <ndc_label_name>GLIPIZIDE XL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762054102</ndc>
    <ndc_label_name>GLIPIZIDE XL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762054201</ndc>
    <ndc_label_name>GLIPIZIDE XL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762054202</ndc>
    <ndc_label_name>GLIPIZIDE XL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762070701</ndc>
    <ndc_label_name>DICLOFENAC EPOLAMINE 1.3% PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762070702</ndc>
    <ndc_label_name>DICLOFENAC EPOLAMINE 1.3% PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762080002</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762080006</ndc>
    <ndc_label_name>TOLTERODINE TARTRATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762081001</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762081101</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762081201</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762093401</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762093503</ndc>
    <ndc_label_name>VORICONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762093601</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100101</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100201</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100301</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100401</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100501</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100601</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762100801</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762101201</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762101401</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762106101</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762106102</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762109101</ndc>
    <ndc_label_name>ASENAPINE 2.5 MG TABLET SL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762109106</ndc>
    <ndc_label_name>ASENAPINE 2.5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762110702</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762110703</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762110801</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762110802</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762112201</ndc>
    <ndc_label_name>BENZONATATE PERLE 100 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762120504</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762120506</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762120601</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762120701</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762120801</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762121003</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762121103</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762122203</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762130701</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762130702</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762130804</ndc>
    <ndc_label_name>LINEZOLID 100 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762134201</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762134401</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762134601</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762134801</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762135001</ndc>
    <ndc_label_name>RIFABUTIN 150 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762135101</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762135401</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762136001</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762136401</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762138807</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762139007</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151501</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151601</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151603</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151701</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151703</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762151802</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762152002</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762153004</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762154002</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762157601</ndc>
    <ndc_label_name>PREGABALIN 20 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762159901</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762159905</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762171001</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762171002</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762171003</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762172001</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762172002</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762201001</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762201003</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762201009</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762201201</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762201206</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762205801</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762213501</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762213509</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762219801</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762219803</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762219807</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762224203</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762224209</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762225002</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762232201</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762232208</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762235007</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762241007</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762242007</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762244007</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762248007</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762285801</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762288806</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762305101</ndc>
    <ndc_label_name>AZITHROMYCIN 1 GM PWD PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762305102</ndc>
    <ndc_label_name>AZITHROMYCIN 1 GM PWD PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762305105</ndc>
    <ndc_label_name>AZITHROMYCIN 1 GM PWD PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762306001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762306002</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762306003</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762307001</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762307002</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762308001</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762311001</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762312001</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762313001</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762314001</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762330403</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762369002</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762371709</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762371803</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762371804</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762371809</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762371901</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762371903</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762371904</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372001</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372003</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372004</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372101</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372103</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372104</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372201</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762372203</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762374301</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762374302</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762374401</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSP 1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762403001</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762413505</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762424001</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762435501</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762444002</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762444003</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762446001</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762453802</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762490001</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762490002</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762490003</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762490004</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762490005</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762491002</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762491003</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762491004</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762492101</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500005</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500006</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500701</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500702</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500801</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762500802</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762500901</ndc>
    <ndc_label_name>CLINDAMYCIN 2% VAGINAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501001</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501002</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501101</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501301</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501401</ndc>
    <ndc_label_name>SPIRONOLACTONE-HCTZ 25-25 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501601</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501701</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762501801</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762501901</ndc>
    <ndc_label_name>QUINAPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762502201</ndc>
    <ndc_label_name>QUINAPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762502401</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762502701</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762502702</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762502801</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762502901</ndc>
    <ndc_label_name>FLUCONAZOLE 10 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762503001</ndc>
    <ndc_label_name>FLUCONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762505007</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762516001</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762522509</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762531001</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762532001</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762535001</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762542001</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59762600201</ndc>
    <ndc_label_name>OXAPROZIN 600 MG CAPLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762644301</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762644302</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59762644303</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767000401</ndc>
    <ndc_label_name>Pertzye 4,000 unit-14,375 unit-15,125 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767000499</ndc>
    <ndc_label_name>Pertzye 4,000 unit-14,375 unit-15,125 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767000801</ndc>
    <ndc_label_name>Pertzye 8,000 unit-28,750 unit-30,250 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767000802</ndc>
    <ndc_label_name>Pertzye 8,000 unit-28,750 unit-30,250 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767001601</ndc>
    <ndc_label_name>Pertzye 16,000 unit-57,500 unit-60,500 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767001602</ndc>
    <ndc_label_name>Pertzye 16,000 unit-57,500 unit-60,500 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767001699</ndc>
    <ndc_label_name>Pertzye 16,000 unit-57,500 unit-60,500 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767002401</ndc>
    <ndc_label_name>Pertzye 24,000-86,250-90,750 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59767002402</ndc>
    <ndc_label_name>Pertzye 24,000-86,250-90,750 unit capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779000356</ndc>
    <ndc_label_name>Poly Bacitracin (zinc) 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779001922</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779001951</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779002272</ndc>
    <ndc_label_name>Heartburn Relief (cimetidine) 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779003875</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779004306</ndc>
    <ndc_label_name>Sinus Congestion and Pain (chlorpheniramine) 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779004706</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779005027</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779005060</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779006200</ndc>
    <ndc_label_name>Clotrimazole 3 Day 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779006764</ndc>
    <ndc_label_name>Antibiotic(neomy-bacit-polym) 3.5 mg-400 unit-5,000 unit/gram top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779007478</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779008001</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779008002</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779009489</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779009753</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779009902</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779009903</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779010112</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779010882</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779011208</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779011701</ndc>
    <ndc_label_name>CVS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779011702</ndc>
    <ndc_label_name>CVS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779011703</ndc>
    <ndc_label_name>CVS LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779012626</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779013401</ndc>
    <ndc_label_name>Stool Softener (docusate calcium) 240 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779013618</ndc>
    <ndc_label_name>Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779013705</ndc>
    <ndc_label_name>CVS ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779013712</ndc>
    <ndc_label_name>CVS ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779013824</ndc>
    <ndc_label_name>Plantar Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779013909</ndc>
    <ndc_label_name>Corn-Callus Remover 17 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779014139</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779014175</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779014312</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779014504</ndc>
    <ndc_label_name>Tussin Nighttime Cough DM 12.5 mg-30 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779016110</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779016116</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779016626</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779016634</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779016714</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 60 mg-120 mg tablet,ext.release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779018224</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779018404</ndc>
    <ndc_label_name>Wart Remover 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019006</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019011</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019402</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019463</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019471</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019478</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779019626</ndc>
    <ndc_label_name>Child Cough and Sore Throat 160 mg-5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019703</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019716</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019780</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779019900</ndc>
    <ndc_label_name>CVS MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779020216</ndc>
    <ndc_label_name>Hair Regrowth Treatment 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779020230</ndc>
    <ndc_label_name>Hair Regrowth Treatment 2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779022467</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779022480</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779023114</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779023508</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779023632</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779025503</ndc>
    <ndc_label_name>CVS HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779026326</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779027408</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779027468</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779027953</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779028046</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779028826</ndc>
    <ndc_label_name>Children's Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779029112</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779029115</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779029212</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779029215</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779029401</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779029403</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030501</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030502</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030601</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030602</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030603</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030604</ndc>
    <ndc_label_name>Purelax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030652</ndc>
    <ndc_label_name>Purelax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030660</ndc>
    <ndc_label_name>Purelax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030728</ndc>
    <ndc_label_name>CVS HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779030826</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779031310</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779031916</ndc>
    <ndc_label_name>Cortisone with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779031956</ndc>
    <ndc_label_name>Cortisone with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779033001</ndc>
    <ndc_label_name>Allergy Eye (ketotifen) 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779033408</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779033412</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779033534</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779034404</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779034411</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779035740</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779035926</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779035934</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779036326</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779036722</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779036751</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779037462</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779038421</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779038810</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779039214</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779039315</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779040726</ndc>
    <ndc_label_name>Nausea Relief oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779041204</ndc>
    <ndc_label_name>Tussin CF MAX 5 mg-10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779041525</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779041540</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779041926</ndc>
    <ndc_label_name>Child Chest Congestion-Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779042098</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779042296</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779042406</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779042553</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779042562</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779042605</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779043162</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779043262</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779043267</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779043280</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779043326</ndc>
    <ndc_label_name>Tussin Long-Acting 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779043951</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779044101</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779044374</ndc>
    <ndc_label_name>CVS NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779044428</ndc>
    <ndc_label_name>Boil Relief 20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779044574</ndc>
    <ndc_label_name>CVS NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779044870</ndc>
    <ndc_label_name>CVS NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779044874</ndc>
    <ndc_label_name>CVS NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045806</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045813</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045839</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045866</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045870</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045875</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045876</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045888</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779045895</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779045934</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779045940</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779046378</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779046708</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779046768</ndc>
    <ndc_label_name>CVS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779047216</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779048462</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779048471</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779048478</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779048493</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779048601</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050015</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050156</ndc>
    <ndc_label_name>CVS BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050301</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050302</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050303</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050355</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779050926</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779051401</ndc>
    <ndc_label_name>Ringworm 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779051511</ndc>
    <ndc_label_name>Natural Daily Fiber 3.4 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779051634</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779051778</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779052024</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779052162</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779052228</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779052301</ndc>
    <ndc_label_name>Jock Itch (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779052638</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779053108</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779053664</ndc>
    <ndc_label_name>CVS BACITRACIN 500 UNIT/G OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779054309</ndc>
    <ndc_label_name>Severe Allergy-Sinus Headache 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779054462</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779054471</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779054478</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779054750</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779055609</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779055613</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779055681</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779056321</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779056702</ndc>
    <ndc_label_name>Daytime-Nighttime Cold-Flu 6.25-5-10-325 mg/15 mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779056813</ndc>
    <ndc_label_name>Nighttime Dry-Eye Relief 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779056910</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779057018</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779057953</ndc>
    <ndc_label_name>Children's Fever Reducing 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779058401</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779058507</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779058544</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779058710</ndc>
    <ndc_label_name>Gas Relief (simethicone) 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779058730</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779059010</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779059016</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779059026</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060006</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060014</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060016</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060017</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060462</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060482</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060490</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779060998</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061239</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061246</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061260</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061270</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061275</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061276</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061288</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779061295</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779063426</ndc>
    <ndc_label_name>Children's Multi-Symptom Cold 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779063571</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064526</ndc>
    <ndc_label_name>CVS LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064534</ndc>
    <ndc_label_name>CVS LOPERAMIDE 1 MG/7.5 ML SUS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064762</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064771</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064778</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779064790</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779065034</ndc>
    <ndc_label_name>Tussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779065634</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779066026</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779066034</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779066840</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779066916</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779066964</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779067116</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779067613</ndc>
    <ndc_label_name>C-Lax Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779068526</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779068534</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779068616</ndc>
    <ndc_label_name>Day-Night Severe Cold-Flu 25mg(d)-10mg-20mg(n)-650mg/30mL oral liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779069108</ndc>
    <ndc_label_name>Severe Cold and Flu-Daytime (DM) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779069308</ndc>
    <ndc_label_name>Flu and Severe Cold-Nighttime 25 mg-10 mg-650 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070053</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070082</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070228</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070352</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070360</ndc>
    <ndc_label_name>12 Hour Decongestant ER 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070501</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779070721</ndc>
    <ndc_label_name>Arthritis 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070921</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779070928</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779071826</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779072275</ndc>
    <ndc_label_name>Hand Wash 2 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779072712</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779072714</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779072928</ndc>
    <ndc_label_name>Cortisone Cooling 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073041</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779073201</ndc>
    <ndc_label_name>CVS OMEPRAZOLE-BICARB 20-1,100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779073203</ndc>
    <ndc_label_name>CVS OMEPRAZOLE-BICARB 20-1,100</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073390</ndc>
    <ndc_label_name>CVS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073402</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073404</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073452</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779073460</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779074601</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779074701</ndc>
    <ndc_label_name>Medicated Pads 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779074702</ndc>
    <ndc_label_name>Medicated Pads 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779075426</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779075530</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779076091</ndc>
    <ndc_label_name>Cough and Severe Cold 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779076517</ndc>
    <ndc_label_name>CVS WITCH HAZEL 86% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779076716</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779076926</ndc>
    <ndc_label_name>Lice Treatment (permethrin) 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779077287</ndc>
    <ndc_label_name>CVS ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779078508</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779079816</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779081710</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779082334</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779082356</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779082568</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779082589</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779083726</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779083734</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779083900</ndc>
    <ndc_label_name>Miconazole-3 4 % (200 mg)-2 % (9 gram) vaginal pack,prefil appl, cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779084428</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779085135</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779085140</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779085225</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779086322</ndc>
    <ndc_label_name>Nighttime Sleep-Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779086944</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087304</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087306</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087311</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087426</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087434</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779087825</ndc>
    <ndc_label_name>Cortisone (hydrocortisone) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779088109</ndc>
    <ndc_label_name>Sinus Relief Max Str Day-Night 5-325-200 mg(d)/25-5-325 mg(n) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779088226</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779089726</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779089734</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779090724</ndc>
    <ndc_label_name>Children's Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779091926</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779091934</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092001</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092306</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092308</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092312</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092322</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779092351</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779092809</ndc>
    <ndc_label_name>CVS SINUS RLF PRESS-PAIN CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779093008</ndc>
    <ndc_label_name>Menstrual Relief 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779094424</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779094532</ndc>
    <ndc_label_name>CVS ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779094610</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59779095307</ndc>
    <ndc_label_name>Sinus PE Decongestant 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095704</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095760</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095821</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095828</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095911</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779095935</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779096062</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779096208</ndc>
    <ndc_label_name>Sinus and Allergy PE 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779097209</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779097547</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779099505</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>59779099510</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781022550</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781022551</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781054000</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781054001</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781054002</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056094</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056430</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056431</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056432</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056433</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056623</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781056626</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781057935</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781058012</ndc>
    <ndc_label_name>Juven 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066678</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066679</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066684</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066685</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066688</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066690</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781066692</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781069030</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59781069034</ndc>
    <ndc_label_name>Juven (with collagen) 7 gram-7 gram-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59809000500</ndc>
    <ndc_label_name>Aquastat SFR 0.9% sodium chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59809000501</ndc>
    <ndc_label_name>Aquastat 0.9% sodium chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59809000502</ndc>
    <ndc_label_name>Aquastat 0.9% sodium chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59809000504</ndc>
    <ndc_label_name>Aquastat SFR 0.9% sodium chloride injection syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>59839000703</ndc>
    <ndc_label_name>OCM topical ointment in packet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59839000720</ndc>
    <ndc_label_name>OMEZA COLLAGEN MATRIX</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59857000302</ndc>
    <ndc_label_name>Grafix XC 7.5 cm X 15 cm topical sheets</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Grafix Core 14 mm topical sheets</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Grafix Prime 14 mm topical sheets</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072160</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072212</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072390</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072430</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072530</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072630</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59923072730</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>59999002030</ndc>
    <ndc_label_name>R-Natal OB 20 mg iron-1 mg-320 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>True Comfort Lancet 30 gauge</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60000052652</ndc>
    <ndc_label_name>True Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60005005760</ndc>
    <ndc_label_name>Lutrish Shake packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60005005761</ndc>
    <ndc_label_name>Lutrish Shake packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60005052264</ndc>
    <ndc_label_name>Ready Set Food Organic Mix-Ins oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60005097020</ndc>
    <ndc_label_name>Regulora IBS Digital App</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006017201</ndc>
    <ndc_label_name>Mahana IBS, Cognitive Behavioral Therapy for IBS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006019166</ndc>
    <ndc_label_name>On-Go COVID-19 Ag at Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60006037780</ndc>
    <ndc_label_name>SAPS ALCOHOL 70% PREP PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60006037781</ndc>
    <ndc_label_name>Pure Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60006037784</ndc>
    <ndc_label_name>True Comfort Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60006037785</ndc>
    <ndc_label_name>True Comfort Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006037786</ndc>
    <ndc_label_name>Easy Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006037787</ndc>
    <ndc_label_name>Easy Comfort Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006037788</ndc>
    <ndc_label_name>Easy Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006037840</ndc>
    <ndc_label_name>MidaSpot COVID-19 Antibody Combo Detection Test kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006044060</ndc>
    <ndc_label_name>LithoLyte (sodium bicarb) 10 mEq oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006044061</ndc>
    <ndc_label_name>CitraTabs 7.5 mEq tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006044062</ndc>
    <ndc_label_name>LithoLyte 15 mEq oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006044064</ndc>
    <ndc_label_name>OxFree 100 mg (as calcium citrate malate)-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006093400</ndc>
    <ndc_label_name>KeraStat 5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006093401</ndc>
    <ndc_label_name>KeraStat topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60006093402</ndc>
    <ndc_label_name>KeraStat topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60007087776</ndc>
    <ndc_label_name>Post-Surgical Skin Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60007088710</ndc>
    <ndc_label_name>Luminopia Digital App (amblyopia) (30-day)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60007093040</ndc>
    <ndc_label_name>On-Go COVID-19 Ag at Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008032111</ndc>
    <ndc_label_name>Enterade IBS-D oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008032112</ndc>
    <ndc_label_name>Enterade Advanced Oncology 230 mg-95 mg-5 kcal/237 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008032113</ndc>
    <ndc_label_name>Enterade Advanced Oncology 230 mg-95 mg-5 kcal/237 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008032119</ndc>
    <ndc_label_name>Enterade IBS-D oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008040780</ndc>
    <ndc_label_name>Indicaid COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008040781</ndc>
    <ndc_label_name>Indicaid COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008041790</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008041791</ndc>
    <ndc_label_name>Zegerid OTC 20 mg-1.1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008095486</ndc>
    <ndc_label_name>Genabio COVID-19 Rapid At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60008095487</ndc>
    <ndc_label_name>Genabio COVID-19 Rapid At-Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003160</ndc>
    <ndc_label_name>Biolyte oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003161</ndc>
    <ndc_label_name>Biolyte oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003163</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003164</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003165</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003166</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003167</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003168</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009003169</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009018980</ndc>
    <ndc_label_name>Vibrant capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009018982</ndc>
    <ndc_label_name>Vibrant Starter Kit combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009048730</ndc>
    <ndc_label_name>VSL#3 DS 900 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009048731</ndc>
    <ndc_label_name>VSL#3 112.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009048732</ndc>
    <ndc_label_name>VSL#3 450 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074320</ndc>
    <ndc_label_name>SpeedySwab COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074321</ndc>
    <ndc_label_name>SpeedySwab COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074322</ndc>
    <ndc_label_name>SpeedySwab COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074323</ndc>
    <ndc_label_name>SpeedySwab COVID-19 Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074324</ndc>
    <ndc_label_name>SpeedySwab COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074325</ndc>
    <ndc_label_name>SpeedySwab COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074326</ndc>
    <ndc_label_name>SpeedySwab COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009074327</ndc>
    <ndc_label_name>SpeedySwab COVID-19 and Flu kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097930</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097931</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097932</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097934</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097937</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097938</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097940</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097942</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60009097943</ndc>
    <ndc_label_name>Biolyte oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010003310</ndc>
    <ndc_label_name>Advin COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010003312</ndc>
    <ndc_label_name>Advin COVID-19 Ag Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010016860</ndc>
    <ndc_label_name>BoostNow Immune Support 166.6 mg-83.3 mg-33.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010016862</ndc>
    <ndc_label_name>BoostNow Immune Support 166.6 mg-83.3 mg-33.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010016864</ndc>
    <ndc_label_name>BoostNow Immune Support 499.99 mg-249.99 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010019570</ndc>
    <ndc_label_name>Diabetic Wound Therapy topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010019573</ndc>
    <ndc_label_name>Multipurpose Wound Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089071</ndc>
    <ndc_label_name>Abravo topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089072</ndc>
    <ndc_label_name>Micuraderm topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089073</ndc>
    <ndc_label_name>Dermaso Plus topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089074</ndc>
    <ndc_label_name>Vitalara 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089075</ndc>
    <ndc_label_name>MaternaCel 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089076</ndc>
    <ndc_label_name>Folicore B Complex 1,000 mcg-10 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60010089077</ndc>
    <ndc_label_name>Folvita Complex 1 mg-10 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60011014670</ndc>
    <ndc_label_name>AspyreRx Digital App (type 2 diabetes) (90-day)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60012016663</ndc>
    <ndc_label_name>RapidGo Flu and COVID-19 test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60012016664</ndc>
    <ndc_label_name>RapidGo Flu and COVID-19 test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60012016665</ndc>
    <ndc_label_name>RapidGo Flu and COVID-19 test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60012067650</ndc>
    <ndc_label_name>Seracal 70 kcal/13 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60012067651</ndc>
    <ndc_label_name>Seracal 70 kcal/13 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005180</ndc>
    <ndc_label_name>PKU Trio 30 gram-405 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005181</ndc>
    <ndc_label_name>PKU Trio 30 gram-405 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005182</ndc>
    <ndc_label_name>UCD Trio 15 gram-393 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005313</ndc>
    <ndc_label_name>PKU Trio 30 gram-405 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005314</ndc>
    <ndc_label_name>PKU Trio 30 gram-405 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60014005605</ndc>
    <ndc_label_name>UCD Trio 15 gram-393 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60015006600</ndc>
    <ndc_label_name>Rejoyn Digital App (MDD) misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60055033430</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60146029157</ndc>
    <ndc_label_name>CAPHOSOL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60146029312</ndc>
    <ndc_label_name>CAPHOSOL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219107601</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219114406</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219114503</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219116507</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219126401</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219126501</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219126601</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219136201</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219136603</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.2% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219141403</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219141503</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219141603</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219141703</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219142501</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219142505</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219146701</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219150201</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219150301</ndc>
    <ndc_label_name>ERYTHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219150402</ndc>
    <ndc_label_name>ERYTHROMYCIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219152201</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219152301</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219157301</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219157305</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219157401</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219157405</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219158503</ndc>
    <ndc_label_name>FLUOROMETHOLONE 0.1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219158606</ndc>
    <ndc_label_name>FLUOROMETHOLONE 0.1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219159502</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219161701</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219161703</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219161708</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219162101</ndc>
    <ndc_label_name>METYROSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219164008</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219164009</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219164109</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219164207</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219165601</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219167301</ndc>
    <ndc_label_name>THIOTHIXENE 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219167401</ndc>
    <ndc_label_name>THIOTHIXENE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219167501</ndc>
    <ndc_label_name>THIOTHIXENE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219167601</ndc>
    <ndc_label_name>THIOTHIXENE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219167701</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170501</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170601</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170607</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170701</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170705</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170801</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219170805</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171401</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171501</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171601</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171701</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171801</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219171901</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219172107</ndc>
    <ndc_label_name>ETRAVIRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219172206</ndc>
    <ndc_label_name>ETRAVIRINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219174802</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219174903</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219175008</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219175103</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219175203</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219175303</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219175406</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219203301</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219203401</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219203601</ndc>
    <ndc_label_name>AZATHIOPRINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219203701</ndc>
    <ndc_label_name>AZATHIOPRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219203801</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219203901</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219204301</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219204401</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219204501</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219204601</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219205601</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219208301</ndc>
    <ndc_label_name>NEOMYCIN-POLYMYXIN-HC EAR SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219209004</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219210401</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219210407</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219227901</ndc>
    <ndc_label_name>EVEROLIMUS 2 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219227902</ndc>
    <ndc_label_name>EVEROLIMUS 2 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228001</ndc>
    <ndc_label_name>EVEROLIMUS 3 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228002</ndc>
    <ndc_label_name>EVEROLIMUS 3 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228101</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228102</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228201</ndc>
    <ndc_label_name>DEFLAZACORT 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228301</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228401</ndc>
    <ndc_label_name>DEFLAZACORT 30 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219228501</ndc>
    <ndc_label_name>DEFLAZACORT 36 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219234801</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219234805</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60219234807</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60219552209</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429008790</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429008990</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429009090</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429011410</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429011510</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032110</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032130</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032190</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032210</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032230</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60429032290</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60429050801</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60429050810</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60432006500</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60432006547</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60432006575</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60439000207</ndc>
    <ndc_label_name>Epicyn topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60452000031</ndc>
    <ndc_label_name>Loyon topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60452000032</ndc>
    <ndc_label_name>Levicyn Dermal 0.009 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60452000033</ndc>
    <ndc_label_name>Levicyn Dermal 0.009 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60452000035</ndc>
    <ndc_label_name>Levicyn Antipruritic topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60452000037</ndc>
    <ndc_label_name>Levicyn Antipruritic SG topical spray gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60474000120</ndc>
    <ndc_label_name>Relevea 4 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492007501</ndc>
    <ndc_label_name>BOTULISM ANTITOXIN HEPTAV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492007502</ndc>
    <ndc_label_name>BOTULISM ANTITOXIN HEPTAV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492007503</ndc>
    <ndc_label_name>BOTULISM ANTITOXIN HEPTAV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492017301</ndc>
    <ndc_label_name>CNJ-016 (National Stockpile) 50,000 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492017302</ndc>
    <ndc_label_name>CNJ-016 (National Stockpile) 50,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492024901</ndc>
    <ndc_label_name>Anthrasil (National Stockpile) 60 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60492024902</ndc>
    <ndc_label_name>Anthrasil (National Stockpile) 60 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DILT-XR 120 mg capsule, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505001408</ndc>
    <ndc_label_name>DILT-XR 120 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505001506</ndc>
    <ndc_label_name>DILT-XR 180 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505001508</ndc>
    <ndc_label_name>DILT-XR 180 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505001606</ndc>
    <ndc_label_name>DILT-XR 240 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505001608</ndc>
    <ndc_label_name>DILT-XR 240 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505003306</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505003307</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505003308</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505003901</ndc>
    <ndc_label_name>ETODOLAC 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505004001</ndc>
    <ndc_label_name>ETODOLAC 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505004101</ndc>
    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505004206</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505005501</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505005502</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505006500</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505006501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505006502</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505006507</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505006508</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008000</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008100</ndc>
    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008200</ndc>
    <ndc_label_name>SOTALOL 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008301</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008302</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008304</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008401</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008402</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505008404</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009300</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009400</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009500</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009600</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009601</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009701</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009702</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505009704</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505010101</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505010102</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505010104</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505010201</ndc>
    <ndc_label_name>ETODOLAC 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505011200</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505011201</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505011207</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505011307</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505011407</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505013300</ndc>
    <ndc_label_name>CYCLOSPORINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505013400</ndc>
    <ndc_label_name>CYCLOSPORINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014100</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014101</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014102</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014108</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014200</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014201</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014202</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014204</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014500</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014502</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014600</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014601</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014602</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505014708</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505015701</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505015801</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505015900</ndc>
    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016401</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016501</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016601</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016805</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016809</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016907</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505016909</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505017007</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505017009</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505018300</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505018301</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505022201</ndc>
    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505022301</ndc>
    <ndc_label_name>Sotalol AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505022401</ndc>
    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024701</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024708</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024801</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024808</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024901</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505024908</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025102</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025103</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025202</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025203</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025302</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025303</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025701</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505025801</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505026101</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505026301</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505026401</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505036301</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505036302</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505040205</ndc>
    <ndc_label_name>Paxil 10 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505040303</ndc>
    <ndc_label_name>LEVOCETIRIZINE 2.5 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505040405</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505040504</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505040603</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505056000</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505056001</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505056401</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.15% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505056402</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.15% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505056403</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.15% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505057701</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505057702</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505057703</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505057804</ndc>
    <ndc_label_name>AZELASTINE HCL 0.05% DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505058204</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058301</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058304</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058401</ndc>
    <ndc_label_name>EPINASTINE HCL 0.05% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058604</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058901</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058902</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505058903</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505059301</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505059304</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505074901</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505074905</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505076900</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505076901</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079100</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079104</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079200</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079204</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079300</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079304</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079400</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079404</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079501</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079504</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079600</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079604</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079800</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505079804</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505081301</ndc>
    <ndc_label_name>BUTORPHANOL 10 MG/ML SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505081500</ndc>
    <ndc_label_name>DESMOPRESSIN 10 MCG/0.1 ML SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505082306</ndc>
    <ndc_label_name>CALCITONIN-SALMON 200 UNIT SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505082601</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505082701</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505082901</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505083001</ndc>
    <ndc_label_name>MOMETASONE FUROATE 50 MCG SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505083305</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505084505</ndc>
    <ndc_label_name>OLOPATADINE 665 MCG NASAL SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505095303</ndc>
    <ndc_label_name>AZELASTIN-FLUTIC 137-50MCG SPR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505100301</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505100302</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505100501</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505100504</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505100602</ndc>
    <ndc_label_name>BROMFENAC SODIUM 0.07% EYE DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505131603</ndc>
    <ndc_label_name>PAROXETINE CR 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505131703</ndc>
    <ndc_label_name>PAROXETINE CR 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505131803</ndc>
    <ndc_label_name>PAROXETINE CR 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505132001</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505132101</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505132305</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505132309</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505132501</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505250201</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505250203</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505250301</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505250303</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252101</ndc>
    <ndc_label_name>CILOSTAZOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252201</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252601</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252603</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252701</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252703</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252806</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505252906</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505253006</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505253106</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505255105</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505255201</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505255205</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505257507</ndc>
    <ndc_label_name>BALSALAZIDE DISODIUM 750 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505257808</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505257809</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505257908</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505257909</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505258008</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505258009</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505263201</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505263301</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505263308</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505264201</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505264203</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505264807</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505264907</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505265007</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265301</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265401</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265501</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265601</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265605</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265701</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265705</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505265901</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267108</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267109</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267303</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267308</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267403</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267408</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267503</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267508</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267603</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267608</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267703</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505267708</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505279500</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505280507</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505280607</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505280707</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283003</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283103</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283203</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283303</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283403</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283503</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505283603</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505285001</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505285009</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505290009</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505290103</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505294505</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505294509</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505296507</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505296607</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505298503</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505299603</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505299708</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505307503</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505307508</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505309702</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505309704</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311000</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311003</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311008</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311100</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311108</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311200</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311208</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311300</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311308</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311400</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311403</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505311408</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505312003</ndc>
    <ndc_label_name>FENOFIBRATE 43 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505312103</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505312109</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313008</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313208</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313308</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505313508</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505314000</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505314003</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505314008</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505316500</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505317007</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505324503</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505324603</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505324703</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505325006</ndc>
    <ndc_label_name>LAMIVUDINE HBV 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505325106</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505325203</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505325508</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327500</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327503</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327600</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327603</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327700</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327703</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327800</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505327803</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505328006</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505328506</ndc>
    <ndc_label_name>RILUZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505340905</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505340909</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505341105</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505343803</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505343808</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505345406</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505347803</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505347903</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505348303</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505348403</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505348803</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505348903</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505349203</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505349303</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505351706</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505353205</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505361305</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505361405</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505361504</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505362806</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505362906</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505363006</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505363103</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505363801</ndc>
    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505367503</ndc>
    <ndc_label_name>PAROXETINE CR 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505367803</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505368003</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505368103</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505371309</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379309</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379409</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379509</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379609</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379709</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379809</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505379909</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505380009</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380100</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380102</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380103</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380104</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380105</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380107</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380108</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380200</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380202</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380203</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380205</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380207</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380208</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505380307</ndc>
    <ndc_label_name>NILOTINIB HCL 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505381603</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505381703</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505384706</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505384801</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505384805</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505384901</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505384905</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505387703</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505387709</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505388207</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505388307</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505392701</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505392801</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505392901</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505393001</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505394703</ndc>
    <ndc_label_name>ADEFOVIR DIPIVOXIL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505403301</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505412807</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505412907</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505413007</ndc>
    <ndc_label_name>OXCARBAZEPINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505420203</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505431700</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505431800</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505432701</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505433203</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505434706</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505434806</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505434906</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505437203</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505437303</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505437403</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505437703</ndc>
    <ndc_label_name>Paxil CR 12.5 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505437803</ndc>
    <ndc_label_name>Paxil CR 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505437903</ndc>
    <ndc_label_name>Paxil CR 37.5 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505438206</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505438406</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505445206</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505445306</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505447703</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505447803</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505449702</ndc>
    <ndc_label_name>POMALIDOMIDE 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505449802</ndc>
    <ndc_label_name>POMALIDOMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505449902</ndc>
    <ndc_label_name>POMALIDOMIDE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505450002</ndc>
    <ndc_label_name>POMALIDOMIDE 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505450309</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505451203</ndc>
    <ndc_label_name>GEFITINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505451703</ndc>
    <ndc_label_name>Paxil 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505451803</ndc>
    <ndc_label_name>Paxil 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505451903</ndc>
    <ndc_label_name>Paxil 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505452003</ndc>
    <ndc_label_name>Paxil 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453202</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453302</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453402</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453502</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453602</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505453702</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505455203</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505455303</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505463003</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505463103</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505463203</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505464203</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505464303</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505465803</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505465903</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505466006</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505466103</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505466503</ndc>
    <ndc_label_name>TASIMELTEON 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505468107</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505468209</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505469601</ndc>
    <ndc_label_name>PENICILLAMINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505470001</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505470109</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505470203</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505470303</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505471303</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505471403</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505471503</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505471603</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505472306</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505472406</ndc>
    <ndc_label_name>BRIVARACETAM 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505472506</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505472606</ndc>
    <ndc_label_name>BRIVARACETAM 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505472706</ndc>
    <ndc_label_name>BRIVARACETAM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505473901</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474001</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474301</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505474501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505475401</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505475501</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505475601</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505476406</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505476505</ndc>
    <ndc_label_name>APO-VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505476606</ndc>
    <ndc_label_name>APO-VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505476801</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505476901</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505477001</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505477101</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505477203</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505477303</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505477403</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505477503</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505477907</ndc>
    <ndc_label_name>PAZOPANIB HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479101</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 10 TAB PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479104</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 4 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479105</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 5 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479106</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 6 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479107</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 7 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479108</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 8 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505479109</ndc>
    <ndc_label_name>CLADRIBINE 10 MG X 9 TABLET PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505480603</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505480703</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505483302</ndc>
    <ndc_label_name>FIDAXOMICIN 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505484603</ndc>
    <ndc_label_name>Nuvigil 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505484703</ndc>
    <ndc_label_name>Nuvigil 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505484903</ndc>
    <ndc_label_name>Nuvigil 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505485003</ndc>
    <ndc_label_name>Nuvigil 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505485103</ndc>
    <ndc_label_name>Provigil 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505485203</ndc>
    <ndc_label_name>Provigil 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505485603</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505530601</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505530608</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505530701</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505530705</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505605004</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505606500</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505606600</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505606700</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505606800</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 750 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505609500</ndc>
    <ndc_label_name>BENDAMUSTINE 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505609600</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505609700</ndc>
    <ndc_label_name>IBANDRONATE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505609800</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505609801</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505610104</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505610501</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611101</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611102</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611306</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611400</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611502</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611600</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611900</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505611905</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612000</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612006</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612400</ndc>
    <ndc_label_name>CEFTAROLINE FOSAMIL 400 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612401</ndc>
    <ndc_label_name>CEFTAROLINE FOSAMIL 400 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612500</ndc>
    <ndc_label_name>CEFTAROLINE FOSAMIL 600 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612501</ndc>
    <ndc_label_name>CEFTAROLINE FOSAMIL 600 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612800</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505612801</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505612902</ndc>
    <ndc_label_name>BUDESONIDE 32 MCG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505613000</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505613005</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505613206</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505613207</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505613208</ndc>
    <ndc_label_name>OXALIPLATIN 200 MG/40 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614200</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614205</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614300</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614304</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614400</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614404</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614500</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614504</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614600</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614604</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614700</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614704</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614800</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614804</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614900</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505614904</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615005</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615101</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615104</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615201</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615204</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615600</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615604</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615700</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615704</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615900</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505615904</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505616205</ndc>
    <ndc_label_name>MEMANTINE HCL 2 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505616600</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505616701</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505616900</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505616901</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505617900</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505617905</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618000</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618005</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618100</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618105</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618200</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618204</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505618406</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505618506</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505618800</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505619301</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505619304</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505619600</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505619604</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505619702</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505620201</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505620202</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505620503</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505620803</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505620903</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505620909</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505621003</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505621103</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505621109</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505621401</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505621501</ndc>
    <ndc_label_name>KETOTIFEN 0.025% (0.035%) DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505622500</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505622501</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505622502</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505622600</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505622601</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505622602</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505622800</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505622904</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623004</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623100</ndc>
    <ndc_label_name>CEFAZOLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623105</ndc>
    <ndc_label_name>CEFAZOLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623500</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623504</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623600</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623606</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623700</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623706</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623800</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505623806</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624300</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624304</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624400</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624404</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624500</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624504</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624600</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505624604</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505624901</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625001</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625101</ndc>
    <ndc_label_name>DEXAMETHASONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625201</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625301</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625401</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505625501</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505625606</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626000</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626005</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626100</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626105</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626200</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 40.5 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626600</ndc>
    <ndc_label_name>CEFAZOLIN 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505626605</ndc>
    <ndc_label_name>CEFAZOLIN 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505627001</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505627101</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505627201</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505627507</ndc>
    <ndc_label_name>TRIAMCINOLONE 55 MCG NASAL SPR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505627700</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505627900</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628100</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628201</ndc>
    <ndc_label_name>CARBOPLATIN 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628203</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628206</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628207</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628702</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628704</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628800</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505628900</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505641401</ndc>
    <ndc_label_name>Ivra 90 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505643901</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505706100</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505706200</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505706300</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505707505</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505707605</ndc>
    <ndc_label_name>BUPRENORPHINE 7.5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505707705</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505707805</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60505707905</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505708800</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505708900</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60505709000</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60517000266</ndc>
    <ndc_label_name>Plenity (Welcome Kit) 0.75 gram capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60517000267</ndc>
    <ndc_label_name>Plenity 0.75 gram capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60547000002</ndc>
    <ndc_label_name>Organic Nutrition Protein 0.05 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60547000003</ndc>
    <ndc_label_name>Organic Nutrition Protein 0.05 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60547000004</ndc>
    <ndc_label_name>Organic Nutrition Protein 0.05 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60547000007</ndc>
    <ndc_label_name>Organic Nutrition Protein 0.05 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569000005</ndc>
    <ndc_label_name>Diabetic Tussin (DM-benzocaine-menthol) 5 mg-6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60569000006</ndc>
    <ndc_label_name>Diabetic Tussin (phenol) 1.4 % mucosal aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60569006204</ndc>
    <ndc_label_name>Diabetic Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60569006404</ndc>
    <ndc_label_name>Diabetic Tussin DM 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60569006408</ndc>
    <ndc_label_name>Diabetic Tussin DM 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569044202</ndc>
    <ndc_label_name>Zostrix 0.033 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60569044302</ndc>
    <ndc_label_name>Zostrix-HP 0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569045204</ndc>
    <ndc_label_name>Diabetic Tussin Night Time 12.5 mg-10 mg-325 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569049412</ndc>
    <ndc_label_name>MagOx 400 mg (241.3 mg magnesium) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569049460</ndc>
    <ndc_label_name>MagOx 400 mg (241.3 mg magnesium) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569049501</ndc>
    <ndc_label_name>Uro-Mag 84.5 mg magnesium (140 mg magnesium oxide) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60569055401</ndc>
    <ndc_label_name>Maginex 61 mg (615 mg) tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60575017719</ndc>
    <ndc_label_name>Respa-AR 8 mg-90 mg-0.24 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60575091390</ndc>
    <ndc_label_name>Vita-Respa 2.2 mg-25 mg-1.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60592073725</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60631004030</ndc>
    <ndc_label_name>Edarbi 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60631008030</ndc>
    <ndc_label_name>Edarbi 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60631041230</ndc>
    <ndc_label_name>Edarbyclor 40 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60631042530</ndc>
    <ndc_label_name>Edarbyclor 40 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60635011801</ndc>
    <ndc_label_name>Varithena 1 % intravenous foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60635012301</ndc>
    <ndc_label_name>Varithena Administration Pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60640880001</ndc>
    <ndc_label_name>LolliCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60640900001</ndc>
    <ndc_label_name>LolliCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60640920001</ndc>
    <ndc_label_name>LolliCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60640940001</ndc>
    <ndc_label_name>LolliCaine 20 % mucosal gel packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687010001</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687010011</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687010325</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687010395</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687011111</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687011121</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012125</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012195</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012201</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012211</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012901</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687012911</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687013401</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687013411</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687014301</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687014311</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687014501</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687014511</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015011</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015021</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015201</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015211</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015625</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687015695</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687016201</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687016211</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687016301</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687016311</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687017311</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687017357</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687025240</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687025246</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687025286</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687027211</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687027294</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687028311</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687028394</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687039479</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687039483</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687039579</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687039583</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687040579</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687040583</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687043127</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687043192</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687043198</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687043199</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687061616</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687061644</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687061650</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687066291</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687069911</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687069921</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687074024</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687074037</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687075142</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687075156</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687075405</ndc>
    <ndc_label_name>LINEZOLID 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687076217</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687076240</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL (5 mL) oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687076513</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687076727</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60687076799</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687077601</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687077611</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687078111</ndc>
    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687078194</ndc>
    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687078701</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687078711</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687079201</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687079211</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687079825</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687079895</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687080301</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687080311</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687080918</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687080928</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687081717</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687081740</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687082842</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687082856</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687082940</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687082986</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687083008</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687083042</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687083056</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687083216</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60687083244</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Bicillin C-R 1,200,000 unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793060110</ndc>
    <ndc_label_name>Bicillin C-R 1,200,000 unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793060202</ndc>
    <ndc_label_name>Bicillin C-R 900,000 unit-300k unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793060210</ndc>
    <ndc_label_name>Bicillin C-R 900,000 unit-300k unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070001</ndc>
    <ndc_label_name>Bicillin L-A 600,000 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070010</ndc>
    <ndc_label_name>Bicillin L-A 600,000 unit/mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070102</ndc>
    <ndc_label_name>Bicillin L-A 1,200,000 unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070110</ndc>
    <ndc_label_name>Bicillin L-A 1,200,000 unit/2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070204</ndc>
    <ndc_label_name>Bicillin L-A 2,400,000 unit/4 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070210</ndc>
    <ndc_label_name>Bicillin L-A 2,400,000 unit/4 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793070505</ndc>
    <ndc_label_name>Thrombin-JMI 5,000 unit topical spray syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085001</ndc>
    <ndc_label_name>Levoxyl 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085010</ndc>
    <ndc_label_name>Levoxyl 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085101</ndc>
    <ndc_label_name>Levoxyl 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085110</ndc>
    <ndc_label_name>Levoxyl 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085201</ndc>
    <ndc_label_name>Levoxyl 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085210</ndc>
    <ndc_label_name>Levoxyl 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085301</ndc>
    <ndc_label_name>Levoxyl 88 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085310</ndc>
    <ndc_label_name>Levoxyl 88 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085401</ndc>
    <ndc_label_name>Levoxyl 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085410</ndc>
    <ndc_label_name>Levoxyl 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085501</ndc>
    <ndc_label_name>Levoxyl 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085510</ndc>
    <ndc_label_name>Levoxyl 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085601</ndc>
    <ndc_label_name>Levoxyl 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085610</ndc>
    <ndc_label_name>Levoxyl 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085701</ndc>
    <ndc_label_name>Levoxyl 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085710</ndc>
    <ndc_label_name>Levoxyl 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085801</ndc>
    <ndc_label_name>Levoxyl 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085810</ndc>
    <ndc_label_name>Levoxyl 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085901</ndc>
    <ndc_label_name>Levoxyl 175 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793085910</ndc>
    <ndc_label_name>Levoxyl 175 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793086001</ndc>
    <ndc_label_name>Levoxyl 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60793086010</ndc>
    <ndc_label_name>Levoxyl 200 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793090701</ndc>
    <ndc_label_name>THROMBI-GEL SIZE 10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793090804</ndc>
    <ndc_label_name>THROMBI-GEL SIZE 40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793090910</ndc>
    <ndc_label_name>THROMBI-GEL SIZE 100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60793091603</ndc>
    <ndc_label_name>THROMBI-PAD 3"X3"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842000202</ndc>
    <ndc_label_name>NALOXONE 10 MG AUTO-INJECTOR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002101</ndc>
    <ndc_label_name>Auvi-Q 0.1 mg/0.1 mL injection,auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002102</ndc>
    <ndc_label_name>Auvi-Q 0.1 mg/0.1 mL injection,auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002201</ndc>
    <ndc_label_name>Auvi-Q 0.15 mg/0.15 mL auto-injector (for 33 lb to 66 lb patients)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002202</ndc>
    <ndc_label_name>Auvi-Q 0.15 mg/0.15 mL auto-injector (for 33 lb to 66 lb patients)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002301</ndc>
    <ndc_label_name>Auvi-Q 0.3 mg/0.3 mL injection, auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60842002302</ndc>
    <ndc_label_name>Auvi-Q 0.3 mg/0.3 mL injection, auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846013030</ndc>
    <ndc_label_name>Zomig 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846013360</ndc>
    <ndc_label_name>Zomig 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846023201</ndc>
    <ndc_label_name>Activella 1 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846050101</ndc>
    <ndc_label_name>Pyridium 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846050201</ndc>
    <ndc_label_name>Pyridium 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846055910</ndc>
    <ndc_label_name>PYRIDOSTIGMINE ER 105 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>60846055927</ndc>
    <ndc_label_name>PYRIDOSTIGMINE ER 105 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080101</ndc>
    <ndc_label_name>Unithroid 25 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080201</ndc>
    <ndc_label_name>Unithroid 50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080301</ndc>
    <ndc_label_name>Unithroid 75 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080401</ndc>
    <ndc_label_name>Unithroid 88 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080501</ndc>
    <ndc_label_name>Unithroid 100 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080601</ndc>
    <ndc_label_name>Unithroid 112 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080701</ndc>
    <ndc_label_name>Unithroid 125 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080801</ndc>
    <ndc_label_name>Unithroid 137 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846080901</ndc>
    <ndc_label_name>Unithroid 150 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>60846081001</ndc>
    <ndc_label_name>Unithroid 175 mcg tablet</ndc_label_name>
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    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269016350</ndc>
    <ndc_label_name>Multi-Vit with Fluoride and Iron 0.25 mg-10 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269016450</ndc>
    <ndc_label_name>VIT A,C,D-FLUORIDE 0.25 MG/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269016550</ndc>
    <ndc_label_name>SODIUM FLUORIDE 0.5 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269016750</ndc>
    <ndc_label_name>VIT A,C,D-FLUORIDE 0.5 MG/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269022041</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269022063</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269027060</ndc>
    <ndc_label_name>Seroquel XR 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269027260</ndc>
    <ndc_label_name>Seroquel XR 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269027360</ndc>
    <ndc_label_name>Seroquel XR 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269027460</ndc>
    <ndc_label_name>Seroquel XR 400 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269032560</ndc>
    <ndc_label_name>Foltabs 800 0.8 mg-10 mg-115 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269038012</ndc>
    <ndc_label_name>Pylera 140 mg-125 mg-125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269038112</ndc>
    <ndc_label_name>Pylera 140 mg-125 mg-125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269038512</ndc>
    <ndc_label_name>BISMUTH-METRO-TETR 140-125-125</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269040260</ndc>
    <ndc_label_name>Droxia 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269040360</ndc>
    <ndc_label_name>Droxia 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269040460</ndc>
    <ndc_label_name>Droxia 400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269041020</ndc>
    <ndc_label_name>Etopophos 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269046090</ndc>
    <ndc_label_name>Xenical 120 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269047060</ndc>
    <ndc_label_name>XELODA 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269047512</ndc>
    <ndc_label_name>XELODA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269048060</ndc>
    <ndc_label_name>VALCYTE 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269048510</ndc>
    <ndc_label_name>Valcyte 50 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269050906</ndc>
    <ndc_label_name>Pulmicort Flexhaler 90 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269051812</ndc>
    <ndc_label_name>Pulmicort Flexhaler 180 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269052794</ndc>
    <ndc_label_name>Children's Allergy Relief (fexofenadine) 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269052798</ndc>
    <ndc_label_name>Children's Allergy Relief (fexofenadine) 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269056590</ndc>
    <ndc_label_name>ORLISTAT 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269060510</ndc>
    <ndc_label_name>Klonopin 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269061010</ndc>
    <ndc_label_name>Klonopin 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269062010</ndc>
    <ndc_label_name>Klonopin 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269063030</ndc>
    <ndc_label_name>Zyprexa 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269063130</ndc>
    <ndc_label_name>Zyprexa 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269063530</ndc>
    <ndc_label_name>Zyprexa 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269064020</ndc>
    <ndc_label_name>Zyprexa 10 mg intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065001</ndc>
    <ndc_label_name>Zyprexa Zydis 5 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065035</ndc>
    <ndc_label_name>Zyprexa Zydis 5 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065101</ndc>
    <ndc_label_name>Zyprexa Zydis 10 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065135</ndc>
    <ndc_label_name>Zyprexa Zydis 10 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065201</ndc>
    <ndc_label_name>Zyprexa Zydis 15 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065235</ndc>
    <ndc_label_name>Zyprexa Zydis 15 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065301</ndc>
    <ndc_label_name>Zyprexa Zydis 20 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>61269065335</ndc>
    <ndc_label_name>Zyprexa Zydis 20 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269066020</ndc>
    <ndc_label_name>Zyprexa Relprevv 210 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269066120</ndc>
    <ndc_label_name>Zyprexa Relprevv 300 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269066220</ndc>
    <ndc_label_name>Zyprexa Relprevv 405 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073041</ndc>
    <ndc_label_name>MICONAZOLE 7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073063</ndc>
    <ndc_label_name>MICONAZOLE 7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073514</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073542</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073556</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269073607</ndc>
    <ndc_label_name>MICONAZOLE 7 100 MG VAG SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269083510</ndc>
    <ndc_label_name>Hydrea 500 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269088135</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61269091060</ndc>
    <ndc_label_name>Iron Chews 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269098135</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61269098937</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61272000020</ndc>
    <ndc_label_name>ActiMaris Wound Gel 0.2 %-3 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61272000021</ndc>
    <ndc_label_name>ActiMaris Wound Rinse 0.04 %-1.2 % irrigation solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314001405</ndc>
    <ndc_label_name>DICLOFENAC 0.1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314001425</ndc>
    <ndc_label_name>DICLOFENAC 0.1% EYE DROPS</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314001601</ndc>
    <ndc_label_name>PROPARACAINE 0.5% EYE DROPS</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314003002</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314004475</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314012605</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314014405</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314014415</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314020315</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314020415</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314020615</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314022894</ndc>
    <ndc_label_name>Wyost 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314023710</ndc>
    <ndc_label_name>CROMOLYN 4% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314023805</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>61314032596</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314047664</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314051736</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen Psoriasis Start 80mg/0.8mL(1)-40mg/0.4mL(2) subcut pen</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314053164</ndc>
    <ndc_label_name>Hyrimoz(CF) Pedi Crohns Start 80 mg/0.8 mL-40 mg/0.4 mL subcut syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314054394</ndc>
    <ndc_label_name>Tyruko 300 mg/15 mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314062494</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314062594</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314062810</ndc>
    <ndc_label_name>POLYMYXIN B-TMP EYE DROPS</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314063006</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314063136</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PREDNISOLONE AC 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314063710</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61314064175</ndc>
    <ndc_label_name>NEOMYCIN-POLY-HC EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61314064511</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Pyzchiva 130 mg/26 mL intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61442012210</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924016616</ndc>
    <ndc_label_name>LubriSilk lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924017404</ndc>
    <ndc_label_name>Dermacerin 33 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924017416</ndc>
    <ndc_label_name>Dermacerin 33 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924017804</ndc>
    <ndc_label_name>DERMACERIN CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924017816</ndc>
    <ndc_label_name>DERMACERIN CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924018404</ndc>
    <ndc_label_name>DermaPhor topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924018408</ndc>
    <ndc_label_name>DermaPhor 44 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924018416</ndc>
    <ndc_label_name>DermaPhor topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61924018808</ndc>
    <ndc_label_name>DermaSarra Anti-Itch (menthol-camphor) 0.5 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924018908</ndc>
    <ndc_label_name>DermaSarra External Analgesic (camphor) 0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924019801</ndc>
    <ndc_label_name>Perigiene 0.43 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924019808</ndc>
    <ndc_label_name>Perigiene 0.43 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924019901</ndc>
    <ndc_label_name>PeriFresh topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924019908</ndc>
    <ndc_label_name>PeriFresh topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020404</ndc>
    <ndc_label_name>PeriGuard topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020405</ndc>
    <ndc_label_name>PeriGuard topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020408</ndc>
    <ndc_label_name>PeriGuard topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020415</ndc>
    <ndc_label_name>PeriGuard topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020416</ndc>
    <ndc_label_name>PeriGuard topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020504</ndc>
    <ndc_label_name>PeriGuard (Petrolatum) 49.9 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020804</ndc>
    <ndc_label_name>4-N-1 No Rinse Wash 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924020816</ndc>
    <ndc_label_name>4-N-1 No Rinse Wash 1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924021204</ndc>
    <ndc_label_name>DermaSeptin 0.5 %-20.65 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924021205</ndc>
    <ndc_label_name>DermaSeptin 0.5 %-20.65 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924021404</ndc>
    <ndc_label_name>DermaMed topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924022404</ndc>
    <ndc_label_name>DermaMed topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61924023404</ndc>
    <ndc_label_name>DermaFungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924023944</ndc>
    <ndc_label_name>DermaFilm HD 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924024507</ndc>
    <ndc_label_name>Safe Wash 0.9 % solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924024803</ndc>
    <ndc_label_name>DermaSyn topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924024808</ndc>
    <ndc_label_name>DermaSyn topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924024822</ndc>
    <ndc_label_name>DermaGauze 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924024899</ndc>
    <ndc_label_name>DermaGauze Hydrogel Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025144</ndc>
    <ndc_label_name>DermaView 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025145</ndc>
    <ndc_label_name>DermaView 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025223</ndc>
    <ndc_label_name>DermaView II 2 3/8" X 2 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025344</ndc>
    <ndc_label_name>DermaView II 4" X 4 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025544</ndc>
    <ndc_label_name>Bordered Gauze 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025666</ndc>
    <ndc_label_name>Bordered Gauze 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924025944</ndc>
    <ndc_label_name>DermaFilm 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924027044</ndc>
    <ndc_label_name>Dermaginate 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924027512</ndc>
    <ndc_label_name>Dermaginate 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924027644</ndc>
    <ndc_label_name>DermaDress 4" X 4" bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924027766</ndc>
    <ndc_label_name>DermaDress 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61924028044</ndc>
    <ndc_label_name>Dermalevin 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dermalevin 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61938045603</ndc>
    <ndc_label_name>Infasurf 35 mg/mL intratracheal suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61938045606</ndc>
    <ndc_label_name>Infasurf 35 mg/mL intratracheal suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000400</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000402</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000403</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000405</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000407</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000408</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000409</ndc>
    <ndc_label_name>Flebogamma DIF 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000501</ndc>
    <ndc_label_name>Flebogamma DIF 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000502</ndc>
    <ndc_label_name>Flebogamma DIF 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000503</ndc>
    <ndc_label_name>Flebogamma DIF 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Flebogamma DIF 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
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    <drug_tier>0</drug_tier>
    <ndc>61953000505</ndc>
    <ndc_label_name>Flebogamma DIF 10 % intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953000506</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953001101</ndc>
    <ndc_label_name>VistaSeal-Fibrin Sealant 500 unit-80 mg/mL (2 mL) topical syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61953001201</ndc>
    <ndc_label_name>VistaSeal-Fibrin Sealant 500 unit-80 mg/mL (4 mL) topical syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VistaSeal-Fibrin Sealant 500 unit-80 mg/mL (10 mL) topical syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Viread 300 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Viread 150 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Viread 250 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61958050101</ndc>
    <ndc_label_name>Hepsera 10 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958060101</ndc>
    <ndc_label_name>Emtriva 200 mg capsule</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958060201</ndc>
    <ndc_label_name>Emtriva 10 mg/mL oral solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958070101</ndc>
    <ndc_label_name>Truvada 200 mg-300 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Truvada 100 mg-150 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958070401</ndc>
    <ndc_label_name>Truvada 133 mg-200 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Truvada 167 mg-250 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Letairis 5 mg tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cayston 75 mg/mL solution for nebulization</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Complera 200 mg-25 mg-300 mg tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Stribild 150 mg-150 mg-200 mg-300 mg tablet</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958140101</ndc>
    <ndc_label_name>TYBOST 150 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61958150101</ndc>
    <ndc_label_name>Sovaldi 400 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sovaldi 200 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sovaldi 150 mg oral pellets in packet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zydelig 100 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Harvoni 90 mg-400 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Genvoya 150 mg-150 mg-200 mg-10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Descovy 200 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Descovy 200 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958200501</ndc>
    <ndc_label_name>Descovy 120 mg-15 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Odefsey 200 mg-25 mg-25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <ndc_label_name>Epclusa 400 mg-100 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Epclusa 200 mg-50 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Epclusa 150 mg-37.5 mg oral pellets in packet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61958230101</ndc>
    <ndc_label_name>Vemlidy 25 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Vosevi 400 mg-100 mg-100 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Veklury 100 mg intravenous powder for solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sunlenca 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sunlenca 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958300103</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958300201</ndc>
    <ndc_label_name>Sunlenca 309 mg/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958300501</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61958330101</ndc>
    <ndc_label_name>Livdelzi 10 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61958330102</ndc>
    <ndc_label_name>Livdelzi 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958340101</ndc>
    <ndc_label_name>Yeztugo 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61958340301</ndc>
    <ndc_label_name>Yeztugo 309 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61959000101</ndc>
    <ndc_label_name>Lidoderm 5 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61959000130</ndc>
    <ndc_label_name>Lidoderm 5 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61971011501</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61971011505</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61971012001</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>61971012005</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990011001</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990011002</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990012001</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990012002</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990013001</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990013002</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990015001</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 40.5 GRAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990021100</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990021103</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990021300</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990021301</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990041100</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990041101</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990041102</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 1 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990061100</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>61990061102</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62003042204</ndc>
    <ndc_label_name>Tiger Balm Arthritis Rub 11 %-11 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001401</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001402</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001403</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001407</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001502</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001701</ndc>
    <ndc_label_name>HM NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001901</ndc>
    <ndc_label_name>HM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011001902</ndc>
    <ndc_label_name>HM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011002302</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011002303</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011002801</ndc>
    <ndc_label_name>HM ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011003201</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011004801</ndc>
    <ndc_label_name>HM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011004901</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011006001</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011006101</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011006301</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011007101</ndc>
    <ndc_label_name>Allergy Relief and Nasal Decongestant 10 mg-240 mg tablet,extended rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011007501</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011007701</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011007702</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011008001</ndc>
    <ndc_label_name>Original Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011008501</ndc>
    <ndc_label_name>HM NOSE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011008601</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011008602</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011009401</ndc>
    <ndc_label_name>HM BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011009501</ndc>
    <ndc_label_name>HM HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011009601</ndc>
    <ndc_label_name>HM HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011009701</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011009901</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011010201</ndc>
    <ndc_label_name>Sterile Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011010301</ndc>
    <ndc_label_name>Multi-Purpose Soft Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011010401</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011011401</ndc>
    <ndc_label_name>HM CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011011601</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011011701</ndc>
    <ndc_label_name>HM IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011012301</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011012401</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011013401</ndc>
    <ndc_label_name>HM FIBER 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011014001</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011014201</ndc>
    <ndc_label_name>HM FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011015304</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011017101</ndc>
    <ndc_label_name>HM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011017601</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011018901</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011019601</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011020001</ndc>
    <ndc_label_name>HM NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011022901</ndc>
    <ndc_label_name>Calcium Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011023701</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011023801</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011023802</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011024001</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011024601</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011024805</ndc>
    <ndc_label_name>HM LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011025101</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011025401</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011025601</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011026801</ndc>
    <ndc_label_name>HM WITCH HAZEL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011026904</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027001</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027101</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027102</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027701</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027702</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011027703</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011028501</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011028701</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011028702</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011029101</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011029701</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011030601</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011030701</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011030901</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011031001</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011031101</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011031201</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011031202</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011031203</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011032001</ndc>
    <ndc_label_name>24 Hour Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011032101</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011032301</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011032501</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011033202</ndc>
    <ndc_label_name>HM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011033203</ndc>
    <ndc_label_name>HM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011033901</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011034001</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011034101</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011034501</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011034801</ndc>
    <ndc_label_name>HM CHILD LORATADINE 5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011034901</ndc>
    <ndc_label_name>HM NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011035001</ndc>
    <ndc_label_name>HM NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011035101</ndc>
    <ndc_label_name>HM NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011035201</ndc>
    <ndc_label_name>Dual Action Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011035301</ndc>
    <ndc_label_name>HM ETHYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011035601</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011036401</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011036501</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011036801</ndc>
    <ndc_label_name>HM IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011037101</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011037701</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011037801</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038001</ndc>
    <ndc_label_name>HM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038101</ndc>
    <ndc_label_name>HM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038201</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038301</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038601</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011038701</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011039001</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011039801</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011040101</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011040301</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011040501</ndc>
    <ndc_label_name>HM ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011040601</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011040901</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011040902</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011040903</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011041201</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011041401</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011041402</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011041403</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011041501</ndc>
    <ndc_label_name>HM LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011041601</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011041901</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011042101</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011042102</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011042301</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011042401</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011043401</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011043501</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011043601</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011044201</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62011044301</ndc>
    <ndc_label_name>Children's Dibromm Cold and Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011045001</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011046001</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011046101</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011046801</ndc>
    <ndc_label_name>Eye Allergy Itch Relief 0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011046901</ndc>
    <ndc_label_name>Eye Allergy Itch-Redness Relief 0.1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011047401</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011047601</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011048101</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011048201</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011048301</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62011048401</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032010036</ndc>
    <ndc_label_name>Obagi Nu-Derm Blender 4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032010136</ndc>
    <ndc_label_name>Obagi Nu-Derm Clear 4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032010536</ndc>
    <ndc_label_name>Obagi-C Therapy Night 4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032010610</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032011236</ndc>
    <ndc_label_name>Obagi Nu-Derm Tolereen 0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032011636</ndc>
    <ndc_label_name>Obagi Nu-Derm Sunfader 4 %-SPF 15 topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032012069</ndc>
    <ndc_label_name>Obagi Elastiderm 4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62032012210</ndc>
    <ndc_label_name>Obagi-C Clarifying Serum 4 %-10 % topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62032041220</ndc>
    <ndc_label_name>TRETINOIN 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62032041420</ndc>
    <ndc_label_name>TRETINOIN 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62032041720</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037055901</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037056001</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037056005</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037056010</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037056090</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037059705</ndc>
    <ndc_label_name>Cartia XT 120 mg capsule,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037059790</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037059805</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037059890</ndc>
    <ndc_label_name>Cartia XT 180 mg capsule,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037059905</ndc>
    <ndc_label_name>Cartia XT 240 mg capsule,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037060005</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037060090</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62037069630</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62037069690</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62037069990</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62037070030</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62037070090</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037071001</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037072501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62037072601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62064024130</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62103000001</ndc>
    <ndc_label_name>Boudreauxs Rash Kicking 16 %-40 % topical ointment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Boudreauxs Butt Paste Baby Shower Bundle 1 %-40 % topical ointments</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62103033304</ndc>
    <ndc_label_name>Boudreauxs Butt Paste 16 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62103033306</ndc>
    <ndc_label_name>Boudreauxs Butt Paste 16 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62103033440</ndc>
    <ndc_label_name>Boudreauxs Butt Paste 16 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62123003552</ndc>
    <ndc_label_name>SpeediCath (male) 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000224</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000237</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000247</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000251</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000294</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000337</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000347</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000394</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000424</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000443</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135000856</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135001047</ndc>
    <ndc_label_name>AMANTADINE 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135001124</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135001159</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135001950</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002007</ndc>
    <ndc_label_name>HYDROCORTISONE 100 MG/60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002021</ndc>
    <ndc_label_name>HYDROCORTISONE 100 MG/60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002046</ndc>
    <ndc_label_name>HYDROCORTISONE 100 MG/60 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002160</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002201</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002260</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135002360</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135003950</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135004190</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135004290</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135004390</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005024</ndc>
    <ndc_label_name>HYDROXYZINE 50 MG/25 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005052</ndc>
    <ndc_label_name>HYDROXYZINE 50 MG/25 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005190</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005290</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005390</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005490</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005741</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135005747</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135006718</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135006790</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135006818</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135006890</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135011437</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML ELX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135012130</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135012230</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135013030</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135013130</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135013277</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135013330</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014118</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014157</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014201</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014210</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014218</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014257</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014401</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014410</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014418</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135014457</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135014560</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135014660</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135016060</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135017330</ndc>
    <ndc_label_name>CORTISONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135017660</ndc>
    <ndc_label_name>OXAPROZIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018660</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018905</ndc>
    <ndc_label_name>ALBUTEROL 2 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018920</ndc>
    <ndc_label_name>ALBUTEROL 8 MG/20 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018923</ndc>
    <ndc_label_name>ALBUTEROL 8 MG/20 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018924</ndc>
    <ndc_label_name>ALBUTEROL 2 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018941</ndc>
    <ndc_label_name>ALBUTEROL SULF 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135018947</ndc>
    <ndc_label_name>ALBUTEROL SULF 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135019122</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135019222</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135019624</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135019645</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135019647</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135020012</ndc>
    <ndc_label_name>METHENAMINE MAND 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135020060</ndc>
    <ndc_label_name>METHENAMINE MAND 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135020112</ndc>
    <ndc_label_name>METHENAMINE MAND 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135020160</ndc>
    <ndc_label_name>METHENAMINE MAND 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135020518</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135020590</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135020618</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135020690</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135021001</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135021005</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135021010</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135021072</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135021090</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135022060</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135022160</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135022260</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135022501</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135022560</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135023690</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135024112</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135024230</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135024260</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135024290</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135025024</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135025037</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135025045</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135025047</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026001</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026101</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026225</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026250</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026260</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135026360</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135026601</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135026660</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027101</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027130</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027190</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027201</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027205</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027290</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027301</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027305</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027390</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027401</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027405</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135027490</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135030205</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135030224</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135030247</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135030248</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135030801</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135030901</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135030905</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135030920</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135030928</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135031050</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135031212</ndc>
    <ndc_label_name>ANAGRELIDE HCL 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135031360</ndc>
    <ndc_label_name>ANAGRELIDE HCL 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135031530</ndc>
    <ndc_label_name>RIFAMPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135031660</ndc>
    <ndc_label_name>RIFAMPIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135032118</ndc>
    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135032190</ndc>
    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135032218</ndc>
    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135032290</ndc>
    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033005</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033024</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033041</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033312</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033412</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033590</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135033690</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135034011</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135034053</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135034062</ndc>
    <ndc_label_name>SODIUM POLYSTYRENE SULF POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135035005</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135035030</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135035105</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135035130</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135037290</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135039242</ndc>
    <ndc_label_name>CIPROFLOXACIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135039342</ndc>
    <ndc_label_name>CIPROFLOXACIN 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135040012</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135040112</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135040212</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135041590</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135041690</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135041746</ndc>
    <ndc_label_name>DOXYCYCLINE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135041890</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135041990</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042090</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042190</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042290</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042390</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042490</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135042530</ndc>
    <ndc_label_name>PAROXETINE ER 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135042630</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135042730</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042801</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135042812</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135042960</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043060</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043130</ndc>
    <ndc_label_name>DISULFIRAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043190</ndc>
    <ndc_label_name>DISULFIRAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043230</ndc>
    <ndc_label_name>DISULFIRAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043290</ndc>
    <ndc_label_name>DISULFIRAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043390</ndc>
    <ndc_label_name>BUTALBITAL-ASPIRIN-CAFFEINE CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043447</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043505</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043524</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043547</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043601</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043690</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043730</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043805</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043824</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135043847</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135043990</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044001</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044031</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044090</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044131</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044160</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044220</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135044390</ndc>
    <ndc_label_name>NEOMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044490</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044590</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044690</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044790</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044805</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044890</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044905</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135044990</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135045030</ndc>
    <ndc_label_name>DOXERCALCIFEROL 0.5 MCG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135045130</ndc>
    <ndc_label_name>DOXERCALCIFEROL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135045230</ndc>
    <ndc_label_name>DOXERCALCIFEROL 2.5 MCG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045390</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045490</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045590</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135045660</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045790</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045890</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135045990</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046090</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046190</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046220</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046320</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046630</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135046890</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135046912</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047018</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047090</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047118</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047190</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047290</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047305</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047390</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047405</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135047490</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135047560</ndc>
    <ndc_label_name>DANAZOL 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135047660</ndc>
    <ndc_label_name>DANAZOL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135047760</ndc>
    <ndc_label_name>DANAZOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048042</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048049</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048142</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048149</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135048460</ndc>
    <ndc_label_name>QUINAPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135048590</ndc>
    <ndc_label_name>QUINAPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135048690</ndc>
    <ndc_label_name>QUINAPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135048790</ndc>
    <ndc_label_name>QUINAPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048890</ndc>
    <ndc_label_name>DIETHYLPROPION 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135048930</ndc>
    <ndc_label_name>DIETHYLPROPION ER 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049030</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049090</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049130</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049190</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049260</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049360</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049401</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049430</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049501</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049530</ndc>
    <ndc_label_name>GRISEOFULVIN ULTRA 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049601</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135049630</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049790</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135049890</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050247</ndc>
    <ndc_label_name>HYDROXYZINE 10 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135050330</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050530</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050590</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050630</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050690</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050790</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050890</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135050990</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135051147</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135051212</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135051352</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG/ML DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135051631</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135051690</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135051731</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135051790</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052005</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052024</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052047</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052190</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052290</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052390</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135052490</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135052590</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052610</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052624</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052647</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052741</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052809</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052824</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052845</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135052990</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053030</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053090</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135053130</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135053230</ndc>
    <ndc_label_name>VERAPAMIL ER PM 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053390</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053408</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053490</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053530</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053630</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135053730</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054010</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054024</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054047</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054190</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054290</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054390</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054490</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054824</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054845</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135054847</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135054943</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML ORAL CONCENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055047</ndc>
    <ndc_label_name>ISONIAZID 50 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055160</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055290</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055330</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055390</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055524</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055545</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055558</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135055624</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135055647</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135055651</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135055930</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135056090</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135056190</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135056290</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135056390</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135056490</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057230</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057290</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057305</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057312</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057405</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057412</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057505</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057512</ndc>
    <ndc_label_name>HYDROXYZINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135057630</ndc>
    <ndc_label_name>AMIODARONE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057760</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057830</ndc>
    <ndc_label_name>AMIODARONE HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135057912</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058012</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058112</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058212</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058330</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058430</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058590</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058690</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 30 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058790</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 60 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058890</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT ER 120 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135058990</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059090</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059190</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059290</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059312</ndc>
    <ndc_label_name>DESIPRAMINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059412</ndc>
    <ndc_label_name>DESIPRAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059512</ndc>
    <ndc_label_name>DESIPRAMINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059712</ndc>
    <ndc_label_name>DESIPRAMINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059830</ndc>
    <ndc_label_name>DESIPRAMINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135059930</ndc>
    <ndc_label_name>DESIPRAMINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060060</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060160</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060260</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060360</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060460</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060560</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060690</ndc>
    <ndc_label_name>PROPYLTHIOURACIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060712</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060812</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135060990</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061090</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061190</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061260</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061330</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061390</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061430</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061490</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061560</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061660</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135061812</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062390</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062560</ndc>
    <ndc_label_name>DOXYCYCLINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062601</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062605</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062610</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062650</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135062696</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135063030</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135063190</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135063290</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135063390</ndc>
    <ndc_label_name>CIMETIDINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064031</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064090</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064131</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064190</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064231</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064290</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064331</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064390</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064431</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064490</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064531</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064590</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135064690</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135064790</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135064890</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064941</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135064947</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12% RINSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135065024</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135065051</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135065514</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135065650</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135065714</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135065890</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135065930</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135066060</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135066160</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135066260</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135066359</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135066790</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135066890</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135066990</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135067190</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135067290</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135067390</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135067490</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135067630</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135067730</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068005</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068018</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068090</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135068130</ndc>
    <ndc_label_name>METFORMIN HCL 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135068230</ndc>
    <ndc_label_name>METFORMIN HCL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068318</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068330</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068390</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068405</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068418</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135068490</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135069090</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135069190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135069290</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135069330</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135069460</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135069612</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070090</ndc>
    <ndc_label_name>AMOXAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070190</ndc>
    <ndc_label_name>AMOXAPINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070290</ndc>
    <ndc_label_name>AMOXAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070330</ndc>
    <ndc_label_name>AMOXAPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070451</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070543</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070551</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070552</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070624</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG/30ML SOL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070630</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG/30ML SOL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070637</ndc>
    <ndc_label_name>LAMIVUDINE 10 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135070990</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071074</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071174</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071242</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135071341</ndc>
    <ndc_label_name>CLEMASTINE 0.5 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135071412</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135071460</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071518</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071590</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071618</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071690</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071726</ndc>
    <ndc_label_name>CHLOROQUINE PH 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071890</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135071990</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072090</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072190</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072290</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072390</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072490</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072520</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072620</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072790</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135072890</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135072910</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135072924</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135072937</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073024</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073041</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073045</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073160</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073260</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073360</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073460</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073560</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073630</ndc>
    <ndc_label_name>FLURAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073690</ndc>
    <ndc_label_name>FLURAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073730</ndc>
    <ndc_label_name>FLURAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135073790</ndc>
    <ndc_label_name>FLURAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073890</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135073990</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074090</ndc>
    <ndc_label_name>NIFEDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074190</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT ORAL TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135074260</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074390</ndc>
    <ndc_label_name>VERAPAMIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074490</ndc>
    <ndc_label_name>VERAPAMIL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074590</ndc>
    <ndc_label_name>VERAPAMIL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135074947</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075047</ndc>
    <ndc_label_name>HYDROXYZINE 10 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075101</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075290</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075390</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075490</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075590</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075612</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075712</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135075812</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076021</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135076126</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135076250</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135076326</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076401</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076501</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076601</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076724</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076745</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076747</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076843</ndc>
    <ndc_label_name>DIAZEPAM 25 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135076990</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077090</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077190</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077235</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135077330</ndc>
    <ndc_label_name>TRIMETHOBENZAMIDE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077405</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077410</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077423</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077424</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077441</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077447</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077530</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077590</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077638</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077642</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077668</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077738</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077742</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077768</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077890</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135077990</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078012</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078130</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078230</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135078360</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135078412</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135078590</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078690</ndc>
    <ndc_label_name>DIAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078790</ndc>
    <ndc_label_name>DIAZEPAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078890</ndc>
    <ndc_label_name>DIAZEPAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078930</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135078990</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079012</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079160</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079260</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079330</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079430</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079590</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079690</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135079990</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080060</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080151</ndc>
    <ndc_label_name>ACETIC ACID 2% EAR SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080224</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080245</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080253</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080305</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080320</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG/20ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080323</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG/20ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080324</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080347</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080430</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080530</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080630</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080790</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135080890</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135080905</ndc>
    <ndc_label_name>CIMETIDINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135080924</ndc>
    <ndc_label_name>CIMETIDINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135080937</ndc>
    <ndc_label_name>CIMETIDINE 300 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081061</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135081160</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081305</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081324</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081346</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081347</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081445</ndc>
    <ndc_label_name>CICLOPIROX 8% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081612</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081712</ndc>
    <ndc_label_name>HYDROXYZINE PAM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081890</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135081990</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082090</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082190</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082284</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082384</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082401</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082505</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082560</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082684</ndc>
    <ndc_label_name>ALBUTEROL SUL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082784</ndc>
    <ndc_label_name>ALBUTEROL SUL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082884</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135082984</ndc>
    <ndc_label_name>ALBUTEROL 2.5 MG/0.5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135083084</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135083184</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083284</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083384</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083420</ndc>
    <ndc_label_name>TINIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083520</ndc>
    <ndc_label_name>TINIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083650</ndc>
    <ndc_label_name>METRONIDAZOLE 375 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083790</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135083890</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135084124</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135084145</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135084154</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135084260</ndc>
    <ndc_label_name>SULFADIAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135084790</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135084890</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135084990</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135085090</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135085812</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135085912</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135086060</ndc>
    <ndc_label_name>HYOSCYAMINE ER 0.375 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086101</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086201</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086301</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135086430</ndc>
    <ndc_label_name>VARDENAFIL HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086724</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086759</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086824</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086851</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086924</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135086943</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087124</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087151</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087324</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP 20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087352</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP 20 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087424</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087459</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087530</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087630</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135087746</ndc>
    <ndc_label_name>DOXYCYCLINE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088030</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088130</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088230</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135088360</ndc>
    <ndc_label_name>CLARITHROMYCIN ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088505</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088510</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088522</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088523</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088524</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088790</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088860</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135088960</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089247</ndc>
    <ndc_label_name>Generlac 10 gram/15 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135089390</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135089490</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089560</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089660</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089718</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089790</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089818</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135089890</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135089990</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135090060</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135090160</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135090260</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135090360</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135090451</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135090720</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135090820</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135091060</ndc>
    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135091160</ndc>
    <ndc_label_name>ETODOLAC 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135091738</ndc>
    <ndc_label_name>LEVOCETIRIZINE 2.5 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135092760</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135092860</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135092943</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093060</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093190</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093260</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093330</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093490</ndc>
    <ndc_label_name>THIORIDAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093690</ndc>
    <ndc_label_name>THIORIDAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093754</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093890</ndc>
    <ndc_label_name>THIORIDAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135093990</ndc>
    <ndc_label_name>THIORIDAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135094305</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135094324</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135094337</ndc>
    <ndc_label_name>MEMANTINE HCL 2 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135094690</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135094790</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135094890</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135094947</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135094994</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135095290</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135095390</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135095460</ndc>
    <ndc_label_name>MECLIZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135095990</ndc>
    <ndc_label_name>PHENTERMINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096001</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096005</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096010</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096031</ndc>
    <ndc_label_name>SULFASALAZINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135096147</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096205</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096207</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096215</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096222</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096223</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096224</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096247</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096530</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096630</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135096790</ndc>
    <ndc_label_name>MOEXIPRIL HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135096841</ndc>
    <ndc_label_name>GRISEOFULVIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62135096990</ndc>
    <ndc_label_name>MOEXIPRIL HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097325</ndc>
    <ndc_label_name>MEFLOQUINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097630</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097690</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097730</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097790</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097830</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135097890</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098360</ndc>
    <ndc_label_name>CILOSTAZOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098405</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098450</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098505</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098550</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135098660</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135099160</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135099260</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135099360</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62135099460</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62144551005</ndc>
    <ndc_label_name>ImproVue (PF) 1.7 % eye drops with applicator</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175020443</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175020532</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175020543</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026037</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026046</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026055</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026137</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026146</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026155</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026232</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026237</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175026246</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175027037</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175027041</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175027137</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175027141</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175027241</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175030232</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175030246</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175031037</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 18 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175031137</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 27 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175031237</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 36 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175031337</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 54 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175032246</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175045232</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175045832</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175047032</ndc>
    <ndc_label_name>PAROXETINE ER 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175047132</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175047232</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175048537</ndc>
    <ndc_label_name>VERAPAMIL ER PM 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175048637</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175048737</ndc>
    <ndc_label_name>VERAPAMIL ER PM 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175057037</ndc>
    <ndc_label_name>VERELAN PM 100 MG CAP PELLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175057137</ndc>
    <ndc_label_name>VERELAN PM 200 MG CAP PELLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175057237</ndc>
    <ndc_label_name>VERELAN PM 300 MG CAP PELLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175061743</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175061746</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62175061846</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175082032</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62175082046</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332000291</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332001491</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332001671</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332001771</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332001850</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332001931</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332002031</ndc>
    <ndc_label_name>MEPROBAMATE 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002231</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002291</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002331</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002391</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002430</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002431</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002471</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002631</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002790</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002830</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002890</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002891</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002930</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002990</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332002991</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003031</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003131</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003231</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003331</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003431</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003531</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003631</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003731</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003831</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332003960</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004060</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004130</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004190</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004230</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004271</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004290</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004330</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004371</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004390</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004430</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004490</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004571</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004590</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004671</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004690</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004771</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004790</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004830</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004890</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004891</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004930</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004990</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332004991</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005030</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005090</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005091</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005130</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005190</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 150-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005230</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005290</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005431</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005471</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005491</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005531</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005571</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005591</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005631</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332005671</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006030</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006090</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332006130</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332006230</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006360</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006460</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006560</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332006660</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332007101</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332007110</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007531</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007560</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007591</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007631</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007642</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007660</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007671</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007971</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332007990</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008071</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008090</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008171</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008190</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008271</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008290</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008371</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008390</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332008431</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332008531</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332008631</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008730</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008830</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332008930</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009230</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009290</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009291</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009330</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009390</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009391</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009531</ndc>
    <ndc_label_name>LAMOTRIGINE 5 MG DISPER TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009631</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG DISPER TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009730</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009731</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009771</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009830</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009831</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009871</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009930</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009931</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332009971</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010030</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010031</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010071</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010130</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010131</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010171</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010230</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010231</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332010271</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010330</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010430</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010730</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010790</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010830</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010890</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332010930</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332011030</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332011090</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332011130</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011231</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011291</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011331</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011391</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011431</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011491</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332011531</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 50-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332011631</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011831</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332011990</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012090</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012190</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012290</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012390</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012490</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012590</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012690</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332012731</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013130</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013190</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013230</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013290</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013330</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332013390</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014060</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014131</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014171</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014231</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014271</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014291</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332014360</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332014930</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332014990</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332015030</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332015090</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332015130</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332015190</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015430</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015530</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015630</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015730</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 2.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015830</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332015930</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 4.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332016030</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017160</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017260</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017360</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017460</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017530</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332017630</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017715</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017730</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017791</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017815</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017830</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017891</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017930</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332017991</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332018030</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332018091</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332018106</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332018203</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332018320</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019030</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019130</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332019230</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332019290</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332019330</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332019390</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019810</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019831</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019860</ndc>
    <ndc_label_name>ASENAPINE 5 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019910</ndc>
    <ndc_label_name>ASENAPINE 10 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019931</ndc>
    <ndc_label_name>ASENAPINE 10 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332019960</ndc>
    <ndc_label_name>ASENAPINE 10 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332020404</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332020430</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020530</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020590</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020630</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020690</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020730</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020790</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020830</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020890</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332020930</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021030</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021130</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021230</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021290</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021330</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021390</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021430</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021490</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021530</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332021590</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332022330</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332022390</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332022430</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332022490</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332023230</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332023330</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332023430</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332023504</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332023830</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332023930</ndc>
    <ndc_label_name>VARDENAFIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024160</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024230</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024231</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024330</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024331</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024490</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332024590</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024631</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024671</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024805</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024815</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024830</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332024931</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025050</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025106</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025118</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025130</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025209</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025230</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332025330</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031330</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031430</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031531</ndc>
    <ndc_label_name>DESIPRAMINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031631</ndc>
    <ndc_label_name>DESIPRAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031731</ndc>
    <ndc_label_name>DESIPRAMINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031831</ndc>
    <ndc_label_name>DESIPRAMINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332031931</ndc>
    <ndc_label_name>DESIPRAMINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332032050</ndc>
    <ndc_label_name>DESIPRAMINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332032430</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332032530</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332032630</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332033831</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332033931</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332034031</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034130</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034190</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034230</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034290</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034330</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332034390</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332034460</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332034560</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332034931</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332035231</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036071</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036090</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036171</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036190</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036250</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036350</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332036371</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332036406</ndc>
    <ndc_label_name>CLONAZEPAM 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332036506</ndc>
    <ndc_label_name>CLONAZEPAM 0.25 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332036606</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332036706</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332036806</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332037931</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038031</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038071</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332038130</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038231</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038271</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038530</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038590</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038630</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038690</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038760</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332038860</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332038931</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039031</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039131</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039730</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039731</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039830</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332039831</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040231</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040331</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040431</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040731</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040831</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332040931</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332041030</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332041130</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332041230</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332041310</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332041410</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332041510</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042305</ndc>
    <ndc_label_name>ACYCLOVIR 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042430</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042435</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042450</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042512</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042559</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042631</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042671</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042731</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332042771</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332046206</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332046303</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332046431</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332046515</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332046530</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332046545</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332046560</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332046704</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332046710</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332047831</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332047964</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332047990</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332048090</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048131</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048160</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048231</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048331</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048460</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332048515</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332048560</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048625</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332048650</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332048712</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332049141</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332049241</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332049341</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049430</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049530</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049630</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049730</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049830</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332049960</ndc>
    <ndc_label_name>DOXYCYCLINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332050060</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332050105</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332050203</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332050503</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc>62332050606</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332050705</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332050817</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332051103</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332051105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332053890</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332054946</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL PUMP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332055018</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332055059</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332055591</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332055645</ndc>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332055845</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332060660</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332060701</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332060725</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332061831</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332061931</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062005</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062117</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062250</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332062330</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332062360</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062415</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062430</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062702</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062725</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062805</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062825</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062910</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332062920</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063055</ndc>
    <ndc_label_name>METRONIDAZOLE TOP 1% GEL PUMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063215</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063260</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063304</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063330</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063360</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063406</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063460</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063506</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063560</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063606</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332063660</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332063831</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332064031</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065005</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065010</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332065403</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332065409</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065501</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065530</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065560</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332065705</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065831</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332065902</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066105</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066110</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066115</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066245</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066360</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332066390</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332067731</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332067802</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332067808</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332067816</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332067960</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332068060</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332068345</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332068360</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332069002</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332069030</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069131</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069191</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069231</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069291</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069331</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332069361</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070605</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070610</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070615</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070731</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070750</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070831</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332070850</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332073031</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332073036</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332073531</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332073831</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332077701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332077710</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332078331</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62332078530</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62332078831</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559022201</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559022205</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559022530</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559023001</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559023101</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559023201</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559023501</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559024001</ndc>
    <ndc_label_name>METHAZOLAMIDE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559024101</ndc>
    <ndc_label_name>METHAZOLAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559025001</ndc>
    <ndc_label_name>ETODOLAC 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559025101</ndc>
    <ndc_label_name>ETODOLAC 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559025501</ndc>
    <ndc_label_name>ACEBUTOLOL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559025601</ndc>
    <ndc_label_name>ACEBUTOLOL 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559026530</ndc>
    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559026616</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027530</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027583</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027630</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027671</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027690</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027705</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027730</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027790</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027805</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027830</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559027890</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028001</ndc>
    <ndc_label_name>Lithobid 300 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028530</ndc>
    <ndc_label_name>Oxistat 1 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028560</ndc>
    <ndc_label_name>Oxistat 1 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028815</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028860</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028915</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559028960</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559029101</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559029201</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559029501</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559029601</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559029915</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559029960</ndc>
    <ndc_label_name>FLUOCINOLONE 0.025% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559030590</ndc>
    <ndc_label_name>Lipofen 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559030690</ndc>
    <ndc_label_name>Lipofen 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559031020</ndc>
    <ndc_label_name>Vancocin 125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559031120</ndc>
    <ndc_label_name>Vancocin 250 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559031510</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559031610</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559032580</ndc>
    <ndc_label_name>Pandel 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559035601</ndc>
    <ndc_label_name>Kionex 15 gram/60 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559035660</ndc>
    <ndc_label_name>Kionex 15 gram/60 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559036530</ndc>
    <ndc_label_name>ApexiCon E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559036560</ndc>
    <ndc_label_name>ApexiCon E 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559037630</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559038001</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559038101</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559038201</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559038530</ndc>
    <ndc_label_name>Veregen 15 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559039020</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559039050</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559039120</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559039150</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559039512</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559041401</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559041501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559041601</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559041701</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559042007</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559042011</ndc>
    <ndc_label_name>MESALAMINE 4 GM/60 ML ENEMA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559042101</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559042201</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559042301</ndc>
    <ndc_label_name>HYOSCYAMINE ER 0.375 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559042401</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559043001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559043130</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559044002</ndc>
    <ndc_label_name>ERYTHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559046090</ndc>
    <ndc_label_name>FENOFIBRATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559046190</ndc>
    <ndc_label_name>FENOFIBRATE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559047001</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559049001</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559049010</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559051001</ndc>
    <ndc_label_name>INDAPAMIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559051101</ndc>
    <ndc_label_name>INDAPAMIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052001</ndc>
    <ndc_label_name>Inderal LA 60 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052030</ndc>
    <ndc_label_name>Inderal LA 60 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052101</ndc>
    <ndc_label_name>Inderal LA 80 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052130</ndc>
    <ndc_label_name>Inderal LA 80 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052201</ndc>
    <ndc_label_name>Inderal LA 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052230</ndc>
    <ndc_label_name>Inderal LA 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052301</ndc>
    <ndc_label_name>Inderal LA 160 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559052330</ndc>
    <ndc_label_name>Inderal LA 160 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559053001</ndc>
    <ndc_label_name>PROPRANOLOL ER 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559053101</ndc>
    <ndc_label_name>PROPRANOLOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559053201</ndc>
    <ndc_label_name>PROPRANOLOL ER 120 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559053301</ndc>
    <ndc_label_name>PROPRANOLOL ER 160 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559056001</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559056101</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559059030</ndc>
    <ndc_label_name>InnoPran XL 80 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559059130</ndc>
    <ndc_label_name>InnoPran XL 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559060030</ndc>
    <ndc_label_name>Inderal XL 80 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559060130</ndc>
    <ndc_label_name>Inderal XL 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559062037</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62559063001</ndc>
    <ndc_label_name>ERYTHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559063101</ndc>
    <ndc_label_name>ERYTHROMYCIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064030</ndc>
    <ndc_label_name>Atacand 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064130</ndc>
    <ndc_label_name>Atacand 8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064230</ndc>
    <ndc_label_name>Atacand 16 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064290</ndc>
    <ndc_label_name>Atacand 16 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064330</ndc>
    <ndc_label_name>Atacand 32 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559064390</ndc>
    <ndc_label_name>Atacand 32 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559065090</ndc>
    <ndc_label_name>Atacand HCT 16 mg-12.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Atacand HCT 32 mg-12.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Atacand HCT 32 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559066090</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 16-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559066190</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559066290</ndc>
    <ndc_label_name>CANDESARTAN-HCTZ 32-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559067030</ndc>
    <ndc_label_name>Arimidex 1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559068030</ndc>
    <ndc_label_name>Casodex 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559068699</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559068799</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559068899</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559068998</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559072101</ndc>
    <ndc_label_name>TERBUTALINE SULFATE 2.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62559072201</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756012944</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013001</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013101</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013702</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013704</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013705</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013802</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013804</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013805</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013902</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013904</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756013905</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756014201</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756014202</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756014301</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014513</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014586</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014613</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014686</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014713</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014786</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014813</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756014886</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756016013</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756016081</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756016088</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756018201</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018313</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018318</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018388</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018413</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018418</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018488</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018513</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018518</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756018588</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756020083</ndc>
    <ndc_label_name>TIAGABINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756020201</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756020203</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756020401</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756020403</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756021840</ndc>
    <ndc_label_name>IBANDRONATE 3 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756021960</ndc>
    <ndc_label_name>Infugem 1,500 mg/150 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756022483</ndc>
    <ndc_label_name>TIAGABINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023255</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023256</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023290</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023301</ndc>
    <ndc_label_name>AMPHOTERICIN B LIPOSOME 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023886</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756023920</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756024060</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756024064</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756025802</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756025902</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756026002</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756027701</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756027702</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756027703</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029313</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029388</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029413</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029488</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029983</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756029988</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756030101</ndc>
    <ndc_label_name>Sezaby 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756032160</ndc>
    <ndc_label_name>Infugem 1,600 mg/160 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756032990</ndc>
    <ndc_label_name>EPINASTINE HCL 0.05% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756034844</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756034944</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756035040</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756035144</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756035240</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756035660</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756035664</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756035666</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756036888</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756036988</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 100-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756037088</ndc>
    <ndc_label_name>METOPROLOL-HCTZ 50-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756042790</ndc>
    <ndc_label_name>CIPROFLOX-DEXAMETH OTIC SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756042986</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756043018</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756043088</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756043283</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756043288</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756043860</ndc>
    <ndc_label_name>Infugem 1,700 mg/170 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756044518</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756045236</ndc>
    <ndc_label_name>Bynfezia 7,000 mcg/2.8 mL (2,500 mcg/mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756045788</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756045983</ndc>
    <ndc_label_name>BUPRENORPHINE 2 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756046083</ndc>
    <ndc_label_name>BUPRENORPHINE 8 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756046188</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756051240</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756051244</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756051340</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756051344</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051713</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051788</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051813</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051818</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051888</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051913</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756051988</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052069</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052088</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052169</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052188</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052269</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756052288</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756052388</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756052926</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756052940</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756053360</ndc>
    <ndc_label_name>Infugem 1,800 mg/180 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756053886</ndc>
    <ndc_label_name>RILUZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055518</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055583</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055588</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055618</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055683</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756055688</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756056883</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756056983</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756057083</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756058988</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756059088</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756059188</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756061460</ndc>
    <ndc_label_name>Infugem 1,900 mg/190 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756070713</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756070786</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071013</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071086</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071113</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071186</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071213</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071286</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756071860</ndc>
    <ndc_label_name>Opcicon One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756072060</ndc>
    <ndc_label_name>My Choice 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756074660</ndc>
    <ndc_label_name>Infugem 2,000 mg/200 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756075164</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756075166</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756075464</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756075564</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756075764</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079613</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079688</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079713</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079788</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079813</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756079888</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756082640</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756082740</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756095401</ndc>
    <ndc_label_name>AMPHOTERICIN B LIPOSOME 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756095501</ndc>
    <ndc_label_name>MEXILETINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756095601</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756095701</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756096783</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756096788</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756096888</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756096983</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756097083</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62756097460</ndc>
    <ndc_label_name>Infugem 2,200 mg/220 mL (10 mg/mL) intravenous piggyback</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756098501</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62756098502</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62794008818</ndc>
    <ndc_label_name>Hydrocol II 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62850000001</ndc>
    <ndc_label_name>ALCOHOL 70% PREP PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62850000002</ndc>
    <ndc_label_name>Ultra Thin Lancets 31 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62850000022</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856021201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856021501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856022001</ndc>
    <ndc_label_name>Leqembi Iqlik 360 mg/1.8 mL subcutaneous auto-injector</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856024530</ndc>
    <ndc_label_name>Aricept 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aricept 10 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aricept 23 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856038901</ndc>
    <ndc_label_name>Halaven 1 mg/2 mL (0.5 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dayvigo 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856058252</ndc>
    <ndc_label_name>Banzel 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856058352</ndc>
    <ndc_label_name>Banzel 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856058446</ndc>
    <ndc_label_name>Banzel 40 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62856070405</ndc>
    <ndc_label_name>Lenvima 4 mg capsule</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102304</ndc>
    <ndc_label_name>BETAMETHASONE DP POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102401</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102405</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102406</ndc>
    <ndc_label_name>BETAMETHASONE SOD PHOS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102701</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102702</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991102703</ndc>
    <ndc_label_name>CARBAMAZEPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103202</ndc>
    <ndc_label_name>CHLORPHENIRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103204</ndc>
    <ndc_label_name>CHLORPHENIRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103401</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103402</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103403</ndc>
    <ndc_label_name>CLINDAMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103501</ndc>
    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103502</ndc>
    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103503</ndc>
    <ndc_label_name>CLOTRIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103801</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103802</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103803</ndc>
    <ndc_label_name>CROMOLYN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103901</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103902</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103903</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103904</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991103906</ndc>
    <ndc_label_name>CYANOCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104001</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104002</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104005</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104006</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104007</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104008</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104202</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104203</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104204</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104207</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104208</ndc>
    <ndc_label_name>DEXTROMETHORPHAN HBR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104601</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104603</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104604</ndc>
    <ndc_label_name>DILTIAZEM HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104702</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104703</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104705</ndc>
    <ndc_label_name>DIPHENHYDRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104902</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104903</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104904</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991104905</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991107501</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991107506</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108102</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108103</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108104</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108107</ndc>
    <ndc_label_name>IBUPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108701</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108702</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108703</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108704</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108705</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991108707</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109401</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109402</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109403</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109404</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109406</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109408</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109501</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109502</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109503</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109504</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109505</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109506</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109508</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109601</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109603</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109604</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109605</ndc>
    <ndc_label_name>LIOTHYRONINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109802</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109803</ndc>
    <ndc_label_name>MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991109804</ndc>
    <ndc_label_name>L-MENTHOL CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110401</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110402</ndc>
    <ndc_label_name>MICONAZOLE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110501</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110502</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110504</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110506</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110507</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110601</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110602</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110604</ndc>
    <ndc_label_name>NIFEDIPINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110801</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110802</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110803</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110804</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991110805</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111301</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111302</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111303</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111304</ndc>
    <ndc_label_name>PIROXICAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111601</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111602</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111603</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991111606</ndc>
    <ndc_label_name>POTASSIUM BROMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112308</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112309</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112403</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112404</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112405</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112407</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112408</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112801</ndc>
    <ndc_label_name>PROSTAGLANDIN E1 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112802</ndc>
    <ndc_label_name>PROSTAGLANDIN E1 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112806</ndc>
    <ndc_label_name>PROSTAGLANDIN E1 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112807</ndc>
    <ndc_label_name>PROSTAGLANDIN E1 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112808</ndc>
    <ndc_label_name>PROSTAGLANDIN E1 POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112901</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112902</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991112903</ndc>
    <ndc_label_name>PYRANTEL PAMOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113002</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113003</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113004</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113005</ndc>
    <ndc_label_name>PYRIDOXINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113501</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113502</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991113503</ndc>
    <ndc_label_name>SELEGILINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991114801</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991114802</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991114803</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991114804</ndc>
    <ndc_label_name>SUCRALFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115007</ndc>
    <ndc_label_name>SULFADIAZINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115202</ndc>
    <ndc_label_name>TERBUTALINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115203</ndc>
    <ndc_label_name>TERBUTALINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115204</ndc>
    <ndc_label_name>TERBUTALINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115601</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115603</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115604</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115605</ndc>
    <ndc_label_name>TRIAMCINOLONE ACETONIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991115802</ndc>
    <ndc_label_name>L-TYROSINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116101</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116102</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116103</ndc>
    <ndc_label_name>VERAPAMIL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116303</ndc>
    <ndc_label_name>VITAMIN D3 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116502</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116503</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116504</ndc>
    <ndc_label_name>VITAMIN E ACETATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116901</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116902</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116903</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991116906</ndc>
    <ndc_label_name>n-acetyl-alpha-d-glucosamine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117302</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117304</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117305</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117306</ndc>
    <ndc_label_name>AMPHOTERICIN B POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117501</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117502</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117503</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117504</ndc>
    <ndc_label_name>ASPARTAME POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117601</ndc>
    <ndc_label_name>ASPIRIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117602</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117604</ndc>
    <ndc_label_name>ASPIRIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991117605</ndc>
    <ndc_label_name>ASPIRIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119701</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119702</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119704</ndc>
    <ndc_label_name>INOSITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119901</ndc>
    <ndc_label_name>METHIONINE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119902</ndc>
    <ndc_label_name>METHIONINE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991119903</ndc>
    <ndc_label_name>METHIONINE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120203</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120204</ndc>
    <ndc_label_name>NEOMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120302</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120303</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120305</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120306</ndc>
    <ndc_label_name>PAPAVERINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120502</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120503</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120506</ndc>
    <ndc_label_name>PREDNISOLONE SOD PH POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120601</ndc>
    <ndc_label_name>PREDNISONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120602</ndc>
    <ndc_label_name>PREDNISONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120603</ndc>
    <ndc_label_name>PREDNISONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120801</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120802</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120803</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120804</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991120805</ndc>
    <ndc_label_name>SODIUM ASCORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121102</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121103</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121104</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121105</ndc>
    <ndc_label_name>SPIRONOLACTONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121502</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121504</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991121505</ndc>
    <ndc_label_name>THYROID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122001</ndc>
    <ndc_label_name>D-BIOTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122002</ndc>
    <ndc_label_name>D-BIOTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122003</ndc>
    <ndc_label_name>D-BIOTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122004</ndc>
    <ndc_label_name>D-BIOTIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122501</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991122502</ndc>
    <ndc_label_name>CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123001</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123003</ndc>
    <ndc_label_name>CREATINE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123201</ndc>
    <ndc_label_name>CYPROHEPTADINE HCL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123203</ndc>
    <ndc_label_name>CYPROHEPTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123204</ndc>
    <ndc_label_name>CYPROHEPTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123801</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991123802</ndc>
    <ndc_label_name>GLYCOLIC ACID 70% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124101</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124103</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124104</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124105</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991124204</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125002</ndc>
    <ndc_label_name>PETROLATUM JELLY WHITE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125004</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENYLALANINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENYLALANINE POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125702</ndc>
    <ndc_label_name>PREDNISOLONE MICRONIZED POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125704</ndc>
    <ndc_label_name>PREDNISOLONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991125903</ndc>
    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RESORCINOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126102</ndc>
    <ndc_label_name>Stevia Extract 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126103</ndc>
    <ndc_label_name>Stevia Extract 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126104</ndc>
    <ndc_label_name>Stevia Extract 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126105</ndc>
    <ndc_label_name>Stevia Extract 90 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126203</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126204</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126205</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126206</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126208</ndc>
    <ndc_label_name>SUCCINYLCHOLINE CHLORIDE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126602</ndc>
    <ndc_label_name>TRYPTOPHAN (L) POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126603</ndc>
    <ndc_label_name>TRYPTOPHAN (L) POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991126604</ndc>
    <ndc_label_name>TRYPTOPHAN (L) POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127001</ndc>
    <ndc_label_name>PROPYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127003</ndc>
    <ndc_label_name>PROPYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127803</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127804</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127805</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127806</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127808</ndc>
    <ndc_label_name>Methocel E 4 M powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127901</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127902</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127904</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991127905</ndc>
    <ndc_label_name>LACTOSE ANHYDROUS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991128002</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991128003</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991128004</ndc>
    <ndc_label_name>HYPROMELLOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129201</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129202</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129205</ndc>
    <ndc_label_name>PROPYLENE GLYCOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129301</ndc>
    <ndc_label_name>POTASSIUM SORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129302</ndc>
    <ndc_label_name>POTASSIUM SORBATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129601</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129602</ndc>
    <ndc_label_name>POLYSORBATE 80 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129701</ndc>
    <ndc_label_name>PLURONIC F-127 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129702</ndc>
    <ndc_label_name>PLURONIC F-127 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129703</ndc>
    <ndc_label_name>PLURONIC F-127 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991129707</ndc>
    <ndc_label_name>PLURONIC F-127 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130201</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130202</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130203</ndc>
    <ndc_label_name>EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130301</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130302</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130303</ndc>
    <ndc_label_name>PEPPERMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130601</ndc>
    <ndc_label_name>ORANGE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130603</ndc>
    <ndc_label_name>ORANGE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991130604</ndc>
    <ndc_label_name>ORANGE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131101</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131102</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131103</ndc>
    <ndc_label_name>METHYLPARABEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131301</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131302</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131303</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131304</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131305</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 1450 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131801</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991131802</ndc>
    <ndc_label_name>BENZYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132005</ndc>
    <ndc_label_name>Supposibase F 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132006</ndc>
    <ndc_label_name>Supposibase F 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132007</ndc>
    <ndc_label_name>Supposibase F 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132008</ndc>
    <ndc_label_name>Supposibase F 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132102</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132103</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991132107</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133302</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133303</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133304</ndc>
    <ndc_label_name>HYDROXYTRYPTOPHAN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133401</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133402</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133406</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 300 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133502</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133503</ndc>
    <ndc_label_name>CITRIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133601</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133602</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133606</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133609</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133901</ndc>
    <ndc_label_name>Dehydroepiandrosterone (micronized) 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133903</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133904</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991133906</ndc>
    <ndc_label_name>Dehydroepiandrosterone (micronized) 100 % powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991134301</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991134302</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991134303</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991134305</ndc>
    <ndc_label_name>COENZYME Q-10 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135102</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135103</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135105</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135106</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135108</ndc>
    <ndc_label_name>TOBRAMYCIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135301</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135302</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991135303</ndc>
    <ndc_label_name>SESAME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136001</ndc>
    <ndc_label_name>Wintergreen Oil</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136002</ndc>
    <ndc_label_name>Wintergreen Oil</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136301</ndc>
    <ndc_label_name>SPEARMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136302</ndc>
    <ndc_label_name>SPEARMINT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136701</ndc>
    <ndc_label_name>SILICA GEL MICRONIZED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136702</ndc>
    <ndc_label_name>SILICA GEL MICRONIZED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991136704</ndc>
    <ndc_label_name>SILICA GEL MICRONIZED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137201</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137202</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137205</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137206</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137207</ndc>
    <ndc_label_name>SODIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137301</ndc>
    <ndc_label_name>TANGERINE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137303</ndc>
    <ndc_label_name>TANGERINE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137602</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137603</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137702</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137703</ndc>
    <ndc_label_name>SODIUM PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137801</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137802</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137803</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137804</ndc>
    <ndc_label_name>SODIUM SACCHARIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137901</ndc>
    <ndc_label_name>TEA TREE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991137903</ndc>
    <ndc_label_name>TEA TREE OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138101</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138102</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138104</ndc>
    <ndc_label_name>SODIUM BENZOATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138201</ndc>
    <ndc_label_name>UREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138202</ndc>
    <ndc_label_name>UREA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138401</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138402</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138404</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138405</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991138407</ndc>
    <ndc_label_name>LACTOSE MONOHYDRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140301</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140303</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140305</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140307</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140501</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140502</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140503</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140504</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140801</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140802</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140803</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991140805</ndc>
    <ndc_label_name>METHADONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141001</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141002</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141003</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141006</ndc>
    <ndc_label_name>OXYCODONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141301</ndc>
    <ndc_label_name>Creme de Menthe Flavoring liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141302</ndc>
    <ndc_label_name>Creme de Menthe Flavoring liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141303</ndc>
    <ndc_label_name>Creme de Menthe Flavoring liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141702</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141703</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991141706</ndc>
    <ndc_label_name>LYSINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142001</ndc>
    <ndc_label_name>LEMON OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142002</ndc>
    <ndc_label_name>LEMON OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142201</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142202</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142203</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142401</ndc>
    <ndc_label_name>GRAPE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142402</ndc>
    <ndc_label_name>GRAPE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142403</ndc>
    <ndc_label_name>GRAPE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142404</ndc>
    <ndc_label_name>GRAPE FLAVOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142502</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142503</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142505</ndc>
    <ndc_label_name>CHLORPROMAZINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142801</ndc>
    <ndc_label_name>LIME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991142802</ndc>
    <ndc_label_name>LIME OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143101</ndc>
    <ndc_label_name>CHOCOLATE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143102</ndc>
    <ndc_label_name>CHOCOLATE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143501</ndc>
    <ndc_label_name>CHERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143502</ndc>
    <ndc_label_name>CHERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143504</ndc>
    <ndc_label_name>CHERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143505</ndc>
    <ndc_label_name>CHERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143901</ndc>
    <ndc_label_name>Butterscotch Flavoring liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991143903</ndc>
    <ndc_label_name>Butterscotch Flavoring liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991144304</ndc>
    <ndc_label_name>Food Color Brown 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991144401</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991144402</ndc>
    <ndc_label_name>LAVENDER OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991144904</ndc>
    <ndc_label_name>FOOD COLOR YELLOW POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145104</ndc>
    <ndc_label_name>FOOD COLOR RED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145204</ndc>
    <ndc_label_name>FOOD COLOR ORANGE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145304</ndc>
    <ndc_label_name>FOOD COLOR LIME GREEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145404</ndc>
    <ndc_label_name>FOOD COLOR GREEN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145601</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145602</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145603</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145604</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145605</ndc>
    <ndc_label_name>CIMETIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145801</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991145802</ndc>
    <ndc_label_name>ZINC OXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146004</ndc>
    <ndc_label_name>FOOD COLOR BLUE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146005</ndc>
    <ndc_label_name>FOOD COLOR BLUE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146101</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146102</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146103</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146104</ndc>
    <ndc_label_name>KETOCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146204</ndc>
    <ndc_label_name>FOOD COLOR BLACK POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146302</ndc>
    <ndc_label_name>TUTTI FRUTTI FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146401</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146402</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146403</ndc>
    <ndc_label_name>STRAWBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146502</ndc>
    <ndc_label_name>WATERMELON FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146701</ndc>
    <ndc_label_name>RASPBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146702</ndc>
    <ndc_label_name>RASPBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146801</ndc>
    <ndc_label_name>PINEAPPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146802</ndc>
    <ndc_label_name>PINEAPPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146803</ndc>
    <ndc_label_name>PINEAPPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146901</ndc>
    <ndc_label_name>PINA COLADA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991146902</ndc>
    <ndc_label_name>PINA COLADA FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147402</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147403</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147404</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147405</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE AC MICRO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147601</ndc>
    <ndc_label_name>BUBBLE GUM FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991147602</ndc>
    <ndc_label_name>BUBBLE GUM FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991148601</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991148602</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991148603</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991148604</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991148605</ndc>
    <ndc_label_name>FLUOROURACIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149201</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149202</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149203</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149205</ndc>
    <ndc_label_name>CLOBETASOL PROP MICRO POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149701</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149702</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149703</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991149704</ndc>
    <ndc_label_name>NIACINAMIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151202</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151203</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151204</ndc>
    <ndc_label_name>APPLE FLAVOR POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151301</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151302</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151303</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151304</ndc>
    <ndc_label_name>APOMORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151401</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151402</ndc>
    <ndc_label_name>CALAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151502</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151503</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151505</ndc>
    <ndc_label_name>METHIMAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151601</ndc>
    <ndc_label_name>TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991151602</ndc>
    <ndc_label_name>TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991153301</ndc>
    <ndc_label_name>CYCLOSPORINE A POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991153302</ndc>
    <ndc_label_name>CYCLOSPORINE A POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991153305</ndc>
    <ndc_label_name>CYCLOSPORINE A POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991154601</ndc>
    <ndc_label_name>NALBUPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991154602</ndc>
    <ndc_label_name>NALBUPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156002</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156003</ndc>
    <ndc_label_name>ASCORBYL PALMITATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156501</ndc>
    <ndc_label_name>Pluronic F-127 20 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156502</ndc>
    <ndc_label_name>Pluronic F-127 20 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156603</ndc>
    <ndc_label_name>Pluronic 30 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156604</ndc>
    <ndc_label_name>Pluronic 30 % gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156702</ndc>
    <ndc_label_name>Lecithin Organogel liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156705</ndc>
    <ndc_label_name>Lecithin Organogel liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156801</ndc>
    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156802</ndc>
    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991156803</ndc>
    <ndc_label_name>MANNITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157101</ndc>
    <ndc_label_name>BISMUTH SUBSALICYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157102</ndc>
    <ndc_label_name>BISMUTH SUBSALICYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157103</ndc>
    <ndc_label_name>BISMUTH SUBSALICYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157106</ndc>
    <ndc_label_name>BISMUTH SUBSALICYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157901</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991157902</ndc>
    <ndc_label_name>LACTIC ACID LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158301</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158302</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158303</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158306</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158307</ndc>
    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158601</ndc>
    <ndc_label_name>L-ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158602</ndc>
    <ndc_label_name>L-ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991158604</ndc>
    <ndc_label_name>L-ARGININE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991160004</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991160005</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991160006</ndc>
    <ndc_label_name>BETAHISTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991161302</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991161303</ndc>
    <ndc_label_name>CALCIUM PANTOTHENATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991161401</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991161402</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991161404</ndc>
    <ndc_label_name>THEOPHYLLINE ANHYDROUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991163701</ndc>
    <ndc_label_name>Acetyl-L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991163702</ndc>
    <ndc_label_name>Acetyl-L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991163703</ndc>
    <ndc_label_name>Acetyl-L-Carnitine powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164802</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164803</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164804</ndc>
    <ndc_label_name>BISMUTH SUBGALLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164901</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164902</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991164904</ndc>
    <ndc_label_name>BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165201</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165202</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165203</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165204</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165205</ndc>
    <ndc_label_name>CANTHARIDIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165801</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165803</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991165805</ndc>
    <ndc_label_name>COTTONSEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166102</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166103</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166104</ndc>
    <ndc_label_name>DYCLONINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166202</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166203</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166204</ndc>
    <ndc_label_name>ESTRADIOL VALERATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166701</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166703</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166704</ndc>
    <ndc_label_name>APPLE FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166801</ndc>
    <ndc_label_name>MARSHMALLOW FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166802</ndc>
    <ndc_label_name>MARSHMALLOW FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991166803</ndc>
    <ndc_label_name>MARSHMALLOW FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167001</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE KCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167002</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE KCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167003</ndc>
    <ndc_label_name>GLUCOSAMINE SULFATE KCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167802</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167803</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167804</ndc>
    <ndc_label_name>KOJIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991167904</ndc>
    <ndc_label_name>LANOLIN WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168201</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168202</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168204</ndc>
    <ndc_label_name>LORAZEPAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168501</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168502</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168503</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991168504</ndc>
    <ndc_label_name>METRONIDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169101</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169102</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169103</ndc>
    <ndc_label_name>PHENYTOIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169301</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169302</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169303</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169304</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169305</ndc>
    <ndc_label_name>PRILOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169401</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169402</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169403</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169405</ndc>
    <ndc_label_name>PYRIDOXAL-5-PHOSPHATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169501</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169502</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991169504</ndc>
    <ndc_label_name>RIBOFLAVIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170002</ndc>
    <ndc_label_name>SODIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170003</ndc>
    <ndc_label_name>SODIUM CITRATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170101</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170102</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170105</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170106</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170801</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170802</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170803</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170804</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170805</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170806</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170902</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991170903</ndc>
    <ndc_label_name>LEVOTHYROXINE SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991171102</ndc>
    <ndc_label_name>white wax (beeswax) 100 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991186302</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991186303</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991186304</ndc>
    <ndc_label_name>MAGNESIUM STEARATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200201</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200202</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200204</ndc>
    <ndc_label_name>AMIKACIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200402</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200403</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200404</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200505</ndc>
    <ndc_label_name>AMOXICILLIN TRIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200701</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200702</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991200706</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201401</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201402</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201403</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201404</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201405</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201501</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201502</ndc>
    <ndc_label_name>CAFFEINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201601</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201602</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991201603</ndc>
    <ndc_label_name>CALCIUM CARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202202</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202204</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202205</ndc>
    <ndc_label_name>DEXAMETHASONE MICRONIZED POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202301</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202302</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202303</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202305</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202307</ndc>
    <ndc_label_name>DEXTROSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202401</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202402</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202403</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202404</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202405</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202501</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202502</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202504</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202505</ndc>
    <ndc_label_name>DIMETHYL SULFONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202602</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202603</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202604</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991202606</ndc>
    <ndc_label_name>EDETATE DISODIUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203002</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203004</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203005</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203006</ndc>
    <ndc_label_name>FOLIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203102</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203104</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203105</ndc>
    <ndc_label_name>HALOPERIDOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991203201</ndc>
    <ndc_label_name>HYDROCHLORIC ACID 37% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204502</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204503</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204506</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204602</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204603</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204604</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991204605</ndc>
    <ndc_label_name>PHENYLEPHRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205201</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205202</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205203</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205204</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205205</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205206</ndc>
    <ndc_label_name>PREGNENOLONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205302</ndc>
    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205303</ndc>
    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205304</ndc>
    <ndc_label_name>PRAZIQUANTEL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205701</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205702</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205703</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205704</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205705</ndc>
    <ndc_label_name>Retinoic Acid powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205802</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205803</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205804</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991205806</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206101</ndc>
    <ndc_label_name>SODIUM HYDROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206102</ndc>
    <ndc_label_name>SODIUM HYDROXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206701</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206702</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206703</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206704</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206705</ndc>
    <ndc_label_name>TETRACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206802</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206803</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206804</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991206805</ndc>
    <ndc_label_name>THIAMINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991207201</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991207203</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991207206</ndc>
    <ndc_label_name>TRIMETHOPRIM MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215001</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215002</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215003</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215004</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215005</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215006</ndc>
    <ndc_label_name>TESTOSTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215901</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215902</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215903</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215904</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991215905</ndc>
    <ndc_label_name>ESTRIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991216601</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991216602</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991216603</ndc>
    <ndc_label_name>PHYTONADIONE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217102</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217103</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217104</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217106</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217107</ndc>
    <ndc_label_name>L-GLUTATHIONE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991217109</ndc>
    <ndc_label_name>GLUTATHIONE-L POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218002</ndc>
    <ndc_label_name>PERUVIAN BALSAM LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218401</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218402</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218403</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218404</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218405</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218501</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218503</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218504</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218506</ndc>
    <ndc_label_name>URSODIOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218602</ndc>
    <ndc_label_name>NANDROLONE DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218603</ndc>
    <ndc_label_name>NANDROLONE DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218604</ndc>
    <ndc_label_name>NANDROLONE DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218605</ndc>
    <ndc_label_name>NANDROLONE DECANOATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218901</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991218903</ndc>
    <ndc_label_name>AZATHIOPRINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991219201</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991219202</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991219203</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991220401</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991220402</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991220403</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991220404</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991220408</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991240001</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991240002</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991240003</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991240005</ndc>
    <ndc_label_name>OMEPRAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991250501</ndc>
    <ndc_label_name>7-KETO DHEA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991250502</ndc>
    <ndc_label_name>7-KETO DHEA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991250503</ndc>
    <ndc_label_name>7-Keto DHEA, Micronized 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991250504</ndc>
    <ndc_label_name>7-KETO DHEA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991250702</ndc>
    <ndc_label_name>SORBITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251402</ndc>
    <ndc_label_name>PEANUT BUTTER FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251701</ndc>
    <ndc_label_name>ACETAZOLAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251704</ndc>
    <ndc_label_name>ACETAZOLAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251705</ndc>
    <ndc_label_name>ACETAZOLAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251801</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251802</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991251803</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252101</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252102</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252103</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252106</ndc>
    <ndc_label_name>PENTOXIFYLLINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252201</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252202</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252203</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252205</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252206</ndc>
    <ndc_label_name>VANCOMYCIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252301</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252302</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252303</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991252305</ndc>
    <ndc_label_name>GRISEOFULVIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253004</ndc>
    <ndc_label_name>EMOLLIENT CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253005</ndc>
    <ndc_label_name>EMOLLIENT CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253006</ndc>
    <ndc_label_name>EMOLLIENT CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253008</ndc>
    <ndc_label_name>EMOLLIENT CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253201</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991253202</ndc>
    <ndc_label_name>ALOE VERA POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991254201</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991254202</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991254203</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991254204</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255602</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255603</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255604</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255605</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255901</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255904</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991255905</ndc>
    <ndc_label_name>AMANTADINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256101</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256102</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256103</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256104</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256105</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256106</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256107</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256109</ndc>
    <ndc_label_name>METHYLCOBALAMIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256501</ndc>
    <ndc_label_name>COTTON CANDY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991256503</ndc>
    <ndc_label_name>COTTON CANDY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257201</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257202</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257203</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257204</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257205</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257701</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257702</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257703</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991257704</ndc>
    <ndc_label_name>AZITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991258701</ndc>
    <ndc_label_name>CARAMEL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991258702</ndc>
    <ndc_label_name>CARAMEL FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991258901</ndc>
    <ndc_label_name>BLUEBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991258902</ndc>
    <ndc_label_name>BLUEBERRY FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259001</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259002</ndc>
    <ndc_label_name>Cinnamon Oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259201</ndc>
    <ndc_label_name>TROPICAL PUNCH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259202</ndc>
    <ndc_label_name>TROPICAL PUNCH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259501</ndc>
    <ndc_label_name>PEACH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259502</ndc>
    <ndc_label_name>PEACH FLAVOR LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259601</ndc>
    <ndc_label_name>VANILLA BUTTERNUT FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259602</ndc>
    <ndc_label_name>VANILLA BUTTERNUT FLAVOR LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259902</ndc>
    <ndc_label_name>ONDANSETRON HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991259903</ndc>
    <ndc_label_name>ONDANSETRON HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991260401</ndc>
    <ndc_label_name>MITOTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991260402</ndc>
    <ndc_label_name>MITOTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991260403</ndc>
    <ndc_label_name>MITOTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991261401</ndc>
    <ndc_label_name>GRAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991261403</ndc>
    <ndc_label_name>GRAPESEED OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265001</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265002</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265003</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265004</ndc>
    <ndc_label_name>CHOLESTYRAMINE RESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265101</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265102</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265103</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265104</ndc>
    <ndc_label_name>FLUCONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265302</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991265303</ndc>
    <ndc_label_name>ETHYL OLEATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267003</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267005</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267006</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267007</ndc>
    <ndc_label_name>SODIUM HYALURONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267101</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267102</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267103</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267104</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267105</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267601</ndc>
    <ndc_label_name>QUININE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267602</ndc>
    <ndc_label_name>QUININE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267603</ndc>
    <ndc_label_name>QUININE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267604</ndc>
    <ndc_label_name>QUININE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267702</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267703</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991267704</ndc>
    <ndc_label_name>CHRYSIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991268101</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991268105</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991268106</ndc>
    <ndc_label_name>PHENTERMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991268701</ndc>
    <ndc_label_name>CLARITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991268702</ndc>
    <ndc_label_name>CLARITHROMYCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991269301</ndc>
    <ndc_label_name>SERMORELIN ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991269901</ndc>
    <ndc_label_name>OXANDROLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991269902</ndc>
    <ndc_label_name>OXANDROLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991269903</ndc>
    <ndc_label_name>OXANDROLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991269906</ndc>
    <ndc_label_name>OXANDROLONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270001</ndc>
    <ndc_label_name>TESTOSTERONE ENANTHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270002</ndc>
    <ndc_label_name>TESTOSTERONE ENANTHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270005</ndc>
    <ndc_label_name>TESTOSTERONE ENANTHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270101</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270102</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270104</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270105</ndc>
    <ndc_label_name>MUPIROCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270202</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270203</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270204</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270401</ndc>
    <ndc_label_name>SULFASALAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270403</ndc>
    <ndc_label_name>SULFASALAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270404</ndc>
    <ndc_label_name>SULFASALAZINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270501</ndc>
    <ndc_label_name>MESALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270502</ndc>
    <ndc_label_name>MESALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270503</ndc>
    <ndc_label_name>MESALAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270701</ndc>
    <ndc_label_name>LEVOFLOXACIN HEMIHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270702</ndc>
    <ndc_label_name>LEVOFLOXACIN HEMIHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991270703</ndc>
    <ndc_label_name>LEVOFLOXACIN HEMIHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991271303</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991271304</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991271501</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991271502</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991271503</ndc>
    <ndc_label_name>GLYCERIN LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273001</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273002</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273003</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273004</ndc>
    <ndc_label_name>GLYCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273201</ndc>
    <ndc_label_name>L-ARGININE BASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273202</ndc>
    <ndc_label_name>L-ARGININE BASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273203</ndc>
    <ndc_label_name>L-ARGININE BASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273205</ndc>
    <ndc_label_name>L-ARGININE BASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273206</ndc>
    <ndc_label_name>L-ARGININE BASE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273301</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273302</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273303</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273304</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273305</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273306</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273601</ndc>
    <ndc_label_name>TRILOSTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273602</ndc>
    <ndc_label_name>TRILOSTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273603</ndc>
    <ndc_label_name>TRILOSTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273604</ndc>
    <ndc_label_name>TRILOSTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273605</ndc>
    <ndc_label_name>TRILOSTANE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273701</ndc>
    <ndc_label_name>CALCIUM FOLINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273702</ndc>
    <ndc_label_name>CALCIUM FOLINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273704</ndc>
    <ndc_label_name>CALCIUM FOLINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273705</ndc>
    <ndc_label_name>CALCIUM FOLINATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273901</ndc>
    <ndc_label_name>MAGNESIUM SULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273902</ndc>
    <ndc_label_name>MAGNESIUM SULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991273903</ndc>
    <ndc_label_name>MAGNESIUM SULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275001</ndc>
    <ndc_label_name>LEVOCARNITINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275002</ndc>
    <ndc_label_name>LEVOCARNITINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275003</ndc>
    <ndc_label_name>LEVOCARNITINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275004</ndc>
    <ndc_label_name>LEVOCARNITINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275201</ndc>
    <ndc_label_name>BETAINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275202</ndc>
    <ndc_label_name>BETAINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275301</ndc>
    <ndc_label_name>L-Citrulline powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275303</ndc>
    <ndc_label_name>L-Citrulline powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275901</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275902</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275903</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991275904</ndc>
    <ndc_label_name>L-LEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276201</ndc>
    <ndc_label_name>Simplgel 30</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276202</ndc>
    <ndc_label_name>Simplgel 30</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276801</ndc>
    <ndc_label_name>Medium Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276802</ndc>
    <ndc_label_name>Medium Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276803</ndc>
    <ndc_label_name>Medium Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276901</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276902</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991276903</ndc>
    <ndc_label_name>ENALAPRIL MALEATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277101</ndc>
    <ndc_label_name>CLOMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277102</ndc>
    <ndc_label_name>CLOMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277103</ndc>
    <ndc_label_name>CLOMIPRAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277301</ndc>
    <ndc_label_name>FLUDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277302</ndc>
    <ndc_label_name>FLUDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277303</ndc>
    <ndc_label_name>FLUDROCORTISONE ACETATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277601</ndc>
    <ndc_label_name>HRT Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277602</ndc>
    <ndc_label_name>HRT Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277603</ndc>
    <ndc_label_name>HRT Cream transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277901</ndc>
    <ndc_label_name>Tommy Gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277902</ndc>
    <ndc_label_name>Tommy Gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991277903</ndc>
    <ndc_label_name>Tommy Gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278401</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278402</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278403</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278404</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278501</ndc>
    <ndc_label_name>NYSTATIN 100 MILLION UNITS PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278502</ndc>
    <ndc_label_name>NYSTATIN 500 MILLION UNIT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278503</ndc>
    <ndc_label_name>NYSTATIN 1 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278504</ndc>
    <ndc_label_name>NYSTATIN 2 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278505</ndc>
    <ndc_label_name>NYSTATIN 5 BILLION UNIT POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278506</ndc>
    <ndc_label_name>NYSTATIN 15 BILLION UNIT POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278701</ndc>
    <ndc_label_name>Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278702</ndc>
    <ndc_label_name>Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278703</ndc>
    <ndc_label_name>Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991278705</ndc>
    <ndc_label_name>Vanishing Cream topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279301</ndc>
    <ndc_label_name>BASE GELATIN GUMMY TROCHE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279501</ndc>
    <ndc_label_name>Lipolayer cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279502</ndc>
    <ndc_label_name>Lipolayer cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279503</ndc>
    <ndc_label_name>Lipolayer cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279504</ndc>
    <ndc_label_name>Lipolayer cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279801</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279802</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991279803</ndc>
    <ndc_label_name>CHOLESTEROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280301</ndc>
    <ndc_label_name>Carbomer Gel-Hydroalcoholic</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280302</ndc>
    <ndc_label_name>Carbomer Gel-Hydroalcoholic</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280401</ndc>
    <ndc_label_name>Carbomer Gel-Aqueous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280402</ndc>
    <ndc_label_name>Carbomer Gel-Aqueous</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280701</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280702</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280704</ndc>
    <ndc_label_name>L-VALINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280801</ndc>
    <ndc_label_name>CHOLINE CHLORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991280802</ndc>
    <ndc_label_name>CHOLINE CHLORIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281001</ndc>
    <ndc_label_name>L-ORNITHINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281002</ndc>
    <ndc_label_name>L-ORNITHINE HCL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281201</ndc>
    <ndc_label_name>PILOCARPINE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281202</ndc>
    <ndc_label_name>PILOCARPINE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281203</ndc>
    <ndc_label_name>PILOCARPINE NITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281703</ndc>
    <ndc_label_name>ISOXSUPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281704</ndc>
    <ndc_label_name>ISOXSUPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281801</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281802</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281803</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281901</ndc>
    <ndc_label_name>BUPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281902</ndc>
    <ndc_label_name>BUPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281903</ndc>
    <ndc_label_name>BUPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991281904</ndc>
    <ndc_label_name>BUPROPION HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282201</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282202</ndc>
    <ndc_label_name>METHYLCELLULOSE 4,000 CPS PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282301</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282302</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282306</ndc>
    <ndc_label_name>STEARIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282401</ndc>
    <ndc_label_name>CREAM CONCENTRATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282402</ndc>
    <ndc_label_name>CREAM CONCENTRATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282701</ndc>
    <ndc_label_name>METHYL SALICYLATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282702</ndc>
    <ndc_label_name>METHYL SALICYLATE LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282801</ndc>
    <ndc_label_name>SODIUM CITRATE DIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282802</ndc>
    <ndc_label_name>SODIUM CITRATE DIHYDRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282901</ndc>
    <ndc_label_name>CORN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991282902</ndc>
    <ndc_label_name>CORN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991283301</ndc>
    <ndc_label_name>Bitterness Mask Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991283302</ndc>
    <ndc_label_name>Bitterness Mask Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284101</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE GEL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284102</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE GEL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284103</ndc>
    <ndc_label_name>ALUMINUM HYDROXIDE GEL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284301</ndc>
    <ndc_label_name>BUTYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284302</ndc>
    <ndc_label_name>BUTYL ALCOHOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284401</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284402</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284403</ndc>
    <ndc_label_name>BISMUTH SUBCARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284501</ndc>
    <ndc_label_name>BUSPIRONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284502</ndc>
    <ndc_label_name>BUSPIRONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284801</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991284802</ndc>
    <ndc_label_name>CARBIDOPA POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285401</ndc>
    <ndc_label_name>CHOLECALCIFEROL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285403</ndc>
    <ndc_label_name>CHOLECALCIFEROL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285404</ndc>
    <ndc_label_name>CHOLECALCIFEROL CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285701</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285702</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285703</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991285704</ndc>
    <ndc_label_name>DIAZOXIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286301</ndc>
    <ndc_label_name>L-EPINEPHRINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286302</ndc>
    <ndc_label_name>L-EPINEPHRINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286303</ndc>
    <ndc_label_name>L-EPINEPHRINE BITARTRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286502</ndc>
    <ndc_label_name>FLUOCINONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286503</ndc>
    <ndc_label_name>FLUOCINONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286601</ndc>
    <ndc_label_name>FLUOXETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286602</ndc>
    <ndc_label_name>FLUOXETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991286603</ndc>
    <ndc_label_name>FLUOXETINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288202</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288203</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288301</ndc>
    <ndc_label_name>GEMFIBROZIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288302</ndc>
    <ndc_label_name>GEMFIBROZIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288601</ndc>
    <ndc_label_name>GLYCOPYRROLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288602</ndc>
    <ndc_label_name>GLYCOPYRROLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288701</ndc>
    <ndc_label_name>GELATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288702</ndc>
    <ndc_label_name>GELATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991288703</ndc>
    <ndc_label_name>GELATIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289101</ndc>
    <ndc_label_name>L-ISOLEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289102</ndc>
    <ndc_label_name>L-ISOLEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289103</ndc>
    <ndc_label_name>L-ISOLEUCINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289501</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289502</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289503</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289504</ndc>
    <ndc_label_name>METHOCARBAMOL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289602</ndc>
    <ndc_label_name>METHOXSALEN CRYSTAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289701</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289702</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289703</ndc>
    <ndc_label_name>METOPROLOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289901</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289902</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991289903</ndc>
    <ndc_label_name>MERCAPTOPURINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290401</ndc>
    <ndc_label_name>NAPROXEN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290402</ndc>
    <ndc_label_name>NAPROXEN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290403</ndc>
    <ndc_label_name>NAPROXEN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290404</ndc>
    <ndc_label_name>NAPROXEN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290501</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991290502</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291401</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291402</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291404</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 400 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291601</ndc>
    <ndc_label_name>POTASSIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291602</ndc>
    <ndc_label_name>POTASSIUM BICARBONATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291701</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291702</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291703</ndc>
    <ndc_label_name>POTASSIUM CHLORIDE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291801</ndc>
    <ndc_label_name>POTASSIUM CITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291802</ndc>
    <ndc_label_name>POTASSIUM CITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991291803</ndc>
    <ndc_label_name>POTASSIUM CITRATE GRANULES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292001</ndc>
    <ndc_label_name>POTASSIUM IODIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292002</ndc>
    <ndc_label_name>POTASSIUM IODIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292003</ndc>
    <ndc_label_name>POTASSIUM IODIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292301</ndc>
    <ndc_label_name>SULFUR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292302</ndc>
    <ndc_label_name>SULFUR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292901</ndc>
    <ndc_label_name>SODIUM ACETATE TRIHYDRATE CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991292902</ndc>
    <ndc_label_name>SODIUM ACETATE TRIHYDRATE CRYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991293601</ndc>
    <ndc_label_name>SODIUM THIOSULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991293602</ndc>
    <ndc_label_name>SODIUM THIOSULFATE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294001</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294002</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294003</ndc>
    <ndc_label_name>TROPICAMIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294101</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294102</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991294103</ndc>
    <ndc_label_name>TETRACYCLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991295901</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991295902</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991295905</ndc>
    <ndc_label_name>ALMOND OIL SWEET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296601</ndc>
    <ndc_label_name>Sepineo P 600 liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296602</ndc>
    <ndc_label_name>Sepineo P 600 liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296701</ndc>
    <ndc_label_name>KETOTIFEN FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296702</ndc>
    <ndc_label_name>KETOTIFEN FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296703</ndc>
    <ndc_label_name>KETOTIFEN FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991296704</ndc>
    <ndc_label_name>KETOTIFEN FUMARATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991297001</ndc>
    <ndc_label_name>WAX PARAFFIN BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991297002</ndc>
    <ndc_label_name>WAX PARAFFIN BEADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991299702</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991299703</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991299704</ndc>
    <ndc_label_name>BUDESONIDE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991300401</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991300402</ndc>
    <ndc_label_name>MAGNESIUM OXIDE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991301002</ndc>
    <ndc_label_name>L-CYSTEINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991301003</ndc>
    <ndc_label_name>L-CYSTEINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991301201</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991301202</ndc>
    <ndc_label_name>VITAMIN E SUCCINATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991301901</ndc>
    <ndc_label_name>SHEA BUTTER WAX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302001</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302002</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302003</ndc>
    <ndc_label_name>NIACIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302901</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302902</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991302903</ndc>
    <ndc_label_name>DOXEPIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991303501</ndc>
    <ndc_label_name>POLYSORBATE 20 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991303502</ndc>
    <ndc_label_name>POLYSORBATE 20 LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991303802</ndc>
    <ndc_label_name>ZINC ACETATE CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991303901</ndc>
    <ndc_label_name>POTASSIUM HYDROXIDE PELLETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304001</ndc>
    <ndc_label_name>CALCIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304003</ndc>
    <ndc_label_name>CALCIUM CHLORIDE CRYSTALS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304601</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304602</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304901</ndc>
    <ndc_label_name>METFORMIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304902</ndc>
    <ndc_label_name>METFORMIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991304903</ndc>
    <ndc_label_name>METFORMIN HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305202</ndc>
    <ndc_label_name>Mineral Oil Light</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305401</ndc>
    <ndc_label_name>SODIUM METABISULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305402</ndc>
    <ndc_label_name>SODIUM METABISULFITE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305701</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305702</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305703</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991305704</ndc>
    <ndc_label_name>HYDROCORTISONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306101</ndc>
    <ndc_label_name>GLYCYRRHIZIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306401</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306402</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306403</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306404</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306801</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306802</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306803</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306804</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991306805</ndc>
    <ndc_label_name>STANOZOLOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307001</ndc>
    <ndc_label_name>SORBITOL CANDY BASE PELLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307002</ndc>
    <ndc_label_name>SORBITOL CANDY BASE PELLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307101</ndc>
    <ndc_label_name>POLYMYXIN B 50 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307102</ndc>
    <ndc_label_name>POLYMYXIN B 100 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307201</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307202</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307203</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307204</ndc>
    <ndc_label_name>TACROLIMUS MONOHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307502</ndc>
    <ndc_label_name>Anhydrous Base topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307602</ndc>
    <ndc_label_name>Salt Durable topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307605</ndc>
    <ndc_label_name>Salt Durable topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307801</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307802</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307803</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307804</ndc>
    <ndc_label_name>ITRACONAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307901</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307902</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307903</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991307906</ndc>
    <ndc_label_name>TRAMADOL HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308301</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308501</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308502</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308503</ndc>
    <ndc_label_name>TERBINAFINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308701</ndc>
    <ndc_label_name>Syrup Vehicle SF oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991308801</ndc>
    <ndc_label_name>SUSPENSION VEHICLE NATURAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62991308901</ndc>
    <ndc_label_name>SYRUP VEHICLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>62991308902</ndc>
    <ndc_label_name>SYRUP VEHICLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309101</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309102</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309103</ndc>
    <ndc_label_name>HYDROCODONE BITARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309201</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309202</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309203</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309204</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309205</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309207</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309301</ndc>
    <ndc_label_name>POVIDONE K-30 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309302</ndc>
    <ndc_label_name>POVIDONE K-30 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309501</ndc>
    <ndc_label_name>MAGNESIUM BISGLYCINATE CHELATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309502</ndc>
    <ndc_label_name>MAGNESIUM BISGLYCINATE CHELATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309504</ndc>
    <ndc_label_name>MAGNESIUM BISGLYCINATE CHELATE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309801</ndc>
    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991309802</ndc>
    <ndc_label_name>MOMETASONE FUROATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991310802</ndc>
    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991310803</ndc>
    <ndc_label_name>L-5 METHYLTETRAHYDROFOLATE CAL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311501</ndc>
    <ndc_label_name>COCOA BUTTER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311502</ndc>
    <ndc_label_name>COCOA BUTTER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311701</ndc>
    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311702</ndc>
    <ndc_label_name>VITAMIN D3 100,000 UNIT/GM PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311901</ndc>
    <ndc_label_name>2,3-DIMERCAPTOSUCCINIC ACID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311902</ndc>
    <ndc_label_name>2,3-DIMERCAPTOSUCCINIC ACID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311903</ndc>
    <ndc_label_name>2,3-DIMERCAPTOSUCCINIC ACID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991311904</ndc>
    <ndc_label_name>2,3-DIMERCAPTOSUCCINIC ACID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312001</ndc>
    <ndc_label_name>PENTOSAN POLYSULFATE SOD POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312501</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312502</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312503</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312504</ndc>
    <ndc_label_name>NALTREXONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312701</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312702</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312703</ndc>
    <ndc_label_name>TOPIRAMATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312801</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312802</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312803</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312804</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312806</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312901</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312902</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991312903</ndc>
    <ndc_label_name>CAPSAICIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313101</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313102</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313103</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313104</ndc>
    <ndc_label_name>TRANEXAMIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313201</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313202</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313203</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313204</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313205</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313206</ndc>
    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313302</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313303</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313304</ndc>
    <ndc_label_name>OXYTOCIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313601</ndc>
    <ndc_label_name>XYLITOL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313701</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313702</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313703</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313704</ndc>
    <ndc_label_name>ACIDOPHILUS LACTOBACILLUS POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313801</ndc>
    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313802</ndc>
    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991313803</ndc>
    <ndc_label_name>RIBOFLAVIN-5-PHOS SOD POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314001</ndc>
    <ndc_label_name>THEOPHYLLINE ETHYLENEDIAMN PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314002</ndc>
    <ndc_label_name>THEOPHYLLINE ETHYLENEDIAMN PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314101</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314102</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314104</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314303</ndc>
    <ndc_label_name>DALFAMPRIDINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314801</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314802</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314803</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314804</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314901</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314902</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991314903</ndc>
    <ndc_label_name>LEVOCETIRIZINE DIHYDROCHL PWDR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315101</ndc>
    <ndc_label_name>Diethylene Glycol Monoethyl Ether liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315102</ndc>
    <ndc_label_name>Diethylene Glycol Monoethyl Ether liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315301</ndc>
    <ndc_label_name>CARBOMER 940 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315302</ndc>
    <ndc_label_name>CARBOMER 940 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315303</ndc>
    <ndc_label_name>CARBOMER 940 POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315501</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315601</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315602</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315603</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315701</ndc>
    <ndc_label_name>Troche Base SF - Bitter-Bloc powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315702</ndc>
    <ndc_label_name>Troche Base SF - Bitter-Bloc powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315703</ndc>
    <ndc_label_name>Troche Base SF - Bitter-Bloc powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991315704</ndc>
    <ndc_label_name>Troche Base SF - Bitter-Bloc powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316101</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316102</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316103</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316104</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316105</ndc>
    <ndc_label_name>MELATONIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316201</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316202</ndc>
    <ndc_label_name>BUTORPHANOL TARTRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316403</ndc>
    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316404</ndc>
    <ndc_label_name>Nicotinamide Adenine Dinucleotide (NAD) 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316901</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991316902</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317101</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317102</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317103</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317301</ndc>
    <ndc_label_name>TRIMETHOPRIM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317302</ndc>
    <ndc_label_name>TRIMETHOPRIM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317303</ndc>
    <ndc_label_name>TRIMETHOPRIM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317501</ndc>
    <ndc_label_name>FINASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317502</ndc>
    <ndc_label_name>FINASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317503</ndc>
    <ndc_label_name>FINASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317601</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317602</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317603</ndc>
    <ndc_label_name>ANASTROZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317701</ndc>
    <ndc_label_name>METHYLTESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317702</ndc>
    <ndc_label_name>METHYLTESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317703</ndc>
    <ndc_label_name>METHYLTESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317801</ndc>
    <ndc_label_name>MISOPROSTOL HPMC 1% POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317901</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317902</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991317903</ndc>
    <ndc_label_name>PROGESTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318001</ndc>
    <ndc_label_name>METRONIDAZOLE MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318002</ndc>
    <ndc_label_name>METRONIDAZOLE MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318003</ndc>
    <ndc_label_name>METRONIDAZOLE MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318004</ndc>
    <ndc_label_name>METRONIDAZOLE MICRONIZED PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318101</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318102</ndc>
    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318201</ndc>
    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318202</ndc>
    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318203</ndc>
    <ndc_label_name>DUTASTERIDE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318301</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318302</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318303</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318401</ndc>
    <ndc_label_name>SIROLIMUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318402</ndc>
    <ndc_label_name>SIROLIMUS POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318601</ndc>
    <ndc_label_name>LATANOPROST OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318701</ndc>
    <ndc_label_name>DAPSONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318702</ndc>
    <ndc_label_name>DAPSONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318703</ndc>
    <ndc_label_name>DAPSONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318801</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318802</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318803</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318804</ndc>
    <ndc_label_name>DEHYDROEPIANDROSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318901</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991318902</ndc>
    <ndc_label_name>LEVETIRACETAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319001</ndc>
    <ndc_label_name>PENICILLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319002</ndc>
    <ndc_label_name>PENICILLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319003</ndc>
    <ndc_label_name>PENICILLAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319201</ndc>
    <ndc_label_name>CALCIPOTRIENE MONOHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319202</ndc>
    <ndc_label_name>CALCIPOTRIENE MONOHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319203</ndc>
    <ndc_label_name>CALCIPOTRIENE MONOHYDRATE POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319301</ndc>
    <ndc_label_name>TAZAROTENE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319302</ndc>
    <ndc_label_name>TAZAROTENE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319303</ndc>
    <ndc_label_name>TAZAROTENE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319401</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319402</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319403</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319404</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319406</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319501</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319502</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319503</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319504</ndc>
    <ndc_label_name>IVERMECTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319801</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319802</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319803</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991319804</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320001</ndc>
    <ndc_label_name>AZELASTINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320101</ndc>
    <ndc_label_name>OXYMETAZOLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320102</ndc>
    <ndc_label_name>OXYMETAZOLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320103</ndc>
    <ndc_label_name>OXYMETAZOLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320104</ndc>
    <ndc_label_name>OXYMETAZOLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320203</ndc>
    <ndc_label_name>AZELAIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320301</ndc>
    <ndc_label_name>METHYLENE BLUE MONOHYDRATE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320302</ndc>
    <ndc_label_name>METHYLENE BLUE MONOHYDRATE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320303</ndc>
    <ndc_label_name>METHYLENE BLUE MONOHYDRATE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320401</ndc>
    <ndc_label_name>PROPANEDIOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320402</ndc>
    <ndc_label_name>PROPANEDIOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320403</ndc>
    <ndc_label_name>PROPANEDIOL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320601</ndc>
    <ndc_label_name>Stevia Extract TSG95 Reb A90 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320602</ndc>
    <ndc_label_name>Stevia Extract TSG95 Reb A90 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320603</ndc>
    <ndc_label_name>Stevia Extract TSG95 Reb A90 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320604</ndc>
    <ndc_label_name>Stevia Extract TSG95 Reb A90 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320801</ndc>
    <ndc_label_name>TESTOSTERONE UNDECANOATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320802</ndc>
    <ndc_label_name>TESTOSTERONE UNDECANOATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320803</ndc>
    <ndc_label_name>TESTOSTERONE UNDECANOATE PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320901</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320902</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991320903</ndc>
    <ndc_label_name>Jelene gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321201</ndc>
    <ndc_label_name>ESTRADIOL CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321202</ndc>
    <ndc_label_name>ESTRADIOL CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321203</ndc>
    <ndc_label_name>ESTRADIOL CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321301</ndc>
    <ndc_label_name>Simplecap powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321302</ndc>
    <ndc_label_name>Simplecap powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321303</ndc>
    <ndc_label_name>Simplecap powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321501</ndc>
    <ndc_label_name>METHYLENE BLUE PENTAHYDRAT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321502</ndc>
    <ndc_label_name>METHYLENE BLUE PENTAHYDRAT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321504</ndc>
    <ndc_label_name>METHYLENE BLUE PENTAHYDRAT PWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321601</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321602</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991321603</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400101</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400105</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400201</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400205</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400401</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400405</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400409</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400501</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400505</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400801</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991400805</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401001</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401005</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401101</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401105</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401301</ndc>
    <ndc_label_name>Capsule #0 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401305</ndc>
    <ndc_label_name>Capsule #0 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401405</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401501</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401505</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401601</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401605</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401701</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401705</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401901</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991401905</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402001</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402005</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402101</ndc>
    <ndc_label_name>Capsule #000 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402105</ndc>
    <ndc_label_name>Capsule #000 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402201</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402205</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402301</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402305</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402405</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402501</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402505</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402601</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402605</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402701</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991402705</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403001</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403005</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403105</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403301</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403305</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403307</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403308</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403401</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403405</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403501</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403505</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403701</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403705</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403801</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403805</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403901</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991403905</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404001</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404005</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404101</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404105</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404301</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404305</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404401</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404402</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404405</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404501</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404505</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404601</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404605</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404701</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404705</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404901</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991404905</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405001</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405005</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405101</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405105</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405201</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405205</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405301</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405305</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405501</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405502</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405505</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405601</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405605</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405701</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405705</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405801</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405805</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405901</ndc>
    <ndc_label_name>Capsule #1 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991405905</ndc>
    <ndc_label_name>Capsule #1 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406001</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406005</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406101</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406105</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406301</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406305</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406504</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406505</ndc>
    <ndc_label_name>Capsule #2 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406701</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406705</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406801</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406805</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406901</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991406905</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407101</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407105</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407107</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407108</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407201</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407205</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407301</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407305</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407401</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407405</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407501</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407505</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407601</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407605</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407701</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407705</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407805</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407901</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991407905</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408101</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408105</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408201</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408205</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408301</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408305</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408401</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408405</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408701</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408705</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408801</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408805</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991408905</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409001</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409005</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409101</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409103</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409105</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409201</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409205</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409301</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409305</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409401</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409405</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409501</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409505</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409701</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409705</ndc>
    <ndc_label_name>Capsule #3 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409801</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409805</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409901</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991409905</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410001</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410005</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410201</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410205</ndc>
    <ndc_label_name>Capsule #3 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410401</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410405</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410501</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410505</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410701</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410705</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410801</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410805</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410901</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991410905</ndc>
    <ndc_label_name>Capsule #4 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411001</ndc>
    <ndc_label_name>Capsule #5 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411401</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411405</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411701</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411705</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411801</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411805</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411901</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991411905</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412001</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412005</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412007</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412101</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412105</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412201</ndc>
    <ndc_label_name>Capsule #00 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412205</ndc>
    <ndc_label_name>Capsule #00 (hypromellose) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412401</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412405</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412501</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991412505</ndc>
    <ndc_label_name>Capsule #1 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414201</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414202</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414301</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414302</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414401</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414402</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414502</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414602</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414702</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414801</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414802</ndc>
    <ndc_label_name>Capsule #00 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>62991414902</ndc>
    <ndc_label_name>Capsule #0 capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000017962</ndc>
    <ndc_label_name>Guardian Sensor 3 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000028585</ndc>
    <ndc_label_name>GUARDIAN CONNECT TRANSMITTER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000028678</ndc>
    <ndc_label_name>Guardian Link 3 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000031699</ndc>
    <ndc_label_name>Guardian Link 3 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000033698</ndc>
    <ndc_label_name>Guardian Sensor 3 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000035751</ndc>
    <ndc_label_name>Guardian Link 3 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000035844</ndc>
    <ndc_label_name>Guardian Sensor 3 device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000041338</ndc>
    <ndc_label_name>Guardian 4 Glucose Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000041434</ndc>
    <ndc_label_name>MINIMED 770G INSULIN PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000041435</ndc>
    <ndc_label_name>MINIMED 770G INSULIN PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000044515</ndc>
    <ndc_label_name>Guardian 4 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000044516</ndc>
    <ndc_label_name>Guardian 4 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000049718</ndc>
    <ndc_label_name>Extended Reservoir 3 mL misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000051968</ndc>
    <ndc_label_name>Guardian 4 Glucose Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000056502</ndc>
    <ndc_label_name>Simplera Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000056504</ndc>
    <ndc_label_name>Simplera Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000075854</ndc>
    <ndc_label_name>MiniMed 780G Insulin Pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082715</ndc>
    <ndc_label_name>InPen (for Humalog) Blue subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082716</ndc>
    <ndc_label_name>InPen (for Humalog) Grey subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082717</ndc>
    <ndc_label_name>InPen (for Humalog) Pink subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082718</ndc>
    <ndc_label_name>InPen (for Novolog or Fiasp) Blue subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082719</ndc>
    <ndc_label_name>InPen (for Novolog or Fiasp) Grey subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082720</ndc>
    <ndc_label_name>InPen (for Novolog or Fiasp) Pink subcutaneous</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082957</ndc>
    <ndc_label_name>Simplera Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000082965</ndc>
    <ndc_label_name>Simplera Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000083723</ndc>
    <ndc_label_name>Extended Reservoir 3 mL misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000092410</ndc>
    <ndc_label_name>MiniMed 780G Insulin Pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000095638</ndc>
    <ndc_label_name>Simplera Sync Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000095640</ndc>
    <ndc_label_name>Simplera Sync Sensor device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63000096001</ndc>
    <ndc_label_name>MiniMed 780G Insulin Pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871001</ndc>
    <ndc_label_name>Acthar 80 unit/mL injection gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871002</ndc>
    <ndc_label_name>Acthar 80 unit/mL injection gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871101</ndc>
    <ndc_label_name>Acthar Selfject 80 unit/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871104</ndc>
    <ndc_label_name>Acthar Selfject 80 unit/mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871201</ndc>
    <ndc_label_name>Acthar Selfject 40 unit/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63004871204</ndc>
    <ndc_label_name>Acthar Selfject 40 unit/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63010001030</ndc>
    <ndc_label_name>Viracept 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63010002770</ndc>
    <ndc_label_name>Viracept 625 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020004012</ndc>
    <ndc_label_name>EXKIVITY 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020004901</ndc>
    <ndc_label_name>Velcade 3.5 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020009007</ndc>
    <ndc_label_name>Alunbrig 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020009030</ndc>
    <ndc_label_name>Alunbrig 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020011330</ndc>
    <ndc_label_name>Alunbrig 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020018023</ndc>
    <ndc_label_name>Alunbrig 180 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020018030</ndc>
    <ndc_label_name>Alunbrig 180 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020019830</ndc>
    <ndc_label_name>Alunbrig 90 mg (7)-180 mg (23) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020021021</ndc>
    <ndc_label_name>Fruzaqla 1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020022521</ndc>
    <ndc_label_name>Fruzaqla 5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020023001</ndc>
    <ndc_label_name>Ninlaro 2.3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020023002</ndc>
    <ndc_label_name>Ninlaro 2.3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020023003</ndc>
    <ndc_label_name>Ninlaro 2.3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020039001</ndc>
    <ndc_label_name>Ninlaro 3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020039002</ndc>
    <ndc_label_name>Ninlaro 3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020039003</ndc>
    <ndc_label_name>Ninlaro 3 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020040001</ndc>
    <ndc_label_name>Ninlaro 4 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020040002</ndc>
    <ndc_label_name>Ninlaro 4 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020040003</ndc>
    <ndc_label_name>Ninlaro 4 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020053330</ndc>
    <ndc_label_name>Iclusig 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020053430</ndc>
    <ndc_label_name>Iclusig 45 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020053530</ndc>
    <ndc_label_name>Iclusig 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63020053630</ndc>
    <ndc_label_name>Iclusig 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63029032201</ndc>
    <ndc_label_name>Debrox 6.5 % ear drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63029032202</ndc>
    <ndc_label_name>Debrox 6.5 % ear drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63029050001</ndc>
    <ndc_label_name>Gly-Oxide 10 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63029050002</ndc>
    <ndc_label_name>Gly-Oxide 10 % mucosal solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037010005</ndc>
    <ndc_label_name>FENTANYL 1,000MCG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037010105</ndc>
    <ndc_label_name>FENTANYL 2,500MCG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037010605</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037010905</ndc>
    <ndc_label_name>FENTANYL 4 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037011705</ndc>
    <ndc_label_name>DILTIAZEM 125MG/125ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037012025</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037012225</ndc>
    <ndc_label_name>EPHEDRINE 10 MG/ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037012325</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037012425</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037012525</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037013625</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037013725</ndc>
    <ndc_label_name>KETAMINE HCL 50 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037013825</ndc>
    <ndc_label_name>KETAMINE 100 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037013925</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037014805</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037015525</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037015625</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037016425</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037017225</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.4 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037017325</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037017425</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.5 MG/5 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037017525</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.8 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037019025</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63037019125</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63044003060</ndc>
    <ndc_label_name>Ziks Arthritis Pain Relief 0.025 %-12 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63044015001</ndc>
    <ndc_label_name>Prenatal Vitamins Plus Low Iron 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63044015005</ndc>
    <ndc_label_name>Prenatal Vitamins Plus Low Iron 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63044016566</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63044016666</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63044020301</ndc>
    <ndc_label_name>iFerex 150 150 mg iron capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304001860</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004127</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004227</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004327</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004422</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004522</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004622</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004730</ndc>
    <ndc_label_name>PREGABALIN ER 82.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004830</ndc>
    <ndc_label_name>PREGABALIN ER 165 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304004930</ndc>
    <ndc_label_name>PREGABALIN ER 330 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304007601</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304007605</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304007610</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304007801</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304008301</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304008310</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304008690</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304008913</ndc>
    <ndc_label_name>MESALAMINE ER 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009001</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009005</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009127</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009227</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009327</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009427</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009530</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304009630</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009711</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009719</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009811</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009819</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009911</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304009919</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304010490</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304011290</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304011401</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304011410</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304011613</ndc>
    <ndc_label_name>PAZOPANIB HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304012201</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304012210</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304013530</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304014301</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304014310</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304015801</ndc>
    <ndc_label_name>BROMOCRIPTINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304015830</ndc>
    <ndc_label_name>BROMOCRIPTINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304017513</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304018501</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304018510</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304019130</ndc>
    <ndc_label_name>DESVENLAFAXINE ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304019230</ndc>
    <ndc_label_name>DESVENLAFAXINE ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304023901</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304023930</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304024001</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304024159</ndc>
    <ndc_label_name>CALCITRIOL 1 MCG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304029601</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304029605</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304031230</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304031330</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304035160</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304035260</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304044009</ndc>
    <ndc_label_name>RISEDRONATE SOD DR 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304044011</ndc>
    <ndc_label_name>RISEDRONATE SOD DR 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304044330</ndc>
    <ndc_label_name>FENOFIBRATE 43 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304044430</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304044490</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304044805</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304044890</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304044905</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304044990</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045001</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045101</ndc>
    <ndc_label_name>MORPHINE SULF ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045201</ndc>
    <ndc_label_name>MORPHINE SULF ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045301</ndc>
    <ndc_label_name>MORPHINE SULF ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045830</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304045930</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304046050</ndc>
    <ndc_label_name>CHLOROQUINE PH 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304046126</ndc>
    <ndc_label_name>CHLOROQUINE PH 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304047901</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304049930</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304050030</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304050130</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304050230</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304050330</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 2.5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304050501</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304053901</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304053910</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304054001</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304054005</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304057901</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304057910</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304058001</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304058010</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304058101</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304058110</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304058360</ndc>
    <ndc_label_name>FOSAMPRENAVIR 700 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304058730</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304058830</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304058930</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304059030</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304059130</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304060330</ndc>
    <ndc_label_name>AMLODIPINE-ATORVAST 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304061501</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304061650</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062101</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062110</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062201</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062210</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062301</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062310</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062401</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062410</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062501</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062510</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062601</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304062605</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304063201</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304063230</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304065201</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304068301</ndc>
    <ndc_label_name>OXYCODONE HCL ER 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304068401</ndc>
    <ndc_label_name>OXYCODONE HCL ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069201</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069205</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069301</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069362</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069501</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069701</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069801</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304069950</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304071805</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304071890</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304071905</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304071990</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072005</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072090</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072105</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072190</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072290</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 360 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072305</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072330</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072390</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072405</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072430</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304072490</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073410</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073430</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073490</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073510</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073530</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304073590</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304075801</ndc>
    <ndc_label_name>MORPHINE SULF ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077201</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077205</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077210</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077301</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077305</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077310</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077401</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077405</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304077410</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082705</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082790</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082805</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082890</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082905</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304082990</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304083005</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304083090</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304090090</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63304090190</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304090430</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304090490</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304090530</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304090590</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304092401</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304092501</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304092601</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304092701</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304096201</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304096230</ndc>
    <ndc_label_name>BROMOCRIPTINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304098701</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304098705</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63304098710</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323000100</ndc>
    <ndc_label_name>Empty Sterilized Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323000105</ndc>
    <ndc_label_name>Empty Sterilized Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323000110</ndc>
    <ndc_label_name>Empty Sterilized Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323000130</ndc>
    <ndc_label_name>Empty Sterilized Vial</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001001</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001002</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001003</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001020</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001041</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001042</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001094</ndc>
    <ndc_label_name>GENTAMICIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001095</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001096</ndc>
    <ndc_label_name>GENTAMICIN 800 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001115</ndc>
    <ndc_label_name>CHLORAMPHEN NA SUCC 1 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001202</ndc>
    <ndc_label_name>OXYTOCIN 300 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001203</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001206</ndc>
    <ndc_label_name>OXYTOCIN 100 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001207</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001210</ndc>
    <ndc_label_name>OXYTOCIN 100 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001211</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001217</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001230</ndc>
    <ndc_label_name>OXYTOCIN 300 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001301</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001302</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001309</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001321</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001326</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001341</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323001910</ndc>
    <ndc_label_name>Iodopen 100 mcg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323002401</ndc>
    <ndc_label_name>MANNITOL 25% (12.5 GM/50 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323002425</ndc>
    <ndc_label_name>MANNITOL 25% (12.5 GM/50 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323002429</ndc>
    <ndc_label_name>MANNITOL 25% (12.5 GM/50 ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323002510</ndc>
    <ndc_label_name>CHORIONIC GONAD 10,000 UNIT VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323002605</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323003010</ndc>
    <ndc_label_name>CHORIONIC GONAD 10,000 UNIT VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323003011</ndc>
    <ndc_label_name>CHORIONIC GONAD 10,000 UNIT VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323003200</ndc>
    <ndc_label_name>SODIUM ACETATE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323003204</ndc>
    <ndc_label_name>SODIUM ACETATE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004400</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004401</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004441</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004444</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004701</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323004710</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006401</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006402</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006403</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006404</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 5 G/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006410</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 5 G/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006411</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 5 G/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006421</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006423</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006441</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323006443</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 1 G/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008303</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008305</ndc>
    <ndc_label_name>SODIUM BICARBONATE 4.2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008605</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008615</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008650</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008925</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323008950</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009002</ndc>
    <ndc_label_name>SODIUM CHLORIDE 50 MEQ/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009004</ndc>
    <ndc_label_name>SODIUM CHLORIDE 100 MEQ/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009020</ndc>
    <ndc_label_name>SODIUM CHLORIDE 50 MEQ/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009040</ndc>
    <ndc_label_name>SODIUM CHLORIDE 100 MEQ/40 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009301</ndc>
    <ndc_label_name>SODIUM CHLORIDE 120 MEQ/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009330</ndc>
    <ndc_label_name>SODIUM CHLORIDE 120 MEQ/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009502</ndc>
    <ndc_label_name>SODIUM CHLORIDE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009561</ndc>
    <ndc_label_name>SODIUM CHLORIDE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009903</ndc>
    <ndc_label_name>SODIUM CHLORIDE 800 MEQ/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323009963</ndc>
    <ndc_label_name>SODIUM CHLORIDE 800 MEQ/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010161</ndc>
    <ndc_label_name>DOXORUBICIN 200 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010213</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010294</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010351</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010364</ndc>
    <ndc_label_name>CISPLATIN 200 MG/200 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010365</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010401</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010405</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010406</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010425</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010450</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010600</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010601</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010602</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010603</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010605</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010610</ndc>
    <ndc_label_name>MAGNESIUM SULF 40 G/1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010615</ndc>
    <ndc_label_name>MAGNESIUM SULF 20 G/500 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010626</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010701</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010705</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010800</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010801</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010802</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323010826</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011301</ndc>
    <ndc_label_name>Pentam 300 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011310</ndc>
    <ndc_label_name>Pentam 300 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011700</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011701</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011710</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011718</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011719</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011720</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011728</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011731</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011741</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011743</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011751</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011758</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011759</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011761</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011768</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323011769</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323011801</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323011805</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012020</ndc>
    <ndc_label_name>CYTARABINE 2 G/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323012250</ndc>
    <ndc_label_name>METHOTREXATE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323012259</ndc>
    <ndc_label_name>METHOTREXATE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323012302</ndc>
    <ndc_label_name>METHOTREXATE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323012310</ndc>
    <ndc_label_name>METHOTREXATE 250 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012553</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012594</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012603</ndc>
    <ndc_label_name>GEMCITABINE HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012700</ndc>
    <ndc_label_name>DACARBAZINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012710</ndc>
    <ndc_label_name>DACARBAZINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012800</ndc>
    <ndc_label_name>DACARBAZINE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323012820</ndc>
    <ndc_label_name>DACARBAZINE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013002</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013003</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013011</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013013</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013017</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323013041</ndc>
    <ndc_label_name>Doxy-100 100 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013210</ndc>
    <ndc_label_name>MITOXANTRONE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013212</ndc>
    <ndc_label_name>MITOXANTRONE 25 MG/12.5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013215</ndc>
    <ndc_label_name>MITOXANTRONE 30 MG/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013410</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013610</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 15 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013720</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 30 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323013940</ndc>
    <ndc_label_name>SODIUM CHLORIDE 100 MEQ/40 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014010</ndc>
    <ndc_label_name>CLADRIBINE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014210</ndc>
    <ndc_label_name>IFOSFAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014212</ndc>
    <ndc_label_name>IFOSFAMIDE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014397</ndc>
    <ndc_label_name>Addamel N 5.33 mcg-0.34 mg-0.54 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014710</ndc>
    <ndc_label_name>Peditrace 521 mcg-53.7 mcg-3.6 mcg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014801</ndc>
    <ndc_label_name>VINORELBINE 10 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323014805</ndc>
    <ndc_label_name>VINORELBINE 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323015100</ndc>
    <ndc_label_name>EPIRUBICIN 200 MG/100 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016100</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016101</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016112</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016116</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016121</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016141</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016202</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016203</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016212</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016214</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016226</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016243</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016245</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016424</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016425</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016474</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016475</ndc>
    <ndc_label_name>LACTATED RINGERS INJECTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016501</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016502</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016503</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016505</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016516</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016526</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016530</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323016721</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017215</ndc>
    <ndc_label_name>CARBOPLATIN 150 MG/15 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017245</ndc>
    <ndc_label_name>CARBOPLATIN 450 MG/45 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017260</ndc>
    <ndc_label_name>CARBOPLATIN 600 MG/60 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017301</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017302</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017341</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017394</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017395</ndc>
    <ndc_label_name>GENTAMICIN PED 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017420</ndc>
    <ndc_label_name>IFOSFAMIDE 1 GM/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017460</ndc>
    <ndc_label_name>IFOSFAMIDE 3 GM/60 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017650</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323017826</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018000</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018410</ndc>
    <ndc_label_name>FOLIC ACID 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018411</ndc>
    <ndc_label_name>FOLIC ACID 5 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018504</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018507</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018600</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323018602</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323021220</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022101</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022110</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022116</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022133</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022138</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022141</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022901</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022905</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022915</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022921</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022930</ndc>
    <ndc_label_name>PROTAMINE 250 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022935</ndc>
    <ndc_label_name>PROTAMINE 250 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022941</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022994</ndc>
    <ndc_label_name>PROTAMINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323022995</ndc>
    <ndc_label_name>PROTAMINE 250 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323023610</ndc>
    <ndc_label_name>CEFAZOLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323023701</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323023710</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323023861</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323024120</ndc>
    <ndc_label_name>Glycophos 1 mmol/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323024930</ndc>
    <ndc_label_name>Bacteriostatic Water(Parabens) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025402</ndc>
    <ndc_label_name>Muri-Lube oil</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025501</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025503</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025801</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025803</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323025930</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026001</ndc>
    <ndc_label_name>Polocaine-MPF 10 mg/mL (1 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026037</ndc>
    <ndc_label_name>Polocaine-MPF 10 mg/mL (1 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323026110</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026203</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026206</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026209</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026211</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026226</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026236</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026530</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 1 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026901</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026906</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026910</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026916</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026921</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026922</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026923</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026925</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026929</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026930</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026931</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026933</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026935</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026937</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026941</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026943</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026945</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026950</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026957</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026959</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323026965</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323027301</ndc>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323027601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323027810</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028003</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028004</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028260</ndc>
    <ndc_label_name>CLINDAMYCIN PH 9 G/60 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028506</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028507</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028513</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028520</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028523</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028528</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028557</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028559</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028561</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028563</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028564</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028565</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028567</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323028568</ndc>
    <ndc_label_name>Naropin (PF) 2 mg/mL (0.2 %) injection solution</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323031510</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323031594</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323031701</ndc>
    <ndc_label_name>GRANISETRON HCL 0.1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323031801</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323031904</ndc>
    <ndc_label_name>GRANISETRON HCL 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032101</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032102</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032110</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032112</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032201</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032220</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032221</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032225</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032241</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032293</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032294</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032462</ndc>
    <ndc_label_name>PENICILLIN GK 20 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032503</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032509</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032510</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032514</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032520</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032524</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032541</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032543</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032620</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032621</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032710</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032721</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032820</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032821</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032822</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323032931</ndc>
    <ndc_label_name>BACITRACIN 50,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323033060</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323033820</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323033920</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034020</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034021</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034101</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034125</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034129</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034141</ndc>
    <ndc_label_name>CEFOXITIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034201</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034225</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034229</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034241</ndc>
    <ndc_label_name>CEFOXITIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034410</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034510</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034601</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034610</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034720</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034861</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034901</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 250 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034920</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 250 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034925</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 250 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034993</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 250 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323034994</ndc>
    <ndc_label_name>IMIPENEM-CILASTATIN 250 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035120</ndc>
    <ndc_label_name>RIFAMPIN IV 600 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035245</ndc>
    <ndc_label_name>CEFUROXIME SOD 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035345</ndc>
    <ndc_label_name>CEFUROXIME SOD 1.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035445</ndc>
    <ndc_label_name>CEFUROXIME SOD 7.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035560</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG/150 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035565</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035601</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035610</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035801</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323035810</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036001</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036003</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036005</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036019</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036059</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036061</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036501</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036504</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036600</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036601</ndc>
    <ndc_label_name>DIMENHYDRINATE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036820</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323036920</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037062</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037110</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037119</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037300</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037302</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037420</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037600</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037601</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037604</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037641</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037700</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037701</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037704</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037741</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037805</ndc>
    <ndc_label_name>OCTREOTIDE 1,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323037905</ndc>
    <ndc_label_name>OCTREOTIDE 5,000 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323038501</ndc>
    <ndc_label_name>CEFOTETAN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323038510</ndc>
    <ndc_label_name>CEFOTETAN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323038601</ndc>
    <ndc_label_name>CEFOTETAN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323038620</ndc>
    <ndc_label_name>CEFOTETAN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039306</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039801</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039810</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039812</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039814</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323039841</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040001</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040005</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040041</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040044</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040101</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040120</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040121</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040124</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040126</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040141</ndc>
    <ndc_label_name>AZTREONAM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040201</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040203</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040220</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040224</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040230</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040241</ndc>
    <ndc_label_name>AZTREONAM 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040301</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040302</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040304</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040310</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040400</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040510</ndc>
    <ndc_label_name>CLONIDINE 1,000 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040601</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040603</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML ORAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040703</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323040704</ndc>
    <ndc_label_name>CAFFEINE CIT 60 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041110</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041112</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041113</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041115</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041118</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041125</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041202</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041203</ndc>
    <ndc_label_name>MIDAZOLAM HCL 10 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041210</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041213</ndc>
    <ndc_label_name>MIDAZOLAM HCL 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041218</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041225</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041310</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041336</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041501</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041510</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041536</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041601</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041605</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041701</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041710</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041801</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323041820</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042101</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042102</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042116</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042405</ndc>
    <ndc_label_name>FLUMAZENIL 0.1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042410</ndc>
    <ndc_label_name>FLUMAZENIL 0.1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042601</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042602</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042605</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042610</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042612</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042615</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323042710</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323043400</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323043441</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323044961</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045050</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045100</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045101</ndc>
    <ndc_label_name>MORPHINE SULFATE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045200</ndc>
    <ndc_label_name>MORPHINE SULFATE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045201</ndc>
    <ndc_label_name>MORPHINE SULFATE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045400</ndc>
    <ndc_label_name>MORPHINE SULFATE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045401</ndc>
    <ndc_label_name>MORPHINE SULFATE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045500</ndc>
    <ndc_label_name>MORPHINE SULFATE 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045501</ndc>
    <ndc_label_name>MORPHINE SULFATE 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045800</ndc>
    <ndc_label_name>MORPHINE SULFATE 8 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045801</ndc>
    <ndc_label_name>MORPHINE SULFATE 8 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323045909</ndc>
    <ndc_label_name>HEPARIN 40,000 UNIT/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046001</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.75 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046037</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.75 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046101</ndc>
    <ndc_label_name>Sensorcaine-Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046157</ndc>
    <ndc_label_name>Sensorcaine-Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046201</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046202</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046203</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046204</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046217</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046231</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046237</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046238</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046301</ndc>
    <ndc_label_name>Sensorcaine-Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046357</ndc>
    <ndc_label_name>Sensorcaine-Epinephrine 0.5 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046401</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046402</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046408</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046409</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046417</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046431</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046437</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046438</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046439</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046501</ndc>
    <ndc_label_name>Sensorcaine 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046557</ndc>
    <ndc_label_name>Sensorcaine 0.25 % (2.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046601</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046603</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046608</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046609</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046617</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046631</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046637</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046638</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046639</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046701</ndc>
    <ndc_label_name>Sensorcaine 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046757</ndc>
    <ndc_label_name>Sensorcaine 0.5 % (5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046801</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046802</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046817</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323046837</ndc>
    <ndc_label_name>Sensorcaine-MPF/Epinephrine 0.25 %-1:200,000 injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323046901</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323046905</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047101</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047105</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047141</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047201</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047203</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047217</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047237</ndc>
    <ndc_label_name>Sensorcaine-MPF 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047302</ndc>
    <ndc_label_name>Sensorcaine-MPF Spinal 0.75 % (7.5 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047400</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047401</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323047410</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047501</ndc>
    <ndc_label_name>Nesacaine 10 mg/mL (1 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323047537</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>HEPARIN 25,000 UNIT/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323052603</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323053021</ndc>
    <ndc_label_name>SODIUM CHLORIDE 3% IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323053075</ndc>
    <ndc_label_name>SODIUM CHLORIDE 3% IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053101</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053190</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053301</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053313</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053383</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053501</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053587</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053701</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053784</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323053903</ndc>
    <ndc_label_name>ENOXAPARIN 300 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054003</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054005</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054007</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054011</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054013</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054015</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054033</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054036</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054067</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054204</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054209</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054213</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054214</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054303</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054313</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054401</ndc>
    <ndc_label_name>HEPARIN LOCK FLUSH 10 UNITS/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054411</ndc>
    <ndc_label_name>HEPARIN 100 UNIT/10 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323054501</ndc>
    <ndc_label_name>HEPARIN LOCK FLUSH 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323055701</ndc>
    <ndc_label_name>Hep Flush-10 (PF) 10 unit/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323055921</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323055963</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323055965</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323055993</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056201</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056210</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056215</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056241</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056301</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056310</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323056397</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056421</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056463</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056465</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056497</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056621</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056663</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056665</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056698</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056995</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323056999</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057270</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323057401</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323057486</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323057493</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057801</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057802</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057803</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057804</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057805</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057807</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057811</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057812</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057818</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057820</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057841</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057842</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057901</ndc>
    <ndc_label_name>SINCALIDE 5 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323057905</ndc>
    <ndc_label_name>SINCALIDE 5 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323058003</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323058020</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323058282</ndc>
    <ndc_label_name>Glucagon (HCl) Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323058313</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058421</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058463</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058465</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058499</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058621</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058663</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058665</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058696</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058921</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323058994</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059303</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059403</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059603</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059606</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059608</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059611</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059613</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059616</ndc>
    <ndc_label_name>GLUCAGON 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059710</ndc>
    <ndc_label_name>DEFEROXAMINE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323059930</ndc>
    <ndc_label_name>DEFEROXAMINE 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323060400</ndc>
    <ndc_label_name>PROPRANOLOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323060401</ndc>
    <ndc_label_name>PROPRANOLOL 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060501</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060504</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060584</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060594</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060701</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060708</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060788</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323060798</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061400</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061401</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061403</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061406</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061416</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061421</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061441</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061455</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061601</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061602</ndc>
    <ndc_label_name>AMIODARONE 450 MG/9 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061603</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061609</ndc>
    <ndc_label_name>AMIODARONE 450 MG/9 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061701</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061710</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061720</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323061750</ndc>
    <ndc_label_name>MILRINONE LACT 50 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062100</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 750 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062200</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062300</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062309</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062310</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062350</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062351</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 500 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062353</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062357</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062359</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 500 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062361</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062376</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% 1,000 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062403</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062404</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062405</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062406</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062407</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062410</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062450</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062461</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062474</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062475</ndc>
    <ndc_label_name>DEXTROSE 5%-WATER IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062600</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062601</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062602</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062603</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062604</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062605</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062610</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062625</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062650</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323062655</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.45% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323063110</ndc>
    <ndc_label_name>LEUCOVORIN CAL 100 MG/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323063150</ndc>
    <ndc_label_name>LEUCOVORIN CAL 500 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323063703</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323063710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064202</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 25G/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064220</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 10G/20ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064250</ndc>
    <ndc_label_name>MAGNESIUM SULFATE 50% 25G/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064810</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064907</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064916</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323064994</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065017</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065020</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065027</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065100</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065101</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065102</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065104</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065120</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065121</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065123</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065130</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065189</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065190</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065201</ndc>
    <ndc_label_name>ESMOLOL HCL 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065210</ndc>
    <ndc_label_name>ESMOLOL HCL 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323065521</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323065599</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065820</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065827</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065894</ndc>
    <ndc_label_name>CHLOROTHIAZIDE SOD 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065903</ndc>
    <ndc_label_name>INDOMETHACIN 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065909</ndc>
    <ndc_label_name>INDOMETHACIN 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323065994</ndc>
    <ndc_label_name>INDOMETHACIN 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066001</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066005</ndc>
    <ndc_label_name>METOPROLOL TART 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066400</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066401</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066416</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066441</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066500</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066501</ndc>
    <ndc_label_name>TERBUTALINE SULF 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066701</ndc>
    <ndc_label_name>KCL 10 MEQ/L IN D5W SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066710</ndc>
    <ndc_label_name>KCL 10 MEQ/L IN D5W SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323066910</ndc>
    <ndc_label_name>KCL 20 MEQ/L IN D5W SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067100</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067101</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067102</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 80 MCG/20ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067105</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067120</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 80 MCG/20ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067150</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067305</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067321</ndc>
    <ndc_label_name>PALONOSETRON HCL 0.25 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323067389</ndc>
    <ndc_label_name>PALONOSETRON HCL 0.25 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068310</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068517</ndc>
    <ndc_label_name>POSACONAZOLE 300 MG/16.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068601</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/1,000ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068610</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/1,000ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068801</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/1,000ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323068810</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/1,000ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069022</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069030</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069041</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069044</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069122</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069130</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069210</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069222</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069322</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069404</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069422</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069441</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069444</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069504</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63323069522</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323069602</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323069625</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323069830</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071050</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071059</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071100</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071210</ndc>
    <ndc_label_name>Kabiven 3.31 %-10.8 %-3.9 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071215</ndc>
    <ndc_label_name>Kabiven 3.31 %-10.8 %-3.9 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071220</ndc>
    <ndc_label_name>Kabiven 3.31 %-10.8 %-3.9 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071225</ndc>
    <ndc_label_name>Kabiven 3.31 %-10.8 %-3.9 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071303</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071313</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071414</ndc>
    <ndc_label_name>Perikabiven 2.36 %-7.5 %-3.5 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071419</ndc>
    <ndc_label_name>Perikabiven 2.36 %-7.5 %-3.5 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071424</ndc>
    <ndc_label_name>Perikabiven 2.36 %-7.5 %-3.5 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071501</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323071505</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072110</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072301</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072303</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072304</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072306</ndc>
    <ndc_label_name>REMIFENTANIL 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072401</ndc>
    <ndc_label_name>REMIFENTANIL 2 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072405</ndc>
    <ndc_label_name>REMIFENTANIL 2 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072501</ndc>
    <ndc_label_name>REMIFENTANIL 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072510</ndc>
    <ndc_label_name>REMIFENTANIL 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072801</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072810</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072901</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072902</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072910</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323072912</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073101</ndc>
    <ndc_label_name>CALCITRIOL 1 MCG/ML AMPUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073310</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073311</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073410</ndc>
    <ndc_label_name>PAMIDRONATE 30 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073510</ndc>
    <ndc_label_name>PAMIDRONATE 90 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073803</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073806</ndc>
    <ndc_label_name>FAMOTIDINE 200 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073809</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073820</ndc>
    <ndc_label_name>FAMOTIDINE 200 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073911</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073912</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073916</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323073941</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075010</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075020</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075100</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075103</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075105</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323075113</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076020</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076120</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076210</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076217</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076294</ndc>
    <ndc_label_name>TOPOTECAN HCL 4 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076305</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076306</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076316</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076317</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076350</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323076352</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323077139</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323077810</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323077821</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078110</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078121</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078141</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078144</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078220</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323078223</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080601</ndc>
    <ndc_label_name>FENTANYL 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080602</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080605</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080611</ndc>
    <ndc_label_name>FENTANYL 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080612</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080613</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080614</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080620</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080650</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080801</ndc>
    <ndc_label_name>FENTANYL 50 MCG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323080811</ndc>
    <ndc_label_name>FENTANYL 50 MCG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081000</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081020</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081100</ndc>
    <ndc_label_name>OXACILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081201</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081220</ndc>
    <ndc_label_name>OXACILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081301</ndc>
    <ndc_label_name>OXACILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081320</ndc>
    <ndc_label_name>OXACILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081502</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081504</ndc>
    <ndc_label_name>AMIKACIN SULF 1,000 MG/4 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081521</ndc>
    <ndc_label_name>AMIKACIN SULF 500 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081522</ndc>
    <ndc_label_name>AMIKACIN SULF 1,000 MG/4 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081701</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323081720</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082000</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082001</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082003</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082004</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082005</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082010</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082050</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082074</ndc>
    <ndc_label_name>SMOFlipid 20 % intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082110</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082301</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082320</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082424</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082425</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082426</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082474</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082475</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082476</ndc>
    <ndc_label_name>DEXTROSE 10%-WATER IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323082520</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323084202</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323084221</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085004</ndc>
    <ndc_label_name>MOXIFLOXACIN 400 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085074</ndc>
    <ndc_label_name>MOXIFLOXACIN 400 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085103</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085107</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085110</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085115</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085150</ndc>
    <ndc_label_name>HYDROMORPHONE 500 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085203</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085225</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085303</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085325</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085403</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323085410</ndc>
    <ndc_label_name>HYDROMORPHONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086502</ndc>
    <ndc_label_name>CALCITONIN-SALMON 400 UNIT/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086710</ndc>
    <ndc_label_name>DEXTROSE 5%-0.3% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086774</ndc>
    <ndc_label_name>DEXTROSE 5%-0.3% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086775</ndc>
    <ndc_label_name>DEXTROSE 5%-0.3% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086901</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086904</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086910</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086974</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323086975</ndc>
    <ndc_label_name>DEXTROSE 5%-0.45% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087001</ndc>
    <ndc_label_name>DEXTROSE 5%-0.9% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087010</ndc>
    <ndc_label_name>DEXTROSE 5%-0.9% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087074</ndc>
    <ndc_label_name>DEXTROSE 5%-0.9% NACL IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087115</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087310</ndc>
    <ndc_label_name>DEXTROSE 5%-0.225% NACL IV SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087374</ndc>
    <ndc_label_name>DEXTROSE 5%-0.225% NACL IV SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087375</ndc>
    <ndc_label_name>DEXTROSE 5%-0.225% NACL IV SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087410</ndc>
    <ndc_label_name>DEXTROSE 2.5%-0.45% NACL IV</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087550</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BTTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323087715</ndc>
    <ndc_label_name>Nebupent 300 mg solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088101</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088116</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088305</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088330</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088401</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088406</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088510</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088512</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088514</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088601</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 150 MMOL/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323088656</ndc>
    <ndc_label_name>SODIUM PHOSPHATE 150 MMOL/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323089010</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323089510</ndc>
    <ndc_label_name>LEVOTHYROXINE 500 MCG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323090390</ndc>
    <ndc_label_name>Chemo Transfer Pin misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323090490</ndc>
    <ndc_label_name>Flow-Eze Vented Needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323090590</ndc>
    <ndc_label_name>Mini Transfer Pin misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323090790</ndc>
    <ndc_label_name>Transfer Pin misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323090890</ndc>
    <ndc_label_name>Universal Syringe Tip Adaptor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323091503</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323091513</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092203</ndc>
    <ndc_label_name>DILUENT FOR ROMIDEPSIN VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092401</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092403</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092410</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092430</ndc>
    <ndc_label_name>BACTERIOSTATIC SALINE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092517</ndc>
    <ndc_label_name>ROMIDEPSIN 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323092688</ndc>
    <ndc_label_name>ROMIDEPSIN 10 MG KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323093000</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323093001</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323094004</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323094021</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323094310</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63323094321</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561012102</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561012105</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561012201</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561012202</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561012205</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63561012701</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63561012702</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016401</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016402</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016409</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016501</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016502</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016509</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016601</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016605</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561016609</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561017301</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561017305</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561017401</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63561017405</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63594000011</ndc>
    <ndc_label_name>Atrantil 275 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63594000014</ndc>
    <ndc_label_name>Atrantil 275 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63646001004</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63646004012</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63646004060</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090030</ndc>
    <ndc_label_name>PKU GoLike Plus (4-16 yr) 62.2 gram-294 kcal/100 gram granules, ER pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090130</ndc>
    <ndc_label_name>PKU GoLike Plus (16 yr up) 63.2 gram-297 kcal/100 gram granules ER pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090210</ndc>
    <ndc_label_name>PKU Golike 10 gram-170 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090230</ndc>
    <ndc_label_name>PKU Golike 10 gram-170 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090310</ndc>
    <ndc_label_name>PKU Golike 10 gram-177 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090330</ndc>
    <ndc_label_name>PKU Golike 10 gram-177 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090430</ndc>
    <ndc_label_name>PKU Golike 10 gram-158 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090530</ndc>
    <ndc_label_name>TYR Golike Plus (1 yr up) 60gram-292kcal/100gram granule, ext rel pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63680090630</ndc>
    <ndc_label_name>TYR Golike 10 gram-177 kcal/60 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63704000401</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63704002001</ndc>
    <ndc_label_name>Caya Contoured 65 mm-80 mm vaginal diaphragm</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713001972</ndc>
    <ndc_label_name>SURGIFOAM 12 mm-7 mm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713001973</ndc>
    <ndc_label_name>SURGIFOAM 50 sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713001974</ndc>
    <ndc_label_name>SURGIFOAM 100 sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713001975</ndc>
    <ndc_label_name>SURGIFOAM 100 cm sponge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713005024</ndc>
    <ndc_label_name>Evarrest 2" X 4" topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713005025</ndc>
    <ndc_label_name>Evarrest 2" X 4" topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713005044</ndc>
    <ndc_label_name>Evarrest 4" X 4" topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713039011</ndc>
    <ndc_label_name>Evicel 800-1,200 unit/mL (1 mL x 2) topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713039022</ndc>
    <ndc_label_name>Evicel 800-1,200 unit/mL(2 mL x 2) topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63713039055</ndc>
    <ndc_label_name>Evicel 800-1,200 unit/mL(5 mL x 2) topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63717009901</ndc>
    <ndc_label_name>Icar-C 100 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63717010001</ndc>
    <ndc_label_name>Icar-C Plus 100 mg-250 mg-25 mcg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63717010204</ndc>
    <ndc_label_name>Icar 15 mg/1.25 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000008</ndc>
    <ndc_label_name>Bacid with Lactospore 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000009</ndc>
    <ndc_label_name>Bacid with Lactospore 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736000015</ndc>
    <ndc_label_name>Nix Ultra (mineral oil) shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736000016</ndc>
    <ndc_label_name>Nix Ultra (mineral oil) shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000033</ndc>
    <ndc_label_name>Nix Lice Prevention 0.06 %-0.35 %-0.6 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736000045</ndc>
    <ndc_label_name>Stye (pva-povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000046</ndc>
    <ndc_label_name>Vitron-C 65 mg iron-125 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000048</ndc>
    <ndc_label_name>Nix Ultra Treatment-Prevention 0.06 %-0.35 %-0.6 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000049</ndc>
    <ndc_label_name>Nix Ultra Treatment-Prevention 0.06 %-0.35 %-0.6 % topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000065</ndc>
    <ndc_label_name>Monistat Maintain 600 mg vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000073</ndc>
    <ndc_label_name>Monistat 1 Combo Pack 1,200 mg-2 % vaginal ovule and cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000074</ndc>
    <ndc_label_name>Monistat 3 200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000075</ndc>
    <ndc_label_name>Monistat 3  4 % (200 mg)-2 %(9 gram)vaginal pack,prefil appl and cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000076</ndc>
    <ndc_label_name>Monistat 3 200 mg/5 gram (4 %) vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000077</ndc>
    <ndc_label_name>Monistat 3 200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000080</ndc>
    <ndc_label_name>Monistat 7 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000081</ndc>
    <ndc_label_name>Monistat 7 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000082</ndc>
    <ndc_label_name>Monistat 1 (tioconazole) 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000084</ndc>
    <ndc_label_name>Monistat Maintain UTI 99.5 mg tablet and strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736000885</ndc>
    <ndc_label_name>Sucrets Sore Throat 2 mg lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736001919</ndc>
    <ndc_label_name>Sucrets Sore Throat-Cough 2 mg-6 mg oral mucosal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736003751</ndc>
    <ndc_label_name>Americaine 20 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736004130</ndc>
    <ndc_label_name>Boil-Ease 20 % Topical Ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736010904</ndc>
    <ndc_label_name>Monistat 7 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736010938</ndc>
    <ndc_label_name>Nix Ultra topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736011006</ndc>
    <ndc_label_name>Nix Ultra Removal 0.25 % combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736011151</ndc>
    <ndc_label_name>Caldesene 15 %-81 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736011153</ndc>
    <ndc_label_name>Uristat Ultra (with UTI strip) 99.5 mg tablet and strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736011154</ndc>
    <ndc_label_name>Uristat Ultra 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736011189</ndc>
    <ndc_label_name>Monistat Care (benzocaine) 20 % topical aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736012001</ndc>
    <ndc_label_name>Nix 0.25 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736012002</ndc>
    <ndc_label_name>Nix Creme Rinse 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736012003</ndc>
    <ndc_label_name>Nix Creme Rinse 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736012301</ndc>
    <ndc_label_name>Vitron-C 65 mg iron-125 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736014308</ndc>
    <ndc_label_name>Stye Lubricant 57.7 %-31.9 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736020045</ndc>
    <ndc_label_name>Anacin 400 mg-32 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736020065</ndc>
    <ndc_label_name>Anacin 400 mg-32 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736024797</ndc>
    <ndc_label_name>Nix Complete 1 % topical liquid and 0.25 % surface spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736032473</ndc>
    <ndc_label_name>Auro DRI Swimmers' Ear 95 %-5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736032700</ndc>
    <ndc_label_name>Auro DRI Swimmers' Ear 95 %-5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736033942</ndc>
    <ndc_label_name>Dermarest Eczema (hydrocortisone) 1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736034500</ndc>
    <ndc_label_name>DiabetAid 0.025 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736036305</ndc>
    <ndc_label_name>Caldesene 15 %-81 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736037882</ndc>
    <ndc_label_name>Americaine 20 % topical aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736044101</ndc>
    <ndc_label_name>1-Day 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044180</ndc>
    <ndc_label_name>Monistat 1 Combo Pack 1,200 mg-2 % vaginal ovule and cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044201</ndc>
    <ndc_label_name>Monistat 3 200 mg/5 gram (4 %) vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044263</ndc>
    <ndc_label_name>Monistat 7 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044300</ndc>
    <ndc_label_name>Monistat 3  4 % (200 mg)-2 %(9 gram)vaginal pack,prefil appl and cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044305</ndc>
    <ndc_label_name>Monistat 3 200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63736044700</ndc>
    <ndc_label_name>Monistat Care (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044720</ndc>
    <ndc_label_name>Monistat Soothing Care 1.2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736044860</ndc>
    <ndc_label_name>Monistat 3 200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736073005</ndc>
    <ndc_label_name>Nostrilla 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736073010</ndc>
    <ndc_label_name>Dermarest Psoriasis Medicated 3 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736073020</ndc>
    <ndc_label_name>Dermarest Psoriasis Medicated 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63736094101</ndc>
    <ndc_label_name>Sucrets Sore Throat-Cough-Dry Mouth 2 mg-5 mg-6 mg oral mucosal loz</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63737000016</ndc>
    <ndc_label_name>Hydration Multiplier oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739000333</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739000532</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739001610</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739005257</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739005269</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739005274</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739005802</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739006702</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739015110</ndc>
    <ndc_label_name>Sky Safety Pen Needle 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739015210</ndc>
    <ndc_label_name>Sky Safety Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739015710</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739015770</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739015910</ndc>
    <ndc_label_name>Mag-Al Plus 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739015977</ndc>
    <ndc_label_name>Mag-Al Plus 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016010</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016056</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016070</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016434</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016474</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739016833</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739017013</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739017024</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739017027</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739017830</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739019601</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739019610</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739019861</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739019862</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739020301</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739020302</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739020303</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739022502</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739022901</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739023001</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739023301</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739025701</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739029710</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739029810</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739036710</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739036810</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739036910</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739037010</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739037163</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739040310</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739041010</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739041110</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739048310</ndc>
    <ndc_label_name>HYDROXYZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739048610</ndc>
    <ndc_label_name>HYDROXYZINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739050501</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739050510</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739050601</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739050610</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739050832</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739054410</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739054510</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739054833</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739055510</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739056010</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739056410</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739056710</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739056910</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739057010</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739057110</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739057210</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739057310</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739058201</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739058210</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739058301</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739058310</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739066632</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739067310</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739068610</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739069810</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739072401</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739072450</ndc>
    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739076001</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739076002</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739076003</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739076004</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739077710</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739078710</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739079801</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739079810</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739090114</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739090128</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739090210</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739090310</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739090410</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739092011</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739092025</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739093114</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739093128</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739095311</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739095325</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739096411</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739096425</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739098611</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739098625</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63739098832</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63739099764</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807001117</ndc>
    <ndc_label_name>ClearShield 0.9% Sodium Chloride Flush injection syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% ZR SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010010</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% ZR SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010011</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010033</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010035</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010051</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% ZR SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010055</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% ZR SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010301</ndc>
    <ndc_label_name>SwabFlush 0.9 % injection syringe with alcohol swab cap</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807010335</ndc>
    <ndc_label_name>SwabFlush 0.9 % injection syringe with alcohol swab cap</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807050005</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 10 unit/mL intravenous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807050051</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63807050055</ndc>
    <ndc_label_name>Heparin Lock Flush (Porcine) (PF) 10 unit/mL intravenous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824000815</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824000832</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824000834</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824000886</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824001566</ndc>
    <ndc_label_name>Mucinex Cold,Flu and Sore Throat 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Mucinex Fast-Max DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex 1,200 mg tablet, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex 1,200 mg tablet, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824002346</ndc>
    <ndc_label_name>Mucinex 1,200 mg tablet, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc>63824004124</ndc>
    <ndc_label_name>Mucinex D Maximum Strength 120 mg-1,200 mg tablet,extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824005400</ndc>
    <ndc_label_name>Scalpicin Anti-Itch 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824005632</ndc>
    <ndc_label_name>Mucinex DM 30 mg-600 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824005634</ndc>
    <ndc_label_name>Mucinex DM 30 mg-600 mg tablet,extended release 12 hr</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex DM 30 mg-600 mg tablet,extended release 12 hr</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824005680</ndc>
    <ndc_label_name>Mucinex DM 30 mg-600 mg tablet,extended release 12 hr</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824005689</ndc>
    <ndc_label_name>Mucinex DM 30 mg-600 mg tablet,extended release 12 hr</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824005718</ndc>
    <ndc_label_name>Mucinex D 60 mg-600 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex D 60 mg-600 mg tablet,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824007207</ndc>
    <ndc_label_name>Mucinex DM 60 mg-1,200 mg tablet,extended release 12 hr</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824007235</ndc>
    <ndc_label_name>Mucinex DM 60 mg-1,200 mg tablet,extended release 12 hr</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex DM 60 mg-1,200 mg tablet,extended release 12 hr</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824007246</ndc>
    <ndc_label_name>Mucinex DM 60 mg-1,200 mg tablet,extended release 12 hr</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824007256</ndc>
    <ndc_label_name>Mucinex DM 60 mg-1,200 mg tablet,extended release 12 hr</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824011566</ndc>
    <ndc_label_name>Mucinex Sinus-Max Nightshift 2.5 mg-10 mg-20mg-650mg/20mL oral liquids</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824011766</ndc>
    <ndc_label_name>Mucinex Fast-Max Congest-Nightshift 2.5 mg-20 mg-650 mg/20 mL liquids</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824011866</ndc>
    <ndc_label_name>Mucinex Fast-Max DM Nightshift 2.5 mg-20 mg-650mg-400mg/20mL liquids</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824012011</ndc>
    <ndc_label_name>Mucinex Sinus-Max 0.05 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824012917</ndc>
    <ndc_label_name>Mucinex Sinus-Max 0.05 % nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824013666</ndc>
    <ndc_label_name>Mucinex Fast-Max Nightshft Clear 2.5 mg-10 mg-650 mg/20mL oral liquids</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824017163</ndc>
    <ndc_label_name>Delsym 12 hour 30 mg/5 mL oral suspension,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824017165</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824017363</ndc>
    <ndc_label_name>Children's Delsym Cough 30 mg/5 mL oral suspension,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Delsym 12 hour 30 mg/5 mL oral suspension,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824017565</ndc>
    <ndc_label_name>Delsym 12 hour 30 mg/5 mL oral suspension,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824017763</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824019321</ndc>
    <ndc_label_name>Mucinex Fast-Max Congestion-Cough 5 mg-10 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824021264</ndc>
    <ndc_label_name>Child Delsym Cough-Cold 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824021366</ndc>
    <ndc_label_name>Delsym Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824021464</ndc>
    <ndc_label_name>Children Delsym Cough-Chest Congestion DM 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824022166</ndc>
    <ndc_label_name>Delsym Cough-Sore Throat 325 mg-10 mg/10 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824023721</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824023744</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>63824024144</ndc>
    <ndc_label_name>Mucinex Sinus-Max Severe Congestion Relief 5 mg-325 mg-200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex Sinus-Max Pressure-Pain-Cough 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824026666</ndc>
    <ndc_label_name>Mucinex Sinus-Max Sev Congest-Pain(GG) 10 mg-650mg-400mg/20mL oral liq</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824052703</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Mucinex Fast-Max DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex Fast-Max Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824054864</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu-Throat 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex Fast-Max Cold-Flu 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucinex Fast-Max Cold-Flu 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824057504</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824057510</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824057521</ndc>
    <ndc_label_name>Mucinex Fast-Max Cold-Flu 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824071316</ndc>
    <ndc_label_name>Cepacol Sore Throat (benzocaine-menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824071516</ndc>
    <ndc_label_name>Cepacol Sore Throat (benzocaine-menthol) 15 mg-3.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824073216</ndc>
    <ndc_label_name>Cepacol Sore Throat (benzocaine-menthol) 15 mg-2.6 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824074416</ndc>
    <ndc_label_name>Cepacol Sore Throat-Cough 5 mg-7.5 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824094312</ndc>
    <ndc_label_name>Children's Mucinex Cough-Chest 5 mg-100 mg oral granules in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63824094603</ndc>
    <ndc_label_name>Children's Mucinex Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824094711</ndc>
    <ndc_label_name>Child Mucinex Cough-Congest 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824094901</ndc>
    <ndc_label_name>Children's Mucinex Multi-Symptom 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824094915</ndc>
    <ndc_label_name>Children's Mucinex Multi-Symptom 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824095021</ndc>
    <ndc_label_name>Child Mucinex M-S Cold Night 12.5 mg-5 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824095107</ndc>
    <ndc_label_name>Children's Mucinex Stuffy Nose-Chest 2.5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824095404</ndc>
    <ndc_label_name>Children's Mucinex Cold-Flu 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824095664</ndc>
    <ndc_label_name>Children's Mucinex Multi-Symptom 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824095864</ndc>
    <ndc_label_name>Child Mucinex Freefrom Day Cold 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824096024</ndc>
    <ndc_label_name>Child Mucinex Freefrom MS D-N 1.25 mg-5 mg-10 mg-325 mg/10mL oral liqs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824096122</ndc>
    <ndc_label_name>Children's Mucinex Stuffy Nose Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63824099823</ndc>
    <ndc_label_name>Child Mucinex Mighty Cough Dy-Nt 10 mg (d)/6.25 mg-10 mg (n) chew tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833038602</ndc>
    <ndc_label_name>Kcentra 500 unit (400-620 unit) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833038702</ndc>
    <ndc_label_name>Kcentra 1,000 unit (800-1,240 unit) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833039601</ndc>
    <ndc_label_name>Kcentra 500 unit (400-620 unit) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833039701</ndc>
    <ndc_label_name>Kcentra 1,000 unit (800-1,240 unit) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833051802</ndc>
    <ndc_label_name>Corifact 1,000 unit-1,600 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833061502</ndc>
    <ndc_label_name>Humate-P 250 unit-600 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833061602</ndc>
    <ndc_label_name>Humate-P 500 unit-1,200 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833061702</ndc>
    <ndc_label_name>Humate-P 1,000 unit-2,400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833062501</ndc>
    <ndc_label_name>Humate-P 250 unit-600 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833062601</ndc>
    <ndc_label_name>Humate-P 500 unit-1,200 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833062701</ndc>
    <ndc_label_name>Humate-P 1,000 unit-2,400 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076120</ndc>
    <ndc_label_name>Sterile Water 100 % For Kcentra injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076140</ndc>
    <ndc_label_name>Sterile Water 100 % For Kcentra injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076515</ndc>
    <ndc_label_name>STERILE WATER FOR BERINERT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076553</ndc>
    <ndc_label_name>STERILE WATER FOR HUMATE-P</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076554</ndc>
    <ndc_label_name>STERILE WATER FOR HUMATE-P</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833076555</ndc>
    <ndc_label_name>STERILE WATER FOR HUMATE-P</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63833082502</ndc>
    <ndc_label_name>Berinert 500 unit (10 mL) intravenous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833082802</ndc>
    <ndc_label_name>Haegarda 2,000 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833082902</ndc>
    <ndc_label_name>Haegarda 3,000 unit subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833083501</ndc>
    <ndc_label_name>Berinert 500 unit (10 mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833089151</ndc>
    <ndc_label_name>RiaSTAP 1 gram (900 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833089190</ndc>
    <ndc_label_name>RiaSTAP 1 gram (900 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833092501</ndc>
    <ndc_label_name>Andembry Autoinjector 200 mg/1.2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63833092520</ndc>
    <ndc_label_name>Andembry Autoinjector 200 mg/1.2 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868000214</ndc>
    <ndc_label_name>Natura-LAX 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868000230</ndc>
    <ndc_label_name>Natura-LAX 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868002008</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868002012</ndc>
    <ndc_label_name>Daytime Cold-Flu 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868002936</ndc>
    <ndc_label_name>QC ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868004715</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868006045</ndc>
    <ndc_label_name>Pain Relief Instant Antiseptic 10.8 %-4.7 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008210</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008405</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008410</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008424</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008450</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008701</ndc>
    <ndc_label_name>QC COMPLETE ALLERGY 25 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868008724</ndc>
    <ndc_label_name>Complete Allergy 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868011416</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868011730</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868013066</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868014814</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868014920</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868017418</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868017526</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868017742</ndc>
    <ndc_label_name>QC OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868018624</ndc>
    <ndc_label_name>Children's Non-Aspirin 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868018724</ndc>
    <ndc_label_name>Antibacterial-Urinary Pain Relief 162 mg-162.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868019845</ndc>
    <ndc_label_name>QC MICONAZOLE-7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868020812</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868022315</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868022820</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868022936</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 325 mg-1,916 mg-1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868024404</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868024408</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868025915</ndc>
    <ndc_label_name>QC CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868026624</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868026701</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868028180</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868029106</ndc>
    <ndc_label_name>Cough and Severe Cold 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868029208</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868031012</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868031706</ndc>
    <ndc_label_name>QC CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868032206</ndc>
    <ndc_label_name>QC CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868032501</ndc>
    <ndc_label_name>Non-Aspirin PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868032550</ndc>
    <ndc_label_name>Non-Aspirin PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868032808</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868033102</ndc>
    <ndc_label_name>QC IODIDES TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868033324</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868033912</ndc>
    <ndc_label_name>Diarrhea Relief (bismuth subsalicylate) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868034801</ndc>
    <ndc_label_name>Fiber-Caps (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868035210</ndc>
    <ndc_label_name>QC ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868036320</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868036336</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868037004</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868037305</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868038045</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868038090</ndc>
    <ndc_label_name>Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868040006</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868041401</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868042514</ndc>
    <ndc_label_name>QC ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868046601</ndc>
    <ndc_label_name>QC NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868046936</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868047424</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868048501</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868050350</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868050515</ndc>
    <ndc_label_name>Eye Drops Irritation Relief 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868050701</ndc>
    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868055912</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868056720</ndc>
    <ndc_label_name>Flu HBP 2 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868056820</ndc>
    <ndc_label_name>Cold Relief Plus 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868056924</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 500 mg-1,985 mg-1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868057710</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868057901</ndc>
    <ndc_label_name>Vegetable Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868058501</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868059428</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868059728</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) with Aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868059975</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868060501</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868062230</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868066150</ndc>
    <ndc_label_name>Pain Relief (aspirin-caffeine) 845 mg-65 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868066730</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868067760</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868067950</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868068301</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868068501</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868069204</ndc>
    <ndc_label_name>Pain Relieving Cream 4 %-30 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868069457</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868069730</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868070404</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868071257</ndc>
    <ndc_label_name>Antacid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868071557</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868074506</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868075350</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868077210</ndc>
    <ndc_label_name>Rest Simply Nighttime Sleep 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868077324</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63868082125</ndc>
    <ndc_label_name>QC OLOPATADINE 0.2% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63868082940</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-25 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Feminine Anti-Itch 20 %-3 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Menstrual Pain Relief 500 mg-25 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Non-Aspirin Pain Relief 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Heartburn Antacid 160 mg-105 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63921012015</ndc>
    <ndc_label_name>Supersoft lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63921012016</ndc>
    <ndc_label_name>Supersoft lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63921013004</ndc>
    <ndc_label_name>AmeriCerin topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AmeriPhor topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ameristore lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63921016004</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921020001</ndc>
    <ndc_label_name>Ameriwash Hand Soap lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921020010</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921020916</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Instaclean solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Wound Cleanser irrigation spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921045008</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921050035</ndc>
    <ndc_label_name>PeriShield 3.8 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921050516</ndc>
    <ndc_label_name>PeriShield topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921051001</ndc>
    <ndc_label_name>Periclean 0.43 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921051008</ndc>
    <ndc_label_name>Periclean 0.43 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63921052008</ndc>
    <ndc_label_name>PeriScent topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63943000012</ndc>
    <ndc_label_name>Aura Portaneb misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948000458</ndc>
    <ndc_label_name>Sleep Tonight 250 mg-225 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948001151</ndc>
    <ndc_label_name>Acid-A-Cal Formula 50 mg-9.85 mg-65 mg-5.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948001315</ndc>
    <ndc_label_name>Complete Liver Cleanse 16.7 mg-66.7 mcg-110 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63948001558</ndc>
    <ndc_label_name>Myo-Tone tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948001787</ndc>
    <ndc_label_name>GS-500  500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948002869</ndc>
    <ndc_label_name>BP Manager 519 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948003209</ndc>
    <ndc_label_name>Hem-Care 50 mg-10 mg-30 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948003239</ndc>
    <ndc_label_name>Revitalizing Sleep Formula 50 mg-50 mg-200 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948003952</ndc>
    <ndc_label_name>Gluten Defense capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004085</ndc>
    <ndc_label_name>ADRENergize 150 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004213</ndc>
    <ndc_label_name>Probiotic Pearls Women's 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004250</ndc>
    <ndc_label_name>Mega-Zyme tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004251</ndc>
    <ndc_label_name>Mega-Zyme tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004293</ndc>
    <ndc_label_name>Probiotic Pearls Acidophilus 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004299</ndc>
    <ndc_label_name>Probiotic Pearls Acidophilus 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004363</ndc>
    <ndc_label_name>Probiotic Pearls Complete 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004369</ndc>
    <ndc_label_name>Probiotic Pearls Complete 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004806</ndc>
    <ndc_label_name>Petadolex 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948004906</ndc>
    <ndc_label_name>Blood Sugar Manager 300 mcg DFE-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005006</ndc>
    <ndc_label_name>Youthful You 5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005073</ndc>
    <ndc_label_name>Probiotic Pearls Max Potency 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005186</ndc>
    <ndc_label_name>7-Keto DHEA (acetate) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005219</ndc>
    <ndc_label_name>Energizing Iron 4 mg-100 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005229</ndc>
    <ndc_label_name>Ultimate Iron 25 mg-60 mg-100 mcg-200 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005336</ndc>
    <ndc_label_name>Estrobalance 340 mg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005519</ndc>
    <ndc_label_name>Cholesterol Shield 400 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005526</ndc>
    <ndc_label_name>GAMMA-AMINOBUTYRIC ACID 250 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005800</ndc>
    <ndc_label_name>Cell Forte 400 mg-110 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005802</ndc>
    <ndc_label_name>Cell Forte 400 mg-110 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005812</ndc>
    <ndc_label_name>Cell Forte Max3 400 mg-110 mg-5 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005836</ndc>
    <ndc_label_name>Resveratrol-Forte 175 mg-63.75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005850</ndc>
    <ndc_label_name>Cell Forte 1.79 g-519 mg/4.1 g (1 tsp) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948005886</ndc>
    <ndc_label_name>Protective Breast Formula 5 mcg-50 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948006103</ndc>
    <ndc_label_name>Smart Q10-Vit E 100 mg-201 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948006113</ndc>
    <ndc_label_name>Smart Q10 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63948006202</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63948006919</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007206</ndc>
    <ndc_label_name>AM-PM Menopause Formula 20-250-100(d)/20-200-100mg(n) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007500</ndc>
    <ndc_label_name>Remifemin Menopause 2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007520</ndc>
    <ndc_label_name>Remifemin Menopause 2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63948007526</ndc>
    <ndc_label_name>Fiber Delights 2 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007712</ndc>
    <ndc_label_name>OsteoPrime Plus Calcium-Magnesium 200 mg-5 mcg-75 mg-200 mcgDFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007722</ndc>
    <ndc_label_name>OsteoPrime 200 mcg DFE-75 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007766</ndc>
    <ndc_label_name>KREBS MAGNES POTASS CPLX TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948007842</ndc>
    <ndc_label_name>Actifruit Cranberry 500 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008102</ndc>
    <ndc_label_name>Super Milk Thistle 254 mg-10 mg-40 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008239</ndc>
    <ndc_label_name>IVY EXTRACT 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008362</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008452</ndc>
    <ndc_label_name>Fiber Fusion Daily 620 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008501</ndc>
    <ndc_label_name>Garlinase 320 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008503</ndc>
    <ndc_label_name>Garlinase 320 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008540</ndc>
    <ndc_label_name>SWEET CHERRY EXTRACT 500 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948008771</ndc>
    <ndc_label_name>Bronchial Soothe 43 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009001</ndc>
    <ndc_label_name>DGL 25 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009021</ndc>
    <ndc_label_name>DGL 25 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009101</ndc>
    <ndc_label_name>DGL 75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009110</ndc>
    <ndc_label_name>Heartburn Free 1 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009550</ndc>
    <ndc_label_name>L-THEANINE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948009556</ndc>
    <ndc_label_name>L-THEANINE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948010228</ndc>
    <ndc_label_name>Probiotic Pearls Women's 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948010510</ndc>
    <ndc_label_name>Adult 50 Plus Probiotic Pearl 1 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948010746</ndc>
    <ndc_label_name>Sleep Tonight Drops 5 mg-200 mg-20 mg/2.5 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948015831</ndc>
    <ndc_label_name>TART CHERRY 400 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63948016843</ndc>
    <ndc_label_name>RIBOFLAVIN 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948056435</ndc>
    <ndc_label_name>Elite Probiotic Extra Strength 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63948056445</ndc>
    <ndc_label_name>TART CHERRY 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981000101</ndc>
    <ndc_label_name>Aller-Flo 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981000105</ndc>
    <ndc_label_name>Aller-Flo 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981000113</ndc>
    <ndc_label_name>Aller-Flo 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981001287</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981001339</ndc>
    <ndc_label_name>AllerClear D-12hr 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981001360</ndc>
    <ndc_label_name>AllerClear D-12hr 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981001942</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981002901</ndc>
    <ndc_label_name>Quit 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981011040</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981011701</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981011703</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981012409</ndc>
    <ndc_label_name>Quit 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981012437</ndc>
    <ndc_label_name>Quit 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981013822</ndc>
    <ndc_label_name>AllerClear D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981014762</ndc>
    <ndc_label_name>Aller-Tec D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981017001</ndc>
    <ndc_label_name>Quit 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981019009</ndc>
    <ndc_label_name>Quit 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981019037</ndc>
    <ndc_label_name>Quit 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981019402</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981019485</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981023912</ndc>
    <ndc_label_name>AllerClear D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981029114</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981030604</ndc>
    <ndc_label_name>LaxaClear 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981030607</ndc>
    <ndc_label_name>LaxaClear 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981032978</ndc>
    <ndc_label_name>Allergy Medicine 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981034437</ndc>
    <ndc_label_name>Quit 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981036879</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981037401</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981044301</ndc>
    <ndc_label_name>Aller-Cort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981044304</ndc>
    <ndc_label_name>Aller-Cort 55 mcg nasal spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981045888</ndc>
    <ndc_label_name>Aller-Tec 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981047543</ndc>
    <ndc_label_name>Children's Aller-Tec 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981057148</ndc>
    <ndc_label_name>Aller-Fex 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981058203</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981059903</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981059905</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981060490</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981061288</ndc>
    <ndc_label_name>Allerclear 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981069901</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981070090</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981070295</ndc>
    <ndc_label_name>Cold-Flu Multi-Symptom Day-Night 2 mg-5 mg-10 mg-325 mg-200 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981072365</ndc>
    <ndc_label_name>AllerClear D-12hr 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981072415</ndc>
    <ndc_label_name>AllerClear D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981081201</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981084748</ndc>
    <ndc_label_name>Aller-Fex 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981087005</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>63981087337</ndc>
    <ndc_label_name>Quit 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>63981089801</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
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    <ndc>64253022221</ndc>
    <ndc_label_name>HEPARIN FLUSH 10 UNITS/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022222</ndc>
    <ndc_label_name>HEPARIN 20 UNITS/2 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022223</ndc>
    <ndc_label_name>HEPARIN 30 UNITS/3 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022225</ndc>
    <ndc_label_name>HEPARIN 50 UNITS/5 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022230</ndc>
    <ndc_label_name>HEPARIN 100 UNIT/10 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022233</ndc>
    <ndc_label_name>HEPARIN 30 UNITS/3 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253022235</ndc>
    <ndc_label_name>HEPARIN 50 UNITS/5 ML (10/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033321</ndc>
    <ndc_label_name>HEPARIN IV FLUSH 100 UNITS/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033322</ndc>
    <ndc_label_name>HEPARIN 200 UNIT/2 ML (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033323</ndc>
    <ndc_label_name>HEPARIN 300 UNIT/3 ML (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033325</ndc>
    <ndc_label_name>HEPARIN 500 UNIT/5 ML (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033330</ndc>
    <ndc_label_name>HEPARIN 1,000 UNIT/10 (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033333</ndc>
    <ndc_label_name>HEPARIN 300 UNIT/3 ML (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253033335</ndc>
    <ndc_label_name>HEPARIN 500 UNIT/5 ML (100/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253040030</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253040091</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044421</ndc>
    <ndc_label_name>HEPARIN IV FLUSH 1 UNIT/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044422</ndc>
    <ndc_label_name>HEPARIN 2 UNIT/2 ML (1/ML) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044423</ndc>
    <ndc_label_name>HEPARIN 3 UNIT/3 ML (1/ML) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044425</ndc>
    <ndc_label_name>HEPARIN 5 UNIT/5 ML (1/ML) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044430</ndc>
    <ndc_label_name>HEPARIN 10 UNIT/10 ML (1/ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044433</ndc>
    <ndc_label_name>HEPARIN 3 UNIT/3 ML (1/ML) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253044435</ndc>
    <ndc_label_name>HEPARIN 5 UNIT/5 ML (1/ML) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253090030</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253090036</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64253090091</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281010000</ndc>
    <ndc_label_name>Provocholine 100 mg solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281010006</ndc>
    <ndc_label_name>Provocholine 100 mg solution for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011005</ndc>
    <ndc_label_name>Provocholine 0 to 48 mg/3 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011006</ndc>
    <ndc_label_name>Provocholine 0 to 48 mg/3 mL solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011100</ndc>
    <ndc_label_name>Provocholine 0 mg/3 mL (0 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011200</ndc>
    <ndc_label_name>Provocholine 0.1875 mg/3 mL (0.0625 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011300</ndc>
    <ndc_label_name>Provocholine 0.75 mg/3 mL (0.25 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011400</ndc>
    <ndc_label_name>Provocholine 3 mg/3 mL (1 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011500</ndc>
    <ndc_label_name>Provocholine 12 mg/3 mL (4 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64281011600</ndc>
    <ndc_label_name>Provocholine 48 mg/3 mL (16 mg/mL) solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64370037501</ndc>
    <ndc_label_name>Hemangeol 4.28 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64370037550</ndc>
    <ndc_label_name>Hemangeol 4.28 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64370088201</ndc>
    <ndc_label_name>DEXERYL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380011601</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380011602</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380014901</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380015101</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380015102</ndc>
    <ndc_label_name>TESTOSTERONE 1% (25MG/2.5G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015201</ndc>
    <ndc_label_name>TESTOSTERONE 1% (50 MG/5 G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015202</ndc>
    <ndc_label_name>TESTOSTERONE 1% (50 MG/5 G) PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015301</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015401</ndc>
    <ndc_label_name>MINOCYCLINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015501</ndc>
    <ndc_label_name>MINOCYCLINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015601</ndc>
    <ndc_label_name>MINOCYCLINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015701</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015702</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015801</ndc>
    <ndc_label_name>MEGESTROL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015901</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015902</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380015903</ndc>
    <ndc_label_name>MEGESTROL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380016001</ndc>
    <ndc_label_name>MEGESTROL ACET 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380016002</ndc>
    <ndc_label_name>MEGESTROL ACET 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016101</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016201</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016202</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016203</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016301</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016401</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016402</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016501</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016502</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016601</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016702</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016802</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016901</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380016902</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017001</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017002</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017101</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017102</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017201</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017202</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017301</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017302</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017401</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017402</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017501</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017502</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380017601</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380017701</ndc>
    <ndc_label_name>Accolate 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380017801</ndc>
    <ndc_label_name>Accolate 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380017901</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380018001</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380018002</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380018101</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018201</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018202</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018301</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018302</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018401</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018402</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018404</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018501</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018502</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018504</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018601</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018604</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018701</ndc>
    <ndc_label_name>ZAFIRLUKAST 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018801</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380018901</ndc>
    <ndc_label_name>ZILEUTON ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380019701</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-12.5 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380019801</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380019901</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-12.5MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380020001</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380020101</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-320-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380020301</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380020401</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380020501</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380020701</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380020801</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380021201</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380021202</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380021301</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380022501</ndc>
    <ndc_label_name>DOXYCYCLINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380024301</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380024401</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380024601</ndc>
    <ndc_label_name>PROPAFENONE HCL 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380025901</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026001</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026101</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026201</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026301</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026801</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026802</ndc>
    <ndc_label_name>PROPAFENONE HCL 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026901</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380026902</ndc>
    <ndc_label_name>PROPAFENONE HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044001</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044101</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044201</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044601</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044603</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044701</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044702</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380044801</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #2 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047201</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047301</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047401</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047501</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047601</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047701</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380047801</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380070703</ndc>
    <ndc_label_name>LAMIVUDINE-ZIDOVUDINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380071003</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380071104</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380071206</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380071207</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380071306</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380071307</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380071404</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380071703</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380071904</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072006</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072106</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072206</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072304</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072306</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072406</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072506</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072507</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072606</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072607</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072701</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072702</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072801</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072802</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072901</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072902</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380072903</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073001</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073002</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073003</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073101</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073102</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073406</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073408</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073506</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073508</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073606</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380073706</ndc>
    <ndc_label_name>Vitamin D2 1,250 mcg (50,000 unit) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074001</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074002</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074106</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074107</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074108</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074206</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074207</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074208</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074303</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074318</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074403</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074605</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074705</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074805</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380074905</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075005</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075105</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380075216</ndc>
    <ndc_label_name>METHOXSALEN 10 MG SOFTGEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075301</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075302</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075401</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075402</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075806</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380075906</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076006</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076111</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076304</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076305</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076621</ndc>
    <ndc_label_name>PEG-3350 AND ELECTROLYTES SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380076921</ndc>
    <ndc_label_name>PEG 3350-ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077300</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077302</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077319</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077906</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077907</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077925</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380077938</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078006</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078007</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078025</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078108</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078206</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078306</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078308</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078406</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078407</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078408</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078506</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078507</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078508</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078706</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380078707</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380078923</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380078932</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380078933</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380079506</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380079508</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380079604</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380079606</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380079701</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380079801</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380079901</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080706</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080707</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080806</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080807</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080906</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380080907</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380082706</ndc>
    <ndc_label_name>KETOCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380083306</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380083406</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380083506</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380083622</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380083623</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380083653</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380084206</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380084306</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380084307</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380084406</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086006</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086007</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086008</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086106</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086107</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086108</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086707</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086807</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380086907</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380087267</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380087500</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380087569</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380087570</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380087806</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380087975</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380088000</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380088080</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380088100</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380088180</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380088304</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380088404</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380088504</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380088904</ndc>
    <ndc_label_name>EFAVIRENZ 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380089006</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380089106</ndc>
    <ndc_label_name>TETRACYCLINE 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380090004</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090190</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380090206</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64380090306</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090503</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090603</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090704</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090705</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090707</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090804</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380090807</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380091806</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380091906</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380092001</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380092201</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380092202</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380092301</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093304</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093305</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093308</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093404</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093405</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093408</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093504</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093505</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380093508</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380094906</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380097025</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380097106</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380097206</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380099703</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64380099704</ndc>
    <ndc_label_name>IBUPROFEN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406000501</ndc>
    <ndc_label_name>Tecfidera 120 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406000602</ndc>
    <ndc_label_name>Tecfidera 240 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406000703</ndc>
    <ndc_label_name>Tecfidera 120 mg (14)-240 mg (46) capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406000801</ndc>
    <ndc_label_name>Tysabri 300 mg/15 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001101</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001102</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001201</ndc>
    <ndc_label_name>Plegridy 63 mcg/0.5 mL-94 mcg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001501</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001502</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001601</ndc>
    <ndc_label_name>Plegridy 63 mcg/0.5 mL-94 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001701</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001702</ndc>
    <ndc_label_name>Plegridy 125 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001901</ndc>
    <ndc_label_name>Byooviz 0.5 mg/0.05 mL intravitreal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406001907</ndc>
    <ndc_label_name>Byooviz 0.5 mg/0.05 mL intravitreal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406002003</ndc>
    <ndc_label_name>Vumerity 231 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406002201</ndc>
    <ndc_label_name>Tofidence 200 mg/10 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406002301</ndc>
    <ndc_label_name>Tofidence 400 mg/20 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406002401</ndc>
    <ndc_label_name>Tofidence 80 mg/4 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406002901</ndc>
    <ndc_label_name>Zurzuvae 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406003002</ndc>
    <ndc_label_name>Zurzuvae 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406003101</ndc>
    <ndc_label_name>Zurzuvae 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406005801</ndc>
    <ndc_label_name>Spinraza (PF) 12 mg/5 mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406010101</ndc>
    <ndc_label_name>ADUHELM 170 MG/1.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406010202</ndc>
    <ndc_label_name>ADUHELM 300 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406010901</ndc>
    <ndc_label_name>Qalsody 100 mg/15 mL (6.7 mg/mL) intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64406025090</ndc>
    <ndc_label_name>Skyclarys 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64533000001</ndc>
    <ndc_label_name>LidAll Patches 4 %-1 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543004404</ndc>
    <ndc_label_name>Rescon-GG 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543004416</ndc>
    <ndc_label_name>Rescon-GG 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543009790</ndc>
    <ndc_label_name>Rescon 2 mg-60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543010504</ndc>
    <ndc_label_name>Rescon-DM 2 mg-30 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543010516</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543011101</ndc>
    <ndc_label_name>Symax-SL 0.125 mg sublingual tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543011201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543011401</ndc>
    <ndc_label_name>Symax Fastabs 0.125 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64543011890</ndc>
    <ndc_label_name>Symax Duotab 0.125 mg and 0.25 mg (0.375 mg) tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64543012504</ndc>
    <ndc_label_name>Liquituss GG 200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764013001</ndc>
    <ndc_label_name>Adzynma 500 (+/-) unit intravenous kit</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764013501</ndc>
    <ndc_label_name>Adzynma 1,500 (+/-) unit intravenous kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764015104</ndc>
    <ndc_label_name>Actos 15 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764015860</ndc>
    <ndc_label_name>Actoplus MET 15 mg-850 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764017130</ndc>
    <ndc_label_name>Dexilant 30 mg capsule, delayed release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764024060</ndc>
    <ndc_label_name>Amitiza 24 mcg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Nesina 25 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764025103</ndc>
    <ndc_label_name>OSENI 25-15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764025303</ndc>
    <ndc_label_name>OSENI 25-30 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764025403</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764030020</ndc>
    <ndc_label_name>Entyvio 300 mg intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764030114</ndc>
    <ndc_label_name>Actos 30 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764030230</ndc>
    <ndc_label_name>DUETACT 30 mg-2 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kazano 12.5 mg-500 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64764051192</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>NESINA 6.25 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Uloric 80 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Livtencity 200 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>ROPINIROLE HCL ER 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>ROPINIROLE HCL ER 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850025230</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850025330</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850025430</ndc>
    <ndc_label_name>ROPINIROLE HCL ER 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850030001</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850030030</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850033001</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850044001</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850044010</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850050601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850051501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055001</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055301</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850055601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850060301</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850060401</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062101</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062105</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062201</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062205</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062301</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850062305</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063001</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 2.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063101</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063105</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063201</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063205</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063301</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850063305</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064101</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #2 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064105</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #2 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064201</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064205</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064301</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850064305</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #4 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850081001</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850081010</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850084001</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850084101</ndc>
    <ndc_label_name>DANTROLENE SODIUM 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850084201</ndc>
    <ndc_label_name>DANTROLENE SODIUM 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850085030</ndc>
    <ndc_label_name>TRIMIPRAMINE MALEATE 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850085130</ndc>
    <ndc_label_name>TRIMIPRAMINE MALEATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850085230</ndc>
    <ndc_label_name>TRIMIPRAMINE MALEATE 100 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850089001</ndc>
    <ndc_label_name>LOXAPINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850089101</ndc>
    <ndc_label_name>LOXAPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850089201</ndc>
    <ndc_label_name>LOXAPINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64850089301</ndc>
    <ndc_label_name>LOXAPINE 50 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850091001</ndc>
    <ndc_label_name>ISRADIPINE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64850091101</ndc>
    <ndc_label_name>ISRADIPINE 5 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64875000101</ndc>
    <ndc_label_name>Mifeprex 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64896007609</ndc>
    <ndc_label_name>LYVISPAH 5 MG GRANULE PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64896007709</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64896007809</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64896050902</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Emverm 100 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950020603</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950020610</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE 5-1.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950021101</ndc>
    <ndc_label_name>CARBINOXAMINE MALEATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950021403</ndc>
    <ndc_label_name>MEPERIDINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950021610</ndc>
    <ndc_label_name>ISONIAZID 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950021703</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950021710</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950021810</ndc>
    <ndc_label_name>FLURBIPROFEN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950024304</ndc>
    <ndc_label_name>CARBINOXAMINE 4 MG/5 ML LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950024316</ndc>
    <ndc_label_name>CARBINOXAMINE 4 MG/5 ML LIQUID</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950026810</ndc>
    <ndc_label_name>CLEMASTINE FUM 2.68 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950029016</ndc>
    <ndc_label_name>BUTAL-ACE-CAF 50-325-40MG/15ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950032047</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950032412</ndc>
    <ndc_label_name>CLEMASTINE 0.5 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950034205</ndc>
    <ndc_label_name>Hycodan 5 mg-1.5 mg/5 mL (5 mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950034245</ndc>
    <ndc_label_name>Hycodan 5 mg-1.5 mg/5 mL (5 mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950034247</ndc>
    <ndc_label_name>Hycodan (with homatropine) 5 mg-1.5 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950034316</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMN 7.5-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950034416</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950034516</ndc>
    <ndc_label_name>PROMETHAZINE-PE 6.25-5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950035405</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950035445</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950035450</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950035455</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950035904</ndc>
    <ndc_label_name>Goprelto 4 % nasal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950036204</ndc>
    <ndc_label_name>COCAINE HCL 4% NASAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950037147</ndc>
    <ndc_label_name>HYDROCODONE-HOMATROPINE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950037316</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMN 7.5-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950037416</ndc>
    <ndc_label_name>ACETAMINOP-CODEINE 120-12 MG/5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950037516</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950037896</ndc>
    <ndc_label_name>SILVER NITRATE 0.5% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64950038114</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.2% OTIC SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057101</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057110</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057201</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057210</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057301</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057310</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057401</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057410</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057501</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057510</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057601</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057610</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057701</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057710</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057801</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64950057810</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64973000023</ndc>
    <ndc_label_name>Wellness Protein 16 gram-90 kcal/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64973000027</ndc>
    <ndc_label_name>Wellness Protein 16 gram-90 kcal/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980010401</ndc>
    <ndc_label_name>Phospha Neutral 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980012403</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980012415</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980012460</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980012950</ndc>
    <ndc_label_name>Floranex 1 million cell tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013301</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013310</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013401</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013410</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013501</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980013510</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980014612</ndc>
    <ndc_label_name>Floranex 100 million cell oral granules in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980014698</ndc>
    <ndc_label_name>Floranex 100 million cell oral granules in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980014703</ndc>
    <ndc_label_name>RisaQuad 8 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980015001</ndc>
    <ndc_label_name>Risacal-D 100 mg (as calcium phosphate, dibasic)-3 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980015603</ndc>
    <ndc_label_name>RisaQuad-2  16 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980016401</ndc>
    <ndc_label_name>Risa-Bid 1 billion cell-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980016901</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980016905</ndc>
    <ndc_label_name>HYDROXYZINE PAM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980017303</ndc>
    <ndc_label_name>Folitab 105 mg iron-500 mg-800 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980017750</ndc>
    <ndc_label_name>CHLOROQUINE PH 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980017802</ndc>
    <ndc_label_name>CHLOROQUINE PH 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980018105</ndc>
    <ndc_label_name>DIFLUNISAL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980018603</ndc>
    <ndc_label_name>GRISEOFULVIN MICRO 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980019003</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980019010</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980019401</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980019501</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020101</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020201</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980020316</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980020413</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020501</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020505</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980020612</ndc>
    <ndc_label_name>ZILEUTON ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020901</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980020905</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980021001</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980021005</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980021101</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980022003</ndc>
    <ndc_label_name>PYRIDOSTIGMINE ER 180 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980022101</ndc>
    <ndc_label_name>METHYLPHENIDATE 2.5 MG CHEW TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980022201</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG CHEW TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980022301</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG CHEW TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023501</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023505</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023525</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023601</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023605</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980023650</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980025616</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980025713</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980026401</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980026501</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980027301</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980027606</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980027712</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980027801</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980027903</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028001</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028005</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028010</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028101</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028105</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028110</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980028203</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980029001</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980029101</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980029201</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980029301</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980030130</ndc>
    <ndc_label_name>Proctozone-HC 2.5 % topical cream perineal applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980030301</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980030310</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980030401</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980030650</ndc>
    <ndc_label_name>Denta 5000 Plus 1.1 % cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032005</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980032212</ndc>
    <ndc_label_name>Risamine 0.44 %-20.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980032430</ndc>
    <ndc_label_name>Proctozone-HC 2.5 % topical cream perineal applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032515</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032530</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032560</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032801</ndc>
    <ndc_label_name>ERYTHROMYCIN-BENZOYL GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032802</ndc>
    <ndc_label_name>ERYTHROMYCIN-BENZOYL GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980032920</ndc>
    <ndc_label_name>FLUOCINOLONE OIL 0.01% EAR DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980033004</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980033104</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980033405</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980033514</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980033805</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980033901</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980033912</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980033990</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034001</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034003</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034114</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034201</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034214</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980034903</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980035003</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980035103</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980035606</ndc>
    <ndc_label_name>STAVUDINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980035706</ndc>
    <ndc_label_name>STAVUDINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037303</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037403</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037503</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037603</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037703</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037803</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980037903</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980040310</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980040350</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980040403</ndc>
    <ndc_label_name>TOREMIFENE CITRATE 60 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980040524</ndc>
    <ndc_label_name>ABACAVIR 20 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980040603</ndc>
    <ndc_label_name>EFAVIRENZ 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980040709</ndc>
    <ndc_label_name>EFAVIRENZ 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980040906</ndc>
    <ndc_label_name>SERTRALINE 20 MG/ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041009</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041109</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041110</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041209</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041210</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041309</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041310</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041409</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041410</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041509</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041609</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980041709</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980041812</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980042602</ndc>
    <ndc_label_name>TINIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980042712</ndc>
    <ndc_label_name>TINIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980043001</ndc>
    <ndc_label_name>CEFIXIME 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043101</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043110</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043150</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043201</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043205</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043301</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043401</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043501</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043701</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043710</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043801</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043810</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043901</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980043910</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980044201</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980044301</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980044715</ndc>
    <ndc_label_name>CALCITRIOL 1 MCG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980044801</ndc>
    <ndc_label_name>NEOMYCIN-POLYMYXIN-HC EAR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980044903</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980050312</ndc>
    <ndc_label_name>LEVOCARNITINE 1 G/10 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980050448</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980050924</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML ELX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051110</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051301</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051305</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051315</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051401</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051405</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051415</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051501</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051505</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980051625</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980052603</ndc>
    <ndc_label_name>NITAZOXANIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980052621</ndc>
    <ndc_label_name>NITAZOXANIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980052660</ndc>
    <ndc_label_name>NITAZOXANIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980052810</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980053101</ndc>
    <ndc_label_name>OXYBUTYNIN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056102</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056103</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056201</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056210</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056310</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056401</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056450</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056601</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056603</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056701</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980056703</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980057101</ndc>
    <ndc_label_name>METHYLDOPA 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980057201</ndc>
    <ndc_label_name>METHYLDOPA 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980057301</ndc>
    <ndc_label_name>PHENYTOIN 50 MG TABLET CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980057803</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980057809</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980057903</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980057909</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058003</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058009</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058103</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058109</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058206</ndc>
    <ndc_label_name>CHLORZOXAZONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058805</ndc>
    <ndc_label_name>EDETATE CALC DISOD 1000 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980058851</ndc>
    <ndc_label_name>EDETATE CALC DISOD 1000 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059248</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059295</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980059324</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059401</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059501</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059601</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059701</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059801</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059901</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980059910</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060001</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060103</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060109</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060203</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060209</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060303</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060309</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060412</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060450</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060512</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060550</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060612</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060650</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980060706</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980061401</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980061410</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980061450</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062301</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062310</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062350</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062401</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062410</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062450</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062701</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062750</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062801</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062850</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062901</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980062950</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063004</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063041</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063203</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063209</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063210</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063303</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063309</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063310</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063401</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063450</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063501</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063550</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063603</ndc>
    <ndc_label_name>RANITIDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980063703</ndc>
    <ndc_label_name>RANITIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980063803</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980063903</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064002</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064003</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064203</ndc>
    <ndc_label_name>ALBUTEROL 2.5 MG/0.5 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064503</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980064506</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065501</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065510</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065550</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065701</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065710</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065750</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065810</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065910</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980065915</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066027</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066036</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066091</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066127</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066136</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066191</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066227</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066236</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066291</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TRAMADOL HCL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066503</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980066509</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980066701</ndc>
    <ndc_label_name>MEXILETINE 200 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980066801</ndc>
    <ndc_label_name>MEXILETINE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980067210</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980067250</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980067350</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980068601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>64980069090</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fexmid 7.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980070701</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980070750</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980070801</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>64980070850</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013110</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013201</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013210</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013301</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013310</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145013701</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145013901</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145014001</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145014101</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145014201</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145014301</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145014401</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014501</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014525</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014601</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014625</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014701</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014725</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014801</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145014901</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015001</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015101</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015110</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145015201</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145015301</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145015401</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015501</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015510</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015601</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015610</ndc>
    <ndc_label_name>PROCAINAMIDE 1 GRAM/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015801</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145015825</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016101</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016201</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016301</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016401</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016501</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016510</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016601</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145016610</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145016701</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145016710</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145016801</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145016810</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65145016901</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017301</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017310</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017401</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017410</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017501</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65145017510</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155010201</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155020401</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155040801</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155070301</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155074206</ndc>
    <ndc_label_name>CALCIUM 500 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65155098112</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162000103</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162000203</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002309</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002409</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002509</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002609</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002709</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002809</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162002909</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162003009</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162003109</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162003310</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162003311</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162003416</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162004710</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162004750</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162004810</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162004910</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162004950</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162005010</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162005110</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162005703</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162005710</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162005827</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162005903</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162006003</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162006205</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162006587</ndc>
    <ndc_label_name>SODIUM OXYBATE 0.5 G/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162008203</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162008774</ndc>
    <ndc_label_name>ITRACONAZOLE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010110</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010111</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010150</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010210</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010211</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010250</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010310</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162010350</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162011510</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162011550</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162012604</ndc>
    <ndc_label_name>Lyllana 0.025 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162012608</ndc>
    <ndc_label_name>Lyllana 0.025 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162014804</ndc>
    <ndc_label_name>Lyllana 0.0375 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162014808</ndc>
    <ndc_label_name>Lyllana 0.0375 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162014904</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162014908</ndc>
    <ndc_label_name>Lyllana 0.05 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162015004</ndc>
    <ndc_label_name>Lyllana 0.075 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162015008</ndc>
    <ndc_label_name>Lyllana 0.075 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162016906</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162017306</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162018810</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162018850</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162018950</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162019010</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162019011</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162019050</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162020710</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162020750</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162022621</ndc>
    <ndc_label_name>Yuvafem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162022623</ndc>
    <ndc_label_name>Yuvafem 10 mcg vaginal tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162022804</ndc>
    <ndc_label_name>Lyllana 0.1 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162022808</ndc>
    <ndc_label_name>Lyllana 0.1 mg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162024709</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162024803</ndc>
    <ndc_label_name>ALOSETRON HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162024903</ndc>
    <ndc_label_name>ALOSETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162025009</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162027110</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162027150</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162027210</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162027250</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162028003</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162028103</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162028203</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162028303</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162032109</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162032309</ndc>
    <ndc_label_name>NIACIN ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162033985</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162033991</ndc>
    <ndc_label_name>DAPSONE 5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162035109</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162035111</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162035801</ndc>
    <ndc_label_name>Zafemy 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162035803</ndc>
    <ndc_label_name>Zafemy 150 mcg-35 mcg/24 hr transdermal patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162036018</ndc>
    <ndc_label_name>MESALAMINE 800 MG DR TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162036110</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162036111</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162037110</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162037150</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162037210</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162037250</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162037310</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162041503</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 8-2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162041603</ndc>
    <ndc_label_name>BUPRENORPHINE-NALOX 2-0.5MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162043606</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162043806</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162044110</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162044111</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162044210</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162044211</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046410</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046450</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046510</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046550</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046609</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046610</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046650</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046819</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046932</ndc>
    <ndc_label_name>EluRyng 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162046935</ndc>
    <ndc_label_name>EluRyng 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162047505</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162047509</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162047810</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162050603</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162050606</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162050609</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162051210</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162051250</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162051310</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162051350</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162052110</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162052111</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162052210</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162055310</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055410</ndc>
    <ndc_label_name>DEMECLOCYCLINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055548</ndc>
    <ndc_label_name>DEMECLOCYCLINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055610</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055650</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055710</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162055750</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162057110</ndc>
    <ndc_label_name>BETHANECHOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162057210</ndc>
    <ndc_label_name>BETHANECHOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162057310</ndc>
    <ndc_label_name>BETHANECHOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162057410</ndc>
    <ndc_label_name>BETHANECHOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162058310</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162058403</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162059606</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162062710</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162062711</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162062750</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162063003</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162063609</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162063709</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162063711</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162064978</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162067384</ndc>
    <ndc_label_name>RISPERIDONE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162067684</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068086</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068090</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068110</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068210</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068312</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068688</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068690</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162068784</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML ORAL CONCENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162069179</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162069388</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162069890</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162070294</ndc>
    <ndc_label_name>FLUOCINOLONE OIL 0.01% EAR DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162070386</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162070486</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162070588</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162071003</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162071009</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162071110</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162071310</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162073409</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162073509</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162073518</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162074510</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162074934</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075009</ndc>
    <ndc_label_name>DUTASTERIDE 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075110</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075150</ndc>
    <ndc_label_name>BENAZEPRIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075210</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075250</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075310</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075350</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075410</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075450</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075510</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075550</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075710</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162075750</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162076610</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162076710</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162078309</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162078509</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162079108</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080114</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080151</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080214</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080351</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080414</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080451</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080514</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080551</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65162080651</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162084206</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162087903</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65162089129</ndc>
    <ndc_label_name>MOMETASONE FUROATE 50 MCG SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65197030011</ndc>
    <ndc_label_name>Gelusil Antacid and Anti-Gas 200 mg-200 mg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040010</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040012</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040101</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040200</ndc>
    <ndc_label_name>A and D Diaper Rash Cream 1 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040300</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040716</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197040735</ndc>
    <ndc_label_name>A and D (lanolin-petrolatum) topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197050204</ndc>
    <ndc_label_name>Solarcaine Burn Pain Relief 4 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197081115</ndc>
    <ndc_label_name>Bactine Pain Relieving Cleansing 4 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65197081504</ndc>
    <ndc_label_name>Bactine Max Dry 4 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197082080</ndc>
    <ndc_label_name>Bactine Max 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65197082105</ndc>
    <ndc_label_name>Bactine Max-Lidocaine 500 unit-10,000 unit-40 mg/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000400</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/50 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000401</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/50 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000600</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/100 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000601</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/100 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000850</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/50 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219000851</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ/50 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001000</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/100 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001001</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ/100 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001200</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/100 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001201</ndc>
    <ndc_label_name>POTASSIUM CL 10 MEQ/100 ML SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001401</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001410</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001601</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001610</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001801</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219001810</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002003</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002023</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002100</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002101</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002705</ndc>
    <ndc_label_name>ASCORBIC ACID 25,000 MG/50 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002750</ndc>
    <ndc_label_name>ASCORBIC ACID 25,000 MG/50 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002755</ndc>
    <ndc_label_name>ASCORBIC ACID 25,000 MG/50 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002805</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219002920</ndc>
    <ndc_label_name>THIOTEPA 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219003900</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219003901</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004221</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004271</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004421</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004471</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004621</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219004671</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005209</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005229</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005409</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005429</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005609</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219005629</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219006502</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219006505</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219006601</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219006610</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008001</ndc>
    <ndc_label_name>GADOTERATE 2.5 MMOL/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008005</ndc>
    <ndc_label_name>GADOTERATE 2.5 MMOL/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008201</ndc>
    <ndc_label_name>GADOTERATE 5 MMOL/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008210</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008401</ndc>
    <ndc_label_name>GADOTERATE 7.5 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008415</ndc>
    <ndc_label_name>GADOTERATE 7.5 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008601</ndc>
    <ndc_label_name>GADOTERATE 10 MMOL/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008620</ndc>
    <ndc_label_name>GADOTERATE 10 MMOL/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008806</ndc>
    <ndc_label_name>GADOTERATE 50 MMOL/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219008850</ndc>
    <ndc_label_name>GADOTERATE 50 MMOL/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219011801</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219011810</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219011901</ndc>
    <ndc_label_name>KCL 40 MEQ/L-D5W-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219011910</ndc>
    <ndc_label_name>KCL 40 MEQ/L-D5W-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219012012</ndc>
    <ndc_label_name>DALBAVANCIN HCL 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65219012800</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65219012801</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65219013001</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65219013002</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219013120</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219013320</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219013520</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014002</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014004</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014202</ndc>
    <ndc_label_name>KCL 10 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014210</ndc>
    <ndc_label_name>KCL 10 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014404</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014410</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014606</ndc>
    <ndc_label_name>KCL 30 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014610</ndc>
    <ndc_label_name>KCL 30 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014808</ndc>
    <ndc_label_name>KCL 40 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219014810</ndc>
    <ndc_label_name>KCL 40 MEQ/L-D5W-0.45% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015000</ndc>
    <ndc_label_name>KCL 10 MEQ/500ML-D5W-0.45%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015075</ndc>
    <ndc_label_name>KCL 10 MEQ/500ML-D5W-0.45%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015100</ndc>
    <ndc_label_name>KCL 10MEQ/500ML-D5W-0.225%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015175</ndc>
    <ndc_label_name>KCL 10MEQ/500ML-D5W-0.225%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015302</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.225% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219015310</ndc>
    <ndc_label_name>KCL 20 MEQ/L-D5W-0.225% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219016201</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219016210</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219016401</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219016450</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018401</ndc>
    <ndc_label_name>KETAMINE 200 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018420</ndc>
    <ndc_label_name>KETAMINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018601</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018605</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018613</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018623</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018701</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018710</ndc>
    <ndc_label_name>Sterile Water 100 % for Injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018801</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219018810</ndc>
    <ndc_label_name>KETAMINE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219019030</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219020005</ndc>
    <ndc_label_name>TEMSIROLIMUS 25 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219020205</ndc>
    <ndc_label_name>DILUENT FOR TEMSIROLIMUS VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219020401</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219020420</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219020505</ndc>
    <ndc_label_name>TEMSIROLIMUS 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219021801</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219021850</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219022001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219022010</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219056800</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057001</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057004</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057201</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057210</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057404</ndc>
    <ndc_label_name>IDACIO(CF) PEN 40 MG/0.8 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057900</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219057901</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219058401</ndc>
    <ndc_label_name>Tyenne Autoinjector 162 mg/0.9 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219058604</ndc>
    <ndc_label_name>Tyenne 162 mg/0.9 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219059004</ndc>
    <ndc_label_name>Tyenne 80 mg/4 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219059210</ndc>
    <ndc_label_name>Tyenne 200 mg/10 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219059420</ndc>
    <ndc_label_name>Tyenne 400 mg/20 mL (20 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219059601</ndc>
    <ndc_label_name>Tyenne Autoinjector 162 mg/0.9 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219059810</ndc>
    <ndc_label_name>Tyenne 162 mg/0.9 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219061269</ndc>
    <ndc_label_name>adalimumab-aacf(CF) pen Psoriasis-Uveitis Strt 40 mg/0.8 mL subcut kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219061289</ndc>
    <ndc_label_name>adalimumab-aacf(CF) pen Crohn's-UC-HS Starter 40 mg/0.8 mL subcut kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219061299</ndc>
    <ndc_label_name>ADALIMUMAB-AACF(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219061802</ndc>
    <ndc_label_name>ADALIMUMAB-AACF(CF) SYR 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219062020</ndc>
    <ndc_label_name>ADALIMUMAB-AACF(CF) SYR 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219062202</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219062210</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219062404</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219062420</ndc>
    <ndc_label_name>ACYCLOVIR 1,000 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063001</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063019</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063202</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063204</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063210</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063220</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063500</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219063501</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065002</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065005</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065010</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065050</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065601</ndc>
    <ndc_label_name>POTASSIUM PH 15 MMOL/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065610</ndc>
    <ndc_label_name>POTASSIUM PH 15 MMOL/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065801</ndc>
    <ndc_label_name>POTASSIUM PH 15 MMOL/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219065825</ndc>
    <ndc_label_name>POTASSIUM PH 15 MMOL/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219066801</ndc>
    <ndc_label_name>Conexxence 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219067001</ndc>
    <ndc_label_name>Bomyntra 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219067201</ndc>
    <ndc_label_name>Bomyntra 120 mg/1.7 mL (70 mg/mL) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219069501</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219069505</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219080001</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219080010</ndc>
    <ndc_label_name>Diprivan 10 mg/mL intravenous emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219080100</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219080101</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081002</ndc>
    <ndc_label_name>Xylocaine-MPF 10 mg/mL (1 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081101</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081110</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081201</ndc>
    <ndc_label_name>Xylocaine-MPF 20 mg/mL (2 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081202</ndc>
    <ndc_label_name>Xylocaine-MPF 20 mg/mL (2 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081401</ndc>
    <ndc_label_name>Xylocaine-MPF 20 mg/mL (2 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081405</ndc>
    <ndc_label_name>Xylocaine-MPF 20 mg/mL (2 %) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081803</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081810</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219081813</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219082205</ndc>
    <ndc_label_name>Otulfi 45 mg/0.5 mL subcutaneous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219082401</ndc>
    <ndc_label_name>Otulfi 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219082626</ndc>
    <ndc_label_name>Otulfi 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219082805</ndc>
    <ndc_label_name>Otulfi 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219086201</ndc>
    <ndc_label_name>USTEKINUMAB-AAUZ 45 MG SYRINGE</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65219086626</ndc>
    <ndc_label_name>USTEKINUMAB-AAUZ 90 MG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250000101</ndc>
    <ndc_label_name>Zilretta 32 mg intra-articular suspension,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250000301</ndc>
    <ndc_label_name>Zilretta 32 mg intra-articular suspension,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250013304</ndc>
    <ndc_label_name>Exparel (PF) 1.3 % (13.3 mg/mL) suspension for local infiltration</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250013309</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250013310</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250026604</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250026609</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65250026620</ndc>
    <ndc_label_name>Exparel (PF) 1.3 % (13.3 mg/mL) suspension for local infiltration</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65282150501</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% AMPULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65282160501</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050103</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050304</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050405</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENYLEPHRINE 0.8 MG/10 ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302050930</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302051005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65302052610</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/10 ML(1%) SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65373020001</ndc>
    <ndc_label_name>Scar Care 3" X 5 1/2" topical kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65393000041</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65517003501</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027005</ndc>
    <ndc_label_name>Konvomep 2 mg-84 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027010</ndc>
    <ndc_label_name>Konvomep 2 mg-84 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027103</ndc>
    <ndc_label_name>Diluent for Konvomep oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027105</ndc>
    <ndc_label_name>Diluent for Konvomep oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027110</ndc>
    <ndc_label_name>Diluent for Konvomep oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027203</ndc>
    <ndc_label_name>Konvomep 2 mg-84 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027205</ndc>
    <ndc_label_name>Konvomep 2 mg-84 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65628027210</ndc>
    <ndc_label_name>Konvomep 2 mg-84 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649000303</ndc>
    <ndc_label_name>Trulance 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649000330</ndc>
    <ndc_label_name>Trulance 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649010102</ndc>
    <ndc_label_name>Colazal 750 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649010302</ndc>
    <ndc_label_name>Apriso 0.375 gram capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649010430</ndc>
    <ndc_label_name>Envive 12 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649015090</ndc>
    <ndc_label_name>Relistor 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649020175</ndc>
    <ndc_label_name>MoviPrep 100 gram-7.5 gram-2.691 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649020176</ndc>
    <ndc_label_name>MoviPrep 100 gram-7.5 gram-2.691 gram oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649023141</ndc>
    <ndc_label_name>Azasan 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649024141</ndc>
    <ndc_label_name>Azasan 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649030103</ndc>
    <ndc_label_name>Xifaxan 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649030301</ndc>
    <ndc_label_name>Xifaxan 550 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649030302</ndc>
    <ndc_label_name>Xifaxan 550 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649030303</ndc>
    <ndc_label_name>Xifaxan 550 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649030305</ndc>
    <ndc_label_name>Xifaxan 550 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649031112</ndc>
    <ndc_label_name>Diuril 250 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649040001</ndc>
    <ndc_label_name>Plenvu 140 gram-9 gram-5.2 gram powder packs</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649040002</ndc>
    <ndc_label_name>Plenvu 140 gram-9 gram-5.2 gram powder packs</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649040130</ndc>
    <ndc_label_name>Anusol-HC 2.5 % topical cream with perineal applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649041112</ndc>
    <ndc_label_name>Anusol-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649041124</ndc>
    <ndc_label_name>Anusol-HC 25 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65649050130</ndc>
    <ndc_label_name>Proctocort 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649051112</ndc>
    <ndc_label_name>Proctocort 30 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649055102</ndc>
    <ndc_label_name>Relistor 12 mg/0.6 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649055103</ndc>
    <ndc_label_name>Relistor 12 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649055107</ndc>
    <ndc_label_name>Relistor 12 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649055204</ndc>
    <ndc_label_name>Relistor 8 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649065102</ndc>
    <ndc_label_name>Uceris 2 mg/actuation rectal foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65649065103</ndc>
    <ndc_label_name>Uceris 2 mg/actuation rectal foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702010710</ndc>
    <ndc_label_name>Accu-Chek Aviva Control Soln solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702012510</ndc>
    <ndc_label_name>Coaguchek XS misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702012710</ndc>
    <ndc_label_name>Coaguchek XS strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702012810</ndc>
    <ndc_label_name>Coaguchek XS strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65702015610</ndc>
    <ndc_label_name>Accu-Chek Softclix Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702025010</ndc>
    <ndc_label_name>Accutrend Cholesterol Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702027410</ndc>
    <ndc_label_name>Accutrend Glucose test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702027510</ndc>
    <ndc_label_name>Accutrend Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702027610</ndc>
    <ndc_label_name>Accutrend Cholesterol Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702028410</ndc>
    <ndc_label_name>Accutrend Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65702028810</ndc>
    <ndc_label_name>Accu-Chek Fastclix Lancet Drum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702039810</ndc>
    <ndc_label_name>Coaguchek XS Pro</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65702040010</ndc>
    <ndc_label_name>Accu-Chek Softclix Lancing Device+Lancets kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702040710</ndc>
    <ndc_label_name>Accu-Chek Aviva Plus test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702040810</ndc>
    <ndc_label_name>Accu-Chek Aviva Plus test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702045610</ndc>
    <ndc_label_name>Accutrend Glucose test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65702048110</ndc>
    <ndc_label_name>Accu-Chek FastClix Lancing Device kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702048810</ndc>
    <ndc_label_name>Accu-Chek SmartView Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702049210</ndc>
    <ndc_label_name>Accu-Chek SmartView Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702049310</ndc>
    <ndc_label_name>Accu-Chek SmartView Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702068810</ndc>
    <ndc_label_name>Accu-Chek Guide L1-L2 Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702070195</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702070323</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702071010</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702071110</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702071210</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702071310</ndc>
    <ndc_label_name>Accu-Chek Guide L1-L2 Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702071910</ndc>
    <ndc_label_name>Accu-Chek Guide test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702072910</ndc>
    <ndc_label_name>Accu-Chek Guide Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65702073110</ndc>
    <ndc_label_name>Accu-Chek Guide Me Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757030001</ndc>
    <ndc_label_name>Vivitrol 380 mg intramuscular suspension,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757030202</ndc>
    <ndc_label_name>Vivitrol 380 mg intramuscular suspension,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757030403</ndc>
    <ndc_label_name>Diluent For Vivitrol intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757040103</ndc>
    <ndc_label_name>Aristada 441 mg/1.6 mL suspension, extend.rel. IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757040203</ndc>
    <ndc_label_name>Aristada 662 mg/2.4 mL suspension, extend.rel. IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757040303</ndc>
    <ndc_label_name>Aristada 882 mg/3.2 mL suspension, extend.rel. IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757040403</ndc>
    <ndc_label_name>Aristada 1,064 mg/3.9 mL suspension, extend.rel. IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65757050003</ndc>
    <ndc_label_name>Aristada Initio 675 mg/2.4 mL suspension, extend.rel. IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065140</ndc>
    <ndc_label_name>Lybalvi 5 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065142</ndc>
    <ndc_label_name>Lybalvi 5 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065240</ndc>
    <ndc_label_name>Lybalvi 10 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065242</ndc>
    <ndc_label_name>Lybalvi 10 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065340</ndc>
    <ndc_label_name>Lybalvi 15 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065342</ndc>
    <ndc_label_name>Lybalvi 15 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065440</ndc>
    <ndc_label_name>Lybalvi 20 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65757065442</ndc>
    <ndc_label_name>Lybalvi 20 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857010030</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857015030</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857030030</ndc>
    <ndc_label_name>SODIUM FLUORIDE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857040001</ndc>
    <ndc_label_name>Lymphoseek 250 mcg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857042505</ndc>
    <ndc_label_name>Lymphoseek 250 mcg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857045005</ndc>
    <ndc_label_name>Lymphoseek 250 mcg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857050005</ndc>
    <ndc_label_name>TC99M SESTAMIBI PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857050020</ndc>
    <ndc_label_name>TC99M SESTAMIBI PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65857050510</ndc>
    <ndc_label_name>TC99M MEDRONATE PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000330</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000501</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000505</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000601</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000605</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000701</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000705</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000801</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000805</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000899</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000901</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862000905</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001001</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001005</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001046</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001099</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001101</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001105</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001130</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001201</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001205</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001230</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001301</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001305</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001330</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001401</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001501</ndc>
    <ndc_label_name>AMOXICILLIN 875 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001601</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001605</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001701</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001705</ndc>
    <ndc_label_name>AMOXICILLIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001801</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001805</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001840</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001901</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001905</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862001940</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002106</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002206</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002306</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002460</ndc>
    <ndc_label_name>ZIDOVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002560</ndc>
    <ndc_label_name>LAMIVUDINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002630</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002760</ndc>
    <ndc_label_name>NEVIRAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002801</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002901</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862002905</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003001</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003099</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003130</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003230</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003660</ndc>
    <ndc_label_name>LAMIVUDINE-ZIDOVUDINE TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003705</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003799</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003899</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862003905</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004005</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004105</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004199</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004405</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862004660</ndc>
    <ndc_label_name>STAVUDINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862004760</ndc>
    <ndc_label_name>STAVUDINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004824</ndc>
    <ndc_label_name>ZIDOVUDINE 50 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862004930</ndc>
    <ndc_label_name>EFAVIRENZ 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005090</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005130</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005190</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005199</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005226</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005230</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005290</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005299</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005322</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005330</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005390</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005399</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005430</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005439</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005490</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005499</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005524</ndc>
    <ndc_label_name>LAMIVUDINE 10 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862005724</ndc>
    <ndc_label_name>NEVIRAPINE 50 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006201</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006299</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006301</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006359</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006399</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006401</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006439</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006499</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006801</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006901</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862006950</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007001</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007050</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007075</ndc>
    <ndc_label_name>AMOXICILLIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007101</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007150</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007175</ndc>
    <ndc_label_name>AMOXICILLIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007360</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007601</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007701</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007705</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007850</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862007930</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008001</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008005</ndc>
    <ndc_label_name>GLYBURID-METFORMIN 1.25-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008101</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008105</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008201</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008205</ndc>
    <ndc_label_name>GLYBURIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008301</ndc>
    <ndc_label_name>CEFADROXIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008401</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008475</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008501</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008550</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008601</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008630</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862008701</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862009501</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862009520</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862009620</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009701</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009705</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009801</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009805</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009901</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862009975</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010001</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010075</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010190</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010199</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010290</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862010701</ndc>
    <ndc_label_name>ZIDOVUDINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862011160</ndc>
    <ndc_label_name>STAVUDINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862011260</ndc>
    <ndc_label_name>STAVUDINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862011301</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862011399</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862011601</ndc>
    <ndc_label_name>BENAZEPRIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862011701</ndc>
    <ndc_label_name>BENAZEPRIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862011801</ndc>
    <ndc_label_name>BENAZEPRIL HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862012501</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862012601</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862012701</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862012801</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862013301</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862013399</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862013401</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862013499</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862014050</ndc>
    <ndc_label_name>CEFPODOXIME 50 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862014101</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862014150</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014201</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014205</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014301</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014305</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014401</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014405</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014501</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014505</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014636</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014736</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014836</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014901</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014905</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014930</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862014990</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015430</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015505</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015530</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015599</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015630</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015699</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015730</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862015801</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862015805</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862015899</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015901</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015905</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862015999</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016001</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016005</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016099</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016190</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016230</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016290</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016390</ndc>
    <ndc_label_name>QUINAPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016401</ndc>
    <ndc_label_name>TRANDOLAPRIL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016501</ndc>
    <ndc_label_name>TRANDOLAPRIL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862016601</ndc>
    <ndc_label_name>TRANDOLAPRIL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016801</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016899</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016901</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862016999</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017001</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017099</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017160</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017260</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017360</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017460</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017501</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017599</ndc>
    <ndc_label_name>PENICILLIN VK 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017601</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017605</ndc>
    <ndc_label_name>PENICILLIN VK 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862017760</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018501</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018505</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018601</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018703</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018705</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018730</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018803</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018805</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862018830</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019105</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019201</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019205</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019299</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019301</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019305</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019399</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019401</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019405</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019430</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019499</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019801</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019805</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019899</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019901</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019905</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862019999</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020001</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020005</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020190</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020199</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020230</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020290</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020299</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020330</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020390</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020399</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020768</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862020901</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021001</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021105</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021150</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021401</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021501</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021801</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021860</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021901</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862021960</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022560</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022660</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022701</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022801</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022901</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862022960</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862023001</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862023060</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862023099</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862023703</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024505</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024508</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024605</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024608</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024705</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862024708</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862024824</ndc>
    <ndc_label_name>ESCITALOPRAM OXALATE 5 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862025047</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862028601</ndc>
    <ndc_label_name>PERINDOPRIL ERBUMINE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862028701</ndc>
    <ndc_label_name>PERINDOPRIL ERBUMINE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862028801</ndc>
    <ndc_label_name>PERINDOPRIL ERBUMINE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029018</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029042</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029056</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029070</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029084</ndc>
    <ndc_label_name>RIBAVIRIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029101</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029105</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029201</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029390</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029399</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029490</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029499</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029590</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029599</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029630</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029690</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862029699</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862030130</ndc>
    <ndc_label_name>EMTRICITABINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862030612</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862030801</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862030901</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862031230</ndc>
    <ndc_label_name>DIDANOSINE DR 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862031330</ndc>
    <ndc_label_name>DIDANOSINE DR 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862031560</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032530</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032590</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032599</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032699</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032730</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032804</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862032904</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862033530</ndc>
    <ndc_label_name>ABACAVIR-LAMIVUDINE 600-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035430</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035701</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035705</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035730</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035761</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862035790</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862036101</ndc>
    <ndc_label_name>LAMOTRIGINE 5 MG DISPER TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862036201</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG DISPER TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037301</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037305</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037401</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037405</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037501</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862037505</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862039010</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862039110</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862039130</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040201</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040205</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040301</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040305</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040401</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040460</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040501</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040590</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040630</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040690</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040701</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040730</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040801</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862040820</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862041901</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862041905</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862042001</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862042005</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP DS TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862042130</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862044830</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862044890</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862044930</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862044990</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862045399</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045460</ndc>
    <ndc_label_name>ALPRAZOLAM ER 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045560</ndc>
    <ndc_label_name>ALPRAZOLAM ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045660</ndc>
    <ndc_label_name>ALPRAZOLAM ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045760</ndc>
    <ndc_label_name>ALPRAZOLAM ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045860</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862045960</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862046060</ndc>
    <ndc_label_name>GALANTAMINE HBR 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046530</ndc>
    <ndc_label_name>FAMCICLOVIR 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046630</ndc>
    <ndc_label_name>FAMCICLOVIR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046730</ndc>
    <ndc_label_name>FAMCICLOVIR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046830</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046890</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046899</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046930</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046990</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862046999</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047030</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047090</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047099</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862047190</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862047290</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862047390</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047401</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047430</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047501</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047505</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047601</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047605</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047701</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862047705</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862048901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049099</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049101</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049199</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049301</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049460</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049499</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049647</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862049730</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862050130</ndc>
    <ndc_label_name>AMOX-CLAV 250-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862050220</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862050301</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862050320</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051205</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051230</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051290</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051305</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051330</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051405</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051430</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051490</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051501</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862051601</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052001</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052005</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052099</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052101</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052105</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052199</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052201</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052205</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052301</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052305</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052401</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052405</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862052518</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862052560</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-500</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862052618</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862052660</ndc>
    <ndc_label_name>PIOGLITAZONE-METFORMIN 15-850</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052701</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052790</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052799</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052801</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052830</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052890</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862052899</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053301</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053350</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053375</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053401</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053450</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053475</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053502</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053513</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053575</ndc>
    <ndc_label_name>AMOX-CLAV 600-42.9 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053650</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053750</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862053820</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054790</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054799</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 80-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054890</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054899</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054990</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862054999</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 160-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055005</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055090</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055105</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055190</ndc>
    <ndc_label_name>VALSARTAN-HCTZ 320-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862055530</ndc>
    <ndc_label_name>MINOCYCLINE ER 65 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862055730</ndc>
    <ndc_label_name>MINOCYCLINE ER 115 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055990</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862055999</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056090</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056099</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056130</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056199</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056230</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056299</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056330</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056399</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056430</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056499</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056530</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056599</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056630</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056699</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056790</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862056890</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862057030</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862057190</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862057290</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862057390</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862057490</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058201</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058301</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058305</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058401</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058405</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058501</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058505</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058601</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058605</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058701</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862058705</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059401</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059499</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059501</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059505</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059601</ndc>
    <ndc_label_name>Clindamycin Pediatric 75 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059602</ndc>
    <ndc_label_name>CLINDAMYCIN (PEDI) 75 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059801</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059805</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059903</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862059912</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060003</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060012</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060101</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060130</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060201</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060230</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862060330</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060490</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060499</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060590</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060599</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060690</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060699</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060790</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060799</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060890</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060990</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862060999</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862061790</ndc>
    <ndc_label_name>QUINAPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862061890</ndc>
    <ndc_label_name>QUINAPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862061990</ndc>
    <ndc_label_name>QUINAPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862062090</ndc>
    <ndc_label_name>QUINAPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062101</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062201</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062301</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062405</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062460</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062503</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062512</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062590</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062603</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062612</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862062690</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862063030</ndc>
    <ndc_label_name>IRBESARTAN-HCTZ 300-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862063730</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862063790</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862063830</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862063930</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064130</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064163</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064169</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064230</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064264</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862064290</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862064860</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862064960</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862065060</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862065160</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065260</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065360</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065399</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065401</ndc>
    <ndc_label_name>ENTACAPONE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065603</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065610</ndc>
    <ndc_label_name>OLANZAPINE ODT 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065703</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065710</ndc>
    <ndc_label_name>OLANZAPINE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065803</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065810</ndc>
    <ndc_label_name>OLANZAPINE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065903</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862065910</ndc>
    <ndc_label_name>OLANZAPINE ODT 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066105</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066130</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066205</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066230</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066305</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066330</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066405</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066430</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066505</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066530</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066605</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862066630</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067001</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067101</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067201</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067301</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067399</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067401</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067499</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067501</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862067599</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067601</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067605</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067699</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067701</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067705</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067799</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067801</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067805</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067899</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067901</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862067905</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862068401</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862068460</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862068730</ndc>
    <ndc_label_name>RITONAVIR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862068890</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862068899</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862068930</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862068999</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069001</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069030</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069099</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069101</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069105</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069130</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069201</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069299</ndc>
    <ndc_label_name>PHENYTOIN SOD EXT 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862069301</ndc>
    <ndc_label_name>CARISOPRODOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069401</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069405</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069425</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069501</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069505</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069550</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069701</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069705</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069790</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069920</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862069960</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070020</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070060</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070260</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070360</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070460</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070560</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070601</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070655</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070680</ndc>
    <ndc_label_name>AMOXICILLIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070701</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070755</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070780</ndc>
    <ndc_label_name>AMOXICILLIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070901</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862070930</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862071160</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862071260</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862071330</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862071550</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862072130</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862072190</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073205</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073260</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073730</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073790</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073830</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073890</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 5-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073930</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862073990</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-160 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074030</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074090</ndc>
    <ndc_label_name>AMLODIPINE-VALSARTAN 10-320 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074130</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074230</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074290</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074330</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074390</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862074430</ndc>
    <ndc_label_name>GALANTAMINE ER 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862074530</ndc>
    <ndc_label_name>GALANTAMINE ER 16 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862074630</ndc>
    <ndc_label_name>GALANTAMINE ER 24 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074760</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074860</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862074960</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862075060</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862075150</ndc>
    <ndc_label_name>CEFIXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862075250</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862075275</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862075360</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862075890</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862075990</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076090</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076190</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076290</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076390</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076490</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076590</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076630</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076730</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076890</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862076990</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077628</ndc>
    <ndc_label_name>Mili 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077685</ndc>
    <ndc_label_name>Mili 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077728</ndc>
    <ndc_label_name>Tri-Mili (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077785</ndc>
    <ndc_label_name>Tri-Mili (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077828</ndc>
    <ndc_label_name>Tri-Lo-Mili 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077885</ndc>
    <ndc_label_name>Tri-Lo-Mili 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077930</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862077990</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862078030</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862078090</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862078130</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862078190</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862078201</ndc>
    <ndc_label_name>METHENAMINE HIPP 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862078330</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862078390</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862078430</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862078490</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862078917</ndc>
    <ndc_label_name>BROMFENAC SODIUM 0.09% EYE DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862080205</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862080210</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862080244</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862080530</ndc>
    <ndc_label_name>ARMODAFINIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862080630</ndc>
    <ndc_label_name>ARMODAFINIL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862080730</ndc>
    <ndc_label_name>ARMODAFINIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862081290</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862081390</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862081490</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862082530</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862082590</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862082630</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862082690</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862082930</ndc>
    <ndc_label_name>PRASUGREL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083030</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083105</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083130</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083205</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083230</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083305</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862083330</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862083430</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-12.5 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862083530</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 5-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862083630</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-12.5MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862083730</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-160-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862083830</ndc>
    <ndc_label_name>AMLOD-VALSA-HCTZ 10-320-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084003</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084130</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084230</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084401</ndc>
    <ndc_label_name>CLOZAPINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084501</ndc>
    <ndc_label_name>CLOZAPINE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084601</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084605</ndc>
    <ndc_label_name>CLOZAPINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084701</ndc>
    <ndc_label_name>CLOZAPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Ayuna 0.15 mg-0.03 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862084888</ndc>
    <ndc_label_name>Ayuna 0.15 mg-0.03 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862085230</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862085330</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085430</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085805</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085825</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085860</ndc>
    <ndc_label_name>ALBUTEROL SUL 2.5 MG/3 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085901</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862085999</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086001</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086099</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862086130</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862086190</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862086230</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862086290</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086360</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086494</ndc>
    <ndc_label_name>Simpesse 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086495</ndc>
    <ndc_label_name>Simpesse 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086583</ndc>
    <ndc_label_name>Iclevia 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086594</ndc>
    <ndc_label_name>Iclevia 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086703</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086710</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086730</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086803</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086810</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086830</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086903</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086910</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862086930</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862087003</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862087011</ndc>
    <ndc_label_name>RISEDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087360</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087460</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087560</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087660</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087760</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087830</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087890</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087930</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862087990</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088060</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862088330</ndc>
    <ndc_label_name>MINOCYCLINE ER 55 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862088430</ndc>
    <ndc_label_name>MINOCYCLINE ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862088530</ndc>
    <ndc_label_name>MINOCYCLINE ER 105 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088628</ndc>
    <ndc_label_name>Simliya (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088688</ndc>
    <ndc_label_name>Simliya (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088728</ndc>
    <ndc_label_name>Kalliga 0.15 mg-0.03 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088788</ndc>
    <ndc_label_name>Kalliga 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088830</ndc>
    <ndc_label_name>GLIPIZIDE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088901</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862088905</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862089001</ndc>
    <ndc_label_name>GLIPIZIDE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089130</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089230</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089510</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089578</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089610</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862089678</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862089728</ndc>
    <ndc_label_name>Nylia 7/7/7 (28) 0.5/0.75/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862089788</ndc>
    <ndc_label_name>Nylia 7/7/7 (28) 0.5/0.75/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862089828</ndc>
    <ndc_label_name>Nylia 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862089888</ndc>
    <ndc_label_name>Nylia 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862090525</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862090530</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862090533</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862090560</ndc>
    <ndc_label_name>IPRATROPIUM BR 0.02% SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862090760</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862090801</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862090805</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862090901</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862090905</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862091060</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862091406</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862091469</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862091503</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862091564</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092127</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092201</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092205</ndc>
    <ndc_label_name>TRAMADOL-ACETAMINOPHN 37.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092528</ndc>
    <ndc_label_name>Incassia 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092585</ndc>
    <ndc_label_name>Incassia 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092587</ndc>
    <ndc_label_name>Incassia 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862092730</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862092790</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862092836</ndc>
    <ndc_label_name>SUMATRIPTAN-NAPROXEN 85-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862092901</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093008</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093090</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093108</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093190</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093290</ndc>
    <ndc_label_name>NEVIRAPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093330</ndc>
    <ndc_label_name>NEVIRAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093487</ndc>
    <ndc_label_name>Aurovela 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093488</ndc>
    <ndc_label_name>Aurovela 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093521</ndc>
    <ndc_label_name>Aurovela 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093574</ndc>
    <ndc_label_name>Aurovela 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093630</ndc>
    <ndc_label_name>PARICALCITOL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093730</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862093830</ndc>
    <ndc_label_name>PARICALCITOL 4 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093921</ndc>
    <ndc_label_name>Aurovela 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862093988</ndc>
    <ndc_label_name>Aurovela 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862094087</ndc>
    <ndc_label_name>Aurovela Fe 1-20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862094088</ndc>
    <ndc_label_name>Aurovela Fe 1-20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862094187</ndc>
    <ndc_label_name>Aurovela Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862094188</ndc>
    <ndc_label_name>Aurovela Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094203</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094250</ndc>
    <ndc_label_name>LEVALBUTEROL CONC 1.25 MG/0.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094312</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094324</ndc>
    <ndc_label_name>LEVALBUTEROL 0.31 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094412</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094424</ndc>
    <ndc_label_name>LEVALBUTEROL 0.63 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094512</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094524</ndc>
    <ndc_label_name>LEVALBUTEROL 1.25 MG/3 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862094601</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094715</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>65862094760</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL 2-0.5%(PF)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095230</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095330</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095430</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095530</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095630</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862095730</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096701</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096730</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096801</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096830</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096901</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862096930</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097603</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097610</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097703</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097710</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097803</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>65862097810</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66758025101</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66758025201</ndc>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66758027301</ndc>
    <ndc_label_name>Ritalin 5 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ritalin 20 mg tablet</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761012860</ndc>
    <ndc_label_name>Tiger Balm (methyl salicylate-menthol) 16 %-8 % topical gel</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761030823</ndc>
    <ndc_label_name>Tiger Balm topical ointment</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761030923</ndc>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761031508</ndc>
    <ndc_label_name>Tiger Balm 11 %-11 % topical ointment</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761032104</ndc>
    <ndc_label_name>Tiger Balm 230 mg-70 mg topical patch</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761032205</ndc>
    <ndc_label_name>Tiger Balm (with capsicum) 16 mg-24 mg-80 mg topical patch</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761032305</ndc>
    <ndc_label_name>Tiger Balm(capsicum-Lmenthol-camphor) 22 mg-33 mg-110 mg topical patch</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761033322</ndc>
    <ndc_label_name>Tiger Balm (methyl salicylate-menthol) 28 %-16 % topical liniment</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66761034150</ndc>
    <ndc_label_name>Tiger Balm 11 %-10 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794001510</ndc>
    <ndc_label_name>SEVOFLURANE INHALATION LIQUID</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794001525</ndc>
    <ndc_label_name>SEVOFLURANE INHALATION LIQUID</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794001710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794001725</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794001910</ndc>
    <ndc_label_name>Terrell 99.9 % inhalation liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015101</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015501</ndc>
    <ndc_label_name>Gablofen 10,000 mcg/20 mL (500 mcg/mL) intrathecal syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015502</ndc>
    <ndc_label_name>Gablofen 10,000 mcg/20 mL (500 mcg/mL) intrathecal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015601</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015602</ndc>
    <ndc_label_name>Gablofen 20,000 mcg/20 mL (1,000 mcg/mL) intrathecal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015701</ndc>
    <ndc_label_name>Gablofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794015702</ndc>
    <ndc_label_name>Gablofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794016002</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794016202</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020202</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020242</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020302</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020342</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020402</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020442</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020502</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020541</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020702</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794020741</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021102</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021142</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021202</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021242</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021402</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021442</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021515</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021943</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794021963</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794022802</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794022841</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794022902</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794022941</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023002</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023042</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023202</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023242</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023302</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023342</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023402</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023643</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794023663</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794025802</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66794025841</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66869010490</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Xiaflex 0.9 mg solution for injection</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Testopel 75 mg implant pellet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66975042551</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977010606</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66977010703</ndc>
    <ndc_label_name>Regenecare HA 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66977010725</ndc>
    <ndc_label_name>Regenecare HA 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66977011704</ndc>
    <ndc_label_name>Regenecare HA 2 % topical spray gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977014003</ndc>
    <ndc_label_name>Silvermed topical gel,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977014015</ndc>
    <ndc_label_name>Silvermed topical gel,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977014108</ndc>
    <ndc_label_name>Silvermed topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977020612</ndc>
    <ndc_label_name>CoolMagic 8" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977020613</ndc>
    <ndc_label_name>CoolMagic Fenestrated 1 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977020633</ndc>
    <ndc_label_name>CoolMagic 3 3/4" X 3 3/4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977020668</ndc>
    <ndc_label_name>CoolMagic 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977021312</ndc>
    <ndc_label_name>OraMagicRx mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977022202</ndc>
    <ndc_label_name>OraMagicRx mouthwash</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977022302</ndc>
    <ndc_label_name>OraMagic Plus 10 % oral rinse suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977022308</ndc>
    <ndc_label_name>OraMagic Plus 10 % oral rinse suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977030606</ndc>
    <ndc_label_name>DermaPlex topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977031001</ndc>
    <ndc_label_name>Triple Helix Collagen 100 % topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977031010</ndc>
    <ndc_label_name>Triple Helix Collagen 100 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977031012</ndc>
    <ndc_label_name>Triple Helix Collagen 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977031022</ndc>
    <ndc_label_name>Triple Helix Collagen 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977045122</ndc>
    <ndc_label_name>NOTraum 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977045144</ndc>
    <ndc_label_name>NOTRAUM 4"X4" DRESSING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977045422</ndc>
    <ndc_label_name>NOTraum Extra 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977045444</ndc>
    <ndc_label_name>NOTraum Extra 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977050022</ndc>
    <ndc_label_name>MPM Foam Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977050024</ndc>
    <ndc_label_name>MPM Foam Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977050025</ndc>
    <ndc_label_name>MPM Foam Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977050044</ndc>
    <ndc_label_name>MPM Foam Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977050066</ndc>
    <ndc_label_name>MPM Foam Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977070044</ndc>
    <ndc_label_name>DryMax Extra 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977070048</ndc>
    <ndc_label_name>DryMax Extra 4" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66977070088</ndc>
    <ndc_label_name>DryMax Extra 8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66983035020</ndc>
    <ndc_label_name>ThyroSafe 65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992012814</ndc>
    <ndc_label_name>Otovel 0.3 %-0.025 % (0.25 mL) ear solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992020830</ndc>
    <ndc_label_name>Zontivity 2.08 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992028110</ndc>
    <ndc_label_name>Entex T 60 mg-375 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992028130</ndc>
    <ndc_label_name>Entex T 60 mg-375 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992042530</ndc>
    <ndc_label_name>Conjupri 2.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992043030</ndc>
    <ndc_label_name>Conjupri 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992045014</ndc>
    <ndc_label_name>Cetraxal 0.2 % ear drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66992084010</ndc>
    <ndc_label_name>Trezix 320.5 mg-30 mg-16 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993000210</ndc>
    <ndc_label_name>ESTRADIOL 0.01% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993001968</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993006002</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993006027</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993006272</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993006602</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993007896</ndc>
    <ndc_label_name>FLUTICASONE PROP HFA 44 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993007996</ndc>
    <ndc_label_name>FLUTICASONE PROP HFA 110 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008096</ndc>
    <ndc_label_name>FLUTICASONE PROP HFA 220 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008169</ndc>
    <ndc_label_name>SUMATRIPTAN 5 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008269</ndc>
    <ndc_label_name>SUMATRIPTAN 20 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008379</ndc>
    <ndc_label_name>SUMATRIPTAN 4 MG/0.5 ML CART</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008398</ndc>
    <ndc_label_name>SUMATRIPTAN 4 MG/0.5 ML INJECT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008479</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML CART</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993008498</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008696</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 45-21</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008796</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 115-21</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993008896</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 230-21</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993010006</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TAB SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993010051</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TAB SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993043185</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993043285</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993043385</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993045630</ndc>
    <ndc_label_name>DAPAGLIFLOZIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993045730</ndc>
    <ndc_label_name>DAPAGLIFLOZIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993047202</ndc>
    <ndc_label_name>NISOLDIPINE ER 8.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993047302</ndc>
    <ndc_label_name>NISOLDIPINE ER 17 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993047502</ndc>
    <ndc_label_name>NISOLDIPINE ER 34 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993047860</ndc>
    <ndc_label_name>LAMIVUDINE HBV 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993048983</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993049036</ndc>
    <ndc_label_name>IBUPROFEN LYSINE 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993049084</ndc>
    <ndc_label_name>IBUPROFEN LYSINE 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993049528</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993058497</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 100-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993058597</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 250-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993058697</ndc>
    <ndc_label_name>FLUTICASONE-SALMETEROL 500-50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059402</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059502</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059602</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059702</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059802</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993059902</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060536</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060581</ndc>
    <ndc_label_name>ETONOGESTREL-EE VAGINAL RING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060604</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060630</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060704</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060730</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060804</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060830</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060904</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993060930</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993072757</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993073002</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993073051</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993073080</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993078030</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 3.75-23MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PHENTERMINE-TOPIR ER 7.5-46 MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993078230</ndc>
    <ndc_label_name>PHENTERMINE-TOPIR ER 11.25-69</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993078330</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993079097</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993079197</ndc>
    <ndc_label_name>FLUTICASONE PROP 100MCG DISKUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993079297</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993083102</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993086948</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993087861</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>66993087878</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993089749</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993093865</ndc>
    <ndc_label_name>CALCIPOTRIENE-BETAMETH DP OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>66993093955</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SHAMPOO</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67386042101</ndc>
    <ndc_label_name>Xenazine 12.5 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67386042201</ndc>
    <ndc_label_name>Xenazine 25 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67386082019</ndc>
    <ndc_label_name>Northera 100 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67386082219</ndc>
    <ndc_label_name>Northera 300 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67396000032</ndc>
    <ndc_label_name>GenUltimate Test Strip</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405047562</ndc>
    <ndc_label_name>DOXYCYCLINE 25 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405050003</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405050010</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405055005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405060103</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405060301</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67405065105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67405066010</ndc>
    <ndc_label_name>TETRACYCLINE 250 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67405083506</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457012410</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457013450</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457014630</ndc>
    <ndc_label_name>B Complex 100 100 mg-2 mg-100 mg-2mg-2mg/mL injectable solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457015300</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457015303</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457015309</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457015318</ndc>
    <ndc_label_name>AMIODARONE 900 MG/18 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457015399</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457016302</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457019600</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457019602</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457020525</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457021005</ndc>
    <ndc_label_name>CIDOFOVIR 375 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457021202</ndc>
    <ndc_label_name>ARGATROBAN 250 MG/2.5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457021501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457021720</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457021810</ndc>
    <ndc_label_name>Duraclon (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022000</ndc>
    <ndc_label_name>ISOSULFAN BLUE 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022005</ndc>
    <ndc_label_name>ISOSULFAN BLUE 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022400</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022410</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022700</ndc>
    <ndc_label_name>COSYNTROPIN 0.25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022702</ndc>
    <ndc_label_name>COSYNTROPIN 0.25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022800</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022805</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022810</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457022899</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457023802</ndc>
    <ndc_label_name>FLUDARABINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457023900</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457023901</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457024500</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457024501</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457024600</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457024601</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025100</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025102</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025430</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025500</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025510</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025600</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457025610</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457026500</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457026510</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,000MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457026600</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457026610</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 1,500MG/100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457027300</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457027310</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457029100</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457029101</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457029200</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457029202</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457029750</ndc>
    <ndc_label_name>ETHACRYNATE SODIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457029900</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457029910</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457031625</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457031725</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457032325</ndc>
    <ndc_label_name>MOXIFLOXACIN 400 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457033900</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457033950</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034000</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034001</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034105</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034210</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034810</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034815</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034903</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457034910</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035010</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035050</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035101</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035110</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035202</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035210</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035310</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457035325</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457035959</ndc>
    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457036610</ndc>
    <ndc_label_name>IBUTILIDE FUM 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037212</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037299</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037312</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037399</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037412</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037499</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037912</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457037925</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457038100</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457038158</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038310</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038399</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038431</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038499</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038510</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038599</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038600</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038681</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038922</ndc>
    <ndc_label_name>PARICALCITOL 10 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457038925</ndc>
    <ndc_label_name>PARICALCITOL 10 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457039054</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457039210</ndc>
    <ndc_label_name>ESOMEPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457039299</ndc>
    <ndc_label_name>ESOMEPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457039910</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457039925</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457040005</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457040031</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457040410</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457040900</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457040913</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457041000</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457041013</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457041800</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457041805</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457041900</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457041901</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042000</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042010</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042100</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042130</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042200</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042254</ndc>
    <ndc_label_name>DEXAMETHASONE 20 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042300</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042312</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457042600</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457042612</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042800</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GRAM/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457042830</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GRAM/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043010</ndc>
    <ndc_label_name>PAMIDRONATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043300</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043322</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043650</ndc>
    <ndc_label_name>DOXORUBICIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457043700</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457043710</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043800</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457043810</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044000</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044022</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044120</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044220</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044560</ndc>
    <ndc_label_name>RIFAMPIN IV 600 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044610</ndc>
    <ndc_label_name>PAMIDRONATE 90 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044800</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457044843</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045010</ndc>
    <ndc_label_name>CLADRIBINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045220</ndc>
    <ndc_label_name>CYTARABINE 2 G/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045500</ndc>
    <ndc_label_name>CYTARABINE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045552</ndc>
    <ndc_label_name>CYTARABINE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045700</ndc>
    <ndc_label_name>FAMOTIDINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457045720</ndc>
    <ndc_label_name>FAMOTIDINE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457046420</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457046910</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457047152</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457047300</ndc>
    <ndc_label_name>TOBRAMYCIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457047322</ndc>
    <ndc_label_name>TOBRAMYCIN 80 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457047500</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457047520</ndc>
    <ndc_label_name>VECURONIUM 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457048300</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457048310</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457048400</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457048430</ndc>
    <ndc_label_name>DEXAMETHASONE 120 MG/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457051710</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457051805</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457051920</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457052040</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457052433</ndc>
    <ndc_label_name>IBANDRONATE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457052810</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457052920</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457053035</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457053102</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457053208</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457053316</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457054620</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457055300</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457055400</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457056220</ndc>
    <ndc_label_name>BACLOFEN 10 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457056320</ndc>
    <ndc_label_name>BACLOFEN 20,000 MCG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457056420</ndc>
    <ndc_label_name>BACLOFEN 40 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457056700</ndc>
    <ndc_label_name>MAGNESIUM SULF 1 G/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057300</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057305</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057400</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057410</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057750</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457057901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058200</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058210</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058300</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058304</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058400</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058406</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058500</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058508</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058710</ndc>
    <ndc_label_name>EPOPROSTENOL SODIUM 0.5 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457058810</ndc>
    <ndc_label_name>EPOPROSTENOL SODIUM 1.5 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059200</ndc>
    <ndc_label_name>Arixtra 2.5 mg/0.5 mL subcutaneous solution syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059210</ndc>
    <ndc_label_name>Arixtra 2.5 mg/0.5 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059300</ndc>
    <ndc_label_name>Arixtra 5 mg/0.4 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059304</ndc>
    <ndc_label_name>Arixtra 5 mg/0.4 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059400</ndc>
    <ndc_label_name>Arixtra 7.5 mg/0.6 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059406</ndc>
    <ndc_label_name>Arixtra 7.5 mg/0.6 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059500</ndc>
    <ndc_label_name>Arixtra 10 mg/0.8 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457059508</ndc>
    <ndc_label_name>Arixtra 10 mg/0.8 mL subcutaneous solution syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457059900</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457059902</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457060202</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457060299</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457060305</ndc>
    <ndc_label_name>HEPARIN 40,000 UNIT/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457060399</ndc>
    <ndc_label_name>HEPARIN 40,000 UNIT/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061100</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061110</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061200</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061220</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061310</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061410</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061610</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061730</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061810</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457061910</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 5 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062102</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062199</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062205</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062299</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062310</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062399</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457062910</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063010</ndc>
    <ndc_label_name>EPTIFIBATIDE 200 MG/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063110</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063800</ndc>
    <ndc_label_name>IRON SUCROSE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063810</ndc>
    <ndc_label_name>IRON SUCROSE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063825</ndc>
    <ndc_label_name>IRON SUCROSE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063900</ndc>
    <ndc_label_name>IRON SUCROSE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457063910</ndc>
    <ndc_label_name>IRON SUCROSE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457064000</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457064002</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457064099</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457064500</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457064502</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457064910</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457065725</ndc>
    <ndc_label_name>ESMOLOL 2,500 MG/250 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457065810</ndc>
    <ndc_label_name>ESMOLOL 2,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457066520</ndc>
    <ndc_label_name>POSACONAZOLE 300 MG/16.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457067502</ndc>
    <ndc_label_name>Miacalcin 200 unit/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457070500</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457070575</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457075410</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 10 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457075610</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 10 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457075720</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 20 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457075920</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 20 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457076030</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 30 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457076230</ndc>
    <ndc_label_name>OCTREOTIDE ACET ER 30 MG IM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457077800</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457077805</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457077930</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457078108</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079000</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079005</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079410</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 5 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079810</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079899</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079920</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457079999</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081350</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081400</ndc>
    <ndc_label_name>CLINDAMYCIN PH 300 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081402</ndc>
    <ndc_label_name>CLINDAMYCIN PH 300 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081500</ndc>
    <ndc_label_name>CLINDAMYCIN PH 600 MG/4 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081504</ndc>
    <ndc_label_name>CLINDAMYCIN PH 600 MG/4 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081600</ndc>
    <ndc_label_name>CLINDAMYCIN PH 900 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457081606</ndc>
    <ndc_label_name>CLINDAMYCIN PH 900 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457082312</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457082399</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457082415</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457082499</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457083306</ndc>
    <ndc_label_name>Fulphila 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457083902</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457084300</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457084330</ndc>
    <ndc_label_name>LINEZOLID 600 MG/300 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457084450</ndc>
    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085200</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085204</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085350</ndc>
    <ndc_label_name>ACETAZOLAMIDE SOD 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085400</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085404</ndc>
    <ndc_label_name>ADENOSINE 12 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085500</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085502</ndc>
    <ndc_label_name>ADENOSINE 6 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085620</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085730</ndc>
    <ndc_label_name>ADENOSINE 90 MG/30 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085820</ndc>
    <ndc_label_name>ADENOSINE 60 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457085930</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457086301</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457086404</ndc>
    <ndc_label_name>GRANISETRON HCL 4 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457087720</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457088005</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457088700</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457088910</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457089300</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457089308</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457090200</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457090320</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092005</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092100</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092105</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092230</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092400</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092450</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092500</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092510</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457092650</ndc>
    <ndc_label_name>AMPHOTERICIN B LIPOSOME 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457093750</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457094010</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457094115</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095100</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095101</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095400</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095410</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095700</ndc>
    <ndc_label_name>IRON SUCROSE 50 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457095799</ndc>
    <ndc_label_name>IRON SUCROSE 50 MG/2.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457097850</ndc>
    <ndc_label_name>Aloprim 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457098700</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457098710</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67457099202</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457099405</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457099620</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457099740</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67457099902</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67492010411</ndc>
    <ndc_label_name>Calmol-4 76 %-10 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67492010412</ndc>
    <ndc_label_name>Calmol-4 76 %-10 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67492010512</ndc>
    <ndc_label_name>Resinol 2 %-55 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67492010515</ndc>
    <ndc_label_name>Resinol 2 %-55 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67494000041</ndc>
    <ndc_label_name>Baby Buddha Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67546011112</ndc>
    <ndc_label_name>Alinia 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67546011114</ndc>
    <ndc_label_name>Alinia 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67546021221</ndc>
    <ndc_label_name>Alinia 100 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67555013190</ndc>
    <ndc_label_name>Hemax 150 mg-1,020 mcg DFE-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67555014112</ndc>
    <ndc_label_name>MaxFe (folate) 160 mg-1,700 mcg DFE-60 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618000004</ndc>
    <ndc_label_name>Senokot 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618000005</ndc>
    <ndc_label_name>Slow-Mag 71.5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618010101</ndc>
    <ndc_label_name>Colace 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618010110</ndc>
    <ndc_label_name>Colace 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618010130</ndc>
    <ndc_label_name>Colace 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618010152</ndc>
    <ndc_label_name>Colace 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618010160</ndc>
    <ndc_label_name>Colace 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618011010</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618011030</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Colace Clear 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618011760</ndc>
    <ndc_label_name>SlowMag Muscle Recovery 85 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Senokot Extra Strength 17.2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015001</ndc>
    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015004</ndc>
    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015005</ndc>
    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015009</ndc>
    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015017</ndc>
    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Betadine 10 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015101</ndc>
    <ndc_label_name>Betadine Surgical Scrub 7.5 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618015104</ndc>
    <ndc_label_name>Betadine Surgical Scrub 7.5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Betadine 5 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618018108</ndc>
    <ndc_label_name>Betadine 0.5 % mouthwash</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618019025</ndc>
    <ndc_label_name>Betadine Swabsticks 10 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67618019050</ndc>
    <ndc_label_name>Betadine Swabsticks 10 %</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Betasept Surgical Scrub 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67618020008</ndc>
    <ndc_label_name>Betasept Surgical Scrub 4 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>67693000029</ndc>
    <ndc_label_name>Biolyte oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777000201</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% PREP PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777000202</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% PREP PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000401</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000402</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000403</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000404</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000500</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000501</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000510</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000511</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000550</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000551</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000552</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000570</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000571</ndc>
    <ndc_label_name>WHITE PETROLATUM OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777000749</ndc>
    <ndc_label_name>First Aid Burn 0.5 %-0.13 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777000750</ndc>
    <ndc_label_name>First Aid Burn 0.5 %-0.13 % topical cream packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000810</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000811</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000820</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000821</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000830</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000831</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000850</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000851</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000860</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000861</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000939</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777000940</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777001403</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777001404</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777001405</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777001463</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777001464</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777001465</ndc>
    <ndc_label_name>Aquagard 41 % topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777011349</ndc>
    <ndc_label_name>Dynarub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777011350</ndc>
    <ndc_label_name>Dynarub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011610</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011611</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011620</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011621</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011630</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777011631</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012111</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012112</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012113</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012114</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012116</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012117</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012118</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012119</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012120</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012900</ndc>
    <ndc_label_name>Xeroburn 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012901</ndc>
    <ndc_label_name>Xeroburn 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012902</ndc>
    <ndc_label_name>Xeroburn 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012909</ndc>
    <ndc_label_name>Xeroburn 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777012910</ndc>
    <ndc_label_name>Xeroburn 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777013980</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777013981</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014130</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014131</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014420</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014421</ndc>
    <ndc_label_name>X-Treme Freeze 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014730</ndc>
    <ndc_label_name>D-Cerin 33 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777014731</ndc>
    <ndc_label_name>D-Cerin 33 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777016110</ndc>
    <ndc_label_name>Lemon Glycerin 7.5 % mucosal swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777016111</ndc>
    <ndc_label_name>Lemon Glycerin 7.5 % mucosal swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021401</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021402</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021403</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021405</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021406</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021410</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021411</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021507</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021508</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021710</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021711</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021712</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021713</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021714</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021715</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021716</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777021717</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022301</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022302</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022303</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022304</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022305</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022306</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022311</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777022313</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023101</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023102</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023110</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023111</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023112</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023113</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777023301</ndc>
    <ndc_label_name>Dynagel 20 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777023302</ndc>
    <ndc_label_name>Dynagel 20 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777023401</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777023402</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical ointment in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023403</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777023404</ndc>
    <ndc_label_name>CalaSoothe 0.44 %-20.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024302</ndc>
    <ndc_label_name>Cleansing Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024303</ndc>
    <ndc_label_name>Cleansing Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024401</ndc>
    <ndc_label_name>Obstetrical Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024402</ndc>
    <ndc_label_name>Obstetrical Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024501</ndc>
    <ndc_label_name>BZK Antiseptic Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024502</ndc>
    <ndc_label_name>BZK Antiseptic Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777024511</ndc>
    <ndc_label_name>BZK Antiseptic Towelettes 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777025101</ndc>
    <ndc_label_name>AMMONIA INHALANT AMPULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777025102</ndc>
    <ndc_label_name>AMMONIA INHALANT AMPULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030001</ndc>
    <ndc_label_name>ALCOHOL 70% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030002</ndc>
    <ndc_label_name>ALCOHOL 70% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030010</ndc>
    <ndc_label_name>ALCOHOL 70% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030012</ndc>
    <ndc_label_name>ALCOHOL 70% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030801</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030802</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030811</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777030812</ndc>
    <ndc_label_name>GREEN SOAP TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777031601</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777031602</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777032001</ndc>
    <ndc_label_name>SannyTize Hand Sanitizer 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777032002</ndc>
    <ndc_label_name>SannyTize Hand Sanitizer 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777033001</ndc>
    <ndc_label_name>SannyTize Hand Sanitizer 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777033002</ndc>
    <ndc_label_name>SannyTize Hand Sanitizer 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777040201</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777040202</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040301</ndc>
    <ndc_label_name>DynaWound 0.13 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040302</ndc>
    <ndc_label_name>DynaWound 0.13 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040501</ndc>
    <ndc_label_name>Medicaine Sting-Bite 20 %-1 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040502</ndc>
    <ndc_label_name>Medicaine Sting-Bite 20 %-1 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040503</ndc>
    <ndc_label_name>Medicaine Sting-Bite 20 %-1 % topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040703</ndc>
    <ndc_label_name>Dynashield 1.8 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040704</ndc>
    <ndc_label_name>Dynashield 1.8 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040710</ndc>
    <ndc_label_name>Dynashield 1.8 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040711</ndc>
    <ndc_label_name>Dynashield 1.8 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040802</ndc>
    <ndc_label_name>Dynashield-Dimethicone 1.8 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777040803</ndc>
    <ndc_label_name>Dynashield-Dimethicone 1.8 %-2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041003</ndc>
    <ndc_label_name>LanaShield 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041004</ndc>
    <ndc_label_name>LanaShield 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041903</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041904</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041910</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67777041911</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777043001</ndc>
    <ndc_label_name>MINERAL OIL ENEMA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67777043002</ndc>
    <ndc_label_name>MINERAL OIL ENEMA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67784000013</ndc>
    <ndc_label_name>Ceramax topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67784000014</ndc>
    <ndc_label_name>Sebuderm topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002100</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002110</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002200</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002210</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002400</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850002410</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850003100</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850003110</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850003200</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850003210</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850004100</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850004110</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850004200</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850004210</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850007100</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850007105</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850007125</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850007200</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850007205</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850014000</ndc>
    <ndc_label_name>Asclera 0.5 % (10 mg/2 mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850014005</ndc>
    <ndc_label_name>Asclera 0.5 % (10 mg/2 mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850014100</ndc>
    <ndc_label_name>Asclera 1 % (20 mg/2 mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850014105</ndc>
    <ndc_label_name>Asclera 1 % (20 mg/2 mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850015000</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850015010</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850015025</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67850055201</ndc>
    <ndc_label_name>Aridol Bronchial Challenge 0 mg-5 mg-10 mg-20 mg-40 mg inhalatn powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67857080126</ndc>
    <ndc_label_name>Scytera 2 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67857080152</ndc>
    <ndc_label_name>Scytera 2 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67857080619</ndc>
    <ndc_label_name>Trianex 0.05 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871011101</ndc>
    <ndc_label_name>Sucraid 8,500 unit/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871011104</ndc>
    <ndc_label_name>Sucraid 8,500 unit/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871011105</ndc>
    <ndc_label_name>Sucraid 8,500 unit/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871011106</ndc>
    <ndc_label_name>Sucraid 8,500 unit/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871011107</ndc>
    <ndc_label_name>Sucraid 8,500 unit/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67871479006</ndc>
    <ndc_label_name>Ethamolin 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877006430</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877006830</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877011601</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012405</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012420</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012425</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012440</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012450</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877012485</ndc>
    <ndc_label_name>SILVER SULFADIAZINE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877014601</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877014605</ndc>
    <ndc_label_name>TEMAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877014701</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877014705</ndc>
    <ndc_label_name>TEMAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877014801</ndc>
    <ndc_label_name>TEMAZEPAM 7.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877014930</ndc>
    <ndc_label_name>TEMAZEPAM 22.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877015901</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877015905</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877015910</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877016930</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877017030</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019705</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019710</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019790</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019805</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019810</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019890</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019905</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019910</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877019990</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021520</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021560</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021620</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021660</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021901</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021905</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877021910</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022001</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022005</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022201</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022205</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022210</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022301</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022305</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022310</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022401</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022405</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022410</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022501</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877022505</ndc>
    <ndc_label_name>MYCOPHENOLATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877023022</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024201</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024210</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024233</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024238</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024350</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024401</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024610</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024633</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024638</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024710</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024738</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024760</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024810</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024838</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024910</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877024938</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025010</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025038</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025115</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025130</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025145</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877025180</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025520</ndc>
    <ndc_label_name>CEPHALEXIN 750 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025523</ndc>
    <ndc_label_name>CEPHALEXIN 750 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025690</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025790</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025890</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877025930</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877026030</ndc>
    <ndc_label_name>RASAGILINE MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026106</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026118</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026206</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026218</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026360</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026410</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026430</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026490</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026510</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026530</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026590</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026601</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877026605</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877027430</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877027505</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877027530</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877027590</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877027605</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877027690</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877027801</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877027901</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028001</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877028660</ndc>
    <ndc_label_name>RILUZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028801</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028805</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028810</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028830</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877028890</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029401</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029405</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029501</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029505</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029530</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029550</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029601</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029605</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029630</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029650</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029809</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029837</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877029860</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031715</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031745</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031780</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031815</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031901</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877031905</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032001</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032005</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032030</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032050</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032101</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032105</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032130</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877032150</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039030</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039090</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039130</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039190</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039230</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039290</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877039330</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041301</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041305</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041390</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041401</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041405</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041530</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041690</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041790</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041890</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041901</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041920</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041933</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877041984</ndc>
    <ndc_label_name>LINEZOLID 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042257</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042260</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042612</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042712</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042801</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042805</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042901</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877042905</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043001</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043003</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043005</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043101</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043103</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043105</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043201</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043203</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043205</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043303</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043305</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043403</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043405</ndc>
    <ndc_label_name>ARIPIPRAZOLE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043501</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043503</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043505</ndc>
    <ndc_label_name>ARIPIPRAZOLE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877043630</ndc>
    <ndc_label_name>MINOCYCLINE ER 55 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877043730</ndc>
    <ndc_label_name>MINOCYCLINE ER 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877043830</ndc>
    <ndc_label_name>MINOCYCLINE ER 105 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043905</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877043990</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044005</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044090</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044205</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044230</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044290</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877044330</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877044390</ndc>
    <ndc_label_name>RABEPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044460</ndc>
    <ndc_label_name>DALFAMPRIDINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044530</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044630</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044690</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044730</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877044790</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045001</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045005</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045010</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045130</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045190</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045230</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045290</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045330</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877045390</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045430</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045505</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045530</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045590</ndc>
    <ndc_label_name>FINASTERIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045747</ndc>
    <ndc_label_name>PREGABALIN 20 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045860</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877045912</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046205</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046290</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046305</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046390</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046405</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046490</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046505</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046590</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046605</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046690</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046705</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046790</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046805</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046890</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046905</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877046990</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047379</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047380</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047460</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047560</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877047630</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877047750</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047810</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047830</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047890</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047910</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047930</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877047990</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048090</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048230</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048233</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048284</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048330</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048333</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048384</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048430</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048433</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877048484</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049005</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049030</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049090</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877049105</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877049160</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049301</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049305</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049930</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877049990</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050030</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050090</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050130</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050190</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050230</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050290</ndc>
    <ndc_label_name>AMLODIPINE-OLMESARTAN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050330</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050430</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877050530</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050651</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050730</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050790</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050830</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050890</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050930</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877050990</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877051030</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877051090</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051105</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051110</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051190</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051205</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051210</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051290</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051305</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051310</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051390</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051405</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877051490</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877052260</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877052330</ndc>
    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052560</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052660</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052730</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052790</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052830</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877052890</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053258</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053707</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053714</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053807</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053814</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053907</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877053914</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054007</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054014</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054107</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054114</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054207</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054360</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054468</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054488</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054568</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054588</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054788</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054798</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054888</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877054898</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877054930</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877055030</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877055130</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877055230</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877055430</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877055514</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877055532</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877055623</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877055660</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877055739</ndc>
    <ndc_label_name>DIMETHYL FUMARATE 30D START PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056101</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056105</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056110</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056201</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056205</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056210</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056301</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056305</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877056310</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057130</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057190</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057210</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057230</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057290</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057301</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057305</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057501</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057505</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057630</ndc>
    <ndc_label_name>MINOCYCLINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057730</ndc>
    <ndc_label_name>MINOCYCLINE ER 135 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877057830</ndc>
    <ndc_label_name>MINOCYCLINE ER 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058433</ndc>
    <ndc_label_name>CEFIXIME 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058450</ndc>
    <ndc_label_name>CEFIXIME 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058530</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058630</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058760</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877058830</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877058901</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059001</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059005</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059101</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059105</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059205</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877059305</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877060530</ndc>
    <ndc_label_name>PRASUGREL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877061015</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877061115</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877061215</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877061315</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877061415</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877061601</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877061701</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877061801</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877062460</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877062690</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063390</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063430</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063502</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063533</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063602</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877063633</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877063830</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877063930</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877064030</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877064130</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877064230</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877064330</ndc>
    <ndc_label_name>MINOCYCLINE ER 65 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877064430</ndc>
    <ndc_label_name>MINOCYCLINE ER 115 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877065501</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877065601</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877065701</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877065861</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877065901</ndc>
    <ndc_label_name>METHADONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877066001</ndc>
    <ndc_label_name>METHADONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877066501</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877066601</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877067001</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877067101</ndc>
    <ndc_label_name>MORPHINE SULFATE IR 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067362</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067463</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067571</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067584</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067672</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067684</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067773</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877067784</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877067869</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877067870</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877069601</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877069610</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877069701</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070490</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070590</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070690</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070751</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070760</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070860</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877070960</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877071712</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877071831</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877071833</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877071931</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877071933</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072031</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072033</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072131</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072133</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877072582</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877072592</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072630</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072690</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072790</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072830</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072890</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072930</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877072990</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073032</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073093</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877073101</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073295</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073360</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073460</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073560</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877073660</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074395</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074495</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074554</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074601</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074701</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877074801</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877074957</ndc>
    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075058</ndc>
    <ndc_label_name>VANCOMYCIN 25 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075081</ndc>
    <ndc_label_name>VANCOMYCIN 25 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075158</ndc>
    <ndc_label_name>VANCOMYCIN 50 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075181</ndc>
    <ndc_label_name>VANCOMYCIN 50 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075360</ndc>
    <ndc_label_name>DRONABINOL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075460</ndc>
    <ndc_label_name>DRONABINOL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075560</ndc>
    <ndc_label_name>DRONABINOL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075601</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075701</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075758</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075801</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877075858</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877076805</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877076812</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877076905</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877076912</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877077005</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877077012</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877077160</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877077249</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877077258</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877077589</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877083347</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877083361</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877083367</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877084201</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877084205</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877084210</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877086860</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877086960</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877087820</ndc>
    <ndc_label_name>CEFPODOXIME 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877087920</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877088271</ndc>
    <ndc_label_name>RIVAROXABAN 1 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877088901</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877088905</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877089101</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877089201</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877090010</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877090090</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877090190</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877090210</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877090458</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG/ML ORAL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877093001</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877093005</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877093101</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877093205</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67877093210</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877094951</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877094960</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877095051</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67877095060</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919001201</ndc>
    <ndc_label_name>CUBICIN RF 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919003001</ndc>
    <ndc_label_name>Zerbaxa 1.5 gram intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919004002</ndc>
    <ndc_label_name>Sivextro 200 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919004099</ndc>
    <ndc_label_name>Sivextro 200 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919004104</ndc>
    <ndc_label_name>Sivextro 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919004105</ndc>
    <ndc_label_name>Sivextro 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67919004199</ndc>
    <ndc_label_name>Sivextro 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67979000101</ndc>
    <ndc_label_name>Valstar 40 mg/mL intravesical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67979000201</ndc>
    <ndc_label_name>Supprelin LA 50 mg (65 mcg/day) implant kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67979051143</ndc>
    <ndc_label_name>Aveed 750 mg/3 mL (250mg/mL) intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67981008797</ndc>
    <ndc_label_name>Durex Air Condom</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>67981008798</ndc>
    <ndc_label_name>Durex Air Condom</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67981008902</ndc>
    <ndc_label_name>K-Y Lubricating topical jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>67981008912</ndc>
    <ndc_label_name>K-Y Lubricating topical jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001000501</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001010500</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001010503</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001010600</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001010603</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001011105</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001011306</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001011406</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013000</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013100</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013200</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013300</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013400</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001013500</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015100</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015103</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015200</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015203</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015300</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015303</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015400</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015403</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015504</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015508</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015600</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015700</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015800</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001015900</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001016000</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001016100</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001016200</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001016203</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001016300</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017700</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017703</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017800</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017803</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017900</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001017903</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018000</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018008</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018100</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018103</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018200</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018203</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018300</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018303</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018306</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018400</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018408</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018500</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001018508</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001023106</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001023206</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001023700</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001023703</ndc>
    <ndc_label_name>CLONIDINE HCL 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001023800</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001023803</ndc>
    <ndc_label_name>CLONIDINE HCL 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001023900</ndc>
    <ndc_label_name>CLONIDINE HCL 0.3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024200</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024300</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024400</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024403</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024500</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024514</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024515</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024604</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024616</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024617</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024704</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024716</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001024717</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001024901</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001024919</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001025001</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001025018</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001025104</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001025204</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001025317</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001025344</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001025404</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026522</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026523</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026524</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026525</ndc>
    <ndc_label_name>ETOPOSIDE 100 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026526</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001026527</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001027900</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028000</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028006</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028008</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028100</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028103</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028106</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001028108</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028324</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028327</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028332</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028333</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028522</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028528</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028529</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028536</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028537</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028540</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028638</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001028639</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001030800</ndc>
    <ndc_label_name>BUPROPION HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001030900</ndc>
    <ndc_label_name>BUPROPION HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001031356</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031400</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031500</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031508</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031600</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031608</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031700</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031800</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001031900</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001032700</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001032703</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001032800</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001032803</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033200</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033203</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033300</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033308</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033400</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033408</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033500</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033508</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001033600</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034128</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034129</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034234</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034526</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034536</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001034836</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001035525</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001035600</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001035603</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001035800</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001035803</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001035937</ndc>
    <ndc_label_name>GEMCITABINE HCL 2 GRAM/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036000</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036103</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036104</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036105</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036206</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036400</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036500</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001036503</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001037300</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001037400</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001037500</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001037668</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001037700</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001037800</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038100</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038103</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038200</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038203</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038300</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001038303</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001038400</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001038500</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001038928</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001038936</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001039077</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001039078</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001039179</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001039180</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039600</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039603</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039700</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039708</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039800</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039803</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039900</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001039908</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040000</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040008</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040100</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040103</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040104</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040203</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040207</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040303</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040307</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040403</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040407</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001040506</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001040775</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001040829</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001040831</ndc>
    <ndc_label_name>ERTAPENEM 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041100</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041103</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041200</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041203</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041404</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041408</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001041504</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001041636</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001041737</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001041838</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001042704</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001042800</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001042900</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043000</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043003</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043100</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043103</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043288</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043290</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043388</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043390</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043488</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043490</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043491</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043604</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043616</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043696</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043697</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001043725</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043800</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043804</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043816</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043896</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043897</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001043900</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044000</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044004</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044139</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044140</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044198</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001044226</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001044327</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001044432</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001044998</ndc>
    <ndc_label_name>LORATADINE 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045006</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045106</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045206</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045306</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045742</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045743</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045842</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045843</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045942</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001045943</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046042</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046043</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046142</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046143</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046242</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046243</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046342</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046343</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046441</ndc>
    <ndc_label_name>ENOXAPARIN 300 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001046836</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001046837</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046900</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001046908</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047000</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047008</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047100</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047200</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047203</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047300</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047303</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047400</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047403</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047545</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047547</ndc>
    <ndc_label_name>Antifungal (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047646</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047650</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047745</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047746</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047747</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001047748</ndc>
    <ndc_label_name>BACITRACIN 500 UNIT/GM OINTMNT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048022</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048035</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048145</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048147</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048148</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048345</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048346</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048485</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048486</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048500</ndc>
    <ndc_label_name>METAXALONE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048600</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001048608</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048706</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048807</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001048907</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049005</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049104</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049236</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049326</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001049404</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001049406</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001049500</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049604</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049704</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049804</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001049904</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050000</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050003</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050100</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050103</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050200</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050203</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050300</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050555</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001050569</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050628</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050630</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050753</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050782</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050829</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001050831</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001051627</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001051800</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001051808</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001051903</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001051904</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001051905</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052003</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052004</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052005</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052192</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052194</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052285</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052286</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052336</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052428</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052429</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052430</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052431</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052527</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052532</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052645</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001052754</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052800</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052900</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001052908</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053069</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053145</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053146</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053245</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053246</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001053350</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001053436</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001053541</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001053641</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001053841</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001053941</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054036</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054136</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054259</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054260</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054341</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054441</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054541</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 750 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001054641</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001055700</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001055855</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001055969</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001056055</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056116</ndc>
    <ndc_label_name>GUAIFENESIN ER 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056117</ndc>
    <ndc_label_name>GUAIFENESIN ER 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056200</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001056422</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001056528</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056600</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056603</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056700</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056703</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001056806</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001057004</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001057241</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001057341</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001057400</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001057500</ndc>
    <ndc_label_name>DESMOPRESSIN ACETATE 0.2 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001057848</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001057859</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001057948</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058041</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058141</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058148</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058182</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058241</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058400</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058403</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058500</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058503</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058600</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001058603</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059100</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059200</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059208</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059300</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059308</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059406</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059504</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059505</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059508</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059604</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059608</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059705</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059806</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001059906</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060006</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060106</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060206</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001060300</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001060400</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001060500</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060600</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060755</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001060769</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001060824</ndc>
    <ndc_label_name>CISPLATIN 50 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001060933</ndc>
    <ndc_label_name>CISPLATIN 100 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061025</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061133</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 5 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061200</ndc>
    <ndc_label_name>DICLOFENAC SOD ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061303</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061304</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061305</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061403</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061404</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061405</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061536</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061677</ndc>
    <ndc_label_name>MITOMYCIN 20 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061779</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001061837</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061900</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001061903</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062054</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001062145</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062205</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062304</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001062401</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001062589</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001062593</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001062595</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062685</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062686</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062727</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062832</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062926</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001062936</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063000</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063100</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063200</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063342</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063343</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063442</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063443</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063542</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063543</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063642</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063643</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063742</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063743</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063842</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063843</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063942</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001063943</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064059</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064060</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064141</ndc>
    <ndc_label_name>ENOXAPARIN 300 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064241</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064306</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064407</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064545</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064600</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064603</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064700</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001064703</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064836</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001064937</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065038</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065137</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065216</ndc>
    <ndc_label_name>Zenatane 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065217</ndc>
    <ndc_label_name>Zenatane 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065316</ndc>
    <ndc_label_name>Zenatane 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065317</ndc>
    <ndc_label_name>Zenatane 20 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065416</ndc>
    <ndc_label_name>Zenatane 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065417</ndc>
    <ndc_label_name>Zenatane 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065516</ndc>
    <ndc_label_name>Zenatane 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065517</ndc>
    <ndc_label_name>Zenatane 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001065641</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065741</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065751</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065756</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065841</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065852</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001065941</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066006</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066106</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066206</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066304</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066404</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066504</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066601</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066617</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066701</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066719</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066744</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066819</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066844</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001066915</ndc>
    <ndc_label_name>APREPITANT 125-80-80 MG PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067000</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067008</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067100</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067108</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067200</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067203</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067204</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001067306</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001067492</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001067525</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001068226</ndc>
    <ndc_label_name>ETOPOSIDE 500 MG/25 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001068327</ndc>
    <ndc_label_name>ETOPOSIDE 1,000 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068400</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068403</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068500</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068503</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068600</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068603</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001068700</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001069000</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001069100</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001069200</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001069376</ndc>
    <ndc_label_name>TERIPARATIDE 560MCG/2.24ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001069427</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001069532</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001070000</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001070100</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68001070103</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68001070527</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012000316</ndc>
    <ndc_label_name>GLUMETZA ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012000450</ndc>
    <ndc_label_name>GLUMETZA ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012005201</ndc>
    <ndc_label_name>ZEGERID 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012005230</ndc>
    <ndc_label_name>ZEGERID 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012005401</ndc>
    <ndc_label_name>ZEGERID 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012005430</ndc>
    <ndc_label_name>ZEGERID 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012010230</ndc>
    <ndc_label_name>ZEGERID 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012010430</ndc>
    <ndc_label_name>ZEGERID 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012025820</ndc>
    <ndc_label_name>Cycloset 0.8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012030930</ndc>
    <ndc_label_name>Uceris 9 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012049090</ndc>
    <ndc_label_name>FENOGLIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68012049590</ndc>
    <ndc_label_name>FENOGLIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68016016201</ndc>
    <ndc_label_name>Autolet Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68016023400</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68016023700</ndc>
    <ndc_label_name>Unifine Pentips Plus 32 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68016030554</ndc>
    <ndc_label_name>Unilet Super Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68016030728</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68016031000</ndc>
    <ndc_label_name>Unifine Pentips Plus 33 gauge x 5/32" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68016073800</ndc>
    <ndc_label_name>Unilet Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68016090728</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 1/4" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025001010</ndc>
    <ndc_label_name>OB Complete 50 mg iron-1.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025001110</ndc>
    <ndc_label_name>Corvite 1.25 mg-2.5 mg-7 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025003010</ndc>
    <ndc_label_name>Corvite Free 1.25 mg-400 mcg-125 mcg-35 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025004330</ndc>
    <ndc_label_name>OB Complete Premier 30 mg-20 mg-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025004430</ndc>
    <ndc_label_name>OB Complete One 40 mg-10 mg-1 mg-300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025004960</ndc>
    <ndc_label_name>OB Complete With Dha 30 mg iron-10 mg iron-1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025005230</ndc>
    <ndc_label_name>Corvite 150 150 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025005930</ndc>
    <ndc_label_name>OB Complete Petite 35 mg iron-5 mg iron-1 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006030</ndc>
    <ndc_label_name>Corvite FE 150 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006501</ndc>
    <ndc_label_name>Divigel 0.25 mg/0.25 gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006530</ndc>
    <ndc_label_name>Divigel 0.25 mg/0.25 gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006601</ndc>
    <ndc_label_name>Divigel 0.5 mg/0.5 gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006630</ndc>
    <ndc_label_name>Divigel 0.5 mg/0.5 gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006701</ndc>
    <ndc_label_name>Divigel 1 mg/gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025006730</ndc>
    <ndc_label_name>Divigel 1 mg/gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007030</ndc>
    <ndc_label_name>Provella 150 mg (2 billion cell) tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007130</ndc>
    <ndc_label_name>ConZip 100 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007230</ndc>
    <ndc_label_name>ConZip 200 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007330</ndc>
    <ndc_label_name>ConZip 300 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007462</ndc>
    <ndc_label_name>Osmolex ER 322 mg/day (129 mg and 193 mg) tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007590</ndc>
    <ndc_label_name>Osmolex ER 129 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007690</ndc>
    <ndc_label_name>Osmolex ER 193 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007730</ndc>
    <ndc_label_name>Osmolex ER 258 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007790</ndc>
    <ndc_label_name>Osmolex ER 258 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007930</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025007990</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008030</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008090</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008130</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008190</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008230</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008290</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008301</ndc>
    <ndc_label_name>Divigel 0.75 mg/0.75 gram (0.1%) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008330</ndc>
    <ndc_label_name>Divigel 0.75 mg/0.75 gram (0.1%) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008410</ndc>
    <ndc_label_name>Relexxii 72 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008430</ndc>
    <ndc_label_name>Relexxii 72 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008630</ndc>
    <ndc_label_name>Divigel 1.25 mg/1.25 gram (0.1 %) transdermal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008830</ndc>
    <ndc_label_name>Relexxii 45 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025008930</ndc>
    <ndc_label_name>Relexxii 63 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009510</ndc>
    <ndc_label_name>Relexxii 18 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009530</ndc>
    <ndc_label_name>Relexxii 18 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009610</ndc>
    <ndc_label_name>Relexxii 27 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009630</ndc>
    <ndc_label_name>Relexxii 27 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009710</ndc>
    <ndc_label_name>Relexxii 36 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009730</ndc>
    <ndc_label_name>Relexxii 36 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009810</ndc>
    <ndc_label_name>Relexxii 54 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68025009830</ndc>
    <ndc_label_name>Relexxii 54 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040060316</ndc>
    <ndc_label_name>Fosteum 27 mg-20 mg-200 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040061014</ndc>
    <ndc_label_name>Vasculera 630 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040061116</ndc>
    <ndc_label_name>Fosteum Plus 500 mg-70 mg-27 mg-400 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040071338</ndc>
    <ndc_label_name>Impoyz 0.025 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040071428</ndc>
    <ndc_label_name>Sernivo 0.05 % topical spray with pump</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040075043</ndc>
    <ndc_label_name>Rheumate 1 mg-1 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040075217</ndc>
    <ndc_label_name>EpiCeram topical emulsion, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040075240</ndc>
    <ndc_label_name>EpiCeram topical emulsion, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68040075314</ndc>
    <ndc_label_name>Promiseb topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68047012016</ndc>
    <ndc_label_name>LoHist - D 2 mg-30 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047012916</ndc>
    <ndc_label_name>LoHist-DM 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047014316</ndc>
    <ndc_label_name>EndaCof - DM 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68047018516</ndc>
    <ndc_label_name>NOHIST-LQ LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047018616</ndc>
    <ndc_label_name>NoHist-DM 4 mg-10 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047025201</ndc>
    <ndc_label_name>Oscimin 0.125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047025301</ndc>
    <ndc_label_name>Oscimin SL 0.125 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68047070201</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047070221</ndc>
    <ndc_label_name>DEXAMETHASONE 6 DAY 1.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047070235</ndc>
    <ndc_label_name>DEXAMETHASONE 10 DAY 1.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047070251</ndc>
    <ndc_label_name>DEXAMETHASONE 13 DAY 1.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68047071401</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68047072101</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083050001</ndc>
    <ndc_label_name>EDARAVONE 30 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083050002</ndc>
    <ndc_label_name>EDARAVONE 30 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083050101</ndc>
    <ndc_label_name>EDARAVONE 60 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083059201</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083061001</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083061010</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083064701</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG/50 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083064801</ndc>
    <ndc_label_name>ACETAMINOPHEN 1000MG/100ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083064901</ndc>
    <ndc_label_name>ALCAFTADINE 0.25% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083064902</ndc>
    <ndc_label_name>ALCAFTADINE 0.25% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083065001</ndc>
    <ndc_label_name>BORTEZOMIB 1 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68083065101</ndc>
    <ndc_label_name>BORTEZOMIB 2.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084002111</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084002121</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084002701</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084002711</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004401</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004411</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004501</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004511</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004601</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004611</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004701</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084004711</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084005911</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084005921</ndc>
    <ndc_label_name>ZAFIRLUKAST 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084007511</ndc>
    <ndc_label_name>TRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084007521</ndc>
    <ndc_label_name>TRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084008201</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084008211</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084008301</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084008311</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009401</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009411</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009701</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009711</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009801</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009811</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009901</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084009911</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010309</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010311</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010409</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010411</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010509</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010511</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010609</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010611</ndc>
    <ndc_label_name>ZIPRASIDONE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010701</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010711</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010901</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084010911</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084011101</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084011111</ndc>
    <ndc_label_name>GLIPIZIDE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084011901</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084011911</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012001</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012011</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012101</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012111</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012801</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084012811</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084014901</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084014911</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018401</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018411</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018501</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018511</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018901</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084018911</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084022901</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084022911</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024301</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024311</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024401</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024411</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024801</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024811</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024901</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084024911</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084025011</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084025021</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084025211</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084025221</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084026901</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084026911</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027001</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027011</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027101</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027111</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027301</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027311</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027401</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027411</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027701</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084027711</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028001</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028011</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028201</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028211</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028401</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084028411</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084029111</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084029121</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084030011</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084030021</ndc>
    <ndc_label_name>DANTROLENE SODIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084030911</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084030921</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084031001</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084031011</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084032601</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084032611</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084032701</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084032711</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034201</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034211</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034401</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034411</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034511</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034521</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034601</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034611</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034701</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034711</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034801</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084034811</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084035401</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084035411</ndc>
    <ndc_label_name>OXYCODONE HCL (IR) 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084037101</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084037111</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084037211</ndc>
    <ndc_label_name>ACETAMINOPHEN-COD #3 TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084040301</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084040311</ndc>
    <ndc_label_name>MORPHINE SULF ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084041111</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084041121</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084043098</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084043099</ndc>
    <ndc_label_name>HealthyLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084044901</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084044911</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084045001</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084045011</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084045101</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084045111</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084051101</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084051111</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084051201</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084051211</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052501</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052511</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052801</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052811</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052901</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084052911</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084053601</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084053611</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084059025</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084059095</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060201</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060211</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060701</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060711</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060801</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084060811</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084061011</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084061021</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084062111</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084062121</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084064001</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084064011</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084064301</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084064311</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065125</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065195</ndc>
    <ndc_label_name>CLARITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065401</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065411</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065501</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065511</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065801</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084065811</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069701</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069711</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069801</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069811</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069901</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084069911</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084070825</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084070895</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084070901</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084070911</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084071001</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084071011</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084071301</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084071311</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072111</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072121</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084072211</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084072265</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072301</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072311</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072801</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084072811</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084072911</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084072921</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084073501</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084073511</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084074001</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084074011</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084076425</ndc>
    <ndc_label_name>Phospha Neutral 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084076495</ndc>
    <ndc_label_name>Phospha Neutral 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084077601</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084077611</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084077725</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084077795</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084079425</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1,000 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084079495</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1,000 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084080511</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084080521</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084081825</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084081895</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084082311</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084082321</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084084301</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084084311</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084084401</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084084411</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085032</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085033</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085401</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085411</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085601</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085611</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085901</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084085911</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084087501</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084087511</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084087925</ndc>
    <ndc_label_name>CYCLOSPORINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084087995</ndc>
    <ndc_label_name>CYCLOSPORINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084088201</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084088211</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084088409</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084089625</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084089695</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084090711</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084090721</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084091525</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084091595</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084091825</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084091895</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084093025</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084093095</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084094825</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68084094895</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084094925</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084094995</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095225</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095295</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095425</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095495</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095625</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084095695</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084096525</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68084096595</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094000459</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094000462</ndc>
    <ndc_label_name>CETIRIZINE HCL 5 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094001859</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094001861</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094002959</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094002962</ndc>
    <ndc_label_name>LOPERAMIDE 1 MG/7.5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094003059</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094003062</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094003701</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094003758</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094008101</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094008125</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094008659</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094008661</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094010110</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094010120</ndc>
    <ndc_label_name>PHENTOLAMINE 5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011059</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011061</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011259</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011261</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011361</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011659</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094011661</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094012059</ndc>
    <ndc_label_name>Liquid Multivitamin 9 mg iron/15 mL (15 mL) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094012061</ndc>
    <ndc_label_name>Liquid Multivitamin 9 mg iron/15 mL (15 mL) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094012062</ndc>
    <ndc_label_name>Liquid Multivitamin 9 mg iron/15 mL (15 mL) oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094012359</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094012362</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094012959</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG/15 ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094012962</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG/15 ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094014701</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094014720</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094018659</ndc>
    <ndc_label_name>MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094018661</ndc>
    <ndc_label_name>MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094022401</ndc>
    <ndc_label_name>VITAMIN D3 10 MCG/ML ENFIT SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094022458</ndc>
    <ndc_label_name>VITAMIN D3 10 MCG/ML ENFIT SYR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094023159</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094023161</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094023162</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094024701</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094024710</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094031301</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094031310</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094031325</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094048060</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094048070</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094048950</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094048960</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094058060</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094058070</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094058950</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094058960</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094060059</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094060061</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094060062</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094068860</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094068870</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094069030</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094070270</ndc>
    <ndc_label_name>PHENTERMINE 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094079903</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094079909</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094079930</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094079950</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080250</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080270</ndc>
    <ndc_label_name>PHENTERMINE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080450</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080460</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080510</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080610</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094080620</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094080850</ndc>
    <ndc_label_name>METHAZOLAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090006</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090018</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090030</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090050</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090450</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090460</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090510</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090610</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090620</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68094090850</ndc>
    <ndc_label_name>METHAZOLAMIDE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090930</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094090950</ndc>
    <ndc_label_name>NALTREXONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094091050</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68094091070</ndc>
    <ndc_label_name>PHENTERMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68113011401</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68113099601</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68118010001</ndc>
    <ndc_label_name>Zanosar 1 gram intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134020116</ndc>
    <ndc_label_name>NAPROXEN 125 MG/5 ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134040116</ndc>
    <ndc_label_name>BACLOFEN 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134040205</ndc>
    <ndc_label_name>TRAMADOL HCL 25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134040240</ndc>
    <ndc_label_name>TRAMADOL HCL 25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134040316</ndc>
    <ndc_label_name>BACLOFEN 10 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134060130</ndc>
    <ndc_label_name>FENOFIBRIC ACID 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134060230</ndc>
    <ndc_label_name>FENOFIBRIC ACID 105 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134060330</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.17 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134080101</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68134080107</ndc>
    <ndc_label_name>UREA 40% CREAM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135002001</ndc>
    <ndc_label_name>Naglazyme 5 mg/5 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>68135005889</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135005890</ndc>
    <ndc_label_name>Palynziq 2.5 mg/0.5 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135008236</ndc>
    <ndc_label_name>Voxzogo 0.4 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135010001</ndc>
    <ndc_label_name>Vimizim 5 mg/5 mL (1 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135011966</ndc>
    <ndc_label_name>Voxzogo 0.56 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135018193</ndc>
    <ndc_label_name>Voxzogo 1.2 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135030002</ndc>
    <ndc_label_name>Kuvan 100 mg soluble tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135030111</ndc>
    <ndc_label_name>Kuvan 100 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135030122</ndc>
    <ndc_label_name>Kuvan 100 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kuvan 500 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kuvan 500 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135049504</ndc>
    <ndc_label_name>INTRAVENTRICULAR ELECTROLYTES</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135050000</ndc>
    <ndc_label_name>Brineura 150 mg/5 mL intraventricular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135067339</ndc>
    <ndc_label_name>Palynziq 20 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Palynziq 20 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135067345</ndc>
    <ndc_label_name>Palynziq 20 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135075619</ndc>
    <ndc_label_name>Palynziq 10 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135075620</ndc>
    <ndc_label_name>Palynziq 10 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135081102</ndc>
    <ndc_label_name>Brineura 300 mg/10 mL(150 mg/5 mL x 2) intraventricular kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68135092701</ndc>
    <ndc_label_name>Roctavian 2 x 10exp13 vg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Roctavian 2 x 10exp13 vg/mL intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68152010100</ndc>
    <ndc_label_name>FUSILEV I.V. 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68163011136</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Daily Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68163057172</ndc>
    <ndc_label_name>NuSyllium 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68163070902</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68163107200</ndc>
    <ndc_label_name>Antacid Multi-Symptom 675 mg-135 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68176000010</ndc>
    <ndc_label_name>DEKAs Plus Liquid 500 mcg/mL oral</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEKAs Plus (folic acid) 200 mcg-1,000 mcg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEKAs Plus (folic acid) 200 mcg-1,000 mcg-10 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Aqua-E Concentrate 75 unit/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011202</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011209</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011216</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011302</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011309</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011316</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011402</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011409</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011416</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011507</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011707</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180011807</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180012101</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180012102</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180012201</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180012202</ndc>
    <ndc_label_name>CEPHALEXIN 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180013006</ndc>
    <ndc_label_name>FENOFIBRATE 43 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180013106</ndc>
    <ndc_label_name>FENOFIBRATE 130 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180015001</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015106</ndc>
    <ndc_label_name>MIRABEGRON ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015109</ndc>
    <ndc_label_name>MIRABEGRON ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015206</ndc>
    <ndc_label_name>MIRABEGRON ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015209</ndc>
    <ndc_label_name>MIRABEGRON ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015301</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015302</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180015701</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180015801</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180015901</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180016611</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180016613</ndc>
    <ndc_label_name>VANCOMYCIN HCL 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180016711</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180016713</ndc>
    <ndc_label_name>VANCOMYCIN HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180018001</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180018008</ndc>
    <ndc_label_name>CEFADROXIL 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180018102</ndc>
    <ndc_label_name>CEFADROXIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180018202</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180018203</ndc>
    <ndc_label_name>CEFADROXIL 500 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180018506</ndc>
    <ndc_label_name>MEFENAMIC ACID 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180018806</ndc>
    <ndc_label_name>MELOXICAM 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180018906</ndc>
    <ndc_label_name>MELOXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180019306</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180019406</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180019506</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180021430</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180021460</ndc>
    <ndc_label_name>CYCLOSPORINE 0.05% EYE EMULS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021506</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021509</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 50-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021606</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021609</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021706</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180021709</ndc>
    <ndc_label_name>LOSARTAN-HCTZ 100-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180022907</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180023007</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180023109</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180023209</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180023301</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180023302</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024606</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024706</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024709</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024806</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024902</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024906</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180024909</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180026001</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180026002</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180026101</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180026102</ndc>
    <ndc_label_name>DIVALPROEX SOD ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180028001</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180028101</ndc>
    <ndc_label_name>ETHAMBUTOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180028301</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180028806</ndc>
    <ndc_label_name>ABACAVIR-LAMIVUDINE 600-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180029006</ndc>
    <ndc_label_name>ESLICARBAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180029106</ndc>
    <ndc_label_name>ESLICARBAZEPINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180029207</ndc>
    <ndc_label_name>ESLICARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180029306</ndc>
    <ndc_label_name>ESLICARBAZEPINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029403</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029407</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029503</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029506</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029509</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029603</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029606</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180029609</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180029706</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180030220</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180030260</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180030320</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180030360</ndc>
    <ndc_label_name>CEFUROXIME AXETIL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031406</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031506</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031606</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 125 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031706</ndc>
    <ndc_label_name>IMIPRAMINE PAMOATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031902</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031906</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180031909</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032002</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032006</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032009</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032201</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032301</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180032401</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180033607</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180033707</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180033801</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180033909</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180034011</ndc>
    <ndc_label_name>BOSENTAN 32 MG TABLET FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180034013</ndc>
    <ndc_label_name>BOSENTAN 32 MG TABLET FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180034507</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180034606</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035103</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035106</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035109</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035202</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035205</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035206</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035209</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035302</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035305</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035306</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180035309</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037603</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037609</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037703</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037706</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037709</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037803</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037806</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180037809</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180038809</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180038902</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180038909</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180039507</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180039601</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180039602</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180039807</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180039901</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040103</ndc>
    <ndc_label_name>CEFPROZIL 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040201</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040202</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040203</ndc>
    <ndc_label_name>CEFPROZIL 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040301</ndc>
    <ndc_label_name>CEFPROZIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180040401</ndc>
    <ndc_label_name>CEFPROZIL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180040501</ndc>
    <ndc_label_name>CEFIXIME 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180040703</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180040704</ndc>
    <ndc_label_name>CEFIXIME 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180042101</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DRP-VISC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180042201</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180042308</ndc>
    <ndc_label_name>CEFIXIME 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180042311</ndc>
    <ndc_label_name>CEFIXIME 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180043302</ndc>
    <ndc_label_name>BROMFENAC SODIUM 0.07% EYE DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180043401</ndc>
    <ndc_label_name>BROMFENAC SOD 0.075% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180043601</ndc>
    <ndc_label_name>BROMFENAC SODIUM 0.09% EYE DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044001</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044002</ndc>
    <ndc_label_name>CEPHALEXIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044101</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044102</ndc>
    <ndc_label_name>CEPHALEXIN 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044503</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044601</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044603</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044701</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044703</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044802</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044901</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044902</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180044907</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 300 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180045001</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180045002</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180045501</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180045502</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180045901</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046301</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046403</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046406</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046409</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046503</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046506</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046509</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046701</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046703</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046707</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046709</ndc>
    <ndc_label_name>LOVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046801</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046803</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046805</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046807</ndc>
    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046901</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046903</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046905</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180046907</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047201</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047301</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047801</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047802</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047803</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047901</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047902</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180047903</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049201</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049206</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049301</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049306</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049401</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180049406</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051201</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051202</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051209</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051230</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051301</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051303</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051309</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051330</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051709</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051801</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051802</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051830</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051901</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051902</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180051930</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052001</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052002</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052030</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052306</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052406</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052506</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052606</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180052709</ndc>
    <ndc_label_name>DONEPEZIL HCL 23 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180053601</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180053602</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180053701</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180054502</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180054503</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180056006</ndc>
    <ndc_label_name>QUININE SULFATE 324 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180056601</ndc>
    <ndc_label_name>TRANDOLAPRIL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180056701</ndc>
    <ndc_label_name>TRANDOLAPRIL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180056801</ndc>
    <ndc_label_name>TRANDOLAPRIL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180058901</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180058902</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180058909</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180058910</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059001</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059002</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059009</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059010</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059101</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059102</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059109</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059110</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059206</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180059306</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180060406</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180060607</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180061207</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180061307</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180061407</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180061507</ndc>
    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180061607</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063509</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063602</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063609</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063702</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063709</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063802</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180063809</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180064506</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180064606</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065001</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065208</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065307</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065407</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065701</ndc>
    <ndc_label_name>DOXYCYCLINE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065806</ndc>
    <ndc_label_name>RIFAMPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065906</ndc>
    <ndc_label_name>RIFAMPIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180065907</ndc>
    <ndc_label_name>RIFAMPIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067006</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067106</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067206</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067306</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067406</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067511</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067611</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067711</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180067801</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180069706</ndc>
    <ndc_label_name>TRAMADOL HCL ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180069806</ndc>
    <ndc_label_name>TRAMADOL HCL ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180069906</ndc>
    <ndc_label_name>TRAMADOL HCL ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180070906</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180070909</ndc>
    <ndc_label_name>RIVAROXABAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180071160</ndc>
    <ndc_label_name>CEFDINIR 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180071909</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072003</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072009</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072103</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072109</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072204</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072205</ndc>
    <ndc_label_name>CEFDINIR 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072304</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180072305</ndc>
    <ndc_label_name>CEFDINIR 250 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180073971</ndc>
    <ndc_label_name>Enskyce 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180073973</ndc>
    <ndc_label_name>Enskyce 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180074006</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180074106</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180074109</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180075501</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 2.5-10</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180075601</ndc>
    <ndc_label_name>AMLODIPINE-BENAZEPRIL 5-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180077901</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180077904</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180078001</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180078004</ndc>
    <ndc_label_name>ZOLPIDEM TART ER 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180079701</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180079801</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180079802</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180079901</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180079902</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180080136</ndc>
    <ndc_label_name>LAPATINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180080316</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180080416</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180081942</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180081952</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082046</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082053</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082110</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082147</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082709</ndc>
    <ndc_label_name>Fyavolv 0.5 mg-2.5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082771</ndc>
    <ndc_label_name>Fyavolv 0.5 mg-2.5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082773</ndc>
    <ndc_label_name>Fyavolv 0.5 mg-2.5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082809</ndc>
    <ndc_label_name>Fyavolv 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082871</ndc>
    <ndc_label_name>Fyavolv 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082873</ndc>
    <ndc_label_name>Fyavolv 1 mg-5 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082971</ndc>
    <ndc_label_name>AMABELZ 0.5 MG-0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180082973</ndc>
    <ndc_label_name>AMABELZ 0.5 MG-0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180083771</ndc>
    <ndc_label_name>Tri-Lo-Marzia 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180083773</ndc>
    <ndc_label_name>Tri-Lo-Marzia 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180083871</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180083873</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084071</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084073</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084311</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084313</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084471</ndc>
    <ndc_label_name>Kurvelo (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084473</ndc>
    <ndc_label_name>Kurvelo (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084611</ndc>
    <ndc_label_name>Daysee 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084613</ndc>
    <ndc_label_name>Daysee 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084811</ndc>
    <ndc_label_name>LEVONOR-E ESTRAD 0.1-0.02-0.01</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180084813</ndc>
    <ndc_label_name>LEVONOR-E ESTRAD 0.1-0.02-0.01</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180085211</ndc>
    <ndc_label_name>My Way 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180085471</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180085473</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180085771</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD TRIPHASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180085773</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD TRIPHASIC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086106</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086111</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086206</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086211</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086306</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086471</ndc>
    <ndc_label_name>Blisovi 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086473</ndc>
    <ndc_label_name>Blisovi 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086571</ndc>
    <ndc_label_name>Blisovi Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086573</ndc>
    <ndc_label_name>Blisovi Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086671</ndc>
    <ndc_label_name>Blisovi Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086673</ndc>
    <ndc_label_name>Blisovi Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086871</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086873</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086911</ndc>
    <ndc_label_name>Blisovi Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180086913</ndc>
    <ndc_label_name>Blisovi Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087371</ndc>
    <ndc_label_name>Wymzya Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087373</ndc>
    <ndc_label_name>Wymzya Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087571</ndc>
    <ndc_label_name>Vyfemla (28) 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087573</ndc>
    <ndc_label_name>Vyfemla (28) 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087671</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087673</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087771</ndc>
    <ndc_label_name>Jencycla 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180087773</ndc>
    <ndc_label_name>Jencycla 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180088671</ndc>
    <ndc_label_name>Nikki (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180088673</ndc>
    <ndc_label_name>Nikki (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089171</ndc>
    <ndc_label_name>Enskyce 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089173</ndc>
    <ndc_label_name>Enskyce 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089471</ndc>
    <ndc_label_name>DROSP-EE-LEVOMEF 3-0.02-0.451</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089473</ndc>
    <ndc_label_name>DROSP-EE-LEVOMEF 3-0.02-0.451</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089511</ndc>
    <ndc_label_name>Turqoz (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180089513</ndc>
    <ndc_label_name>Turqoz (28) 0.3 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180090371</ndc>
    <ndc_label_name>Kaitlib Fe 0.8 mg-25 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180090373</ndc>
    <ndc_label_name>Kaitlib Fe 0.8 mg-25 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180090471</ndc>
    <ndc_label_name>Tydemy 3 mg-0.03 mg-0.451 mg (21)(7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180090473</ndc>
    <ndc_label_name>Tydemy 3 mg-0.03 mg-0.451 mg (21)(7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180091171</ndc>
    <ndc_label_name>Mibelas 24 Fe 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180091173</ndc>
    <ndc_label_name>Mibelas 24 Fe 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180094111</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094311</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094433</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094601</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094604</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094701</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094702</ndc>
    <ndc_label_name>BETAMETHASONE DP AUG 0.05% OIN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094804</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094902</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180094904</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095001</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095002</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095004</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095101</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095102</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095401</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095402</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180095403</ndc>
    <ndc_label_name>HYDROCORTISONE VAL 0.2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180095601</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180095602</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180095603</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180095604</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096204</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096256</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096301</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180096411</ndc>
    <ndc_label_name>TIOTROPIUM 18 MCG CAP-INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180096412</ndc>
    <ndc_label_name>TIOTROPIUM 18 MCG CAP-INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096501</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096503</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096509</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096601</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096603</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096609</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096701</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096703</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096709</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096801</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096803</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096809</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096901</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096903</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180096909</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097001</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097003</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097009</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097101</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097103</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097109</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097201</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097203</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097209</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097301</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097303</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097309</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097401</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097403</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097409</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097501</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097503</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097509</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097601</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097603</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097609</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097801</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097802</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097803</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097901</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097903</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180097930</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098001</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098003</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098030</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098101</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098103</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098130</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098201</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098202</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098405</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098430</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098601</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098602</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098603</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180098604</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180099201</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180099202</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180099203</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68180099204</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180099706</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180099801</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180099806</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180099901</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68180099906</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196001002</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196012100</ndc>
    <ndc_label_name>Acid-Pep 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196017761</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196023806</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196040101</ndc>
    <ndc_label_name>BluLink Diabetic Test Bundle kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196040102</ndc>
    <ndc_label_name>BluLink Blood Glucose System Refill 32 gauge kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196040103</ndc>
    <ndc_label_name>BluLink Glucose Monitoring System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196040105</ndc>
    <ndc_label_name>BluLink Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196040110</ndc>
    <ndc_label_name>BluLink Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196045879</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196048461</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196060051</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196080701</ndc>
    <ndc_label_name>Easy-Touch Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196080705</ndc>
    <ndc_label_name>Easy Touch Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196080801</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196090051</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196090196</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196301001</ndc>
    <ndc_label_name>Twist Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196301601</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196303601</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196305601</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196311601</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196313601</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196315601</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68196321001</ndc>
    <ndc_label_name>Twist Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196893001</ndc>
    <ndc_label_name>PEN NEEDLE 32G X 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196893101</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196893201</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68196893301</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68220004408</ndc>
    <ndc_label_name>Unifiber 80 % oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68220011210</ndc>
    <ndc_label_name>Levsin 0.125 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68220011310</ndc>
    <ndc_label_name>Levsin/SL 0.125 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68220011510</ndc>
    <ndc_label_name>Levbid 0.375 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68220011810</ndc>
    <ndc_label_name>NuLev 0.125 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229010202</ndc>
    <ndc_label_name>Clinere Ear Wax Removal 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229020102</ndc>
    <ndc_label_name>Alocane Emergency Burn 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229020108</ndc>
    <ndc_label_name>Alocane Emergency Burn 4 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229030003</ndc>
    <ndc_label_name>Alocane Plus 4 %-0.13 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229030004</ndc>
    <ndc_label_name>Alocane Plus 4 %-0.13 % topical gel with pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229030005</ndc>
    <ndc_label_name>Alocane Plus 4 %-0.13 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229030006</ndc>
    <ndc_label_name>Alocane Plus 4 %-0.13 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229040302</ndc>
    <ndc_label_name>Alocane Emergency Burn 4 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229040401</ndc>
    <ndc_label_name>Alocane with Antiseptic 4 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229040602</ndc>
    <ndc_label_name>Alocane with Antiseptic 4 %-0.13 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229040702</ndc>
    <ndc_label_name>Alocane with Antiseptic 4 %-0.13 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229040801</ndc>
    <ndc_label_name>Alocane with Antiseptic 4 %-0.13 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229060001</ndc>
    <ndc_label_name>Sunburnt Plus Pain Relief 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68229060102</ndc>
    <ndc_label_name>Sunburnt Plus Pain Relief 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68229070020</ndc>
    <ndc_label_name>CankerMelts 15 mg mucosal adhesive tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308011501</ndc>
    <ndc_label_name>METHAMPHETAMINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308012750</ndc>
    <ndc_label_name>CLINDAMYC-BNZ PEROX 1.2-3.75%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308015215</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308015230</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308015260</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308021901</ndc>
    <ndc_label_name>ESGIC 50-325-40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308022001</ndc>
    <ndc_label_name>ESGIC 50-325-40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308025010</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308034260</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308034290</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308047547</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308048047</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057001</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057030</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057101</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057130</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057301</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057330</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057501</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308057530</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066245</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066355</ndc>
    <ndc_label_name>METRONIDAZOLE TOP 1% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308066360</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066404</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066510</ndc>
    <ndc_label_name>CALCITRIOL 3 MCG/G OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066625</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066645</ndc>
    <ndc_label_name>ADAPALENE 0.3% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308066830</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308068550</ndc>
    <ndc_label_name>TAZAROTENE 0.1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308070145</ndc>
    <ndc_label_name>IVERMECTIN 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308070360</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308070645</ndc>
    <ndc_label_name>ADAPALENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308071145</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308071259</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68308071630</ndc>
    <ndc_label_name>DOXYCYCLINE HYC DR 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074530</ndc>
    <ndc_label_name>TAZAROTENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074560</ndc>
    <ndc_label_name>TAZAROTENE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074708</ndc>
    <ndc_label_name>Imvexxy Maintenance Pack 4 mcg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074718</ndc>
    <ndc_label_name>Imvexxy Starter Pack 4 mcg vaginal insert, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074808</ndc>
    <ndc_label_name>Imvexxy Maintenance Pack 10 mcg vaginal insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308074818</ndc>
    <ndc_label_name>Imvexxy Starter Pack 10 mcg vaginal insert, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308075030</ndc>
    <ndc_label_name>Bijuva 1 mg-100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308075130</ndc>
    <ndc_label_name>Bijuva 0.5 mg-100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308075201</ndc>
    <ndc_label_name>Annovera 0.15 mg-0.013 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308076030</ndc>
    <ndc_label_name>VitaMedMD One Rx 30 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308076230</ndc>
    <ndc_label_name>VITAPEARL SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308076950</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308077750</ndc>
    <ndc_label_name>TRETINOIN GEL MICRO 0.08% PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078101</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078130</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078201</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078230</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078301</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078330</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078401</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68308078430</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68330001425</ndc>
    <ndc_label_name>CEFAZOLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68330001525</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000105</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000106</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000116</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000301</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000305</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000414</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000514</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000601</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000610</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000801</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000810</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000905</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382000914</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382001005</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382001014</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382001801</ndc>
    <ndc_label_name>VENLAFAXINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382001901</ndc>
    <ndc_label_name>VENLAFAXINE HCL 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002001</ndc>
    <ndc_label_name>VENLAFAXINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002101</ndc>
    <ndc_label_name>VENLAFAXINE HCL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002201</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002210</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002301</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002310</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002401</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382002410</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003410</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003416</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003510</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003516</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003610</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382003616</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382004001</ndc>
    <ndc_label_name>PROMETHAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382004101</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382004105</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382004110</ndc>
    <ndc_label_name>PROMETHAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382004201</ndc>
    <ndc_label_name>PROMETHAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382005001</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382005005</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382005101</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382005105</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382007901</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382007910</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382008001</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382008101</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382009101</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009201</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009205</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009301</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009305</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009401</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009405</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009501</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009505</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009601</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009605</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009705</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009706</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009710</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009716</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009801</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009805</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009806</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009810</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009816</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009905</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009906</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009910</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382009916</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382010101</ndc>
    <ndc_label_name>VENLAFAXINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382010601</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382010610</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382011006</ndc>
    <ndc_label_name>BROMOCRIPTINE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011205</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011214</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011305</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011314</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011405</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011414</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011505</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011514</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011605</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011614</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011705</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382011714</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382011901</ndc>
    <ndc_label_name>AZATHIOPRINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382012001</ndc>
    <ndc_label_name>AZATHIOPRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012105</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012116</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012205</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012216</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012305</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382012316</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013201</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013210</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013216</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013506</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013510</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013516</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013606</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013610</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013616</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013706</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013710</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013716</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013805</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013814</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013905</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382013914</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014005</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014014</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014105</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014114</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014406</ndc>
    <ndc_label_name>RAMIPRIL 1.25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014501</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014601</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382014701</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018001</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018005</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018101</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018105</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018201</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018205</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018305</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018314</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382018401</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-250 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382018501</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382018601</ndc>
    <ndc_label_name>GLIPIZIDE-METFORMIN 5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018701</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018801</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382018901</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382020401</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382020405</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382020501</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382020505</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382020906</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382022705</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382022714</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382024701</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382024705</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382024910</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382024916</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025010</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025016</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025110</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025116</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025210</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025216</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025501</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025505</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025601</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025605</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382025701</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382027101</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382027114</ndc>
    <ndc_label_name>ETODOLAC ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382027201</ndc>
    <ndc_label_name>ETODOLAC ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382027301</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382027314</ndc>
    <ndc_label_name>ETODOLAC ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382029706</ndc>
    <ndc_label_name>AMIODARONE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382029806</ndc>
    <ndc_label_name>AMIODARONE HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382031601</ndc>
    <ndc_label_name>MINOCYCLINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382031701</ndc>
    <ndc_label_name>MINOCYCLINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382031818</ndc>
    <ndc_label_name>MINOCYCLINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382035101</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382035201</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382035305</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382035306</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382035316</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382035514</ndc>
    <ndc_label_name>GABAPENTIN ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382035614</ndc>
    <ndc_label_name>GABAPENTIN ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382035714</ndc>
    <ndc_label_name>GABAPENTIN ER 900 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382035806</ndc>
    <ndc_label_name>TOPIRAMATE ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382037001</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382037002</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382037003</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382038306</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382039501</ndc>
    <ndc_label_name>RIBAVIRIN 6 GM INHALATION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382039504</ndc>
    <ndc_label_name>RIBAVIRIN 6 GM INHALATION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382039601</ndc>
    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382040701</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382040801</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382040901</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382041101</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382041201</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382041205</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382043528</ndc>
    <ndc_label_name>MESALAMINE 800 MG DR TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044106</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044110</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044116</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044206</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044210</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044216</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382044405</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044614</ndc>
    <ndc_label_name>BOSENTAN 62.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382044714</ndc>
    <ndc_label_name>BOSENTAN 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382045219</ndc>
    <ndc_label_name>MESALAMINE ER 0.375 GRAM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047130</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047178</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047230</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047278</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047330</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047378</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382047906</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382048006</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382048116</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382048216</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382048316</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382049814</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382050001</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382050005</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382050010</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382051201</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382051205</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382052001</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382052842</ndc>
    <ndc_label_name>CHOLESTYRAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382052860</ndc>
    <ndc_label_name>CHOLESTYRAMINE PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382052942</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram oral powder</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382052960</ndc>
    <ndc_label_name>Cholestyramine Light 4 gram powder for suspension in a packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382053601</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 5 MEQ TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382053701</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382053801</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054606</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054706</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054716</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054806</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054906</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382054916</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382055501</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382055601</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382055701</ndc>
    <ndc_label_name>CARBAMAZEPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382055901</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056410</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056501</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056510</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056601</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056610</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056705</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382056928</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382058201</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382058301</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382058401</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382059101</ndc>
    <ndc_label_name>PERPHENAZINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382059201</ndc>
    <ndc_label_name>PERPHENAZINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382059301</ndc>
    <ndc_label_name>PERPHENAZINE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382059401</ndc>
    <ndc_label_name>PERPHENAZINE 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382060716</ndc>
    <ndc_label_name>GABAPENTIN ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382060816</ndc>
    <ndc_label_name>GABAPENTIN ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382060901</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382060910</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382062301</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382062430</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382062431</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382062483</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382064006</ndc>
    <ndc_label_name>DUTASTERIDE-TAMSULOSIN 0.5-0.4</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382064016</ndc>
    <ndc_label_name>DUTASTERIDE-TAMSULOSIN 0.5-0.4</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382065906</ndc>
    <ndc_label_name>PYRIDOSTIGMINE BR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066001</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066005</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066010</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066101</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066105</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066201</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382066205</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382070718</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382071119</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382071569</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382071586</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382071782</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382071787</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382072001</ndc>
    <ndc_label_name>BUDESONIDE DR 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382072116</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382072216</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073201</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073301</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073401</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073701</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073801</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382073901</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382074516</ndc>
    <ndc_label_name>Tiadylt ER 120 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382074616</ndc>
    <ndc_label_name>Tiadylt ER 180 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382074716</ndc>
    <ndc_label_name>Tiadylt ER 240 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382074816</ndc>
    <ndc_label_name>Tiadylt ER 300 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382074916</ndc>
    <ndc_label_name>Tiadylt ER 360 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075016</ndc>
    <ndc_label_name>Tiadylt ER 420 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075801</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075805</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075810</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075901</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075905</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382075910</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382076001</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382076005</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382076010</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382076906</ndc>
    <ndc_label_name>TOPIRAMATE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382077130</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382077177</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382077230</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382077277</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382077305</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382077306</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382077316</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382077501</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078201</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078301</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078310</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 1 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078401</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078410</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078501</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078510</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078601</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382078610</ndc>
    <ndc_label_name>DOXAZOSIN MESYLATE 8 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079101</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079105</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079201</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079205</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079801</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079805</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079901</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382079905</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080001</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080005</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080501</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080505</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080510</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080601</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080605</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080610</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080701</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080705</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382080801</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382082614</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382082701</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382082706</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382084893</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382084894</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382084993</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382084994</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382085601</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382085605</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382085701</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382085705</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 75-50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382085906</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382086002</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382086010</ndc>
    <ndc_label_name>BENZTROPINE 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382086306</ndc>
    <ndc_label_name>TOPIRAMATE ER 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382086406</ndc>
    <ndc_label_name>TOPIRAMATE ER 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089606</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089610</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089706</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089710</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089806</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089810</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089906</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382089910</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382091001</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382091010</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382091206</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091306</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091406</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091506</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382091601</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382091634</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 4 MG DOSEPK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091711</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091818</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 16 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382091911</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 32 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382092006</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382092106</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382092286</ndc>
    <ndc_label_name>ELETRIPTAN HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382092386</ndc>
    <ndc_label_name>ELETRIPTAN HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382095601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096506</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096616</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096706</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096806</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096906</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382096916</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382097001</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382097010</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382097101</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382097906</ndc>
    <ndc_label_name>LAMOTRIGINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382098006</ndc>
    <ndc_label_name>LAMOTRIGINE ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382098106</ndc>
    <ndc_label_name>LAMOTRIGINE ER 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382098206</ndc>
    <ndc_label_name>LAMOTRIGINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382098306</ndc>
    <ndc_label_name>LAMOTRIGINE ER 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68382098406</ndc>
    <ndc_label_name>LAMOTRIGINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382099701</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382099710</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382099801</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68382099802</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68403110006</ndc>
    <ndc_label_name>BabyBIG 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000101</ndc>
    <ndc_label_name>AppTrim 40.5 mg-101 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000202</ndc>
    <ndc_label_name>Sentra AM 290 mg-40 mg-35 mg-70 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000302</ndc>
    <ndc_label_name>Sentra PM 290 mg-40 mg-15 mg-70 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000402</ndc>
    <ndc_label_name>GABAdone 343 mg-20 mg-10 mg-56 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000702</ndc>
    <ndc_label_name>Hypertensa 14 mg-47 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000703</ndc>
    <ndc_label_name>Hypertensa 14 mg-47 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000801</ndc>
    <ndc_label_name>Theramine 62.5 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000802</ndc>
    <ndc_label_name>Theramine 62.5 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000803</ndc>
    <ndc_label_name>Theramine 62.5 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405000901</ndc>
    <ndc_label_name>AppTrim-D 101 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405001002</ndc>
    <ndc_label_name>Lister-V 24 mg-21 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405001601</ndc>
    <ndc_label_name>Trepadone (with bromelain) 116 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405001603</ndc>
    <ndc_label_name>Trepadone (with bromelain) 116 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405012701</ndc>
    <ndc_label_name>Percura 35.2 mg-10.2 mg-35.2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68405013004</ndc>
    <ndc_label_name>Theramine Plus 62.5 mg-100 mg-9 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68418793906</ndc>
    <ndc_label_name>Diacomit 250 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68418794006</ndc>
    <ndc_label_name>Diacomit 500 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68418794106</ndc>
    <ndc_label_name>Diacomit 250 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68418794206</ndc>
    <ndc_label_name>Diacomit 500 mg oral powder packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68436010106</ndc>
    <ndc_label_name>Alba-Lybe oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68436012016</ndc>
    <ndc_label_name>Sorbutuss 10 mg-100 mg-85 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68436013090</ndc>
    <ndc_label_name>Lipochol 150 mg-150 mg-300 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68436014090</ndc>
    <ndc_label_name>Lipochol Plus 0.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010139</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010140</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010141</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010142</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010143</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010144</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010145</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010146</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010147</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010148</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010149</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010150</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010151</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010152</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010153</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010154</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010155</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010156</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010157</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010158</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010159</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010160</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010161</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010168</ndc>
    <ndc_label_name>Active Life Urostomy Pouch 1 3 /4" (9")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010170</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010171</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010172</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010173</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010174</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010175</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010176</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010177</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010178</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010179</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010180</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010181</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 5/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010182</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010183</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 7/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010184</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010185</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010186</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010187</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010188</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010189</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 5/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010190</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010191</ndc>
    <ndc_label_name>Active Life Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010192</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010194</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010195</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010196</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010197</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010198</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010199</ndc>
    <ndc_label_name>Active Life Pre-Cut Drainable Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010200</ndc>
    <ndc_label_name>Active Life Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010201</ndc>
    <ndc_label_name>Active Life Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010202</ndc>
    <ndc_label_name>Active Life Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010203</ndc>
    <ndc_label_name>Active Life Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010204</ndc>
    <ndc_label_name>Active Life Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010205</ndc>
    <ndc_label_name>Active Life Drainable Pouch 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010214</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010215</ndc>
    <ndc_label_name>Active Life Convex Urostomy</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010216</ndc>
    <ndc_label_name>Active Life Convex Urostomy 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010217</ndc>
    <ndc_label_name>Active Life Convex Urostomy 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010218</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010219</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010220</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010221</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010222</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010224</ndc>
    <ndc_label_name>Kaltostat Rope bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010225</ndc>
    <ndc_label_name>Kaltostat Wound Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010227</ndc>
    <ndc_label_name>Kaltostat Wound Dressing 3" X 4 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010231</ndc>
    <ndc_label_name>Kaltostat Wound Dressing 6" X 9 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010233</ndc>
    <ndc_label_name>Kaltostat Wound Dressing 12" X 24"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010234</ndc>
    <ndc_label_name>Kaltostat Fortex 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010236</ndc>
    <ndc_label_name>Active Life 1-Piece Stoma Cap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010251</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010252</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010253</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010254</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010255</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010256</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010257</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010258</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010259</ndc>
    <ndc_label_name>Active Life Convex Drainable Pouch 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010260</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010261</ndc>
    <ndc_label_name>Active Life Convex Urostomy 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010262</ndc>
    <ndc_label_name>Active Life Convex Urostomy 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010263</ndc>
    <ndc_label_name>Active Life Convex Urostomy 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010264</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010265</ndc>
    <ndc_label_name>Active Life Urostomy Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010266</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010267</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010268</ndc>
    <ndc_label_name>Active Life Convex Urostomy 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010269</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010270</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010271</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010272</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010277</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010278</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 3" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010279</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 4" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010280</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 6" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010281</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Spots 1 3/4" X 1 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010282</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 2" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010283</ndc>
    <ndc_label_name>DuoDERM CGF Adhesive Border Dressing 2 1/2" X 2 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010284</ndc>
    <ndc_label_name>DuoDERM CGF Adhesive Border Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010285</ndc>
    <ndc_label_name>DuoDERM CGF Adhesive Border Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010286</ndc>
    <ndc_label_name>DuoDERM CGF Adhesive Border Dressing 4" X 5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010287</ndc>
    <ndc_label_name>DuoDERM CGF Adhesive Border Dressing 6" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010289</ndc>
    <ndc_label_name>Active Life 1-Pc Drain Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010290</ndc>
    <ndc_label_name>Active Life 1-Pc Drain Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010319</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010321</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010323</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010325</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010326</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010327</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010328</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010329</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010330</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010331</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010332</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010333</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010334</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010335</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010336</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010337</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010350</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010351</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010352</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010353</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010354</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010355</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010356</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010357</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010358</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010359</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy with Accuseal 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010360</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy with Accuseal 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010361</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010362</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010363</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010364</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010365</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010366</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy with Accuseal 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010367</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010368</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010369</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010370</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010371</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010372</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable for High Output 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010373</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable for High Output 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010374</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable for High Output 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010375</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010376</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010377</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010378</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010379</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010393</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010394</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010397</ndc>
    <ndc_label_name>Sur-Fit Natura Flange Cap 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010399</ndc>
    <ndc_label_name>Visi-Flow Irrigation Sleeve 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010400</ndc>
    <ndc_label_name>Visi-Flow Irrigation Sleeve 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010401</ndc>
    <ndc_label_name>Visi-Flow Irrigation Sleeve 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010402</ndc>
    <ndc_label_name>Visi-Flow Irrigation Sleeve 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010405</ndc>
    <ndc_label_name>Sur-Fit Natura Irrigation Adapter Faceplate 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010406</ndc>
    <ndc_label_name>Sur-Fit Natura Irrigation Adapter Faceplate 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010409</ndc>
    <ndc_label_name>Sur-Fit Natura Pouch-Wafer 4" (14") combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010412</ndc>
    <ndc_label_name>Little Ones Flexible Skin Barrier 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010413</ndc>
    <ndc_label_name>Little Ones Flexible Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010414</ndc>
    <ndc_label_name>Little Ones Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010415</ndc>
    <ndc_label_name>Little Ones Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010416</ndc>
    <ndc_label_name>Little Ones Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010417</ndc>
    <ndc_label_name>Little Ones Closed-End Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010418</ndc>
    <ndc_label_name>Little Ones Closed-End Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010419</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010420</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010421</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010422</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010424</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010425</ndc>
    <ndc_label_name>Visi-Flow Irrigator-Stoma Cone misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010428</ndc>
    <ndc_label_name>CarboFlex Odor Control Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010429</ndc>
    <ndc_label_name>CarboFlex Odor Control Dressing 3" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010430</ndc>
    <ndc_label_name>CarboFlex Odor Control Dressing 6" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010434</ndc>
    <ndc_label_name>Stomahesive Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010437</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010438</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010439</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010440</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010441</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010442</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010443</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010444</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010445</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010446</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010447</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010448</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010449</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010450</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010451</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010452</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010453</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010454</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010486</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 9.2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010487</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 9.2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010488</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010489</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010490</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010491</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010492</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010493</ndc>
    <ndc_label_name>Esteem Synergy Urostomy Pouch 10.3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010496</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010497</ndc>
    <ndc_label_name>Stomahesive Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010498</ndc>
    <ndc_label_name>Stomahesive Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010499</ndc>
    <ndc_label_name>Stomahesive Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010500</ndc>
    <ndc_label_name>Stomahesive Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010503</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010505</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010507</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010508</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010509</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010510</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010511</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010512</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010513</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010514</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010523</ndc>
    <ndc_label_name>Durahesive Moldable Convex misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010524</ndc>
    <ndc_label_name>Durahesive Moldable Convex misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010525</ndc>
    <ndc_label_name>Durahesive Moldable Convex misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010561</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010562</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010563</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010564</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010565</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010566</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010567</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010568</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010569</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010571</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010572</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010580</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010581</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010582</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010583</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010584</ndc>
    <ndc_label_name>Sur-Fit Natura Drainable Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010585</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010586</ndc>
    <ndc_label_name>Little Ones Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010587</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010588</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010589</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010590</ndc>
    <ndc_label_name>Little Ones Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010591</ndc>
    <ndc_label_name>Little Ones Closed-End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010592</ndc>
    <ndc_label_name>Little Ones Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010593</ndc>
    <ndc_label_name>Little Ones Skin Barrier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010594</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010595</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010596</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010597</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010598</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010599</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010600</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010601</ndc>
    <ndc_label_name>Sur-Fit Natura Stomahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010614</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010615</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010616</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010617</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010618</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010619</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010620</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010621</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010622</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010623</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010624</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010625</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010626</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010627</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010628</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010637</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010638</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010639</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010640</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010641</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010642</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010643</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010644</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 1 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010645</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010646</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010647</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010648</ndc>
    <ndc_label_name>Sur-Fit Natura Durahesive 2 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010661</ndc>
    <ndc_label_name>Active Life Pre-Cut Urostomy 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010662</ndc>
    <ndc_label_name>Active Life Pre-Cut Urostomy 7/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010663</ndc>
    <ndc_label_name>Active Life Pre-Cut Urostomy 1" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010664</ndc>
    <ndc_label_name>Active Life Urostomy Pouch 1 1/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010665</ndc>
    <ndc_label_name>Active Life Pre-Cut Urostomy 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010666</ndc>
    <ndc_label_name>Active Life Pre-Cut Urostomy 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010670</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 8" X 12"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010671</ndc>
    <ndc_label_name>Sur-Fit Natura Urostomy Pouch 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010689</ndc>
    <ndc_label_name>Active Life Pouch-Closure</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010690</ndc>
    <ndc_label_name>Stomahesive Paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010691</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010692</ndc>
    <ndc_label_name>DuoDERM CGF Extra Thin Dressing 6" X 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010694</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010695</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010696</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 8" X 8" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010697</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010698</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010702</ndc>
    <ndc_label_name>Stomahesive Moldable Adhesive strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010703</ndc>
    <ndc_label_name>Flexi-Seal Fecal misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010706</ndc>
    <ndc_label_name>DuoDERM Hydroactive topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010707</ndc>
    <ndc_label_name>Visi-Flow Sleeve Tail Closures misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010708</ndc>
    <ndc_label_name>Visi-Flow Stoma Cone misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010709</ndc>
    <ndc_label_name>Convatec Night Drainage Tubing misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010710</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 3/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010712</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010713</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1 1/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010714</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1 1/4" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010715</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1 3/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010716</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1 1/2" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010717</ndc>
    <ndc_label_name>Sur-Fit Natura Convex Inserts 1 5/8" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010718</ndc>
    <ndc_label_name>Ostomy Appliance Belt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010719</ndc>
    <ndc_label_name>Sur-Fit-Active Life Tail Clos misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010723</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 5 1/2" X 5 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010724</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 6" X 7"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010725</ndc>
    <ndc_label_name>DuoDERM CGF Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010726</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 8" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010727</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 8" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010739</ndc>
    <ndc_label_name>Kaltostat Wound Dressing 4" X 8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010747</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 7 1/2" X 7 4/5"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010748</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 8" X 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010750</ndc>
    <ndc_label_name>DuoDerm Signal Dressing 7 1/2" X 4 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010760</ndc>
    <ndc_label_name>Allkare Adhesive Remover Wipes packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010761</ndc>
    <ndc_label_name>Allkare Protect Barrier Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010762</ndc>
    <ndc_label_name>Flexi-Trak Anchoring Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010763</ndc>
    <ndc_label_name>Unna-Flex Elastic Unna Boot 3" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010764</ndc>
    <ndc_label_name>Unna-Flex Elastic Unna Boot 4" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010766</ndc>
    <ndc_label_name>Allkare Protect Barrier Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010767</ndc>
    <ndc_label_name>Allkare Adhesive Remover Wipes packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010782</ndc>
    <ndc_label_name>Surepress High Compression 4" X 3.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010826</ndc>
    <ndc_label_name>Stomahesive Protective Powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010827</ndc>
    <ndc_label_name>Unna-Flex Convenience Pack topical combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010862</ndc>
    <ndc_label_name>Flexi-Seal FMS misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010864</ndc>
    <ndc_label_name>DuoDERM Hydroactive topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010867</ndc>
    <ndc_label_name>Duolock Curved Tail Closure</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010869</ndc>
    <ndc_label_name>Little Ones Drainable Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010872</ndc>
    <ndc_label_name>Eakin Cohesive Seals misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010873</ndc>
    <ndc_label_name>Eakin Cohesive Seals misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010896</ndc>
    <ndc_label_name>Surepress Absorbent Padding 4" X 3.2 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010913</ndc>
    <ndc_label_name>Convatec Night Drain Container</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010933</ndc>
    <ndc_label_name>Eakin Cohesive 4" X 8" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455010934</ndc>
    <ndc_label_name>Eakin Cohesive 4" X 4" wafer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011051</ndc>
    <ndc_label_name>Aquacel AG Burn 1.2 %-4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011116</ndc>
    <ndc_label_name>Aquacel-AG 1.2 %-3.5" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011119</ndc>
    <ndc_label_name>Aquacel-AG 1.2 %-3.5" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011122</ndc>
    <ndc_label_name>Aquacel-AG 1.2 %-3.5" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011125</ndc>
    <ndc_label_name>Aquacel-AG 1.2 %-3.5" X 14" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011149</ndc>
    <ndc_label_name>GentleCath 8 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011151</ndc>
    <ndc_label_name>GentleCath 12 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011152</ndc>
    <ndc_label_name>GentleCath 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011153</ndc>
    <ndc_label_name>GentleCath 16 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011157</ndc>
    <ndc_label_name>GentleCath 8 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011158</ndc>
    <ndc_label_name>GentleCath 10 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011159</ndc>
    <ndc_label_name>GentleCath 12 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011160</ndc>
    <ndc_label_name>GentleCath 14 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011161</ndc>
    <ndc_label_name>GentleCath 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011170</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 13/16"-2 3/4" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011171</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 13/16"-2 3/4" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011174</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 1" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011177</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 1 3/16" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011180</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 1 3/8" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011183</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 1 9/16" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011185</ndc>
    <ndc_label_name>Esteem Closed Pouch 2" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011188</ndc>
    <ndc_label_name>Esteem Drainable Pouch 13/16"-2 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011189</ndc>
    <ndc_label_name>Esteem Drainable Pouch 13/16"-2 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011191</ndc>
    <ndc_label_name>Esteem Drainable Pouch 13/16"-2 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011194</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011195</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011198</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011199</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011202</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011203</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011206</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011207</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011208</ndc>
    <ndc_label_name>Esteem Drainable Pouch 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011209</ndc>
    <ndc_label_name>Esteem Drainable Pouch 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011210</ndc>
    <ndc_label_name>Esteem Drainable Pouch 7/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011211</ndc>
    <ndc_label_name>Esteem Drainable Pouch 7/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011212</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011213</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011214</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011215</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011216</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011217</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011218</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011219</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011220</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011221</ndc>
    <ndc_label_name>Esteem Drainable Pouch 1 1/2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011321</ndc>
    <ndc_label_name>Natura Closed Pouch 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011324</ndc>
    <ndc_label_name>Natura Closed Pouch 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011327</ndc>
    <ndc_label_name>Natura Closed Pouch 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011330</ndc>
    <ndc_label_name>Natura Closed Pouch 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011332</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 1/2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011333</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 1/2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011334</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011335</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011336</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 3/4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011337</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011338</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011339</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 1/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011340</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 3/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011341</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 3/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011342</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 3/4 " (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011460</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011461</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011462</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011463</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011464</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011465</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011467</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011468</ndc>
    <ndc_label_name>Esteem Synergy Closed Pouch 2 3/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011469</ndc>
    <ndc_label_name>Esteem Synergy Plus 2 3/8" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011481</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011482</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011483</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 1 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011484</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 1 7/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011485</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 1 7/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011487</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 2 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011488</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 2 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011489</ndc>
    <ndc_label_name>Esteem Synergy Drainable Pouch 2 3/8" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011534</ndc>
    <ndc_label_name>Esteem Plus Durahesive Plus 3/4"-2 1/2" (12") misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011535</ndc>
    <ndc_label_name>Esteem Drainable Pouch 3/4"-2 1/2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011572</ndc>
    <ndc_label_name>Natura Drainable Pouch 4" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011717</ndc>
    <ndc_label_name>Flexi-Seal Signal FMS rectal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011733</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011734</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 7/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011735</ndc>
    <ndc_label_name>Stomahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011812</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 1/3"-4" (14")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011821</ndc>
    <ndc_label_name>Aquacel Hydrofiber Dressing 0.39" X 18"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455011825</ndc>
    <ndc_label_name>Eakin Cohesive Slims</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012287</ndc>
    <ndc_label_name>Aquacel Foam 5" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012291</ndc>
    <ndc_label_name>Aquacel Foam 7" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012302</ndc>
    <ndc_label_name>Aquacel Foam 8" X 5.5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012306</ndc>
    <ndc_label_name>Aquacel Foam 8" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012311</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-5" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012315</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-7" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012322</ndc>
    <ndc_label_name>Aquacel AG Foam Heel 1.2 %-8" X 5.5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012326</ndc>
    <ndc_label_name>Aquacel AG Foam Sacral 1.2 %-8" X 7" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012336</ndc>
    <ndc_label_name>Aquacel Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012341</ndc>
    <ndc_label_name>Aquacel Foam 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012349</ndc>
    <ndc_label_name>Aquacel Foam 6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012359</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012364</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012368</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012391</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012392</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012393</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012394</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012395</ndc>
    <ndc_label_name>Natura Stomahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012396</ndc>
    <ndc_label_name>Natura Stomahesive Skin Barrier 1 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012397</ndc>
    <ndc_label_name>Natura Stomahesive Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012398</ndc>
    <ndc_label_name>Natura Stomahesive Skin Barrier 2 3/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012511</ndc>
    <ndc_label_name>Aquacel-AG 1.2 %-3.5" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012559</ndc>
    <ndc_label_name>Aquacel Extra 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012564</ndc>
    <ndc_label_name>Aquacel Extra 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012567</ndc>
    <ndc_label_name>Aquacel Extra 4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012692</ndc>
    <ndc_label_name>Eakin Wound Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012712</ndc>
    <ndc_label_name>Aquacel Foam 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012716</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012758</ndc>
    <ndc_label_name>Natura Drainable Pouch 1 3/4" (14")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012759</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 1/4" (14")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012760</ndc>
    <ndc_label_name>Natura Drainable Pouch 2 3/4" (14")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012909</ndc>
    <ndc_label_name>Aquacel Foam 3.2" X 3.2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012913</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-3.2" X 3.2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012917</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-6" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012921</ndc>
    <ndc_label_name>Aquacel AG Foam 1.2 %-10" X 12" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012977</ndc>
    <ndc_label_name>Sensi-Care (foam) topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012978</ndc>
    <ndc_label_name>Sensi-Care (foam) topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012979</ndc>
    <ndc_label_name>Sensi-Care (foam) topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012980</ndc>
    <ndc_label_name>Sensi-Care (foam) topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012984</ndc>
    <ndc_label_name>Sensi-Care Adhesive Remover Wipe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455012985</ndc>
    <ndc_label_name>Sensi-Care Skin Barrier Wipe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013005</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 13/16"-1 3/16" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013006</ndc>
    <ndc_label_name>Esteem Plus Closed Pouch 1 3/16"-1 9/16" (8")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013017</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 13/16"-1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013018</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 1 3/16"-1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013020</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 13/16"-1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013021</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 1 3/16"-1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013023</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 13/16"-1 3/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013024</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 1 3/16"-1 9/16" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013025</ndc>
    <ndc_label_name>Esteem Plus Drainable Pouch 1 9/16"-2" (12")</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013319</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013320</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013349</ndc>
    <ndc_label_name>Aquacel Foam Sacral 9.4" X 8.4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455013917</ndc>
    <ndc_label_name>Eakin Cohesive StomaWrap 3 1/3" misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455014378</ndc>
    <ndc_label_name>Natura Durahesive Skin Barrier 2 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455014563</ndc>
    <ndc_label_name>Aquacel-AG Advantage 1.2 %-2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455014564</ndc>
    <ndc_label_name>Aquacel-AG Advantage 1.2 %-4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68455015437</ndc>
    <ndc_label_name>Aquacel-AG Advantage 1.2 %-4" X 5" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010130</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010230</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010430</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010530</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010630</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010805</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010810</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010860</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010905</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010910</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462010960</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462011010</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462011060</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462011233</ndc>
    <ndc_label_name>APREPITANT 125-80-80 MG PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462011940</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462011944</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462012090</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462012190</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012601</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012605</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012701</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012705</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012801</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462012901</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013001</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013005</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013279</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013281</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 1-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462013508</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013701</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013801</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462013901</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462014201</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462014301</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462014305</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462014401</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015305</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015310</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015360</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015713</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015740</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015811</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015813</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462015840</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016201</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016205</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016301</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016305</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016401</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016405</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016501</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016505</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462016630</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462017801</ndc>
    <ndc_label_name>NAPROXEN SODIUM 275 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462017901</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462017905</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018022</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018117</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018135</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018147</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018449</ndc>
    <ndc_label_name>METRONIDAZOLE VAGINAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018801</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018805</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018901</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462018905</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019001</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019005</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019030</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019050</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019911</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019913</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019930</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462019990</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020011</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020013</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020030</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020090</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020111</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020113</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020130</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462020190</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462020801</ndc>
    <ndc_label_name>MOEXIPRIL HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462020901</ndc>
    <ndc_label_name>MOEXIPRIL HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462021860</ndc>
    <ndc_label_name>TOPIRAMATE 15 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462021960</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG SPRINKLE CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022001</ndc>
    <ndc_label_name>LITHIUM CARBONATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022101</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022110</ndc>
    <ndc_label_name>LITHIUM CARBONATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022201</ndc>
    <ndc_label_name>LITHIUM CARBONATE 600 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022301</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022401</ndc>
    <ndc_label_name>LITHIUM CARBONATE ER 450 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022605</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022630</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022690</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022801</ndc>
    <ndc_label_name>LAMOTRIGINE 5 MG DISPER TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462022901</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG DISPER TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462023301</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462023401</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462023501</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025301</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025401</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025501</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025601</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025701</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025801</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462025901</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026001</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026005</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026110</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026190</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026210</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026290</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026310</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026390</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026405</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026430</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026530</ndc>
    <ndc_label_name>ATOMOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026630</ndc>
    <ndc_label_name>ATOMOXETINE HCL 18 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026730</ndc>
    <ndc_label_name>ATOMOXETINE HCL 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026830</ndc>
    <ndc_label_name>ATOMOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462026930</ndc>
    <ndc_label_name>ATOMOXETINE HCL 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462027030</ndc>
    <ndc_label_name>ATOMOXETINE HCL 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462027130</ndc>
    <ndc_label_name>ATOMOXETINE HCL 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462028132</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462028169</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462029201</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462029301</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462029305</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029401</ndc>
    <ndc_label_name>TRANDOLAPR-VERAPAM ER 1-240 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029501</ndc>
    <ndc_label_name>TRANDOLAPR-VERAPAM ER 2-180 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029601</ndc>
    <ndc_label_name>TRANDOLAPR-VERAPAM ER 2-240 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029717</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029735</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462029792</ndc>
    <ndc_label_name>CICLOPIROX 0.77% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462030147</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.1-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462030201</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462030205</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030329</ndc>
    <ndc_label_name>Heather 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030384</ndc>
    <ndc_label_name>Heather 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030450</ndc>
    <ndc_label_name>NORETHINDRONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030529</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030584</ndc>
    <ndc_label_name>NORETHINDRONE 0.35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030929</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462030984</ndc>
    <ndc_label_name>NORG-ETHIN ESTRA 0.25-0.035 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031065</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031066</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031629</ndc>
    <ndc_label_name>Briellyn 0.4 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462031732</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031829</ndc>
    <ndc_label_name>Viorele (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031884</ndc>
    <ndc_label_name>Viorele (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462031960</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462032060</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032130</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032190</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032230</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032290</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032330</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032390</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032430</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032490</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032501</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032560</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032590</ndc>
    <ndc_label_name>INDOMETHACIN ER 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462032901</ndc>
    <ndc_label_name>TRANDOLAPR-VERAPAM ER 4-240 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033090</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033190</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033290</ndc>
    <ndc_label_name>PRAMIPEXOLE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033390</ndc>
    <ndc_label_name>PRAMIPEXOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033490</ndc>
    <ndc_label_name>PRAMIPEXOLE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033601</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033701</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462033801</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462034690</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462035594</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462035601</ndc>
    <ndc_label_name>THEOPHYLLINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462035701</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462035705</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462037030</ndc>
    <ndc_label_name>TOPIRAMATE ER 150MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462037130</ndc>
    <ndc_label_name>TOPIRAMATE ER 200MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462037230</ndc>
    <ndc_label_name>TOPIRAMATE ER 25MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462037330</ndc>
    <ndc_label_name>TOPIRAMATE ER 50MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462037430</ndc>
    <ndc_label_name>TOPIRAMATE ER 100MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038001</ndc>
    <ndc_label_name>THEOPHYLLINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462038160</ndc>
    <ndc_label_name>RILUZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038201</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038301</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038401</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038630</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038690</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038730</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038790</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038829</ndc>
    <ndc_label_name>Marlissa (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462038884</ndc>
    <ndc_label_name>Marlissa (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039429</ndc>
    <ndc_label_name>Alyacen 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039484</ndc>
    <ndc_label_name>Alyacen 1/35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039501</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039530</ndc>
    <ndc_label_name>OMEPRAZOLE DR 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039601</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039610</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039630</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039690</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039701</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039710</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039730</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462039790</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462040201</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 62.5-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462040401</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462040444</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462040467</ndc>
    <ndc_label_name>ATOVAQUONE-PROGUANIL 250-100</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462040560</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462040601</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462040610</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462040860</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462040960</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462041060</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462041820</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462041827</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462041929</ndc>
    <ndc_label_name>Hailey Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462041984</ndc>
    <ndc_label_name>Hailey Fe 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462042105</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462042121</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462042169</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462042330</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462042430</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462043318</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043518</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043630</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043690</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043730</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043790</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043830</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462043890</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462044626</ndc>
    <ndc_label_name>SEVELAMER HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462044718</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462045535</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462045547</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462045594</ndc>
    <ndc_label_name>CICLOPIROX 0.77% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462046110</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462046160</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046540</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046599</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046640</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046699</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046706</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046740</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046746</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046806</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046840</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462046846</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462046940</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462046954</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047040</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047054</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462047101</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462047201</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462047205</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462047301</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462047401</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047720</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047774</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047830</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047884</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.25 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047930</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462047984</ndc>
    <ndc_label_name>VANCOMYCIN HCL 1.5 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462048619</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462048627</ndc>
    <ndc_label_name>CLINDAMYCIN-BENZOYL PEROX 1-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049430</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049530</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049630</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049776</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049833</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049940</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462049976</ndc>
    <ndc_label_name>ZOLMITRIPTAN 2.5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462050033</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462050040</ndc>
    <ndc_label_name>ZOLMITRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050165</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050166</ndc>
    <ndc_label_name>CALCIPOTRIENE 0.005% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050201</ndc>
    <ndc_label_name>AZATHIOPRINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050329</ndc>
    <ndc_label_name>Hailey Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050384</ndc>
    <ndc_label_name>Hailey Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050479</ndc>
    <ndc_label_name>Hailey 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462050481</ndc>
    <ndc_label_name>Hailey 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462052001</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462052190</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462052240</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462052281</ndc>
    <ndc_label_name>CLINDAMYCIN HCL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462053435</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462053465</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462053494</ndc>
    <ndc_label_name>TACROLIMUS 0.1% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462053601</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462053670</ndc>
    <ndc_label_name>IMIQUIMOD 5% CREAM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462055629</ndc>
    <ndc_label_name>Alyacen 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462055684</ndc>
    <ndc_label_name>Alyacen 7/7/7 (28) 0.5 mg/0.75 mg/1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462056201</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462056417</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462056435</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462056529</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462056584</ndc>
    <ndc_label_name>NORG-EE 0.18-0.215-0.25/0.035</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462057230</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462057330</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462057601</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462057701</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462057801</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462057901</ndc>
    <ndc_label_name>BENAZEPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058001</ndc>
    <ndc_label_name>FENOFIBRATE 67 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058101</ndc>
    <ndc_label_name>FENOFIBRATE 134 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058201</ndc>
    <ndc_label_name>FENOFIBRATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058340</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058385</ndc>
    <ndc_label_name>APREPITANT 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058440</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058458</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058476</ndc>
    <ndc_label_name>APREPITANT 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058540</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462058576</ndc>
    <ndc_label_name>APREPITANT 125 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462060527</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462060594</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462060827</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462060894</ndc>
    <ndc_label_name>CLOBETASOL PROP 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462060935</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462060965</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462060994</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062030</ndc>
    <ndc_label_name>COLESEVELAM HCL 3.75 G PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062102</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062154</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062210</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062264</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062527</ndc>
    <ndc_label_name>CLOBETASOL EMULSION 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062594</ndc>
    <ndc_label_name>CLOBETASOL EMULSION 0.05% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462062652</ndc>
    <ndc_label_name>AZELAIC ACID 15% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063729</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRA 0.09-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063784</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRA 0.09-0.02 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063801</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063901</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063925</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462063945</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462064001</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462064691</ndc>
    <ndc_label_name>Ashlyna 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462064693</ndc>
    <ndc_label_name>Ashlyna 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462064701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462064901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462065101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462065201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462065301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065629</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 0.5-2.5</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065684</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 0.5-2.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065729</ndc>
    <ndc_label_name>NORETHIN-ETH ESTRAD 1 MG-5 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065784</ndc>
    <ndc_label_name>NORETHIN-ETH ESTRAD 1 MG-5 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065790</ndc>
    <ndc_label_name>NORETHIN-ETH ESTRAD 1 MG-5 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462065927</ndc>
    <ndc_label_name>Ryaltris 665 mcg-25 mcg/spray nasal spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462067291</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462067295</ndc>
    <ndc_label_name>LEVONOR-ETH ESTRAD 0.15-0.03</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462067860</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462067960</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068060</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068160</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068201</ndc>
    <ndc_label_name>SIROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068301</ndc>
    <ndc_label_name>SIROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068401</ndc>
    <ndc_label_name>SIROLIMUS 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068501</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068601</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462068701</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462069440</ndc>
    <ndc_label_name>FROVATRIPTAN SUCC 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462069497</ndc>
    <ndc_label_name>FROVATRIPTAN SUCC 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462069720</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462069730</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071171</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071176</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071182</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071188</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071308</ndc>
    <ndc_label_name>RUFINAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462071408</ndc>
    <ndc_label_name>RUFINAMIDE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462072029</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462072084</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462072101</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462072201</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462072630</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462072690</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462072730</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462072790</ndc>
    <ndc_label_name>SAXAGLIPTIN HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462073129</ndc>
    <ndc_label_name>Hailey 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462073184</ndc>
    <ndc_label_name>Hailey 24 Fe 1 mg-20 mcg (24)/75 mg (4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462073329</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462073384</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462074617</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462074635</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075501</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075525</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075601</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075625</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075702</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075725</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075801</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075805</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462075825</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076010</ndc>
    <ndc_label_name>EPINEPHRINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076130</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076360</ndc>
    <ndc_label_name>MILNACIPRAN HCL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076460</ndc>
    <ndc_label_name>MILNACIPRAN HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076560</ndc>
    <ndc_label_name>MILNACIPRAN HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076660</ndc>
    <ndc_label_name>MILNACIPRAN HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462076735</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077020</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077101</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077110</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077201</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077210</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077710</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077735</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 20 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077820</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077855</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462077874</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078605</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078625</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078715</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078725</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078825</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462078850</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079201</ndc>
    <ndc_label_name>TRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079320</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079355</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079374</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079430</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079462</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079484</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079520</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462079555</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084011</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084013</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084111</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084113</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084211</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084213</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084929</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462084984</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462085001</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462085101</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462085229</ndc>
    <ndc_label_name>Charlotte 24 Fe 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462085284</ndc>
    <ndc_label_name>Charlotte 24 Fe 1 mg-20 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462085320</ndc>
    <ndc_label_name>SODIUM PHENYLBUTYRATE 500MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462085824</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462085827</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462085924</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462085927</ndc>
    <ndc_label_name>CLINDAMYCIN-BNZ PEROX 1-5% PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086101</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086201</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086301</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086401</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086501</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086635</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462086665</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087801</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087805</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087830</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087901</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087905</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462087930</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088001</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088005</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088030</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088135</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088165</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088194</ndc>
    <ndc_label_name>TACROLIMUS 0.03% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462088260</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462088901</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462089001</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462089356</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462089404</ndc>
    <ndc_label_name>VARENICLINE 1 MG CONT MONTH BX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462089456</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68462089504</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462089601</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462089610</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462089701</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68462089710</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521605</ndc>
    <ndc_label_name>Albutein 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521606</ndc>
    <ndc_label_name>Albutein 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521607</ndc>
    <ndc_label_name>Albutein 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521608</ndc>
    <ndc_label_name>Albutein 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521609</ndc>
    <ndc_label_name>Albutein 25 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521800</ndc>
    <ndc_label_name>Albutein 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521804</ndc>
    <ndc_label_name>Albutein 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521900</ndc>
    <ndc_label_name>Albutein 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68516521902</ndc>
    <ndc_label_name>Albutein 5 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68546014256</ndc>
    <ndc_label_name>Azilect 0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546017060</ndc>
    <ndc_label_name>Austedo 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546017160</ndc>
    <ndc_label_name>Austedo 9 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546017260</ndc>
    <ndc_label_name>Austedo 12 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68546022956</ndc>
    <ndc_label_name>Azilect 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546031730</ndc>
    <ndc_label_name>Copaxone 20 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68546032506</ndc>
    <ndc_label_name>Copaxone 40 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68546032512</ndc>
    <ndc_label_name>Copaxone 40 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047056</ndc>
    <ndc_label_name>Austedo XR 6 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047156</ndc>
    <ndc_label_name>Austedo XR 12 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047256</ndc>
    <ndc_label_name>Austedo XR 24 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
    <ndc>68546047356</ndc>
    <ndc_label_name>Austedo XR 30 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047456</ndc>
    <ndc_label_name>Austedo XR 36 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047556</ndc>
    <ndc_label_name>Austedo XR 42 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047656</ndc>
    <ndc_label_name>Austedo XR 48 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047729</ndc>
    <ndc_label_name>Austedo XR Titration (Week 1-4) 12-18-24-30 mg tablet, ER 24hr dose pk</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546047956</ndc>
    <ndc_label_name>Austedo XR 18 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68546049052</ndc>
    <ndc_label_name>AUSTEDO XR TITR KT(6-12-24 MG)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547000501</ndc>
    <ndc_label_name>Giapreza 0.5 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547011110</ndc>
    <ndc_label_name>Xacduro 1 gram-1 gram (0.5 gram x 2) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547021120</ndc>
    <ndc_label_name>SULBACTAM 1 GM VIAL (XACDURO)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547031130</ndc>
    <ndc_label_name>DURLOBACTAM 0.5 GM VL(XACDURO)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547050102</ndc>
    <ndc_label_name>Giapreza 2.5 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547057801</ndc>
    <ndc_label_name>Zevtera 667 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68547057810</ndc>
    <ndc_label_name>Zevtera 667 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68561000040</ndc>
    <ndc_label_name>Mosquito Eliminator 25 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68585000575</ndc>
    <ndc_label_name>Mag 64 64 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68585000801</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599020401</ndc>
    <ndc_label_name>Thera Moisturizing 1.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599020404</ndc>
    <ndc_label_name>Thera Moisturizing 1.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599020504</ndc>
    <ndc_label_name>Thera Calazinc 3 %-20 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599020604</ndc>
    <ndc_label_name>Thera Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599020703</ndc>
    <ndc_label_name>Thera Antifungal 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599021404</ndc>
    <ndc_label_name>Thera Body Cleanser 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599021408</ndc>
    <ndc_label_name>Thera Body Cleanser 0.13 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599021801</ndc>
    <ndc_label_name>Thera Moisturizing 1.75 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599021804</ndc>
    <ndc_label_name>Thera Moisturizing 1.75 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599021808</ndc>
    <ndc_label_name>Thera Moisturizing 1.75 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599050003</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118201</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118202</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118301</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118302</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118401</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599118404</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599118507</ndc>
    <ndc_label_name>Skin Protectant A and D topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599118603</ndc>
    <ndc_label_name>Skin Protectant A and D topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599118705</ndc>
    <ndc_label_name>Skin Protectant A and D topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599131103</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599141103</ndc>
    <ndc_label_name>Antacid Extra-Strength 168 mg (as calcium carb 420 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599198101</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230102</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230106</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230206</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230509</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230607</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599230609</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599350001</ndc>
    <ndc_label_name>PVP Prep 10 % topical solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PVP Prep 10 % topical solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PVP Prep 10 % topical solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PVP Prep 10 % topical solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599467909</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599474407</ndc>
    <ndc_label_name>BISMUTH 262 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599478406</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599520401</ndc>
    <ndc_label_name>Antimicrobial 0.95 % topical cleanser</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Antimicrobial 0.95 % topical cleanser</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599520403</ndc>
    <ndc_label_name>Antimicrobial 0.95 % topical cleanser</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Antimicrobial 0.95 % topical cleanser</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Antimicrobial 0.95 % topical cleanser</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599550102</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599550103</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599550104</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Foaming Antibacterial Soap 0.13 % foam</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Instant Hand Sanitizing 70 % towelette</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599580304</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68599580404</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599580601</ndc>
    <ndc_label_name>Obstetrical Antiseptic 0.13 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599580602</ndc>
    <ndc_label_name>Obstetrical Antiseptic 0.13 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599580806</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Unna Boot 12 %-3" X 10 yard bandage</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Unna Boot 12 %-4" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599611403</ndc>
    <ndc_label_name>Unna Boot Zinc-Calamine 3 %-3 %-4" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Skin Protectant (Lanolin) 50 % cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Skin Protectant (Lanolin) 50 % cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Orasol 20 % mucosal gel packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599863001</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599863004</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599863005</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SWABSTICK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599863501</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70% SWABSTCK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68599863502</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70% SWABSTCK</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68611018001</ndc>
    <ndc_label_name>Yutiq 0.18 mg intravitreal implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68611019002</ndc>
    <ndc_label_name>Iluvien 0.19 mg intravitreal implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645014059</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645045590</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645045690</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645047854</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645047954</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645049659</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645051654</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645051954</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645052054</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645052354</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645052754</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645053254</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645054459</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645054559</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645054759</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055154</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055254</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055354</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055454</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055554</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055654</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055754</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645055854</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LOVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645056790</ndc>
    <ndc_label_name>LOVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645057290</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645057390</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645057454</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645057559</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645058054</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645058259</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645058359</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645058459</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645058754</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059090</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059354</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059459</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059559</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059654</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645059954</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060354</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060454</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060590</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060690</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060790</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060890</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645060990</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645061090</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645061190</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645061290</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68645061390</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000610</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000650</ndc>
    <ndc_label_name>DILTIAZEM 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000710</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000750</ndc>
    <ndc_label_name>DILTIAZEM 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000810</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000850</ndc>
    <ndc_label_name>DILTIAZEM 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682000910</ndc>
    <ndc_label_name>DILTIAZEM 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682001004</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% LOTN</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682001110</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682004525</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682004550</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682010301</ndc>
    <ndc_label_name>DICLOFENAC SOD ER 100 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682010430</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010510</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010530</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010610</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010630</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010710</ndc>
    <ndc_label_name>NIFEDIPINE ER 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010810</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010830</ndc>
    <ndc_label_name>NIFEDIPINE ER 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010910</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682010930</ndc>
    <ndc_label_name>NIFEDIPINE ER 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682011001</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682011102</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682011203</ndc>
    <ndc_label_name>PIMECROLIMUS 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682013350</ndc>
    <ndc_label_name>CLINDAMYC-BNZ PEROX 1.2-3.75%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682019201</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682019301</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682020025</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682020175</ndc>
    <ndc_label_name>PEG3350 100-7.5-2.691-1.01-5.9</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682023101</ndc>
    <ndc_label_name>AZATHIOPRINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682024101</ndc>
    <ndc_label_name>AZATHIOPRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682027115</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% OINT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682027145</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682027275</ndc>
    <ndc_label_name>IMIQUIMOD 3.75% CREAM PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682029905</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682029910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682029915</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682030030</ndc>
    <ndc_label_name>CLINDA-TRETINOIN 1.2%-0.025%</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682030060</ndc>
    <ndc_label_name>CLINDA-TRETINOIN 1.2%-0.025%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682030601</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682030930</ndc>
    <ndc_label_name>BUDESONIDE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682031001</ndc>
    <ndc_label_name>METYROSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68682034205</ndc>
    <ndc_label_name>DESMOPRESSIN 0.01% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682099498</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682099798</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68682099898</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(CD) 300 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000365</ndc>
    <ndc_label_name>Harmonie Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000366</ndc>
    <ndc_label_name>Harmonie Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000367</ndc>
    <ndc_label_name>Harmonie Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000368</ndc>
    <ndc_label_name>Harmonie Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000380</ndc>
    <ndc_label_name>Dry Comfort Extra Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000385</ndc>
    <ndc_label_name>Dry Comfort Extra Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000390</ndc>
    <ndc_label_name>Dry Comfort Extra Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702000395</ndc>
    <ndc_label_name>Dry Comfort Extra Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702054282</ndc>
    <ndc_label_name>Serenity Tena Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702054295</ndc>
    <ndc_label_name>Serenity Tena Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702054305</ndc>
    <ndc_label_name>Serenity Tena Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702061209</ndc>
    <ndc_label_name>Dry Comfort pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702061210</ndc>
    <ndc_label_name>Dry Comfort pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702061214</ndc>
    <ndc_label_name>Dry Comfort pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702061215</ndc>
    <ndc_label_name>Dry Comfort pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702062618</ndc>
    <ndc_label_name>Day, Plus Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702062718</ndc>
    <ndc_label_name>Night Super Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702064340</ndc>
    <ndc_label_name>Tena soap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702064351</ndc>
    <ndc_label_name>Tena soap</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702066100</ndc>
    <ndc_label_name>Tena Briefs-Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702067200</ndc>
    <ndc_label_name>Tena Ultra Briefs-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702067300</ndc>
    <ndc_label_name>Tena Ultra Briefs-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702067501</ndc>
    <ndc_label_name>TENA Pants Super Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702067803</ndc>
    <ndc_label_name>Tena Stretch Ultra misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702072131</ndc>
    <ndc_label_name>Tena Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702072231</ndc>
    <ndc_label_name>Tena Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702072239</ndc>
    <ndc_label_name>Tena Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68702072331</ndc>
    <ndc_label_name>Tena Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727010001</ndc>
    <ndc_label_name>Xyrem 500 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727015001</ndc>
    <ndc_label_name>Xywav 0.5 gram/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727025001</ndc>
    <ndc_label_name>Modeyso 125 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727071201</ndc>
    <ndc_label_name>Zepzelca 4 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727074501</ndc>
    <ndc_label_name>Vyxeos 44 mg-100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727074502</ndc>
    <ndc_label_name>Vyxeos 44 mg-100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727080001</ndc>
    <ndc_label_name>Defitelio 80 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727080002</ndc>
    <ndc_label_name>Defitelio 80 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727090001</ndc>
    <ndc_label_name>Rylaze 10 mg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727090003</ndc>
    <ndc_label_name>Rylaze 10 mg/0.5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727095001</ndc>
    <ndc_label_name>Ziihera 300 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68727095002</ndc>
    <ndc_label_name>Ziihera 300 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68784010212</ndc>
    <ndc_label_name>BISACODYL 10 MG SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68786021101</ndc>
    <ndc_label_name>WHITE PETROLATUM JELLY PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68791010104</ndc>
    <ndc_label_name>Derma-Smoothe/FS Body Oil 0.01 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68791010204</ndc>
    <ndc_label_name>Derma-Smoothe/FS Scalp Oil 0.01 %</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68791010320</ndc>
    <ndc_label_name>DermOtic Oil 0.01 % ear drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68791010404</ndc>
    <ndc_label_name>PEDIAPRED 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68803061210</ndc>
    <ndc_label_name>VisionBlue 0.06 % intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68803072205</ndc>
    <ndc_label_name>TissueBlue 0.025 % intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68803072225</ndc>
    <ndc_label_name>TissueBlue 0.025 % intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68817013450</ndc>
    <ndc_label_name>Abraxane 100 mg intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68850001201</ndc>
    <ndc_label_name>MYAMBUTOL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68850001202</ndc>
    <ndc_label_name>MYAMBUTOL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68875010101</ndc>
    <ndc_label_name>Gattex One-Vial 5 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68875010102</ndc>
    <ndc_label_name>Gattex 30-Vial 5 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68875010201</ndc>
    <ndc_label_name>Gattex 30-Vial 5 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68875010301</ndc>
    <ndc_label_name>Gattex One-Vial 5 mg subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68875023001</ndc>
    <ndc_label_name>Q-Cliq Pen (For Natpara) 71.4 microL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017201</ndc>
    <ndc_label_name>Secuado 3.8 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017301</ndc>
    <ndc_label_name>Secuado 5.7 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017303</ndc>
    <ndc_label_name>Secuado 5.7 mg/24 hour transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017401</ndc>
    <ndc_label_name>Secuado 7.6 mg/24 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968017403</ndc>
    <ndc_label_name>Secuado 7.6 mg/24 hour transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968020501</ndc>
    <ndc_label_name>Xelstrym 4.5 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968020503</ndc>
    <ndc_label_name>Xelstrym 4.5 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968021001</ndc>
    <ndc_label_name>Xelstrym 9 mg/9 hour transdermal 24 hour patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968021003</ndc>
    <ndc_label_name>Xelstrym 9 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968021501</ndc>
    <ndc_label_name>Xelstrym 13.5 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968021503</ndc>
    <ndc_label_name>Xelstrym 13.5 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968022001</ndc>
    <ndc_label_name>Xelstrym 18 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968022003</ndc>
    <ndc_label_name>Xelstrym 18 mg/9 hour transdermal 24 hour patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968051401</ndc>
    <ndc_label_name>CombiPatch 0.05 mg-0.14 mg/24 hr transdermal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968051408</ndc>
    <ndc_label_name>CombiPatch 0.05 mg-0.14 mg/24 hr transdermal</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968052501</ndc>
    <ndc_label_name>CombiPatch 0.05 mg-0.25 mg/24 hr transdermal</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968052508</ndc>
    <ndc_label_name>CombiPatch 0.05 mg-0.25 mg/24 hr transdermal</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968341001</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968341008</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968342501</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968342508</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968343701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968345001</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968345008</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968347508</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Daytrana 10 mg/9 hr daily patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968555203</ndc>
    <ndc_label_name>Daytrana 10 mg/9 hr daily patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968555301</ndc>
    <ndc_label_name>Daytrana 15 mg/9 hr daily patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968555303</ndc>
    <ndc_label_name>Daytrana 15 mg/9 hr daily patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968555401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68968555403</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968661001</ndc>
    <ndc_label_name>Minivelle 0.1 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968661008</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968662501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968662508</ndc>
    <ndc_label_name>Minivelle 0.025 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968663701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968663708</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968665001</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968665008</ndc>
    <ndc_label_name>Minivelle 0.05 mg/24 hr transdermal patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68968667508</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68974087640</ndc>
    <ndc_label_name>CHENODAL 250 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Nuwiq 3,000 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982015101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982015201</ndc>
    <ndc_label_name>Nuwiq 4,000 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982015301</ndc>
    <ndc_label_name>Nuwiq 1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982015401</ndc>
    <ndc_label_name>Nuwiq 1,500 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982018201</ndc>
    <ndc_label_name>Wilate 500 unit-500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982018202</ndc>
    <ndc_label_name>Wilate 1,000 unit-1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982026101</ndc>
    <ndc_label_name>Balfaxar 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982026102</ndc>
    <ndc_label_name>Balfaxar 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982026181</ndc>
    <ndc_label_name>Balfaxar 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68982026182</ndc>
    <ndc_label_name>Balfaxar 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982034701</ndc>
    <ndc_label_name>Fibryga 1 gram (700 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982034801</ndc>
    <ndc_label_name>Fibryga 1 gram (700 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982034901</ndc>
    <ndc_label_name>Fibryga 1 gram (700 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982034981</ndc>
    <ndc_label_name>Fibryga 1 gram (700 mg-1,300 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982035001</ndc>
    <ndc_label_name>Fibryga 2 gram (1,400 mg-2,600 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982035081</ndc>
    <ndc_label_name>Fibryga 2 gram (1,400 mg-2,600 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982062301</ndc>
    <ndc_label_name>ALBUMIN (HUMAN) 5% IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982062302</ndc>
    <ndc_label_name>ALBUMIN (HUMAN) 5% IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982062303</ndc>
    <ndc_label_name>ALBUMIN (HUMAN) 5% IV SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982064301</ndc>
    <ndc_label_name>ALBUMIN (HUMAN) 25% IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982064302</ndc>
    <ndc_label_name>ALBUMIN (HUMAN) 25% IV SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081001</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081002</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081003</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081004</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081005</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081006</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081081</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081082</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081083</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081084</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081085</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982081086</ndc>
    <ndc_label_name>Cutaquig 16.5 % subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082201</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082202</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082203</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082204</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082205</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082206</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082281</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082282</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082283</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082284</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082285</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982082286</ndc>
    <ndc_label_name>Panzyga 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982084001</ndc>
    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982084002</ndc>
    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982084003</ndc>
    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982084004</ndc>
    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982084005</ndc>
    <ndc_label_name>Octagam 5 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982085001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Octagam 10 % intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982095201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982095401</ndc>
    <ndc_label_name>Octaplas (Blood Group AB) 45 to 70 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68982095501</ndc>
    <ndc_label_name>Octaplas (Blood Group O) 45 to 70 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992301001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992301003</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992304001</ndc>
    <ndc_label_name>Envarsus XR 4 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992304003</ndc>
    <ndc_label_name>Envarsus XR 4 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992307501</ndc>
    <ndc_label_name>Envarsus XR 0.75 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68992307503</ndc>
    <ndc_label_name>Envarsus XR 0.75 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999000224</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999000251</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999000424</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999000443</ndc>
    <ndc_label_name>LACTULOSE 20 GM/30 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999001124</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999001159</ndc>
    <ndc_label_name>AMANTADINE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999018905</ndc>
    <ndc_label_name>ALBUTEROL 2 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999018920</ndc>
    <ndc_label_name>ALBUTEROL 8 MG/20 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999018923</ndc>
    <ndc_label_name>ALBUTEROL 8 MG/20 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999018924</ndc>
    <ndc_label_name>ALBUTEROL 2 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999019624</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999019645</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999025024</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999025045</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999033005</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999033024</ndc>
    <ndc_label_name>PREDNISOLONE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999043505</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999043524</ndc>
    <ndc_label_name>POTASSIUM CIT-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999043805</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999043824</ndc>
    <ndc_label_name>Tricitrates 550 mg-500 mg-334 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999052610</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999052624</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999054010</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999054024</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999055524</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999055545</ndc>
    <ndc_label_name>ONDANSETRON 4 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999055624</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999055651</ndc>
    <ndc_label_name>THEOPHYLLINE 80 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999062602</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999070624</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG/30ML SOL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999070630</ndc>
    <ndc_label_name>LAMIVUDINE 300 MG/30ML SOL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999072910</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999072924</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999073024</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999073045</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999076724</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999076745</ndc>
    <ndc_label_name>DIAZEPAM 5 MG/5 ML ORAL CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999080305</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999080320</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG/20ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999080323</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG/20ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999080324</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999084124</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999084145</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999087124</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999087151</ndc>
    <ndc_label_name>LIDOCAINE 2% VISCOUS 15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999087424</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999087459</ndc>
    <ndc_label_name>VALPROIC ACID 500 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999094305</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>68999094324</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096205</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096207</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096215</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096222</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG/15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096223</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG/7.5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>68999096224</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69007076504</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69007077060</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69007082230</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METRONIDAZOLE TOPICAL 0.75% GL</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ADAPALENE 0.3% GEL PUMP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Rhinase 15 %-0.17 %-5 %-0.22 % nasal mist</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69051020101</ndc>
    <ndc_label_name>Rhinase 15 %-0.17 %-20 %-0.22 % nasal gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lidopin 3 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lidopin 3.25 % topical cream</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69067001015</ndc>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097007867</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097007897</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097009808</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097009843</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097009844</ndc>
    <ndc_label_name>AMOX-CLAV 250-62.5 MG/5 ML SUS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012203</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012212</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012215</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012303</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012312</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012315</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012403</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012412</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012415</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012503</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012512</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012515</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012605</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012615</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012705</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012715</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012805</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097012815</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097014260</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015402</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015405</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015412</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015807</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015812</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015815</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015907</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015912</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097015915</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097016832</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097016848</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097016853</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097016864</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097016887</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097017353</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097017364</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097021002</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097022376</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097022476</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097024803</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097030102</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031602</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031853</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031886</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031887</ndc>
    <ndc_label_name>BUDESONIDE 0.25 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031932</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031953</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031986</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097031987</ndc>
    <ndc_label_name>BUDESONIDE 0.5 MG/2 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032132</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032153</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032186</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032187</ndc>
    <ndc_label_name>BUDESONIDE 1 MG/2 ML INH SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032228</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032289</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032303</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097032388</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097034135</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097036108</ndc>
    <ndc_label_name>GRISEOFULVIN 125 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097036202</ndc>
    <ndc_label_name>ABACAVIR-LAMIVUDINE 600-300 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097036344</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097038173</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097038273</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097038381</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097038481</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097038581</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097038602</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097038702</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097039878</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097040707</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097040715</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097040807</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097040815</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097040907</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097041002</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097041102</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097041202</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042003</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042107</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042112</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042207</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042212</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042303</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097042502</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097042602</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042967</ndc>
    <ndc_label_name>Nypozi 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097042996</ndc>
    <ndc_label_name>Nypozi 480 mcg/0.8 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043067</ndc>
    <ndc_label_name>Nypozi 300 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043096</ndc>
    <ndc_label_name>Nypozi 300 mcg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043102</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043105</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043202</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043205</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097043802</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097045102</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097045805</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097045905</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097050327</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097050331</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097050731</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 2.5 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097050831</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 5 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097051403</ndc>
    <ndc_label_name>ABACAVIR 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097051607</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097051707</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097052444</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097052603</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097052734</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 10 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097052834</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 20 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097052934</ndc>
    <ndc_label_name>ESOMEPRAZOLE DR 40 MG PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097053131</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097053153</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097053302</ndc>
    <ndc_label_name>TENOFOVIR DISOP FUM 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097053637</ndc>
    <ndc_label_name>TESTOSTERONE CYP 1,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097053731</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097055031</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097055053</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097055203</ndc>
    <ndc_label_name>DIMETHYL FUMARATE 30D START PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097056031</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097056053</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097057031</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097057053</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097057967</ndc>
    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097060473</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097064202</ndc>
    <ndc_label_name>EMTRICITABINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097064448</ndc>
    <ndc_label_name>SUMATRIPTAN 20 MG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097065502</ndc>
    <ndc_label_name>RITONAVIR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097066434</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097066468</ndc>
    <ndc_label_name>ICATIBANT 30 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097067705</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097067805</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097067905</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097068105</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097068205</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097068305</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097068405</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097068505</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097068637</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097070831</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097070896</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097070930</ndc>
    <ndc_label_name>PHYTONADIONE 1 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097070996</ndc>
    <ndc_label_name>PHYTONADIONE 1 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097072044</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097077032</ndc>
    <ndc_label_name>CALCITONIN-SALMON 400 UNIT/2ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097078805</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097078812</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097078905</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097078912</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097079105</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097079112</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097079205</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097079212</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097080232</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097081307</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097081507</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097081512</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097082037</ndc>
    <ndc_label_name>Zemdri 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097082096</ndc>
    <ndc_label_name>Zemdri 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082103</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082112</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082207</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082212</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082307</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082312</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082407</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082412</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082502</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082507</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082515</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082607</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082707</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097082715</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083207</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083215</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083302</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083305</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083312</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083402</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083412</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083502</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097083512</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084034</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084053</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084064</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084087</ndc>
    <ndc_label_name>IPRAT-ALBUT 0.5-3(2.5) MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084407</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084507</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084607</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084615</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084705</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084715</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084805</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084815</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084905</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097084915</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097085605</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 10 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097085705</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 20 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097085805</ndc>
    <ndc_label_name>FOSINOPRIL SODIUM 40 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097085902</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097085907</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097086107</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097086283</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097086707</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097086807</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097086907</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097087067</ndc>
    <ndc_label_name>LANREOTIDE 120 MG/0.5 ML SYRNG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097087505</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097087602</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097087612</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097090443</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097090667</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097090767</ndc>
    <ndc_label_name>LANREOTIDE 60 MG/0.2 ML SYRING</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097090867</ndc>
    <ndc_label_name>LANREOTIDE 90 MG/0.3 ML SYRING</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097090950</ndc>
    <ndc_label_name>LEUPROLIDE DEPOT 22.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097091055</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097091203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097091402</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097092068</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097093498</ndc>
    <ndc_label_name>LANTHANUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097093589</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097093598</ndc>
    <ndc_label_name>LANTHANUM CARB 750 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097093665</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097093698</ndc>
    <ndc_label_name>LANTHANUM CARB 1,000 MG TB CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097094093</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097094307</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097094312</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097094808</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097094903</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097095032</ndc>
    <ndc_label_name>LEUPROLIDE DEPOT 22.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097096453</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097096507</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097096512</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097096607</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097096612</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097096793</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097096807</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097096812</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097096907</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097096912</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097097107</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097097112</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 20-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097097207</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097097307</ndc>
    <ndc_label_name>FOSINOPRIL-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097097407</ndc>
    <ndc_label_name>MEPROBAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097097507</ndc>
    <ndc_label_name>MEPROBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097097902</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097098102</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69097098202</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097098793</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097098805</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099202</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 120 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099205</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 120 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099302</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099305</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099402</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 240 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099405</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 240 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099502</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099505</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099602</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099605</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099702</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 420 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099705</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 420 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099807</ndc>
    <ndc_label_name>METAXALONE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099902</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69097099907</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101009001</ndc>
    <ndc_label_name>Entty topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101009002</ndc>
    <ndc_label_name>Entty topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101041001</ndc>
    <ndc_label_name>PREDNISOLONE 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101050230</ndc>
    <ndc_label_name>Consensi 2.5 mg-200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101050530</ndc>
    <ndc_label_name>Consensi 5 mg-200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69101051030</ndc>
    <ndc_label_name>Consensi 10 mg-200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69101060008</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69101060015</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69102010501</ndc>
    <ndc_label_name>Roweepra 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102013710</ndc>
    <ndc_label_name>LAMOTRIGINE TAB START KT-ORANG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69102015006</ndc>
    <ndc_label_name>Subvenite 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102030001</ndc>
    <ndc_label_name>Subvenite Starter (Orange) Kit 25 mg (42)-100 mg (7) tablet, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69102030101</ndc>
    <ndc_label_name>Subvenite 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102030601</ndc>
    <ndc_label_name>Subvenite Starter (Blue) Kit 25 mg (35) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102031201</ndc>
    <ndc_label_name>Subvenite Starter (Green) Kit 25 mg (84)-100 mg (14) tablet, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69102031901</ndc>
    <ndc_label_name>Subvenite 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69102032001</ndc>
    <ndc_label_name>Subvenite 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102035911</ndc>
    <ndc_label_name>LAMOTRIGINE TAB START KT-GREEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102041801</ndc>
    <ndc_label_name>Subvenite 10 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69102063909</ndc>
    <ndc_label_name>LAMOTRIGINE TAB START KIT-BLUE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117000301</ndc>
    <ndc_label_name>ANASTROZOLE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117000401</ndc>
    <ndc_label_name>LETROZOLE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117000801</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117000901</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117000902</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117001801</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117001802</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117001901</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117001902</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002001</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002102</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002103</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002202</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002203</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002301</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002302</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002303</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002801</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002802</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002901</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117002902</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117003001</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69117003002</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004001</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004002</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004101</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004102</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004201</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004202</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004203</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004204</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004301</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117004302</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117100001</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117101001</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117101002</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117101003</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69117101004</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69126000301</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69140000106</ndc>
    <ndc_label_name>Cerenx 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69140016003</ndc>
    <ndc_label_name>Cadeau DHA 29 mg iron-1 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150002010</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011301</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011310</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011401</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011490</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011501</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150011510</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013814</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013815</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013816</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013914</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013915</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150013916</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150014014</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150014015</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150014016</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69150022501</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69150022503</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150027302</ndc>
    <ndc_label_name>MUPIROCIN 2% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041503</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041509</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041510</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041603</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041609</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150041610</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69150080050</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69168001060</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69168004632</ndc>
    <ndc_label_name>BISMUTH 262 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69168021950</ndc>
    <ndc_label_name>Calcium Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69168028836</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175180000</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175180005</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175190005</ndc>
    <ndc_label_name>LORATADINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175236005</ndc>
    <ndc_label_name>GENTAMICIN SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175284400</ndc>
    <ndc_label_name>CompoundMax Base cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175416009</ndc>
    <ndc_label_name>DIMETHYL SULFOXIDE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175600001</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175612000</ndc>
    <ndc_label_name>PHENYTOIN SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175870005</ndc>
    <ndc_label_name>KETOPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175941125</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175942205</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69175942225</ndc>
    <ndc_label_name>KETOROLAC TROMETHAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176003501</ndc>
    <ndc_label_name>Toxicology Saliva Collection 600 mg oral kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176014000</ndc>
    <ndc_label_name>Lido-Prilo Caine Pack 2.5 %-2.5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176051802</ndc>
    <ndc_label_name>Cicatrace Pad 4.7" X 5.7" topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176060030</ndc>
    <ndc_label_name>Zyvit 1 mg-5 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176065030</ndc>
    <ndc_label_name>Lorid 1 mg-200 mg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69176068030</ndc>
    <ndc_label_name>Provad 30 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194034801</ndc>
    <ndc_label_name>VANCOMYCIN 8 MG/0.8 ML-NS VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194055301</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.6 MG/0.4 ML-BSS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194055501</ndc>
    <ndc_label_name>CEFUROXIME 4 MG/0.4 ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194058501</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.4 MG/0.4 ML-BSS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194080301</ndc>
    <ndc_label_name>BUPIVACAIN 0.375%-LIDO 2%-NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194090801</ndc>
    <ndc_label_name>LIDOCAINE 12 MG/0.6 ML(2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194093301</ndc>
    <ndc_label_name>BUPIVACAIN 0.375%-LIDO 2%-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194094401</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>69194094801</ndc>
    <ndc_label_name>Epi-Caine (PF) 0.025 %-0.75 % intraocular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097501</ndc>
    <ndc_label_name>EPINEPH 8 MG/250 ML-0.9% NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097510</ndc>
    <ndc_label_name>EPINEPH 8 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097601</ndc>
    <ndc_label_name>EPINEPH 4 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097610</ndc>
    <ndc_label_name>EPINEPH 4 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097701</ndc>
    <ndc_label_name>EPINEPH 5 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097710</ndc>
    <ndc_label_name>EPINEPH 5 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194097801</ndc>
    <ndc_label_name>PHENYLEPHRINE 20 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69194098001</ndc>
    <ndc_label_name>PHENYLEPHRINE 40 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69202078088</ndc>
    <ndc_label_name>Ulesfia 5 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69203052850</ndc>
    <ndc_label_name>CAPSAICIN PALMITATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69206011030</ndc>
    <ndc_label_name>Elfolate 7.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69206011090</ndc>
    <ndc_label_name>Elfolate 7.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69206012090</ndc>
    <ndc_label_name>Elfolate 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69206023090</ndc>
    <ndc_label_name>Elfolate Plus 2 mg-3 mg-35 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69206099001</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230014620</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230014640</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230014652</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230014680</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230020105</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230020201</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230020230</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030001</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030005</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030030</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230030324</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230030340</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030401</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030405</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030430</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030520</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030580</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030811</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030812</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030911</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230030912</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031011</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031012</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031111</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031112</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031230</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031301</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031305</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031350</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031531</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031532</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031611</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031701</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031703</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031831</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031835</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031836</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230031837</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230032014</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230032031</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230032032</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69230032033</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032110</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032131</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032133</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032134</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032212</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032224</ndc>
    <ndc_label_name>CHILD LORATADINE 5 MG/5 ML SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032330</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032333</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032334</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032431</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032434</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032435</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032436</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032437</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032512</ndc>
    <ndc_label_name>LOPERAMIDE-SIMETH 2-125 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032524</ndc>
    <ndc_label_name>LOPERAMIDE-SIMETH 2-125 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032532</ndc>
    <ndc_label_name>LOPERAMIDE-SIMETH 2-125 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032601</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032605</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032610</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032630</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032660</ndc>
    <ndc_label_name>FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032701</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032705</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032710</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032730</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032750</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032801</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032803</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032901</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032902</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032905</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032910</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032924</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69230032950</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69233064403</ndc>
    <ndc_label_name>Reliaderm 0.035 %-25 %-10 % topical cream roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69235031005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69235031050</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69235035005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238101302</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238101701</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238101703</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238105103</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105301</ndc>
    <ndc_label_name>DESIPRAMINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105401</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105501</ndc>
    <ndc_label_name>DESIPRAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105601</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105701</ndc>
    <ndc_label_name>DESIPRAMINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105801</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238105901</ndc>
    <ndc_label_name>DESIPRAMINE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106001</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106101</ndc>
    <ndc_label_name>DESIPRAMINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106201</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106302</ndc>
    <ndc_label_name>DESIPRAMINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106501</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106507</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106901</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238106905</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238110002</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238110005</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238110809</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238110903</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238110909</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238111003</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238111009</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238112001</ndc>
    <ndc_label_name>OXAPROZIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238112309</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238112409</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238112509</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238112601</ndc>
    <ndc_label_name>ETHACRYNIC ACID 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238113606</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238113706</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 200 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238113803</ndc>
    <ndc_label_name>ATAZANAVIR SULFATE 300 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238115403</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238115405</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238115409</ndc>
    <ndc_label_name>EZETIMIBE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238115503</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238115603</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-20 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238115703</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238115803</ndc>
    <ndc_label_name>EZETIMIBE-SIMVASTATIN 10-80 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238116507</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238116609</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238117009</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238117109</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238117209</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238117309</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117401</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117403</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117501</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117503</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117601</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238117603</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238120202</ndc>
    <ndc_label_name>BUPRENORPHINE 5 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238120302</ndc>
    <ndc_label_name>BUPRENORPHINE 10 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238120402</ndc>
    <ndc_label_name>BUPRENORPHINE 15 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238120502</ndc>
    <ndc_label_name>BUPRENORPHINE 20 MCG/HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238124703</ndc>
    <ndc_label_name>MEMANTINE-DONEPEZIL ER 28-10MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238124803</ndc>
    <ndc_label_name>MEMANTINE-DONEPEZIL ER 14-10MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238125001</ndc>
    <ndc_label_name>BEXAROTENE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238126401</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238126501</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238126601</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238127306</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238128904</ndc>
    <ndc_label_name>BECLOMETHASONE HFA 40 MCG INHL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238129004</ndc>
    <ndc_label_name>BECLOMETHASONE HFA 80 MCG INHL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238130306</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238130406</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238130501</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238130601</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131009</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131109</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131209</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131309</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131409</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131509</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131609</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131709</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131804</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238131906</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134201</ndc>
    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134301</ndc>
    <ndc_label_name>ETODOLAC 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238134401</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238134501</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134603</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134703</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134803</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238134903</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238138003</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142003</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142009</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142103</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238142301</ndc>
    <ndc_label_name>METHOTREXATE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142401</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142501</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238142505</ndc>
    <ndc_label_name>VIGABATRIN 500 MG POWDER PACKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238145802</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238145902</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238147103</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238147203</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 333 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238147303</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238147606</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238148403</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238148503</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238148901</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238149001</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238174508</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238174608</ndc>
    <ndc_label_name>PILOCARPINE 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238174708</ndc>
    <ndc_label_name>PILOCARPINE 4% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238175406</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238179107</ndc>
    <ndc_label_name>PENCICLOVIR 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183001</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183007</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183101</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183107</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183201</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183207</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183301</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183307</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183401</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183407</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183501</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183507</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183601</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183607</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183701</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183707</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183801</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183807</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183901</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238183907</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238184001</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238184007</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238184101</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238199101</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238199107</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238199201</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238199207</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238199301</ndc>
    <ndc_label_name>ASA-BUTALB-CAFF-COD #3 CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238201603</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238201702</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238202702</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238202708</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238202903</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238202905</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238203107</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238205301</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207701</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207707</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207801</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207807</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207901</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238207907</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238208001</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238208101</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238208105</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238208603</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69238208806</ndc>
    <ndc_label_name>BEXAROTENE 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238209004</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238209203</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 100-150MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238209303</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 133-200MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238209403</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 167-250MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238209503</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238210401</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238210407</ndc>
    <ndc_label_name>NALOXONE HCL 4 MG NASAL SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238212209</ndc>
    <ndc_label_name>PREDNISOLONE 15 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238212507</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69238212601</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292051650</ndc>
    <ndc_label_name>CEFPODOXIME 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052201</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052210</ndc>
    <ndc_label_name>CAPTOPRIL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052401</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052410</ndc>
    <ndc_label_name>CAPTOPRIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052601</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052610</ndc>
    <ndc_label_name>CAPTOPRIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292052801</ndc>
    <ndc_label_name>CAPTOPRIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053001</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053010</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053201</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053210</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053401</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053410</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053601</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053801</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292053850</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054001</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054010</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054201</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054210</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054401</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054410</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054601</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292054610</ndc>
    <ndc_label_name>ENALAPRIL MALEATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292054830</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292055001</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292055201</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292056201</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292056401</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292056601</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058001</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058201</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058401</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058601</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058610</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292058801</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292059001</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292060560</ndc>
    <ndc_label_name>DIGOXIN 0.05 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292062090</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292062190</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063010</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063014</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063020</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063028</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063130</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292063190</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69292065001</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69292072225</ndc>
    <ndc_label_name>FLURBIPROFEN 0.03% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69307102402</ndc>
    <ndc_label_name>Vanilla SilQ 2.1 % (w/v), 2.0 % (w/w) oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011601</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011610</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011701</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011710</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011801</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315011805</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315012701</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315012710</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013001</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013010</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013101</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013110</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013301</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013310</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013401</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013410</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013501</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013510</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013601</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013610</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013701</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013710</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013801</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013810</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315013901</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315014001</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315015501</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315015510</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315015801</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315015901</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016001</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016101</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016201</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016301</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016350</ndc>
    <ndc_label_name>DOXEPIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016401</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016501</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016601</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315016701</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018201</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018205</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018210</ndc>
    <ndc_label_name>OXYBUTYNIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018401</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018403</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018512</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018524</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018624</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315018725</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315021101</ndc>
    <ndc_label_name>NIFEDIPINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315021201</ndc>
    <ndc_label_name>NIFEDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315022601</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315022701</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315023103</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315023203</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 1,000 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315023901</ndc>
    <ndc_label_name>CARBINOXAMINE MALEATE 6 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315024812</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315024848</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315026001</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315026501</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315026601</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315027520</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315028109</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315028209</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315028301</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315028401</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS F.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315028520</ndc>
    <ndc_label_name>ETRAVIRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315028606</ndc>
    <ndc_label_name>ETRAVIRINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315028709</ndc>
    <ndc_label_name>FENOFIBRATE 48 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315028805</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315028809</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315028909</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315029005</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315029009</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029101</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029105</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029110</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029201</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029205</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315029210</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030130</ndc>
    <ndc_label_name>RectaSmoothe 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030410</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030510</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030615</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030630</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030660</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030802</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030805</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315030810</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315030930</ndc>
    <ndc_label_name>CICLOPIROX 0.77% TOPICAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315030960</ndc>
    <ndc_label_name>CICLOPIROX 0.77% TOPICAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315031228</ndc>
    <ndc_label_name>Procto-Med HC 2.5 % topical cream perineal applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315031820</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315031846</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032005</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032010</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032205</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032210</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315032308</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315032315</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315032405</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032505</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032510</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032515</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032705</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315032710</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315032905</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315033005</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315033010</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315033015</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315033102</ndc>
    <ndc_label_name>GATIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315040256</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315040356</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315040358</ndc>
    <ndc_label_name>VARENICLINE 1 MG CONT MONTH BX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315040457</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315040909</ndc>
    <ndc_label_name>ALLOPURINOL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315041001</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315041005</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315050324</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315050447</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315050460</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315050609</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG POWDR PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315070150</ndc>
    <ndc_label_name>ETHACRYNATE SODIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090401</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090405</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090410</ndc>
    <ndc_label_name>LORAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090501</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090505</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090510</ndc>
    <ndc_label_name>LORAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090601</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090605</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315090610</ndc>
    <ndc_label_name>LORAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315091001</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69315091010</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315091101</ndc>
    <ndc_label_name>OXAZEPAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315091201</ndc>
    <ndc_label_name>OXAZEPAM 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69315091301</ndc>
    <ndc_label_name>OXAZEPAM 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69329027001</ndc>
    <ndc_label_name>Dermawerx Surgical Plus Pak 2 %-4 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69329029001</ndc>
    <ndc_label_name>DermaWerx SDS 0.1 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69329040002</ndc>
    <ndc_label_name>LidoRxKit 5 % topical pack,ointment and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69329051001</ndc>
    <ndc_label_name>Diclotral 1.5 %-0.025 % topical, solution and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013603</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013634</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013693</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013697</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013701</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013705</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013791</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339013795</ndc>
    <ndc_label_name>DIAZEPAM 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339013815</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339013817</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339013819</ndc>
    <ndc_label_name>CHLORHEXIDINE 0.12%  15 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339014801</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339014817</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339014819</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339014905</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339014919</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015001</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015019</ndc>
    <ndc_label_name>GUAIFENESIN-DM 200-20 MG/10 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015105</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015117</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015119</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015201</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015217</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015219</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015301</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015317</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015705</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339015717</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339015810</ndc>
    <ndc_label_name>TESTOSTERONE 30 MG/1.5 ML PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339015901</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339015917</ndc>
    <ndc_label_name>ITRACONAZOLE 100 MG/10 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016001</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016016</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016017</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016018</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016019</ndc>
    <ndc_label_name>MEGESTROL 400 MG/10ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339016217</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339016298</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339016317</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339016398</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69339016803</ndc>
    <ndc_label_name>GEFITINIB 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017101</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017103</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017105</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017201</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017203</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017301</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017401</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017402</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017441</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017501</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017703</ndc>
    <ndc_label_name>ARMODAFINIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017803</ndc>
    <ndc_label_name>ARMODAFINIL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339017903</ndc>
    <ndc_label_name>ARMODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339018003</ndc>
    <ndc_label_name>ARMODAFINIL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339019905</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339019910</ndc>
    <ndc_label_name>ALPRAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020005</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020010</ndc>
    <ndc_label_name>ALPRAZOLAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020105</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020110</ndc>
    <ndc_label_name>ALPRAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020205</ndc>
    <ndc_label_name>ALPRAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020901</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020917</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69339020919</ndc>
    <ndc_label_name>SUCRALFATE 1 GM/10 ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344010101</ndc>
    <ndc_label_name>Indocin 25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344010233</ndc>
    <ndc_label_name>Indocin 50 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344014443</ndc>
    <ndc_label_name>Sprix 15.75 mg/spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344014463</ndc>
    <ndc_label_name>Sprix 15.75 mg/spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344020329</ndc>
    <ndc_label_name>Zorvolex 18 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344020429</ndc>
    <ndc_label_name>Zorvolex 35 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344020523</ndc>
    <ndc_label_name>Vivlodex 5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69344020623</ndc>
    <ndc_label_name>Vivlodex 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69355041202</ndc>
    <ndc_label_name>Visbiome 450 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69355041203</ndc>
    <ndc_label_name>Visbiome 112.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69355051601</ndc>
    <ndc_label_name>Visbiome 900 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69355070101</ndc>
    <ndc_label_name>Visbiome 0.5 billion cell/drop oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013106</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013206</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013306</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013406</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013506</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013701</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013705</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013801</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367013805</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367016204</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367016304</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367016504</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367016507</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367016604</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367016607</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367016620</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367017216</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367017401</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018001</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018005</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018010</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018101</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018105</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018201</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018205</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367018210</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367018316</ndc>
    <ndc_label_name>CHLOPHEDIANOL-DEXCHLORP-PSE LQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367018408</ndc>
    <ndc_label_name>DM-GUAIF-PE 18-200-10 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367018804</ndc>
    <ndc_label_name>ZINC OXIDE 22% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367019050</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367019101</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367019201</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367019405</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367019430</ndc>
    <ndc_label_name>CLOPIDOGREL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367019530</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367019630</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367020005</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367020201</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367020285</ndc>
    <ndc_label_name>LIDOCAINE 3% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367020301</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367020305</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367020901</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021001</ndc>
    <ndc_label_name>POLYSACCHARIDE IRON 150 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021020</ndc>
    <ndc_label_name>POLYSACCHARIDE IRON 150 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021101</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021110</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021201</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021210</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021301</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021310</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021401</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021410</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367021709</ndc>
    <ndc_label_name>IRON FOLATE-F CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367021730</ndc>
    <ndc_label_name>IRON FOLATE-F CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367021809</ndc>
    <ndc_label_name>Iron Folate Plus 125 mg iron-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367021830</ndc>
    <ndc_label_name>Iron Folate Plus 125 mg iron-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021901</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021905</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367021910</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 12.5 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367022001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367022209</ndc>
    <ndc_label_name>WesTab One 2.5 mg-25 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367022409</ndc>
    <ndc_label_name>WesTab Max 2.5 mg-25 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367022918</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.25% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367023430</ndc>
    <ndc_label_name>WestGel DHA 31 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023501</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023510</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023601</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023610</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023701</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023705</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367023809</ndc>
    <ndc_label_name>LEVOCETIRIZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024101</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024105</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024201</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024205</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024312</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024324</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024410</ndc>
    <ndc_label_name>SOD SULFACE-SULF 9.8-4.8% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024516</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 8-4% SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024601</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024610</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024706</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024708</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024712</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367024806</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025001</ndc>
    <ndc_label_name>Wes-Phos Neutral 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025130</ndc>
    <ndc_label_name>WesNatal DHA Complete 29 mg iron-1 mg-200 mg oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367025330</ndc>
    <ndc_label_name>TRIPROLIDINE 0.938 MG/ML DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367025405</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367025409</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025501</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025505</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025601</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025605</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025810</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025901</ndc>
    <ndc_label_name>FERROUS FUMARATE 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367025920</ndc>
    <ndc_label_name>FERROUS FUMARATE 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367026012</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367026209</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367026230</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367026309</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367026330</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367026401</ndc>
    <ndc_label_name>FELODIPINE ER 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367026501</ndc>
    <ndc_label_name>FELODIPINE ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367026601</ndc>
    <ndc_label_name>FELODIPINE ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367026701</ndc>
    <ndc_label_name>WesTab Plus 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367027102</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367027204</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367027216</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028302</ndc>
    <ndc_label_name>ERGOCALCIFEROL 200 MCG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367028601</ndc>
    <ndc_label_name>HYDROCORTISONE-IODOQUINOL CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028705</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028709</ndc>
    <ndc_label_name>MONTELUKAST SOD 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028805</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028809</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028905</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367028909</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367029360</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367029460</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367029820</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030101</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030105</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030201</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030205</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030301</ndc>
    <ndc_label_name>MIGLITOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030401</ndc>
    <ndc_label_name>MIGLITOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030501</ndc>
    <ndc_label_name>MIGLITOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030709</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030730</ndc>
    <ndc_label_name>EPLERENONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030809</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367030830</ndc>
    <ndc_label_name>EPLERENONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367030951</ndc>
    <ndc_label_name>Sodium Fluoride 5000 Plus 1.1 % dental cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367031056</ndc>
    <ndc_label_name>SODIUM FLUORIDE 1.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367031101</ndc>
    <ndc_label_name>SODIUM FLUORIDE 5000 PPM PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367031201</ndc>
    <ndc_label_name>SODIUM FLUORIDE 5000 PPM PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367031401</ndc>
    <ndc_label_name>Wescaps 1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367031530</ndc>
    <ndc_label_name>WESCAP-C DHA SOFTGEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367031630</ndc>
    <ndc_label_name>WesCap-PN DHA 27 mg iron-1 mg-300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367031730</ndc>
    <ndc_label_name>WesNate DHA 28 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367031801</ndc>
    <ndc_label_name>SODIUM FLUORIDE-POTASSIUM NITR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032304</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032316</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032409</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032509</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032609</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032709</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032809</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367032909</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033009</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033109</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033260</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033360</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367033416</ndc>
    <ndc_label_name>WesTussin DM (dexchlorpheniramine) 1 mg-5 mg-10 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367033530</ndc>
    <ndc_label_name>PAROXETINE ER 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367033630</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367033730</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033801</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033805</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033901</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033905</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367033910</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034001</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034005</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034305</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034405</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034505</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034605</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034705</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034860</ndc>
    <ndc_label_name>LACOSAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367034960</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035060</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035160</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367035210</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367035220</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367035316</ndc>
    <ndc_label_name>WesTussin DM NF 2 mg-7.5 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035410</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035510</ndc>
    <ndc_label_name>METOPROLOL TARTRATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367035601</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367035630</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035716</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035905</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035909</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367035910</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036005</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036009</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036010</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036105</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036109</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036110</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036205</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036209</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036230</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036716</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036805</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036860</ndc>
    <ndc_label_name>RISPERIDONE 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036905</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367036960</ndc>
    <ndc_label_name>RISPERIDONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037005</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037060</ndc>
    <ndc_label_name>RISPERIDONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037105</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037160</ndc>
    <ndc_label_name>RISPERIDONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037205</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037260</ndc>
    <ndc_label_name>RISPERIDONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037305</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037360</ndc>
    <ndc_label_name>RISPERIDONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037409</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037410</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037509</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037510</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037609</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037610</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037709</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037710</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037801</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037830</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037901</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367037930</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038101</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038105</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038110</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038201</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038205</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038210</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038301</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038305</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038310</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038501</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038601</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038605</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038750</ndc>
    <ndc_label_name>CIPROFLOXACIN HCL 750 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038810</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367038910</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039010</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039201</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039301</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039401</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039405</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039501</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039505</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039601</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039605</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367039701</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367039785</ndc>
    <ndc_label_name>LIDOCAINE-HC 3-0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367039816</ndc>
    <ndc_label_name>PYRILAMINE DM 7.5MG-7.5MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367039985</ndc>
    <ndc_label_name>MICONAZOLE NITRATE 2% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040010</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040110</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040216</ndc>
    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040801</ndc>
    <ndc_label_name>FERROUS FUMARATE 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040901</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367040930</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367041001</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367041030</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367041102</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041260</ndc>
    <ndc_label_name>METFORMIN ER 500 MG OSMOTIC TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041360</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG OSM-TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367041401</ndc>
    <ndc_label_name>THEOPHYLLINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367041501</ndc>
    <ndc_label_name>THEOPHYLLINE ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041601</ndc>
    <ndc_label_name>BUTALBITAL-ASPIRIN-CAFFEINE CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041709</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041809</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041830</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367041901</ndc>
    <ndc_label_name>CARISOPRODOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367042001</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367042005</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367042101</ndc>
    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367042201</ndc>
    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042327</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042405</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042409</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042505</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042509</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042605</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042609</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042705</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042709</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042805</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042809</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042905</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367042909</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043009</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043105</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043109</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043230</ndc>
    <ndc_label_name>PALIPERIDONE ER 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043330</ndc>
    <ndc_label_name>PALIPERIDONE ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043430</ndc>
    <ndc_label_name>PALIPERIDONE ER 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367043530</ndc>
    <ndc_label_name>PALIPERIDONE ER 9 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367061101</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367061201</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367061501</ndc>
    <ndc_label_name>SALSALATE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367061601</ndc>
    <ndc_label_name>SALSALATE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062501</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062510</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062601</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062610</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062701</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062710</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062801</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367062810</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367067701</ndc>
    <ndc_label_name>HYOSCYAMINE SULF 0.125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367067801</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG TAB SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69367067901</ndc>
    <ndc_label_name>HYOSCYAMINE 0.125 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069101</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069105</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069201</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069205</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069301</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069305</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069401</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69367069405</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374021450</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030005</ndc>
    <ndc_label_name>SUCCINYLCHOL 100 MG/5 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030010</ndc>
    <ndc_label_name>SUCCINYLCHOL 200 MG/10 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030110</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.8 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030210</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030610</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374030805</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-WATER VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69374030920</ndc>
    <ndc_label_name>ALBUTEROL 100 MG/20 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374031405</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374031410</ndc>
    <ndc_label_name>MIDAZOLAM 100 MG/100 ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374031525</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374031625</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374031925</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374032325</ndc>
    <ndc_label_name>FENTANYL 2,500MCG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69374033005</ndc>
    <ndc_label_name>ALBUTEROL 25 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374033450</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374050425</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374050428</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051075</ndc>
    <ndc_label_name>ROCURONIUM 75 MG/7.5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051101</ndc>
    <ndc_label_name>KETAMINE 50 MG/ML-WATER SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051350</ndc>
    <ndc_label_name>KETAMINE 30 MG/50 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051450</ndc>
    <ndc_label_name>BUPV-KETRLC-KETMN 150-60-60/50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051550</ndc>
    <ndc_label_name>ROP-CLON-KETRLC 123-0.04-15/50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374051950</ndc>
    <ndc_label_name>ROPV-KETRLC-KETMN 100-15-30/50</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052005</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052120</ndc>
    <ndc_label_name>KETAMINE 200 MG/200 ML-NS BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052131</ndc>
    <ndc_label_name>KETAMINE 100 MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052220</ndc>
    <ndc_label_name>KETAMINE 60 MG/20 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052310</ndc>
    <ndc_label_name>FENTANYL 1 MG/100 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052311</ndc>
    <ndc_label_name>FENTANYL 1,000MCG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052321</ndc>
    <ndc_label_name>FENTANYL 2.5MG/250ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052325</ndc>
    <ndc_label_name>FENTANYL 2.5MG/250ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052525</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUP 0.0625%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052620</ndc>
    <ndc_label_name>FENTANYL 2 MCG-ROPIV 0.1%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052825</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052828</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052930</ndc>
    <ndc_label_name>HYDROMORPHONE 6 MG/30 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374052950</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/50 ML-WATR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053025</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053325</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053328</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053650</ndc>
    <ndc_label_name>METHACHOLINE CL 48 MG/3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053703</ndc>
    <ndc_label_name>METHACHOLINE CL 0.1875 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053803</ndc>
    <ndc_label_name>METHACHOLINE CL 0.75 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374053903</ndc>
    <ndc_label_name>METHACHOLINE CL 3 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054003</ndc>
    <ndc_label_name>METHACHOLINE CL 12 MG/3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054103</ndc>
    <ndc_label_name>METHACHOLINE CL 0 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054206</ndc>
    <ndc_label_name>METHACHOLINE CL INHAL SOL PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054350</ndc>
    <ndc_label_name>OXYTOCIN 30 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054410</ndc>
    <ndc_label_name>EPINEPH 0.1 MG/10 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374054701</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374056410</ndc>
    <ndc_label_name>CONIVAPTAN 20 MG/100 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090105</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090205</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090235</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090303</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6MG/3ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090305</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374090605</ndc>
    <ndc_label_name>ANTICOAG SODIUM CITRATE 4% SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374091004</ndc>
    <ndc_label_name>TRISODIUM CITRAT CRRT 0.5% SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374091310</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374091450</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374091910</ndc>
    <ndc_label_name>SUCCINYLCHOL 200 MG/10 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374092005</ndc>
    <ndc_label_name>SUCCINYLCHOL 100 MG/5 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374092203</ndc>
    <ndc_label_name>NEOSTIGMINE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374092405</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374092510</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374093203</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374093233</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374093503</ndc>
    <ndc_label_name>ATROPINE 1.2 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094204</ndc>
    <ndc_label_name>NEOSTIGMINE 4 MG/4 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094604</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094634</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094701</ndc>
    <ndc_label_name>Buffered Lidocaine 0.9 % (1 mL) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094750</ndc>
    <ndc_label_name>Buffered Lidocaine 0.9 % (5 mL) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094905</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374094935</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095010</ndc>
    <ndc_label_name>CALCIUM GLU 1,000MG/10ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095350</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095510</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.4 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095610</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.8 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095710</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374095805</ndc>
    <ndc_label_name>POTASSIUM CL CONC 10 MEQ/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374096502</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374096750</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374096810</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374096825</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097621</ndc>
    <ndc_label_name>POTASSIUM CL 20MEQ/100ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097710</ndc>
    <ndc_label_name>STERILE WATER INJECT 10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097802</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097901</ndc>
    <ndc_label_name>MORPHINE 1 MG/ML-0.9% NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097902</ndc>
    <ndc_label_name>MORPHINE 2 MG/2 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097930</ndc>
    <ndc_label_name>MORPHINE 30 MG/30 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374097950</ndc>
    <ndc_label_name>MORPHINE 50 MG/50 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098005</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098210</ndc>
    <ndc_label_name>KETAMINE 100 MG/10 ML-NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098233</ndc>
    <ndc_label_name>KETAMINE 30 MG/3 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098255</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098301</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098302</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/2 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098330</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098410</ndc>
    <ndc_label_name>CARDIOPLEGIA DEL NIDO FORMULA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098505</ndc>
    <ndc_label_name>LIDOCAINE 50 MG/5 ML (1%) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098710</ndc>
    <ndc_label_name>ROPIVACAINE 0.2%-NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098750</ndc>
    <ndc_label_name>ROPIVACAINE 0.2%-NACL BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374098810</ndc>
    <ndc_label_name>AMINO ACID 50 G/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374099032</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374099605</ndc>
    <ndc_label_name>FENTANYL 50 MCG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374099712</ndc>
    <ndc_label_name>DILTIAZEM 125MG/125ML-0.7%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69374099715</ndc>
    <ndc_label_name>DILTIAZEM 125MG/125ML-0.7%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375000310</ndc>
    <ndc_label_name>FERROUS SULF EC 324 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69375000454</ndc>
    <ndc_label_name>Skin Protectant Petrolatum 44 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375000530</ndc>
    <ndc_label_name>LIDOCAINE 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375000660</ndc>
    <ndc_label_name>Capsaicin HP 0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375000710</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69375000810</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 420 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375000910</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375001210</ndc>
    <ndc_label_name>VITAMIN B-2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375001310</ndc>
    <ndc_label_name>B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69375001495</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69387000101</ndc>
    <ndc_label_name>Bafiertam 95 mg capsule,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000105</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000120</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000205</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000209</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000220</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396000320</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396001405</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396001420</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396001505</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396001620</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396001805</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396002002</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396002301</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396002505</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396002801</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396002930</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396003218</ndc>
    <ndc_label_name>Hemorrhoidal Cooling 0.25 %-50 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396005001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396008701</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396010409</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69396011030</ndc>
    <ndc_label_name>Muscle Rub 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69396012105</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT PKT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69413033010</ndc>
    <ndc_label_name>Daraprim 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69413033030</ndc>
    <ndc_label_name>Daraprim 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420100101</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420100102</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420100103</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420100200</ndc>
    <ndc_label_name>SkyyDerm Cream Base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420100202</ndc>
    <ndc_label_name>SkyyDerm Cream Base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420100203</ndc>
    <ndc_label_name>SkyyDerm Cream Base</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420100302</ndc>
    <ndc_label_name>Sa3derm cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420137501</ndc>
    <ndc_label_name>NAPROXEN SOD CR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420602501</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420602505</ndc>
    <ndc_label_name>CAPSAICIN 0.025% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69420626201</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420702501</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420800101</ndc>
    <ndc_label_name>SCARCINPAD 1.57"X5.12" SHEET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420800401</ndc>
    <ndc_label_name>ZENPHOR WOUND GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420800501</ndc>
    <ndc_label_name>ZENPHOR WOUND PAD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69420810101</ndc>
    <ndc_label_name>SCARCIN PAD PLUS 1.57"X5.12"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437020301</ndc>
    <ndc_label_name>Anaprox DS 550 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437031601</ndc>
    <ndc_label_name>Naprosyn 500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437034108</ndc>
    <ndc_label_name>UREA 41% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437041501</ndc>
    <ndc_label_name>EC-Naprosyn 375 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437041601</ndc>
    <ndc_label_name>EC-Naprosyn 500 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437050260</ndc>
    <ndc_label_name>Dermulcera topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437060504</ndc>
    <ndc_label_name>Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69437060516</ndc>
    <ndc_label_name>Bromfed DM 2 mg-30 mg-10 mg/5 mL oral syrup</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69440000815</ndc>
    <ndc_label_name>Thritex 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69442003001</ndc>
    <ndc_label_name>Moxatag 775 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69442003010</ndc>
    <ndc_label_name>Moxatag 775 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448000105</ndc>
    <ndc_label_name>Mutamycin 5 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448000211</ndc>
    <ndc_label_name>Mutamycin 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448000338</ndc>
    <ndc_label_name>Mutamycin 40 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448000538</ndc>
    <ndc_label_name>PARAPLATIN 1,000 MG/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001463</ndc>
    <ndc_label_name>Camcevi (6 month) 42 mg subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001505</ndc>
    <ndc_label_name>Hercessi 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001611</ndc>
    <ndc_label_name>Hercessi 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001763</ndc>
    <ndc_label_name>Imuldosa 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001863</ndc>
    <ndc_label_name>Imuldosa 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448001926</ndc>
    <ndc_label_name>Imuldosa 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448002363</ndc>
    <ndc_label_name>Camcevi (6 month) 42 mg subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448002563</ndc>
    <ndc_label_name>Udenyca 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448002663</ndc>
    <ndc_label_name>Udenyca Autoinjector 6 mg/0.6 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69448002763</ndc>
    <ndc_label_name>Udenyca Onbody 6 mg/0.6 mL with wearable subcutaneous injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452010619</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452010713</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452010719</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011420</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011520</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011645</ndc>
    <ndc_label_name>CLOBAZAM 2.5 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011721</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011821</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452011920</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452012020</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452012120</ndc>
    <ndc_label_name>OXYBUTYNIN CL ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452012550</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452012619</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452012660</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452012719</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452012760</ndc>
    <ndc_label_name>SEVELAMER 2.4 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452013117</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452013217</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452013317</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452014220</ndc>
    <ndc_label_name>AMANTADINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014320</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014330</ndc>
    <ndc_label_name>BENZONATATE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014420</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014430</ndc>
    <ndc_label_name>BENZONATATE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014513</ndc>
    <ndc_label_name>PARICALCITOL 1 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452014613</ndc>
    <ndc_label_name>PARICALCITOL 2 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015020</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015120</ndc>
    <ndc_label_name>VITAMIN D2 1.25MG(50,000 UNIT)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015220</ndc>
    <ndc_label_name>ETHOSUXIMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015673</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015674</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015773</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452015774</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452015825</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452015913</ndc>
    <ndc_label_name>DEFERASIROX 125 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452016013</ndc>
    <ndc_label_name>DEFERASIROX 250 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452016113</ndc>
    <ndc_label_name>DEFERASIROX 500 MG TB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017104</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017113</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017173</ndc>
    <ndc_label_name>AZITHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017213</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017272</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017274</ndc>
    <ndc_label_name>AZITHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017313</ndc>
    <ndc_label_name>AZITHROMYCIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452017522</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452018213</ndc>
    <ndc_label_name>FLUVOXAMINE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452018313</ndc>
    <ndc_label_name>FLUVOXAMINE ER 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452019017</ndc>
    <ndc_label_name>IVABRADINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452019117</ndc>
    <ndc_label_name>IVABRADINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452019320</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 10 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452019420</ndc>
    <ndc_label_name>POTASSIUM CITRATE ER 15 MEQ TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452020620</ndc>
    <ndc_label_name>DOXYLAMINE-PYRIDOXINE 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452020713</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452020720</ndc>
    <ndc_label_name>CALCITRIOL 0.25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452020820</ndc>
    <ndc_label_name>CALCITRIOL 0.5 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452020907</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452020913</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452020920</ndc>
    <ndc_label_name>NIMODIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452022384</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452022720</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452022820</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452023320</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452023420</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452023746</ndc>
    <ndc_label_name>ENALAPRIL 1 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452024120</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452024132</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452024220</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452024232</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452025287</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452025422</ndc>
    <ndc_label_name>ETRAVIRINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452025517</ndc>
    <ndc_label_name>ETRAVIRINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452026720</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452027120</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452027130</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452027520</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452027620</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452027720</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452027820</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452028720</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452028820</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452028920</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452029020</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452029030</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452029120</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452029130</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452030920</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452031020</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452031120</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452031132</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452031220</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452031232</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452031620</ndc>
    <ndc_label_name>CEVIMELINE HCL 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452032320</ndc>
    <ndc_label_name>CIMETIDINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452032420</ndc>
    <ndc_label_name>CIMETIDINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452032520</ndc>
    <ndc_label_name>CIMETIDINE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452032620</ndc>
    <ndc_label_name>CIMETIDINE 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452032820</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452032920</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033020</ndc>
    <ndc_label_name>TERAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033120</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033132</ndc>
    <ndc_label_name>TERAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033220</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033232</ndc>
    <ndc_label_name>TERAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033320</ndc>
    <ndc_label_name>TERAZOSIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033443</ndc>
    <ndc_label_name>AMOX-CLAV 200-28.5 MG/5 ML SUS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033543</ndc>
    <ndc_label_name>AMOX-CLAV 400-57 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033611</ndc>
    <ndc_label_name>AMOX-CLAV 500-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452033711</ndc>
    <ndc_label_name>AMOX-CLAV 875-125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452033813</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452033913</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452034160</ndc>
    <ndc_label_name>NARATRIPTAN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452034172</ndc>
    <ndc_label_name>NARATRIPTAN HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034213</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034313</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034319</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034460</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034472</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034560</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034572</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034660</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034672</ndc>
    <ndc_label_name>SUMATRIPTAN SUCC 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034713</ndc>
    <ndc_label_name>ESZOPICLONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034820</ndc>
    <ndc_label_name>ESZOPICLONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452034920</ndc>
    <ndc_label_name>ESZOPICLONE 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452035001</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452035011</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452035060</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452035092</ndc>
    <ndc_label_name>GRANISETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035113</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035120</ndc>
    <ndc_label_name>TERBINAFINE HCL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035325</ndc>
    <ndc_label_name>ACAMPROSATE CALC DR 333 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035620</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035720</ndc>
    <ndc_label_name>ROPINIROLE HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035820</ndc>
    <ndc_label_name>ROPINIROLE HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452035920</ndc>
    <ndc_label_name>ROPINIROLE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452036020</ndc>
    <ndc_label_name>ROPINIROLE HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452036120</ndc>
    <ndc_label_name>ROPINIROLE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452036220</ndc>
    <ndc_label_name>ROPINIROLE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452036320</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452036330</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452036420</ndc>
    <ndc_label_name>ZALEPLON 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452036520</ndc>
    <ndc_label_name>ZALEPLON 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452037874</ndc>
    <ndc_label_name>IBANDRONATE SODIUM 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452038088</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452038998</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452039098</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452039588</ndc>
    <ndc_label_name>HYDROXYZINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452041288</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452042655</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452042688</ndc>
    <ndc_label_name>CETIRIZINE HCL 1 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452042862</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452042897</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043320</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043330</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 125 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043420</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043430</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043520</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452043530</ndc>
    <ndc_label_name>DIVALPROEX SOD DR 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452043619</ndc>
    <ndc_label_name>NICARDIPINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452043719</ndc>
    <ndc_label_name>NICARDIPINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452045420</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452045520</ndc>
    <ndc_label_name>FLUVOXAMINE MALEATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452047120</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69452047220</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452047855</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452047888</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452050817</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69452050917</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090104</ndc>
    <ndc_label_name>CLINICLEAN 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090105</ndc>
    <ndc_label_name>CLINICLEAN 4% WITH FOAM PUMP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090108</ndc>
    <ndc_label_name>CLINICLEAN 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090115</ndc>
    <ndc_label_name>CLINICLEAN 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090116</ndc>
    <ndc_label_name>CLINICLEAN 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69464090132</ndc>
    <ndc_label_name>CLINICLEAN 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69468015104</ndc>
    <ndc_label_name>Vistogard 10 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69468015110</ndc>
    <ndc_label_name>Vistogard 10 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69468015120</ndc>
    <ndc_label_name>Vistogard 10 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69468015202</ndc>
    <ndc_label_name>Xuriden 2 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69468015230</ndc>
    <ndc_label_name>Xuriden 2 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69488000140</ndc>
    <ndc_label_name>NetSpot 40 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69488000301</ndc>
    <ndc_label_name>Lutathera 10 mCi/mL (370 MBq/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69488000370</ndc>
    <ndc_label_name>Lutathera 10 mCi/mL (370 MBq/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69488001061</ndc>
    <ndc_label_name>Pluvicto 27 mCi/mL (1,000 MBq/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69488001761</ndc>
    <ndc_label_name>Locametz 25 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69489011160</ndc>
    <ndc_label_name>Targadox 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489012130</ndc>
    <ndc_label_name>Ximino 45 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489012230</ndc>
    <ndc_label_name>Ximino 90 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489012330</ndc>
    <ndc_label_name>Ximino 135 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489013130</ndc>
    <ndc_label_name>Emrosi 40 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489020130</ndc>
    <ndc_label_name>Amzeeq 4 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489021230</ndc>
    <ndc_label_name>Zilxi 1.5 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489041101</ndc>
    <ndc_label_name>Qbrexza 2.4 % towelette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489041130</ndc>
    <ndc_label_name>Qbrexza 2.4 % towelette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489051127</ndc>
    <ndc_label_name>Ceracade topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489051190</ndc>
    <ndc_label_name>Ceracade topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489052214</ndc>
    <ndc_label_name>Luxamend topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489071160</ndc>
    <ndc_label_name>Exelderm 1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69489072130</ndc>
    <ndc_label_name>Exelderm 1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69494020024</ndc>
    <ndc_label_name>Nutraseb topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499033060</ndc>
    <ndc_label_name>CHLORZOXAZONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499034430</ndc>
    <ndc_label_name>Azesco 13 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499035230</ndc>
    <ndc_label_name>XYBIOTIC 15 BILLION CFU CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499035460</ndc>
    <ndc_label_name>NITRIVIA CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499040360</ndc>
    <ndc_label_name>Coxanto 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499042530</ndc>
    <ndc_label_name>METFORMIN HCL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69499043530</ndc>
    <ndc_label_name>FULVICIN P-G 165 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69512000101</ndc>
    <ndc_label_name>Alivio 0.03 %-5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512010210</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512019010</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512040090</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512054110</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512060090</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69512080090</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69516000530</ndc>
    <ndc_label_name>OCALIVA 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69516001030</ndc>
    <ndc_label_name>OCALIVA 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69517010216</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69517010316</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69517010524</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69528030116</ndc>
    <ndc_label_name>Ozobax 5 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69528030208</ndc>
    <ndc_label_name>Ozobax DS 10 mg/5 mL (2 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69528030216</ndc>
    <ndc_label_name>Ozobax DS 10 mg/5 mL (2 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69528031016</ndc>
    <ndc_label_name>Ontralfy 2 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>69528070105</ndc>
    <ndc_label_name>Atmeksi 750 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69532000215</ndc>
    <ndc_label_name>Aflexeryl-MC 0.0375 %-5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69532000315</ndc>
    <ndc_label_name>Aflexeryl-LC 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69536010388</ndc>
    <ndc_label_name>Aftera 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69536014619</ndc>
    <ndc_label_name>Plan B One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69536016288</ndc>
    <ndc_label_name>Plan B One-Step 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69536020088</ndc>
    <ndc_label_name>Take Action 1.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69536025024</ndc>
    <ndc_label_name>Bronkaid Max 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69536025060</ndc>
    <ndc_label_name>Bronkaid Max 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69536028110</ndc>
    <ndc_label_name>St Joseph Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69536028136</ndc>
    <ndc_label_name>St Joseph Aspirin 81 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543010710</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543010750</ndc>
    <ndc_label_name>DESLORATADINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012010</ndc>
    <ndc_label_name>ACARBOSE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012110</ndc>
    <ndc_label_name>ACARBOSE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012210</ndc>
    <ndc_label_name>ACARBOSE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012310</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012410</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543012510</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543026010</ndc>
    <ndc_label_name>VIRT-CAPS SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543037110</ndc>
    <ndc_label_name>PALONOSETRON 0.25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543037613</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543041010</ndc>
    <ndc_label_name>PHENDIMETRAZINE 35 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543041710</ndc>
    <ndc_label_name>LEVORPHANOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543042510</ndc>
    <ndc_label_name>NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045101</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045110</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045130</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045510</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045520</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543045612</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69543045660</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69543045714</ndc>
    <ndc_label_name>CIPROFLOXACIN 0.2% OTIC SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69547035302</ndc>
    <ndc_label_name>Narcan 4 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69547062702</ndc>
    <ndc_label_name>Narcan 4 mg/actuation nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69557011101</ndc>
    <ndc_label_name>ZTlido 1.8 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69557011130</ndc>
    <ndc_label_name>ZTlido 1.8 % topical patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69557022201</ndc>
    <ndc_label_name>Gloperba 0.6 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69557033301</ndc>
    <ndc_label_name>Elyxyb 120 mg/4.8 mL (25 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69557033302</ndc>
    <ndc_label_name>Elyxyb 120 mg/4.8 mL (25 mg/mL) oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002109</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002150</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002190</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002209</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002250</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002290</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002295</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002309</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002350</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002390</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584002393</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009110</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009150</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009210</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009250</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009306</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009310</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009350</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009406</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584009450</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69584011110</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69584011150</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69584011190</ndc>
    <ndc_label_name>CARISOPRODOL 350 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584018110</ndc>
    <ndc_label_name>DIPYRIDAMOLE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584018210</ndc>
    <ndc_label_name>DIPYRIDAMOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584018310</ndc>
    <ndc_label_name>DIPYRIDAMOLE 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584030910</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584030950</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584030990</ndc>
    <ndc_label_name>GLIPIZIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584031010</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584031050</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584031090</ndc>
    <ndc_label_name>GLIPIZIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584036110</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584036190</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584036195</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584036210</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584036290</ndc>
    <ndc_label_name>HYDROCHLOROTHIAZIDE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042510</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042590</ndc>
    <ndc_label_name>IMIPRAMINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042610</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042690</ndc>
    <ndc_label_name>IMIPRAMINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042710</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584042790</ndc>
    <ndc_label_name>IMIPRAMINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061110</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061150</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061190</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061210</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061250</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584061290</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067103</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067109</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067150</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067190</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067203</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067209</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067210</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067250</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067290</ndc>
    <ndc_label_name>PAROXETINE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067303</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067309</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067350</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067390</ndc>
    <ndc_label_name>PAROXETINE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067403</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067409</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067450</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584067490</ndc>
    <ndc_label_name>PAROXETINE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584068410</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584068450</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584068510</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584068550</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084110</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084150</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084210</ndc>
    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084230</ndc>
    <ndc_label_name>SOTALOL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084310</ndc>
    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584084410</ndc>
    <ndc_label_name>SOTALOL 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085210</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085250</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085290</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085292</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085310</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085350</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085390</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085410</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085450</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69584085490</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69587000101</ndc>
    <ndc_label_name>FLUDEOXYGLUCOSE F-18 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69589000101</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69589000201</ndc>
    <ndc_label_name>BUPIVACAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69589000301</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69597030130</ndc>
    <ndc_label_name>Ortho DF 94.38 mcg (3,775 unit)-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69597031430</ndc>
    <ndc_label_name>Xyzbac 1 mg-5 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69597035230</ndc>
    <ndc_label_name>Probichew 21 billion cell-1 gram tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69597035530</ndc>
    <ndc_label_name>XYZMUNE CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69597036230</ndc>
    <ndc_label_name>GLP-DLax 125 mcg-1000 mcg-225 mg-135mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616021103</ndc>
    <ndc_label_name>Firdapse 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616021104</ndc>
    <ndc_label_name>Firdapse 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616021106</ndc>
    <ndc_label_name>Firdapse 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616026438</ndc>
    <ndc_label_name>Agamree 40 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616027230</ndc>
    <ndc_label_name>Fycompa 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616027430</ndc>
    <ndc_label_name>Fycompa 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616027630</ndc>
    <ndc_label_name>Fycompa 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616027830</ndc>
    <ndc_label_name>Fycompa 8 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616028030</ndc>
    <ndc_label_name>Fycompa 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616028230</ndc>
    <ndc_label_name>Fycompa 12 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69616029038</ndc>
    <ndc_label_name>Fycompa 0.5 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69618000506</ndc>
    <ndc_label_name>LACTASE 3,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618000701</ndc>
    <ndc_label_name>Renal Vitamin 0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618000858</ndc>
    <ndc_label_name>Multi-Vite 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618000901</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618001001</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618001101</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618001501</ndc>
    <ndc_label_name>ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618001854</ndc>
    <ndc_label_name>Liquid C 500 mg/5 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618001959</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT/ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002015</ndc>
    <ndc_label_name>CALCIUM CARB 500 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002302</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002401</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002501</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002601</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002701</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002801</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618002903</ndc>
    <ndc_label_name>BISMUTH 262 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618003206</ndc>
    <ndc_label_name>SIMETHICONE 125 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618003301</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618003410</ndc>
    <ndc_label_name>SODIUM BICARB 10 GRAIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618003701</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618004201</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG (5000 UNIT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69618005051</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618005153</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69618005277</ndc>
    <ndc_label_name>Boroleum 0.54 %-1 %-97.92 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618005951</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006106</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006259</ndc>
    <ndc_label_name>Poly-Vita Drops 750 unit-35 mg-400 unit/mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006359</ndc>
    <ndc_label_name>Poly-Vita With Iron 10 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006401</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006501</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006602</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006610</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006782</ndc>
    <ndc_label_name>CalProtect 0.44 %-20.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006854</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618006958</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007059</ndc>
    <ndc_label_name>FERROUS SULF 15 MG IRON/ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007158</ndc>
    <ndc_label_name>B-12 1,000 MCG/15 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007258</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007578</ndc>
    <ndc_label_name>Rectalief 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007655</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618007854</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618008401</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69618008601</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69639010101</ndc>
    <ndc_label_name>Akynzeo (netupitant) 300 mg-0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69639010201</ndc>
    <ndc_label_name>Akynzeo (fosnetupitant) 235 mg-0.25 mg intravenous powder for solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69639010501</ndc>
    <ndc_label_name>Akynzeo (fosnetupitant) 235 mg-0.25 mg/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69639010601</ndc>
    <ndc_label_name>Akynzeo (fosnetupitant) 235 mg-0.25 mg/20 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69639012001</ndc>
    <ndc_label_name>Valchlor 0.016 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69646070426</ndc>
    <ndc_label_name>Novacort 2 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69646070513</ndc>
    <ndc_label_name>Alcortin A 2 %-1 %-1 % topical gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69646070515</ndc>
    <ndc_label_name>Alcortin A 2 %-1 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69646071660</ndc>
    <ndc_label_name>Quinja 1.25 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654057930</ndc>
    <ndc_label_name>Metadate CD 10 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654058030</ndc>
    <ndc_label_name>Metadate CD 20 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654058130</ndc>
    <ndc_label_name>Metadate CD 30 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654058230</ndc>
    <ndc_label_name>Metadate CD 40 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654058330</ndc>
    <ndc_label_name>Metadate CD 50 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69654058430</ndc>
    <ndc_label_name>Metadate CD 60 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69660020191</ndc>
    <ndc_label_name>Rubraca 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69660020291</ndc>
    <ndc_label_name>Rubraca 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69660020391</ndc>
    <ndc_label_name>Rubraca 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69668043201</ndc>
    <ndc_label_name>Mondoxyne NL 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69668043301</ndc>
    <ndc_label_name>Mondoxyne NL 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69668045201</ndc>
    <ndc_label_name>Mondoxyne NL 75 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69668045301</ndc>
    <ndc_label_name>Mondoxyne NL 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69677001001</ndc>
    <ndc_label_name>VitaCin 0.0375 %-20 %-5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69677002001</ndc>
    <ndc_label_name>AvaDERM 4 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69677005060</ndc>
    <ndc_label_name>Diabetic Vitamin 800 mcg-150 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69677007102</ndc>
    <ndc_label_name>MAS Care-Pak (PF) 10 mg/mL injection kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011201</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011210</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011225</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011310</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011399</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011408</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011530</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680011630</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 1,000 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680012035</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680012105</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680012110</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680012130</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680013060</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 225 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680013160</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 325 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680013260</ndc>
    <ndc_label_name>PROPAFENONE HCL ER 425 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680013300</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680013392</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680013393</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680013400</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680013500</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680014395</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680014412</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680014424</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680014530</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.375 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680014630</ndc>
    <ndc_label_name>PRAMIPEXOLE ER 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680015790</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680015792</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69680015892</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016130</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016230</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016330</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016430</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016500</ndc>
    <ndc_label_name>THYROID 15 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016600</ndc>
    <ndc_label_name>THYROID 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016700</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016800</ndc>
    <ndc_label_name>THYROID 90 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680016900</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680017730</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680017830</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680017930</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680018130</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69680018530</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69695197301</ndc>
    <ndc_label_name>Cela Cream Base</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69695197305</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69695197501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69695197601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69695197701</ndc>
    <ndc_label_name>Whytederm Trilasil Pak 0.1 %-2 % topical kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69701862305</ndc>
    <ndc_label_name>Neuro Max 20 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69724011210</ndc>
    <ndc_label_name>SOTALOL HCL 150 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69732000301</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69732000701</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69732000801</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69732001201</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69740031200</ndc>
    <ndc_label_name>Secura Protective (zinc oxide) 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69740032200</ndc>
    <ndc_label_name>Secura Dimethicone 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69740032400</ndc>
    <ndc_label_name>Secura Extra Protective 30.6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69740032500</ndc>
    <ndc_label_name>Secura Extra Protective 30.6 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69740032900</ndc>
    <ndc_label_name>Antifungal Extra Thick 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69740049200</ndc>
    <ndc_label_name>Dermal Wound Cleanser 0.13 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69751010012</ndc>
    <ndc_label_name>PHEXXI 1.8-1-0.4% VAGINAL GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69751010101</ndc>
    <ndc_label_name>Phexx 1.8 %-1 %-0.4 % vaginal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69751010112</ndc>
    <ndc_label_name>Phexx 1.8 %-1 %-0.4 % vaginal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69751040001</ndc>
    <ndc_label_name>Solosec 2 gram oral DR granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69762000120</ndc>
    <ndc_label_name>Xcel 100 cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784000206</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784000306</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784018001</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784018010</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784018014</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784018030</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784020096</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784020530</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784020560</ndc>
    <ndc_label_name>CROMOLYN 20 MG/2 ML NEB SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784022910</ndc>
    <ndc_label_name>SODIUM ACETATE 40 MEQ/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023010</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023020</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023110</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023120</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023201</ndc>
    <ndc_label_name>SODIUM ACETATE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784023210</ndc>
    <ndc_label_name>SODIUM ACETATE 400 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784024001</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784024010</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784026124</ndc>
    <ndc_label_name>FLUCONAZOLE-NACL 100 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784042012</ndc>
    <ndc_label_name>Lovaza 1 gram capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784050001</ndc>
    <ndc_label_name>EC-NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784050101</ndc>
    <ndc_label_name>EC-NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69784055001</ndc>
    <ndc_label_name>NAPROXEN SODIUM 550 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784060101</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784070030</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784070130</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,100 CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784071313</ndc>
    <ndc_label_name>CARVEDILOL ER 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784071413</ndc>
    <ndc_label_name>CARVEDILOL ER 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784071513</ndc>
    <ndc_label_name>CARVEDILOL ER 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784071613</ndc>
    <ndc_label_name>CARVEDILOL ER 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784081001</ndc>
    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784081101</ndc>
    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784084001</ndc>
    <ndc_label_name>SELENIOUS ACID 400 MCG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69784084005</ndc>
    <ndc_label_name>SELENIOUS ACID 400 MCG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69794000101</ndc>
    <ndc_label_name>Mepsevii 2 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69794005050</ndc>
    <ndc_label_name>Dojolvi 8.3 kcal/mL oral liquid</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69794010201</ndc>
    <ndc_label_name>Crysvita 10 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69794020301</ndc>
    <ndc_label_name>Crysvita 20 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69794030401</ndc>
    <ndc_label_name>Crysvita 30 mg/mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800025001</ndc>
    <ndc_label_name>Asceniv 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800025002</ndc>
    <ndc_label_name>Asceniv 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800420201</ndc>
    <ndc_label_name>Nabi-HB greater than 312 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800420202</ndc>
    <ndc_label_name>Nabi-HB greater than 312 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800420301</ndc>
    <ndc_label_name>Nabi-HB greater than 1,560 unit/5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800420302</ndc>
    <ndc_label_name>Nabi-HB greater than 1,560 unit/5 mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800650201</ndc>
    <ndc_label_name>Bivigam 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800650202</ndc>
    <ndc_label_name>Bivigam 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800650301</ndc>
    <ndc_label_name>Bivigam 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69800650302</ndc>
    <ndc_label_name>Bivigam 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69803010010</ndc>
    <ndc_label_name>Kovanaze 6 mg-0.1 mg/0.2 mL nasal spray syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69809012605</ndc>
    <ndc_label_name>Clozaril 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69809012705</ndc>
    <ndc_label_name>Clozaril 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69809013005</ndc>
    <ndc_label_name>Clozaril 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69809013505</ndc>
    <ndc_label_name>Clozaril 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69837000302</ndc>
    <ndc_label_name>Sure Result Tac Pak 0.1 %-5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69837010001</ndc>
    <ndc_label_name>PainGo KFT 2.5 %-2.5 %-30 %-10 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69837030503</ndc>
    <ndc_label_name>WPR Plus 4 %-30 %-10 % topical kit,cream and gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69837039905</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69837050005</ndc>
    <ndc_label_name>Sure Result DSS Premium Pack 1.5 %-0.025 % topical, solution and cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842000101</ndc>
    <ndc_label_name>CVS BUDESONIDE 32 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842000624</ndc>
    <ndc_label_name>Children's Cold-Cough-Sore Throat 5 mg-10 mg-325 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842001062</ndc>
    <ndc_label_name>CVS NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842002415</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842002416</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842002515</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842002544</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842003735</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842003744</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842003791</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842005711</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842005767</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842005910</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842005965</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842006319</ndc>
    <ndc_label_name>Acid Controller 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842008503</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842008509</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842008805</ndc>
    <ndc_label_name>CVS ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842008816</ndc>
    <ndc_label_name>CVS ADAPALENE 0.1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842008952</ndc>
    <ndc_label_name>Women's Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842009267</ndc>
    <ndc_label_name>Cold and Sinus Relief (ibuprofen) 30 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842015473</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842016847</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842018383</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842019257</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 0.5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842019509</ndc>
    <ndc_label_name>Laxative (sennosides) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842019916</ndc>
    <ndc_label_name>Antibiotic(neomy-bacit-polym) 3.5 mg-400 unit-5,000 unit/gram top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842019958</ndc>
    <ndc_label_name>Antibiotic(neomy-bacit-polym) 3.5 mg-400 unit-5,000 unit/gram top oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842021124</ndc>
    <ndc_label_name>Mucus D 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842021715</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842021716</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842021744</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842022912</ndc>
    <ndc_label_name>Stomach Relief Max Strength 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842023527</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842023723</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842023739</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842024505</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842026805</ndc>
    <ndc_label_name>CVS OLOPATADINE 0.1% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842026925</ndc>
    <ndc_label_name>CVS OLOPATADINE 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842026950</ndc>
    <ndc_label_name>CVS OLOPATADINE 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842027401</ndc>
    <ndc_label_name>Toe Area Treatment Antifungal 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842029126</ndc>
    <ndc_label_name>Child Allergy Plus Congestion 12.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842031278</ndc>
    <ndc_label_name>8HR Muscle Aches-Pain 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842032060</ndc>
    <ndc_label_name>senna 8.6 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842032967</ndc>
    <ndc_label_name>CVS IBUPROFEN 100 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842033628</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842033726</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842033734</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842040321</ndc>
    <ndc_label_name>Motion Sickness (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842041553</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842041562</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842043016</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842048462</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842048490</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842048493</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842049426</ndc>
    <ndc_label_name>Children's Plus Multi-Symp Cold 1 mg-2.5 mg-5 mg-160 mg/5 mL oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842050415</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842050755</ndc>
    <ndc_label_name>CVS LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842051246</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842051326</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842051334</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842054447</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842054478</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842056910</ndc>
    <ndc_label_name>Sinus Relief (phenylephrine) 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842057801</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842057803</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842057825</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842057840</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842057875</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842058620</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842058680</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842059123</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842059180</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842059830</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842059901</ndc>
    <ndc_label_name>Hair Regrowth Treatment 5 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842060204</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842060207</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842060815</ndc>
    <ndc_label_name>CVS NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842060915</ndc>
    <ndc_label_name>CVS NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842061422</ndc>
    <ndc_label_name>Sinus Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842061802</ndc>
    <ndc_label_name>Pinworm Treatment 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842064146</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842064160</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842064165</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842064810</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842067362</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842068251</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842068410</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842068921</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842070301</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842070662</ndc>
    <ndc_label_name>CVS IBUPROFEN 100 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842071312</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842072902</ndc>
    <ndc_label_name>CVS DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842073214</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842073242</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842073596</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842073901</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074502</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074520</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074560</ndc>
    <ndc_label_name>CVS IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074808</ndc>
    <ndc_label_name>CVS NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074816</ndc>
    <ndc_label_name>CVS NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074820</ndc>
    <ndc_label_name>CVS NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842074840</ndc>
    <ndc_label_name>CVS NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842075464</ndc>
    <ndc_label_name>Antibiotic Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842076478</ndc>
    <ndc_label_name>8HR Muscle Aches-Pain 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842077904</ndc>
    <ndc_label_name>Children's Cold-Allergy (phenylephrine) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842078025</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842078320</ndc>
    <ndc_label_name>Chest Congestion-Cough HBP 10 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842078916</ndc>
    <ndc_label_name>Maximum Strength Cold-Flu 5 mg-10 mg-325 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842079155</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842079174</ndc>
    <ndc_label_name>CVS OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842080601</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842080649</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081162</ndc>
    <ndc_label_name>CVS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081171</ndc>
    <ndc_label_name>CVS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081178</ndc>
    <ndc_label_name>CVS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081190</ndc>
    <ndc_label_name>CVS NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081255</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081266</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081926</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842081934</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842082940</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842086225</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842086601</ndc>
    <ndc_label_name>CVS CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842087651</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 325 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842087808</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842088710</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842089530</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842089624</ndc>
    <ndc_label_name>Daytime-Nighttime 10-5-325mg(d)/15-325-6.25mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842089801</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842089802</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842089803</ndc>
    <ndc_label_name>CVS ESOMEPRAZOLE MAG 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842090001</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842090008</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842090009</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842090010</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842090011</ndc>
    <ndc_label_name>CVS FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842092304</ndc>
    <ndc_label_name>Children's Allergy Relief (fexofenadine) 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842092308</ndc>
    <ndc_label_name>Children's Allergy Relief (fexofenadine) 30 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842093108</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842093610</ndc>
    <ndc_label_name>CVS POVIDONE-IODINE 10% SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842094519</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 500 MG/15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842095320</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842095430</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842096801</ndc>
    <ndc_label_name>CVS ACETAMINOPHEN 325 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842097330</ndc>
    <ndc_label_name>Allergy Relief-D (fexofenadine) 60 mg-120 mg tablet,ext.release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842097417</ndc>
    <ndc_label_name>CVS DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842097435</ndc>
    <ndc_label_name>CVS DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842097453</ndc>
    <ndc_label_name>CVS DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842098603</ndc>
    <ndc_label_name>CVS BUTENAFINE HCL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842098908</ndc>
    <ndc_label_name>CVS BUTENAFINE HCL 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69842099235</ndc>
    <ndc_label_name>CVS SODIUM CHLORIDE 5% EYE ONT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842099412</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69842099424</ndc>
    <ndc_label_name>Allergy Relief-D (cetirizine) 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69848000609</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69848001510</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69848001910</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852011510</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852012310</ndc>
    <ndc_label_name>KETOROLAC 300 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852021610</ndc>
    <ndc_label_name>BETAMETHASONE 70 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852069110</ndc>
    <ndc_label_name>TRIAMCINOLONE ACE 500 MG/10 ML</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852077610</ndc>
    <ndc_label_name>DEXAMETHASONE 80 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852088010</ndc>
    <ndc_label_name>BROMPHENIRAMINE 100 MG/10ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69852091610</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 800 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69853010201</ndc>
    <ndc_label_name>ANDEXXA 200 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69861010010</ndc>
    <ndc_label_name>GenUltimate Test Strip</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69861010050</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69866103007</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69866103008</ndc>
    <ndc_label_name>MACI 500,000 cell/cm2 (3 cm X 5 cm) implant sheets</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69866200501</ndc>
    <ndc_label_name>Nexobrid Powder Component topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69866200502</ndc>
    <ndc_label_name>Gel Vehicle For Nexobrid topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69866200503</ndc>
    <ndc_label_name>NexoBrid 8.8 % topical gel</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69880012028</ndc>
    <ndc_label_name>Mycapssa 20 mg capsule,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69889002615</ndc>
    <ndc_label_name>MTX 4 %-1 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69889002715</ndc>
    <ndc_label_name>CMX 0.0375 %-5 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69911047402</ndc>
    <ndc_label_name>Afstyla 250 (+/-) unit range intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Afstyla 3,000 (+/-) unit range intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Afstyla 1,500 (+/-) unit range intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69911086402</ndc>
    <ndc_label_name>Idelvion 250 (+/-) unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>69911086502</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DESMOPRESSIN ACETATE 0.1 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918035030</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918036030</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918037030</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918038030</ndc>
    <ndc_label_name>LAMOTRIGINE ODT 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NEOMYC-POLYM-DEXAMETH EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918060160</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918070025</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918072010</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073102</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073110</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073111</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073501</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073502</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073510</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918073511</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918089901</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918089902</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918089910</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918089911</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918090110</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918090111</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69918090112</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69928021104</ndc>
    <ndc_label_name>DripDrop 700 mg-410 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69928021204</ndc>
    <ndc_label_name>DripDrop 670 mg-380 mg-150 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69932000101</ndc>
    <ndc_label_name>Axumin 10 mCi (370 MBq) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69932000130</ndc>
    <ndc_label_name>Axumin 10 mCi (370 MBq) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69932000150</ndc>
    <ndc_label_name>Axumin 10 mCi (370 MBq) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69932000201</ndc>
    <ndc_label_name>Posluma 296 MBq/mL to 5,846 MBq/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69932000250</ndc>
    <ndc_label_name>Posluma 296 MBq/mL to 5,846 MBq/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945001003</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945001504</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945002005</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945002506</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945003007</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945003508</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945005040</ndc>
    <ndc_label_name>OctreoScan 3 mCi/mL-10 mcg intravenous kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945005109</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945006010</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945006401</ndc>
    <ndc_label_name>Detectnet 148 MBq/4 mL (4 mCi/4 mL) intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945006820</ndc>
    <ndc_label_name>Ultratag RBC intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945007511</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009120</ndc>
    <ndc_label_name>Technescan HDP 3.15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009140</ndc>
    <ndc_label_name>Technescan HDP 3.15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009220</ndc>
    <ndc_label_name>TC99M SESTAMIBI PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009240</ndc>
    <ndc_label_name>TC99M SESTAMIBI PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009420</ndc>
    <ndc_label_name>Technescan Pyp 11.9 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009620</ndc>
    <ndc_label_name>Technescan MAG3 1 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009711</ndc>
    <ndc_label_name>XENON XE-133  370 MBQ (10 MCI)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009713</ndc>
    <ndc_label_name>XENON XE-133  370 MBQ (10 MCI)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009715</ndc>
    <ndc_label_name>XENON XE-133  370 MBQ (10 MCI)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009821</ndc>
    <ndc_label_name>XENON XE-133  740 MBQ (20 MCI)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009823</ndc>
    <ndc_label_name>XENON XE-133  740 MBQ (20 MCI)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945009825</ndc>
    <ndc_label_name>XENON XE-133  740 MBQ (20 MCI)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945011012</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945012028</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945012056</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945012063</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945013206</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pulmotech MAA 2 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945014013</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945016605</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945018006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945019015</ndc>
    <ndc_label_name>Ultra-Technekow V4 intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>69945031401</ndc>
    <ndc_label_name>TC99M PENTETATE 20 MG PREP KIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>70000004601</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000004701</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000004801</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000004901</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000005001</ndc>
    <ndc_label_name>Flu HBP 2 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005101</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005201</ndc>
    <ndc_label_name>Nausea Relief oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005301</ndc>
    <ndc_label_name>Eye Allergy Itch Relief 0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005401</ndc>
    <ndc_label_name>Eye Allergy Itch-Redness Relief 0.1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005501</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000005601</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000005701</ndc>
    <ndc_label_name>Children's Cold-Allergy (phenylephrine) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000005801</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000006001</ndc>
    <ndc_label_name>POVIDONE-IODINE 10% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006101</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006201</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006301</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006501</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006601</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000006701</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000007001</ndc>
    <ndc_label_name>Poly Bacitracin (zinc) 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000007701</ndc>
    <ndc_label_name>Laxative (sennosides) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000007901</ndc>
    <ndc_label_name>Baby Skin Protectant (petrolatum) 41 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000008001</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000008301</ndc>
    <ndc_label_name>Head Congestion-Mucus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000008401</ndc>
    <ndc_label_name>TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009101</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009102</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009103</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009201</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009301</ndc>
    <ndc_label_name>Poly Bacitracin (zinc) 500 unit-10,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009401</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000009501</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009701</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009801</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000009901</ndc>
    <ndc_label_name>LIDOCAINE PAIN RLF 4% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000010801</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000010802</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000010901</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000011001</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000011201</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000012501</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000012601</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000012602</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000012702</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000012901</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000013101</ndc>
    <ndc_label_name>Child Mucus Relief Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000013201</ndc>
    <ndc_label_name>Sinus Relief (phenylephrine) 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000013602</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000013603</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000014101</ndc>
    <ndc_label_name>Mucus Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000014501</ndc>
    <ndc_label_name>Menstrual Relief (with pamabrom-pyrilamine) 500 mg-25 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000014601</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000014701</ndc>
    <ndc_label_name>BUFFERED ASPIRIN 325 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000015601</ndc>
    <ndc_label_name>Day Multi-Symptom Flu-Severe Cold 10 mg-20 mg-500 mg oral powder packt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000015701</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000015703</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000015901</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000015902</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000016002</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000016101</ndc>
    <ndc_label_name>Sinus Pain-Pressure (PE) 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000016201</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000016202</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000016901</ndc>
    <ndc_label_name>Pain Relief (trolamine salicylate) 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017103</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017105</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017106</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000017401</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000017402</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017501</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017502</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017503</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017505</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017508</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017601</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017604</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017605</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000017801</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000018101</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000018401</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000018402</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000018701</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000019102</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000019501</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000020101</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000020102</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000020105</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000020106</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000020401</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000020801</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000020802</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000021101</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021301</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021303</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021304</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021306</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021401</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000021501</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000022101</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000022102</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000022103</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000022301</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000023201</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000023202</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000023203</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000023401</ndc>
    <ndc_label_name>Antacid Extra Strength (mag carb-Al hyd) 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000023901</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000024301</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000024701</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000024702</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000025302</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000025304</ndc>
    <ndc_label_name>ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000026001</ndc>
    <ndc_label_name>Ice Blue Gel 2 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000026201</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000026301</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000026302</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000026401</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000027001</ndc>
    <ndc_label_name>Sinus Wash Neti Pot with packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000027002</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000027801</ndc>
    <ndc_label_name>Mucus Relief DM Cough 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000029101</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000029801</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000030201</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000030701</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000030901</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000031001</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000031201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000031202</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000032101</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000032201</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000032301</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000032401</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000032901</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000033001</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000033201</ndc>
    <ndc_label_name>Corn-Callus Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000033301</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000033401</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000033801</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034001</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034101</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034201</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034301</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034401</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034402</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034501</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034601</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034701</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034801</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000034802</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000035701</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000035801</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036101</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036102</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036103</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036104</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036105</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036201</ndc>
    <ndc_label_name>24HR Allergy Relief 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036202</ndc>
    <ndc_label_name>24HR Allergy Relief 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036301</ndc>
    <ndc_label_name>Heartburn Relief 254 mg-237.5 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000036401</ndc>
    <ndc_label_name>Hemorrhoidal (witch hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000036601</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000036701</ndc>
    <ndc_label_name>Cold and Hot (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000036801</ndc>
    <ndc_label_name>Pain Relieving (camp-m.sal-menth) 3.1 %-10 %-6 % topical patch (large)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000037301</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000037302</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000037303</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000037305</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038001</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038002</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038004</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038101</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038102</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000038801</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000039001</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000039601</ndc>
    <ndc_label_name>CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000039701</ndc>
    <ndc_label_name>Calamine Clear 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000039801</ndc>
    <ndc_label_name>Poison Ivy Wash (pramoxine) 1 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000039901</ndc>
    <ndc_label_name>Iodides Tincture topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000040001</ndc>
    <ndc_label_name>Calamine Plus (pramoxine-calamine) 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000040101</ndc>
    <ndc_label_name>IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000040401</ndc>
    <ndc_label_name>Motion Sickness Relief 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000040501</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000040701</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000040901</ndc>
    <ndc_label_name>CAFFEINE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041001</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041002</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041101</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041501</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041502</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041503</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041601</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041701</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041801</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000041901</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000042001</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000042201</ndc>
    <ndc_label_name>Antacid Anti-Gas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000042501</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000042901</ndc>
    <ndc_label_name>CHILD GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000043002</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000043101</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000043401</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044101</ndc>
    <ndc_label_name>senna 8.6 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044201</ndc>
    <ndc_label_name>STOOL SOFTENER-STIM LAX SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044301</ndc>
    <ndc_label_name>Laxative (sennosides) 15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044501</ndc>
    <ndc_label_name>SENNA PLUS 8.6-50 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044702</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000044801</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000045301</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000045401</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000045501</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000045601</ndc>
    <ndc_label_name>Eye Drops Advanced Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000045701</ndc>
    <ndc_label_name>Ultra Lubricant Eye 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000045801</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000045901</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000046001</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000046401</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000046402</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000046901</ndc>
    <ndc_label_name>Diaper Rash 40 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047201</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047301</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047401</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047501</ndc>
    <ndc_label_name>12 Hour Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047701</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047801</ndc>
    <ndc_label_name>Ear Drops For Swimmers 95 %-5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047901</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000047902</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000048001</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000048101</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000048501</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000048701</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000048703</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000048801</ndc>
    <ndc_label_name>ZINC OXIDE 25% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000048901</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000049001</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000049002</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000049101</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000049701</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000049702</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000049801</ndc>
    <ndc_label_name>ISOPROPYL RUBBING ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000050001</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000050002</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000050101</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) (PF) 0.4 %-0.3 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000050201</ndc>
    <ndc_label_name>Dry Eye Relief 1 %-0.2 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000050401</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000050402</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000050403</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051001</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051002</ndc>
    <ndc_label_name>NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051101</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051102</ndc>
    <ndc_label_name>NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051201</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051202</ndc>
    <ndc_label_name>NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051301</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000051501</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000051601</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000051602</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000051701</ndc>
    <ndc_label_name>DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052001</ndc>
    <ndc_label_name>Senna Plus 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052101</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052102</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052103</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052104</ndc>
    <ndc_label_name>OMEPRAZOLE MAG DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052201</ndc>
    <ndc_label_name>Eye Itch Relief 0.025 % (0.035 %) drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000052301</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000052501</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052601</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000052701</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000052901</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000053101</ndc>
    <ndc_label_name>Dandruff Shampoo (selenium sulfide) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000053301</ndc>
    <ndc_label_name>Dandruff Shampoo (pyrithione zinc) 1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000053701</ndc>
    <ndc_label_name>Burn Relief with Lidocaine 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000053801</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054201</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054202</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054301</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054601</ndc>
    <ndc_label_name>Anti-Itch (menthol-camphor) 0.5 %-0.5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054701</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000054901</ndc>
    <ndc_label_name>CAPSAICIN 0.1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000055001</ndc>
    <ndc_label_name>Therapeutic Dandruff Shampoo 3 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000055501</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000055502</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000055503</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000055601</ndc>
    <ndc_label_name>CAPSAICIN 0.025% HEAT PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000055701</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000055801</ndc>
    <ndc_label_name>Hot and Cold Pain Relief 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000055901</ndc>
    <ndc_label_name>NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000056001</ndc>
    <ndc_label_name>NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000056101</ndc>
    <ndc_label_name>NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000056201</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000056301</ndc>
    <ndc_label_name>Vaporizing Steam liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000056501</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000056601</ndc>
    <ndc_label_name>Gas Relief Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000056701</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000056801</ndc>
    <ndc_label_name>Sinus Headache PE 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057101</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057102</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057103</ndc>
    <ndc_label_name>IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057201</ndc>
    <ndc_label_name>GLYCERIN ADULT SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057301</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000057302</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000057401</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 500 mg-1,985 mg-1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000058001</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000058002</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000058201</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000058301</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000058401</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000058501</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000058601</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000058901</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059001</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059101</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059102</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059201</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059301</ndc>
    <ndc_label_name>Smooth Antacid 300 mg (as calcium carbonate 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059401</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059601</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059701</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059702</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000059802</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000059901</ndc>
    <ndc_label_name>Liquid Bandage with Antiseptic 0.75 %-0.2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060101</ndc>
    <ndc_label_name>PSEUDOEPHEDRINE ER 120 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000060201</ndc>
    <ndc_label_name>Cold-Sinus Relief 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060301</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060302</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060303</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060401</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060402</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000060501</ndc>
    <ndc_label_name>All Day Cold and Sinus 220 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000060601</ndc>
    <ndc_label_name>Cold and Sinus Relief (ibuprofen) 30 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000060701</ndc>
    <ndc_label_name>24HR ALLERGY-CONGST 180-240 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000060801</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000061002</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000061003</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000061101</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000061501</ndc>
    <ndc_label_name>WITCH HAZEL 86% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000061601</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000061701</ndc>
    <ndc_label_name>Cooling Pain Relief 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000061801</ndc>
    <ndc_label_name>Cooling Pain Relief 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000062201</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000062301</ndc>
    <ndc_label_name>Tussin CF Max Severe M-S Cold 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000062401</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000062801</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000062802</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000062901</ndc>
    <ndc_label_name>Children's Multi-Symptom Cold 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000063101</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000063502</ndc>
    <ndc_label_name>Allergy Nasal (mometasone) 50 mcg/actuation spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000063601</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000063701</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000063801</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000063901</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000064001</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000064101</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000064201</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000064301</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000065001</ndc>
    <ndc_label_name>Hemorrhoidal Relief 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000065601</ndc>
    <ndc_label_name>12 Hour Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000065901</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000066001</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000066101</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000066201</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000066301</ndc>
    <ndc_label_name>MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000066501</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000067001</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000067401</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000067901</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000068101</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000068201</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000068301</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000069001</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000069101</ndc>
    <ndc_label_name>ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000069201</ndc>
    <ndc_label_name>Cough Drops 2.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000069301</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000069601</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000069602</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000069801</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070101</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070201</ndc>
    <ndc_label_name>TRIAMCINOLONE 55 MCG NASAL SPR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070301</ndc>
    <ndc_label_name>FLUTICASONE PROP 50 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070401</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070501</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070502</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070601</ndc>
    <ndc_label_name>Lubricant Eye (propylene glycol) 0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070701</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000070901</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000071001</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000071101</ndc>
    <ndc_label_name>Throat Drops 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000071501</ndc>
    <ndc_label_name>Child Cough-Cold (bromphen-DM) 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000071601</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000071701</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000071801</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000071901</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000072002</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072101</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072201</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072301</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072302</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072303</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072401</ndc>
    <ndc_label_name>Lubricant Eye 57.3 %-42.5 % ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072501</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072502</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072503</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072504</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072601</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000072701</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000072702</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000072901</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000073101</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000073102</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000073201</ndc>
    <ndc_label_name>Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000073301</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70000073401</ndc>
    <ndc_label_name>8HR Muscle Aches-Pain 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70000073901</ndc>
    <ndc_label_name>Tussin CF Severe Multi-Symptom 20 mg-650 mg-400 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004000122</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG/50 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004000128</ndc>
    <ndc_label_name>ACETAMINOPHEN 325MG/32.5ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004000156</ndc>
    <ndc_label_name>ACETAMINOPHEN 650 MG/65 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>HYDROMORPHONE 20 MG/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030222</ndc>
    <ndc_label_name>HYDROMORPHONE 25 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030316</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030317</ndc>
    <ndc_label_name>HYDROMORPHONE 25 MG/25 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030321</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030322</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030327</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030330</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004030362</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032218</ndc>
    <ndc_label_name>HYDROMORPHONE 6 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032222</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032230</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032255</ndc>
    <ndc_label_name>HYDROMORPHONE 20 MG/100 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032317</ndc>
    <ndc_label_name>HYDROMORPHONE 25 MG/25 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032321</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004032330</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004038003</ndc>
    <ndc_label_name>METHADONE 5 MG/0.5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004038005</ndc>
    <ndc_label_name>METHADONE HCL 10 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004041156</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004041159</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043009</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043012</ndc>
    <ndc_label_name>KETAMINE 100 MG/10 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043305</ndc>
    <ndc_label_name>KETAMINE HCL 50 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043430</ndc>
    <ndc_label_name>KETAMINE 100 MG/50 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043509</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043512</ndc>
    <ndc_label_name>KETAMINE 100 MG/10 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004043540</ndc>
    <ndc_label_name>KETAMINE 2,500 MG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004044240</ndc>
    <ndc_label_name>KETAMINE 500 MG/250ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004044340</ndc>
    <ndc_label_name>KETAMINE 1,250 MG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004054035</ndc>
    <ndc_label_name>DILTIAZEM 125 MG/125 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004054135</ndc>
    <ndc_label_name>DILTIAZEM 125MG/125ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060009</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060012</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060109</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060409</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060412</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060509</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060740</ndc>
    <ndc_label_name>EPINEPH 8 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004060840</ndc>
    <ndc_label_name>EPINEPH 5 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004061340</ndc>
    <ndc_label_name>EPINEPH 4 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004062012</ndc>
    <ndc_label_name>ESMOLOL HCL 100 MG/10 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004063806</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004063809</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004063825</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004064006</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4MG/2ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004064009</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004065044</ndc>
    <ndc_label_name>HEPARIN 5,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004065046</ndc>
    <ndc_label_name>HEPARIN 5,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004069531</ndc>
    <ndc_label_name>ISOPROTERENOL 200 MCG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004070006</ndc>
    <ndc_label_name>LABETALOL HCL 10 MG/2 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004070028</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004072009</ndc>
    <ndc_label_name>LIDOCAINE 50 MG/5 ML (1%) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004072012</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/10 ML(1%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004072309</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004072505</ndc>
    <ndc_label_name>Buffered Lidocaine 0.9 % (1 mL) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004075009</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004077144</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/500-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004078140</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70004078440</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010002205</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010002210</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010002703</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010002803</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010002901</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010003001</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010003101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 15 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010003201</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010003301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010003401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHET ER 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010004001</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010004101</ndc>
    <ndc_label_name>AMPHETAMINE SULFATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010004201</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010004301</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010004401</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010004405</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010005140</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010005401</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006301</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006305</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006309</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006310</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006401</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006405</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006409</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006499</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006501</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006505</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006509</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006599</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006601</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006603</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006605</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006610</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006703</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006705</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006710</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006750</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006801</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006803</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006805</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006810</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010006850</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010007141</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010007142</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010007143</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010007244</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010007344</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010008501</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010008601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011101</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMINE 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DEXTROAMP-AMPHETAM 7.5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011301</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011401</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAM 12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011501</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011601</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010011701</ndc>
    <ndc_label_name>DEXTROAMP-AMPHETAMIN 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013303</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013309</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013310</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013403</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013409</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010013410</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013501</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013505</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013510</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013601</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013605</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013610</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013701</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013705</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013801</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013805</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013901</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013905</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010013910</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010014701</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010014801</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010014805</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010014901</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010014905</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016001</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016101</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016105</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016110</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016201</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016234</ndc>
    <ndc_label_name>LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016305</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010016309</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018403</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018405</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018409</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018410</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018503</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018505</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018509</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018510</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018603</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018605</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010018609</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010019009</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010019109</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010019110</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010019905</ndc>
    <ndc_label_name>GUAIFENESIN ER 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020303</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020305</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020309</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020310</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020403</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020405</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020409</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020410</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020503</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020505</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020509</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010020510</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010020601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010020701</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010020801</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010020901</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021001</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021101</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021201</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 70 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021401</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021501</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021601</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021701</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021801</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010021901</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010022701</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010022705</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010022801</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010022805</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010022954</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023101</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023105</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023110</ndc>
    <ndc_label_name>TRAZODONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023201</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023205</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023210</ndc>
    <ndc_label_name>TRAZODONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023301</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023305</ndc>
    <ndc_label_name>TRAZODONE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010023401</ndc>
    <ndc_label_name>TRAZODONE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049101</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049105</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049109</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049110</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049201</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010049210</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010049601</ndc>
    <ndc_label_name>METFORMIN ER 500 MG GASTRC-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010049709</ndc>
    <ndc_label_name>METFORMIN ER 1,000 MG GASTR-TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010066801</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010066901</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010067001</ndc>
    <ndc_label_name>OXYCODONE-ACETAMINOPHEN 10-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010067201</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010067301</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 7.5-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074103</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074109</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074110</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074203</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074209</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074210</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074303</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074309</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010074310</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010075401</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010075405</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010077001</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010077005</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078001</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078005</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078010</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078101</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078105</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078110</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078205</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078210</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078305</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078310</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078403</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078405</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078409</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078503</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078505</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010078509</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010078612</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010078628</ndc>
    <ndc_label_name>METHYLERGONOVINE 0.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70010090701</ndc>
    <ndc_label_name>PENICILLAMINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092601</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092605</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092610</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092701</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092705</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092710</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092801</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70010092805</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020126501</ndc>
    <ndc_label_name>Diluent for Ixempra 8 mL (15 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020126602</ndc>
    <ndc_label_name>Diluent for Ixempra 23.5 mL (45 mg) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020191001</ndc>
    <ndc_label_name>Ixempra 15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020191002</ndc>
    <ndc_label_name>Ixempra 15 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020191101</ndc>
    <ndc_label_name>Ixempra 45 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70020191102</ndc>
    <ndc_label_name>Ixempra 45 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030012512</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030012513</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012517</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012518</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012521</ndc>
    <ndc_label_name>Safety Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012523</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012527</ndc>
    <ndc_label_name>GS PEN NEEDLE 32G X 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012528</ndc>
    <ndc_label_name>GS PEN NEEDLE 32G X 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012529</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012530</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012534</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012535</ndc>
    <ndc_label_name>GS PEN NEEDLE 31G X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012536</ndc>
    <ndc_label_name>GS PEN NEEDLE 32G X 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030012715</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030012829</ndc>
    <ndc_label_name>GS GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030012842</ndc>
    <ndc_label_name>GS BLOOD GLUCOSE MONITOR SYS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030012852</ndc>
    <ndc_label_name>GS LANCING DEVICE AND LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013050</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013133</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013165</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013173</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030013186</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013207</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013216</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013217</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013239</ndc>
    <ndc_label_name>GS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013252</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013264</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013333</ndc>
    <ndc_label_name>Prenatal 28 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013408</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013422</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013423</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013424</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013430</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030013504</ndc>
    <ndc_label_name>Sinus Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013512</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013608</ndc>
    <ndc_label_name>GS ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030013613</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013725</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013881</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013907</ndc>
    <ndc_label_name>Suphedrine 12 Hour 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013917</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030013971</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013995</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030013997</ndc>
    <ndc_label_name>GS IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014511</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014565</ndc>
    <ndc_label_name>Gas Relief Ultra Strength 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014581</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014607</ndc>
    <ndc_label_name>Nasal Four 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014662</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014663</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014667</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014676</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014738</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014739</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014740</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014741</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014765</ndc>
    <ndc_label_name>Personal Lubricating Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014773</ndc>
    <ndc_label_name>Anti-Itch (hydrocortisone) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014791</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014816</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014828</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014843</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014844</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014845</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014846</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014861</ndc>
    <ndc_label_name>Lice Bedding Spray 0.5 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014864</ndc>
    <ndc_label_name>GS OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014891</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014915</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014916</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030014966</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030014993</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Daytime 10 mg-20 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051063</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051064</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051065</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051066</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051067</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051091</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051093</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051094</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051095</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051096</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051098</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051099</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051101</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051103</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051106</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030051134</ndc>
    <ndc_label_name>Dex4 Glucose 4 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030051146</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030051207</ndc>
    <ndc_label_name>Mucus D 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030061578</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030061885</ndc>
    <ndc_label_name>Kids Multivitamin Complete 18 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030062026</ndc>
    <ndc_label_name>Glucosamine-Chondr Complx (MSM-hyal) 500 mg-66.7 mg-500 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062059</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062060</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062086</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70030062127</ndc>
    <ndc_label_name>Acid Controller Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062132</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062229</ndc>
    <ndc_label_name>NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062301</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062303</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062387</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062388</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062430</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062431</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062436</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062488</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062804</ndc>
    <ndc_label_name>Men Under 50 Multivitamin 8 mg iron-200 mcg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70030062805</ndc>
    <ndc_label_name>Men 50 Plus Multivitamin 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069000501</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069000510</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069000801</ndc>
    <ndc_label_name>EPINASTINE HCL 0.05% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001101</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001125</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001201</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001225</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001301</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069001325</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069001701</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069001801</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069001825</ndc>
    <ndc_label_name>ACETYLCYSTEINE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069001901</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069001925</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069002001</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069002003</ndc>
    <ndc_label_name>ACETYLCYSTEINE 20% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002101</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002125</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002501</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002510</ndc>
    <ndc_label_name>DEXAMETHASONE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002701</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069002705</ndc>
    <ndc_label_name>BUPRENORPHINE 0.3 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069003001</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069003003</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069003101</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069003105</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069004401</ndc>
    <ndc_label_name>CLONIDINE HCL ER 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069004701</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069004725</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069004801</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069004820</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069005101</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006101</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 20 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006110</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 20 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006125</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 20 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006201</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006210</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006225</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006301</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006325</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006401</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006410</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006425</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006701</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006710</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069006725</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069007101</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069007110</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069007201</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069007210</ndc>
    <ndc_label_name>NALOXONE 4 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069008101</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069009101</ndc>
    <ndc_label_name>AZELASTINE HCL 0.05% DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069010101</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069010105</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069010125</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069012101</ndc>
    <ndc_label_name>TROPICAMIDE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069013101</ndc>
    <ndc_label_name>TOBRAMYCIN 0.3% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069014101</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069014110</ndc>
    <ndc_label_name>CISATRACURIUM 10 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069015101</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069015110</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069016101</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069016110</ndc>
    <ndc_label_name>CISATRACURIUM 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069017101</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069017110</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069017201</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069017210</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069018101</ndc>
    <ndc_label_name>PILOCARPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069019101</ndc>
    <ndc_label_name>PILOCARPINE 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069020101</ndc>
    <ndc_label_name>PILOCARPINE 4% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069023101</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069023201</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069023301</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069026101</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027101</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027105</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027125</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027201</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027205</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027301</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069027305</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069030101</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069030110</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069030125</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069031101</ndc>
    <ndc_label_name>POLYMYXIN B-TMP EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069036101</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069036110</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069036201</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069036210</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069036301</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP IV VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069037101</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069037125</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038101</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038110</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038301</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038305</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038310</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069038401</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069040101</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069040201</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069040301</ndc>
    <ndc_label_name>BIMATOPROST 0.03% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069041101</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069042101</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069042103</ndc>
    <ndc_label_name>LATANOPROST 0.005% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069043101</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069043105</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069044101</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069044105</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069047101</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069047110</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069048101</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069048110</ndc>
    <ndc_label_name>ATROPINE 8 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069049101</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069050101</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069050601</ndc>
    <ndc_label_name>CUPRIC CHLORIDE 4 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069050625</ndc>
    <ndc_label_name>CUPRIC CHLORIDE 4 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069051601</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069051701</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069052601</ndc>
    <ndc_label_name>ZINC CHLORIDE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069052625</ndc>
    <ndc_label_name>ZINC CHLORIDE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069056601</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069056701</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069056801</ndc>
    <ndc_label_name>BRIMONIDINE TARTRATE 0.1% DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069058101</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069058201</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069058301</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069058601</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069058701</ndc>
    <ndc_label_name>TRAVOPROST 0.004% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069059101</ndc>
    <ndc_label_name>PHENYLEPHRINE 500 MCG/5 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069059110</ndc>
    <ndc_label_name>PHENYLEPHRINE 500 MCG/5 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069059601</ndc>
    <ndc_label_name>TETRACAINE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069059701</ndc>
    <ndc_label_name>TETRACAINE 0.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069060101</ndc>
    <ndc_label_name>PROPARACAINE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061610</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061701</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061725</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061801</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061825</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061901</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069061925</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069063101</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069063125</ndc>
    <ndc_label_name>ATROPINE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069064101</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069064125</ndc>
    <ndc_label_name>ATROPINE 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069065101</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069065201</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069065301</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069066101</ndc>
    <ndc_label_name>NALBUPHINE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069066110</ndc>
    <ndc_label_name>NALBUPHINE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069066201</ndc>
    <ndc_label_name>NALBUPHINE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069066210</ndc>
    <ndc_label_name>NALBUPHINE 200 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069067101</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069067110</ndc>
    <ndc_label_name>NALBUPHINE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069067201</ndc>
    <ndc_label_name>NALBUPHINE 20 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069067210</ndc>
    <ndc_label_name>NALBUPHINE 20 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069068601</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069068701</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069101</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069125</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069201</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069225</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069601</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069701</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069069801</ndc>
    <ndc_label_name>TIMOLOL 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070101</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070201</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070301</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070601</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070701</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069070801</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069071101</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069071201</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069071601</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072701</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072710</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072725</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072801</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072810</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069072820</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069074601</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069074625</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069074701</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069074725</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075201</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075210</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075225</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075301</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075310</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075325</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075801</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 400 MCG/4 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075804</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 400 MCG/4 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075901</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 1,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069075904</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 1,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069077301</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069077310</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069078301</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069078310</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069078325</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069078801</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069078804</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080101</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080125</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080201</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080210</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080301</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080501</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080510</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080601</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080610</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080701</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080710</ndc>
    <ndc_label_name>MILRINONE LACT 10 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080801</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080810</ndc>
    <ndc_label_name>MILRINONE LACT 20 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069080901</ndc>
    <ndc_label_name>MILRINONE LACT 50 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081001</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081101</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081125</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081201</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081210</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081301</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081410</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081430</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081490</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081510</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081530</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081590</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081601</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081610</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081701</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081710</ndc>
    <ndc_label_name>MIDAZOLAM HCL 5 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081901</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069081910</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069082001</ndc>
    <ndc_label_name>HYDROXYUREA 500 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082101</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082201</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082301</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082310</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082330</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069082408</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069082901</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083401</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083501</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083601</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083701</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083801</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069083901</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069084001</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069084830</ndc>
    <ndc_label_name>RILPIVIRINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70069085701</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086601</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086610</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086701</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086705</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086710</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70069086801</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074000240</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074000246</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074000750</ndc>
    <ndc_label_name>Ensure oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074011098</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.14-5.4-11.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074011133</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074011267</ndc>
    <ndc_label_name>Similac Advance Organic 2.07 gram-5.4 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074011485</ndc>
    <ndc_label_name>Similac Special Care 24 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074011486</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040108</ndc>
    <ndc_label_name>Rcf Soy Protein Formula Base oral concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040143</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040699</ndc>
    <ndc_label_name>Pulmocare oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040701</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040702</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040705</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040707</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040711</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040718</ndc>
    <ndc_label_name>Ensure Plus 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040729</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074040735</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074042110</ndc>
    <ndc_label_name>Isomil/Iron oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050181</ndc>
    <ndc_label_name>Pulmocare oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050241</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050260</ndc>
    <ndc_label_name>ProViMin 73 gram-313 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050261</ndc>
    <ndc_label_name>ProViMin 73 gram-313 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050457</ndc>
    <ndc_label_name>Ensure Active High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050458</ndc>
    <ndc_label_name>Ensure Active High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050461</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050463</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050465</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050467</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050469</ndc>
    <ndc_label_name>Ensure Active High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050514</ndc>
    <ndc_label_name>Ensure Active High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050629</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050647</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050649</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050775</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050818</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.1-5.4-11.1 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050820</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050822</ndc>
    <ndc_label_name>Similac Advance Organic 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050826</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050828</ndc>
    <ndc_label_name>Similac Go and Grow 3 gram-5.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050838</ndc>
    <ndc_label_name>Similac Go and Grow Soy 2.8 gram-5.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050904</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050905</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050959</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074050960</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051016</ndc>
    <ndc_label_name>Similac Expert Care 2.71 gram-5.27 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051113</ndc>
    <ndc_label_name>Ketonex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051114</ndc>
    <ndc_label_name>Ketonex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051115</ndc>
    <ndc_label_name>Ketonex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051117</ndc>
    <ndc_label_name>Hominex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051119</ndc>
    <ndc_label_name>Hominex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051121</ndc>
    <ndc_label_name>Phenex-1  15 gram-480 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051123</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051127</ndc>
    <ndc_label_name>Tyrex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051129</ndc>
    <ndc_label_name>Tyrex-1 15 gram-480 kcal/100g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051133</ndc>
    <ndc_label_name>Propimex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051135</ndc>
    <ndc_label_name>Propimex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051137</ndc>
    <ndc_label_name>I-Valex-1 15 gram-480 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051139</ndc>
    <ndc_label_name>I-Valex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051141</ndc>
    <ndc_label_name>Glutarex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051143</ndc>
    <ndc_label_name>Glutarex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051145</ndc>
    <ndc_label_name>Cyclinex-1 7.5 g-510 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051147</ndc>
    <ndc_label_name>Cyclinex-2  15 gram-440 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051149</ndc>
    <ndc_label_name>Pro-Phree 5.5 gram-12.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051277</ndc>
    <ndc_label_name>Isomil DF oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051477</ndc>
    <ndc_label_name>Similac Low-Iron oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051739</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074051753</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051785</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051787</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051804</ndc>
    <ndc_label_name>Pediasure Enteral 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051805</ndc>
    <ndc_label_name>Pediasure Enteral 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051807</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051873</ndc>
    <ndc_label_name>Promote with Fiber 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051881</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051883</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051885</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051893</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074051895</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074052099</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074052101</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053118</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053119</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053121</ndc>
    <ndc_label_name>Osmolite 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053328</ndc>
    <ndc_label_name>Calcilo XD 2.2-5.6-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053329</ndc>
    <ndc_label_name>Calcilo XD 2.2-5.6-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053360</ndc>
    <ndc_label_name>Similac Advance With Iron 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053363</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053364</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053365</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053366</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053432</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053511</ndc>
    <ndc_label_name>Elecare Infant Formula 3.1-4.8-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053534</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053535</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053581</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053582</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053586</ndc>
    <ndc_label_name>PediaSure with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053588</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053590</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053623</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053626</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053677</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.14-5.4-11.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053729</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053730</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053807</ndc>
    <ndc_label_name>Ensure Original oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053809</ndc>
    <ndc_label_name>Ensure Plus 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053810</ndc>
    <ndc_label_name>Ensure Plus 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053818</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074053819</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074053983</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074053984</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054065</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054327</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054329</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054387</ndc>
    <ndc_label_name>Oxepa 0.06 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054545</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054599</ndc>
    <ndc_label_name>Similac Human Milk Fortifier 0.25 gram-3.5 kcal/0.9 gram powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054844</ndc>
    <ndc_label_name>Ensure Pudding</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054845</ndc>
    <ndc_label_name>Ensure Pudding</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054847</ndc>
    <ndc_label_name>Ensure Pudding</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074054849</ndc>
    <ndc_label_name>Ensure Pudding</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055251</ndc>
    <ndc_label_name>Elecare Infant Formula 3.1-4.8-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055253</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055254</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055756</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055898</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055957</ndc>
    <ndc_label_name>Similac Advance With Iron 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055958</ndc>
    <ndc_label_name>Similac Advance With Iron 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055963</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055964</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055967</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074055968</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056016</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056053</ndc>
    <ndc_label_name>Glucerna oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056079</ndc>
    <ndc_label_name>Pedialyte 10.6 mEq-4.7mEq/8.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056082</ndc>
    <ndc_label_name>Pedialyte 10.6 mEq-4.7mEq/8.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056091</ndc>
    <ndc_label_name>Pedialyte 10.6 mEq-4.7mEq/8.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056092</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.14-5.4-11.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056178</ndc>
    <ndc_label_name>Similac Neosure 2.8-5.5-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056265</ndc>
    <ndc_label_name>Similac Special Care 20 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056266</ndc>
    <ndc_label_name>Similac Special Care 20 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056267</ndc>
    <ndc_label_name>Similac Special Care 24 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056268</ndc>
    <ndc_label_name>Similac Special Care 24 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056270</ndc>
    <ndc_label_name>Similac Special Care 24 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056271</ndc>
    <ndc_label_name>Similac Special Care High Protein 3.3 gram-5.43 gram/100 kcal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056272</ndc>
    <ndc_label_name>Similac Special Care High Protein 3.3 gram-5.43 gram/100 kcal liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056275</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056276</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056278</ndc>
    <ndc_label_name>Vital 1.0 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056280</ndc>
    <ndc_label_name>Vital 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056308</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056309</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056312</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056313</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056369</ndc>
    <ndc_label_name>PediaSure with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056410</ndc>
    <ndc_label_name>PediaSure 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056412</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056417</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056420</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056423</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074056439</ndc>
    <ndc_label_name>Pedialyte Singles oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074056440</ndc>
    <ndc_label_name>Pedialyte Singles oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074056442</ndc>
    <ndc_label_name>Pedialyte Singles oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074056443</ndc>
    <ndc_label_name>Pedialyte Singles oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056477</ndc>
    <ndc_label_name>Ensure Active Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056480</ndc>
    <ndc_label_name>Ensure Active Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056483</ndc>
    <ndc_label_name>Ensure Active Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056500</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056501</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056502</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056508</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.14-5.4-11.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056524</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056525</ndc>
    <ndc_label_name>Similac Advance Organic 2.07 gram-5.4 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056543</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056559</ndc>
    <ndc_label_name>Ensure Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056561</ndc>
    <ndc_label_name>Ensure Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056585</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056586</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056588</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056649</ndc>
    <ndc_label_name>Similac Human Milk Fortifier 0.349 gram-6.85 kcal/5 mL liquid packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056650</ndc>
    <ndc_label_name>Similac Human Milk Fortifier 0.35 gram-7 kcal/5 mL oral liquid packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056656</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056682</ndc>
    <ndc_label_name>Glucerna oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056683</ndc>
    <ndc_label_name>Glucerna oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056728</ndc>
    <ndc_label_name>Similac For Spit-Up 2.14-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056731</ndc>
    <ndc_label_name>Similac For Spit-Up 2.14-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056974</ndc>
    <ndc_label_name>Similac Advance oral concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056976</ndc>
    <ndc_label_name>Isomil Advance oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074056983</ndc>
    <ndc_label_name>Similac Sensitive Isomil Soy 2.45 gram/100 kcal(17.6 gram) powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057231</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057234</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057243</ndc>
    <ndc_label_name>Ensure oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057263</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057269</ndc>
    <ndc_label_name>Ensure Plus 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057334</ndc>
    <ndc_label_name>Jevity 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057430</ndc>
    <ndc_label_name>Similac Neosure 2.8 gram-5.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057431</ndc>
    <ndc_label_name>Similac Neosure 2.8 gram-5.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057455</ndc>
    <ndc_label_name>Similac Neosure 2.8-5.5-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057456</ndc>
    <ndc_label_name>Similac Neosure 2.8-5.5-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057470</ndc>
    <ndc_label_name>Osmolite 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057508</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057509</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057512</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057513</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057533</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057534</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057535</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.1-5.4-11.1 gram/100 kcal oral conc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057536</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.1-5.4-11.1 gram/100 kcal oral conc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057539</ndc>
    <ndc_label_name>Similac Sensitive Fuss-Gas 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057541</ndc>
    <ndc_label_name>Similac Sensitive Fuss-Gas 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057601</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057604</ndc>
    <ndc_label_name>Glucerna oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057617</ndc>
    <ndc_label_name>Glucerna oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057768</ndc>
    <ndc_label_name>Similac Expert Care oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057769</ndc>
    <ndc_label_name>Similac Expert Care oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057802</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057803</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057805</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057808</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057809</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057811</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057812</ndc>
    <ndc_label_name>Glucerna Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057886</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074057939</ndc>
    <ndc_label_name>Similac Advance 2.07 gram/100 kcal(17.4 gram)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058014</ndc>
    <ndc_label_name>Pivot 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058037</ndc>
    <ndc_label_name>Similac Sterilized Water oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058050</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058053</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058056</ndc>
    <ndc_label_name>PediaSure 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058058</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058059</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058062</ndc>
    <ndc_label_name>PediaSure with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058252</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058254</ndc>
    <ndc_label_name>Hi-Cal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058263</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058294</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058296</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058297</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058298</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058300</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058301</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058302</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058303</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058304</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058585</ndc>
    <ndc_label_name>Similac Advance 2.2 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058586</ndc>
    <ndc_label_name>Similac Advance 2.2 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058603</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058604</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058613</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074058614</ndc>
    <ndc_label_name>Similac Advance 2.07-5.40-11.2 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059646</ndc>
    <ndc_label_name>Similac Neosure 2.8-5.5-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059705</ndc>
    <ndc_label_name>Glucerna Bar oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059709</ndc>
    <ndc_label_name>Glucerna Bar oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059721</ndc>
    <ndc_label_name>ProMod Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059722</ndc>
    <ndc_label_name>ProMod Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059738</ndc>
    <ndc_label_name>Similac Expert Care Alimentum 2.75 g-5.54 g-10.2 g/100 kcal oral susp</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059857</ndc>
    <ndc_label_name>Glucerna Snack Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059858</ndc>
    <ndc_label_name>Glucerna Snack Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059860</ndc>
    <ndc_label_name>Glucerna Snack Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059861</ndc>
    <ndc_label_name>Glucerna Snack Shake oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074059884</ndc>
    <ndc_label_name>Similac Advance Organic 2.07 gram-5.4 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074059892</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074060750</ndc>
    <ndc_label_name>Ensure oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074060850</ndc>
    <ndc_label_name>Similac PM oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062013</ndc>
    <ndc_label_name>Ensure Muscle Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062060</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062061</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062063</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062064</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062074</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-140 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062075</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-140 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062076</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-140 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062077</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-150 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062078</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-150 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062079</ndc>
    <ndc_label_name>Glucerna Crispy Delights 10 gram-150 kcal/40 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062082</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062089</ndc>
    <ndc_label_name>Suplena Carb Steady 0.04 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062090</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062091</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062093</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062095</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062120</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062122</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062124</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062125</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062126</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062127</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062130</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062131</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062132</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062139</ndc>
    <ndc_label_name>Similac For Spit-Up 2.14-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062140</ndc>
    <ndc_label_name>Similac For Spit-Up 2.14-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062309</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062310</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062311</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062312</ndc>
    <ndc_label_name>Pediasure Sidekicks Clear 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062315</ndc>
    <ndc_label_name>Liquid Protein Fortifier 1 gram-4 kcal/6 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062317</ndc>
    <ndc_label_name>Liquid Protein Fortifier 1 gram-4 kcal/6 mL oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074062427</ndc>
    <ndc_label_name>Similac Prenatal 27 mg iron-800 mcg-200 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074062428</ndc>
    <ndc_label_name>Similac Prenatal 27 mg iron-800 mcg-200 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062479</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062480</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062481</ndc>
    <ndc_label_name>Ensure Clear oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062483</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062485</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062487</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062585</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062595</ndc>
    <ndc_label_name>Similac Total Comfort 2.32 gram-5.4 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062596</ndc>
    <ndc_label_name>Similac Total Comfort 2.32 gram-5.4 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062598</ndc>
    <ndc_label_name>Similac Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062599</ndc>
    <ndc_label_name>Similac Total Comfort 2.32-5.4-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062600</ndc>
    <ndc_label_name>Similac Total Comfort 2.32-5.4-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062667</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062668</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062669</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062670</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062671</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062672</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062673</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062674</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062675</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062676</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062677</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062678</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062679</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062680</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062681</ndc>
    <ndc_label_name>Jevity 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062682</ndc>
    <ndc_label_name>Jevity 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062683</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062684</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062685</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062686</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062687</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062688</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062689</ndc>
    <ndc_label_name>Jevity 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062690</ndc>
    <ndc_label_name>Jevity 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062691</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062692</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062693</ndc>
    <ndc_label_name>Osmolite 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062694</ndc>
    <ndc_label_name>Osmolite 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062695</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062696</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062697</ndc>
    <ndc_label_name>Osmolite 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062698</ndc>
    <ndc_label_name>Osmolite 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062699</ndc>
    <ndc_label_name>Osmolite 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062700</ndc>
    <ndc_label_name>Osmolite 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062701</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062702</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062703</ndc>
    <ndc_label_name>Promote with Fiber 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062704</ndc>
    <ndc_label_name>Promote with Fiber 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062705</ndc>
    <ndc_label_name>Promote with Fiber 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062706</ndc>
    <ndc_label_name>Promote with Fiber 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062707</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062708</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062709</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062710</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062711</ndc>
    <ndc_label_name>Vital 1.0 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062712</ndc>
    <ndc_label_name>Vital 1.0 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062713</ndc>
    <ndc_label_name>Vital 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062714</ndc>
    <ndc_label_name>Vital 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062715</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062716</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062717</ndc>
    <ndc_label_name>Oxepa 0.06 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062718</ndc>
    <ndc_label_name>Oxepa 0.06 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062719</ndc>
    <ndc_label_name>Pivot 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062720</ndc>
    <ndc_label_name>Pivot 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062721</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062722</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062723</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062724</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062725</ndc>
    <ndc_label_name>Pulmocare oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062726</ndc>
    <ndc_label_name>Pulmocare oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062727</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062728</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062729</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062730</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062731</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062732</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062749</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062750</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062803</ndc>
    <ndc_label_name>Ensure Active Heart Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062806</ndc>
    <ndc_label_name>Ensure Active Heart Health oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062882</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062884</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062885</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062887</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062950</ndc>
    <ndc_label_name>Similac Supplementation 2.07-5.6-10.8 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062951</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.2-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062952</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.2-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074062991</ndc>
    <ndc_label_name>Similac Supplementation 2.07-5.4-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063000</ndc>
    <ndc_label_name>Glucerna Advance oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063002</ndc>
    <ndc_label_name>Glucerna Advance oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063010</ndc>
    <ndc_label_name>Similac Human Milk Fortifier 0.5 gram-7 kcal/5 mL liquid packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063011</ndc>
    <ndc_label_name>Similac Human Milk Fortifier 0.5 gram-7 kcal/5 mL liquid packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063012</ndc>
    <ndc_label_name>Similac Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063024</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063025</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063026</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063027</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063028</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063029</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063030</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063031</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063032</ndc>
    <ndc_label_name>Glucerna Mini Snacks 3 gram-80 kcal/20 gram oral bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074063057</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074063058</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074063059</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074063060</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063074</ndc>
    <ndc_label_name>Ensure High Protein oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063075</ndc>
    <ndc_label_name>Similac With Iron 2.07 gram-5.51 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063076</ndc>
    <ndc_label_name>Similac With Iron 2.07 gram-5.51 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063082</ndc>
    <ndc_label_name>Vital High Protein 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063084</ndc>
    <ndc_label_name>Ensure High Protein oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063092</ndc>
    <ndc_label_name>Similac Supplementation 2.07-5.4-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063093</ndc>
    <ndc_label_name>Similac Supplementation 2.07-5.4-11.3 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063120</ndc>
    <ndc_label_name>Vital High Protein 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063177</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063343</ndc>
    <ndc_label_name>PediaSure Shake Mix 6 gram-170 kcal/38 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063344</ndc>
    <ndc_label_name>PediaSure Shake Mix 6 gram-170 kcal/38 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063362</ndc>
    <ndc_label_name>Similac Advance 2.2 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063363</ndc>
    <ndc_label_name>Similac Sensitive Fuss and Gas 2.2-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063420</ndc>
    <ndc_label_name>Similac Go andGrow Sensitive 4 gram-8 gram-16 gram/150 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074063421</ndc>
    <ndc_label_name>Similac Go andGrow Sensitive 4 gram-8 gram-16 gram/150 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064115</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064116</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064117</ndc>
    <ndc_label_name>Ensure Active Protein-Muscle oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064118</ndc>
    <ndc_label_name>Ensure Active Protein-Muscle oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064122</ndc>
    <ndc_label_name>Ensure Active Light oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064124</ndc>
    <ndc_label_name>Ensure Active Light oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064134</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064135</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064174</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064179</ndc>
    <ndc_label_name>Pedialyte 10.6 mEq-4.7mEq/9 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064230</ndc>
    <ndc_label_name>Similac Go and Grow 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064240</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064242</ndc>
    <ndc_label_name>Similac Advance Non-GMO 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064243</ndc>
    <ndc_label_name>Similac Advance Non-GMO 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064246</ndc>
    <ndc_label_name>Similac Sensitive Fuss-Gas Non-GMO 2.1-5.4-11.1 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064249</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064253</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064254</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064258</ndc>
    <ndc_label_name>Similac Go and Grow Non-GMO 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064261</ndc>
    <ndc_label_name>Similac Go and Grow Non-GMO 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064273</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064281</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064282</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064283</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064284</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064286</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064290</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064292</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064294</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074064302</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074064308</ndc>
    <ndc_label_name>Pedialyte Advanced Care oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064319</ndc>
    <ndc_label_name>Similac Go and Grow 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064356</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064357</ndc>
    <ndc_label_name>Ensure Compact oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064359</ndc>
    <ndc_label_name>Ensure Compact oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064361</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ensure Compact oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Ensure Compact oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064588</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064589</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064590</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064597</ndc>
    <ndc_label_name>Pedialyte 10.6 mEq-4.7mEq/9 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064624</ndc>
    <ndc_label_name>Jevity 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064625</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064626</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064628</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064632</ndc>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064634</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064712</ndc>
    <ndc_label_name>Similac Alimentum 2.75-5.54-10.2 gram/100 kcal oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064715</ndc>
    <ndc_label_name>Similac Alimentum 2.75-5.54-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064718</ndc>
    <ndc_label_name>Similac Alimentum 2.75-5.54-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064719</ndc>
    <ndc_label_name>Similac Alimentum 2.75-5.54-10.2 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064721</ndc>
    <ndc_label_name>Ensure Enlive 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064758</ndc>
    <ndc_label_name>Jevity 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064781</ndc>
    <ndc_label_name>Similac Go and Grow 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064788</ndc>
    <ndc_label_name>Similac Go and Grow Sensitive Non-GMO 4-8-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064790</ndc>
    <ndc_label_name>Similac Go and Grow Sensitive Non-GMO 4-8-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064793</ndc>
    <ndc_label_name>Suplena Carb Steady 0.04 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064794</ndc>
    <ndc_label_name>Suplena Carb Steady 0.04 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064795</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064797</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064799</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064803</ndc>
    <ndc_label_name>Nepro Carb Steady 0.08 gram-1.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064807</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064809</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064810</ndc>
    <ndc_label_name>Pulmocare oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064813</ndc>
    <ndc_label_name>Oxepa 0.06 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064815</ndc>
    <ndc_label_name>Perative 0.067 gram-1.30 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064817</ndc>
    <ndc_label_name>Vital High Protein 0.09 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064824</ndc>
    <ndc_label_name>Vital 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064826</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064829</ndc>
    <ndc_label_name>Vital 1.0 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064833</ndc>
    <ndc_label_name>Promote 0.06 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064835</ndc>
    <ndc_label_name>Osmolite 1.5 Cal 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064894</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064895</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064896</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064899</ndc>
    <ndc_label_name>Ensure Clear Therapeutic 0.035 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064900</ndc>
    <ndc_label_name>Ensure Clear Therapeutic 0.035 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064901</ndc>
    <ndc_label_name>Ensure Clear Therapeutic 0.035 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064903</ndc>
    <ndc_label_name>Ensure Clear Therapeutic 0.035 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064904</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064905</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064906</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064907</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064908</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064909</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064910</ndc>
    <ndc_label_name>Ensure Plus 0.05 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064912</ndc>
    <ndc_label_name>Glucerna 1 Cal 0.04 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064916</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064918</ndc>
    <ndc_label_name>Glucerna 1.2 Cal 0.06 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064919</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064920</ndc>
    <ndc_label_name>Glucerna 1.5 Cal 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064921</ndc>
    <ndc_label_name>Glucerna Therapeutic Nutrition oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064924</ndc>
    <ndc_label_name>Glucerna Therapeutic Nutrition oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064926</ndc>
    <ndc_label_name>Glucerna Therapeutic Nutrition oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064928</ndc>
    <ndc_label_name>Glucerna Therapeutic Nutrition oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064929</ndc>
    <ndc_label_name>Glucerna Therapeutic Nutrition oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064930</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064931</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064932</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064933</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064934</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064935</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064936</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074064937</ndc>
    <ndc_label_name>Ensure Original 0.04 gram-1.05 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065006</ndc>
    <ndc_label_name>Pivot 1.5 Cal 0.09 gram-1.5 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065040</ndc>
    <ndc_label_name>Ensure Pre-Surgery 0.68 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065044</ndc>
    <ndc_label_name>Ensure Pre-Surgery 0.68 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065046</ndc>
    <ndc_label_name>Ensure Surgery 0.08 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065047</ndc>
    <ndc_label_name>Ensure Surgery 0.08 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074065093</ndc>
    <ndc_label_name>Pure Bliss Non-GMO 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066080</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066081</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066082</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066084</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066088</ndc>
    <ndc_label_name>Similac Advance Lamehadrin 2.16-5.3-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066105</ndc>
    <ndc_label_name>Similac Lamehadrin 6 gram-170 kcal/41 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066172</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066178</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066179</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066180</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066236</ndc>
    <ndc_label_name>Vital Peptide 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066237</ndc>
    <ndc_label_name>Vital Peptide 1.5 Cal 0.07 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066271</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066273</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066275</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066276</ndc>
    <ndc_label_name>EleCare Jr 14.3 gram-469 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066436</ndc>
    <ndc_label_name>Ensure Surgery 0.08 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066437</ndc>
    <ndc_label_name>Ensure Pre-Surgery 0.68 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066534</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066535</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066547</ndc>
    <ndc_label_name>Ensure High Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066639</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066640</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066641</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066642</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066643</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066644</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066645</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066646</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066670</ndc>
    <ndc_label_name>PediaSure Harvest 0.04 gram-1 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066673</ndc>
    <ndc_label_name>PediaSure Harvest 0.04 gram-1 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066798</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066799</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066849</ndc>
    <ndc_label_name>Ensure Original oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066850</ndc>
    <ndc_label_name>Ensure Original oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066854</ndc>
    <ndc_label_name>Ensure Original oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066855</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074066856</ndc>
    <ndc_label_name>Pedialyte Advanced Care Plus oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066884</ndc>
    <ndc_label_name>Glucerna Snack Bar 11 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066885</ndc>
    <ndc_label_name>Glucerna Snack Bar 11 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066886</ndc>
    <ndc_label_name>Glucerna Snack Bar 11 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066887</ndc>
    <ndc_label_name>Glucerna Snack Bar 10 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066888</ndc>
    <ndc_label_name>Glucerna Snack Bar 10 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066889</ndc>
    <ndc_label_name>Glucerna Snack Bar 10 gram-160 kcal/40 gram oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066891</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066892</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066893</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066897</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066898</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066899</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066911</ndc>
    <ndc_label_name>Ensure Original oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066912</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066913</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066916</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066917</ndc>
    <ndc_label_name>PediaSure Sidekicks 0.04 gram-0.8 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066918</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066920</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066923</ndc>
    <ndc_label_name>Similac Neosure 2.8 gram-5.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066924</ndc>
    <ndc_label_name>Similac Neosure 2.8 gram-5.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066937</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066938</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066939</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066940</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32 gram-5.4 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066950</ndc>
    <ndc_label_name>Ensure Original oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066954</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066956</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066958</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066959</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066960</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074066961</ndc>
    <ndc_label_name>PediaSure Grow-Gain 6 gram-220 kcal/49 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067012</ndc>
    <ndc_label_name>Similac Soy Isomil 2.45 gram-5.46 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067031</ndc>
    <ndc_label_name>Pro-Phree 5.5 gram-12.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067033</ndc>
    <ndc_label_name>Cyclinex-1 7.5 g-510 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067035</ndc>
    <ndc_label_name>Cyclinex-2  15 gram-440 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067037</ndc>
    <ndc_label_name>Glutarex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067039</ndc>
    <ndc_label_name>Glutarex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067041</ndc>
    <ndc_label_name>Hominex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067043</ndc>
    <ndc_label_name>Hominex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067045</ndc>
    <ndc_label_name>I-Valex-1 15 gram-480 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067047</ndc>
    <ndc_label_name>I-Valex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067049</ndc>
    <ndc_label_name>Ketonex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067051</ndc>
    <ndc_label_name>Ketonex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067053</ndc>
    <ndc_label_name>Phenex-1  15 gram-480 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067054</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067055</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067056</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067057</ndc>
    <ndc_label_name>Phenex-2 30 gram-410 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067059</ndc>
    <ndc_label_name>Propimex-1 15 g-480 kcal/100 g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067060</ndc>
    <ndc_label_name>Propimex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067061</ndc>
    <ndc_label_name>Propimex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067063</ndc>
    <ndc_label_name>Tyrex-1 15 gram-480 kcal/100g oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067064</ndc>
    <ndc_label_name>Tyrex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067065</ndc>
    <ndc_label_name>Tyrex-2 30 gram-410 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067067</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067068</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067069</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067073</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067074</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067082</ndc>
    <ndc_label_name>Ensure Original with Fiber oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067083</ndc>
    <ndc_label_name>Ensure Original with Fiber oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067086</ndc>
    <ndc_label_name>Ensure Plus with Fiber oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067087</ndc>
    <ndc_label_name>Ensure Plus with Fiber oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067151</ndc>
    <ndc_label_name>Similac Go and Grow Non-GMO 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067152</ndc>
    <ndc_label_name>Similac Go and Grow Non-GMO 4 gram-8 gram-16 gram/150 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067166</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067167</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067185</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067203</ndc>
    <ndc_label_name>Similac Neosure 2.8-5.5-10.1 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067214</ndc>
    <ndc_label_name>PediaSure Grow-Gain Organic 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067215</ndc>
    <ndc_label_name>PediaSure Grow-Gain Organic 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067217</ndc>
    <ndc_label_name>PediaSure Grow-Gain Organic 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067218</ndc>
    <ndc_label_name>PediaSure Grow-Gain Organic 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067220</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067221</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067222</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067225</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067226</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067227</ndc>
    <ndc_label_name>Pedialyte Sparkling Rush 28.3 mEq-18.2 mEq-16.6 mEq oral eff. pwd pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067282</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067283</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067318</ndc>
    <ndc_label_name>Pure Bliss Non-GMO 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067323</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067324</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067374</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067375</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067376</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067377</ndc>
    <ndc_label_name>PediaSure with Fiber 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067378</ndc>
    <ndc_label_name>PediaSure 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067386</ndc>
    <ndc_label_name>PediaSure 0.06 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067397</ndc>
    <ndc_label_name>Similac Probiotic Tri-Blend 1 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067398</ndc>
    <ndc_label_name>Similac Probiotic Tri-Blend 1 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067401</ndc>
    <ndc_label_name>Pediasure Enteral 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067402</ndc>
    <ndc_label_name>Pediasure Enteral 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067403</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067404</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067405</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067406</ndc>
    <ndc_label_name>PediaSure Enteral with Fiber 1.0 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067407</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067410</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067411</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067412</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067413</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067414</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067415</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067416</ndc>
    <ndc_label_name>PediaSure Peptide 1.0 Cal 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067417</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067418</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067419</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067420</ndc>
    <ndc_label_name>PediaSure Peptide 1.5 Cal 0.045 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067444</ndc>
    <ndc_label_name>Similac Advance Kosher 2.15-5.4-10.7 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067445</ndc>
    <ndc_label_name>Similac Advance Kosher 2.15-5.4-10.7 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067447</ndc>
    <ndc_label_name>Similac Special Care 24 3 gram-5.43 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067448</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067449</ndc>
    <ndc_label_name>Similac Special Care 30 3 gram-6.61 gram/100 kcal oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067450</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067451</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067452</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067453</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067455</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067456</ndc>
    <ndc_label_name>Ensure Plant-Based Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067473</ndc>
    <ndc_label_name>Ensure Rapid Hydration 30 mEq-10 mEq-25 mEq-11 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067512</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067514</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067522</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067524</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067526</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067528</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067530</ndc>
    <ndc_label_name>PediaSure Grow-Gain with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067532</ndc>
    <ndc_label_name>PediaSure Grow-Gain with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067533</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067534</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067536</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067538</ndc>
    <ndc_label_name>PediaSure Grow-Gain 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067613</ndc>
    <ndc_label_name>Pediasure Reduced Calorie 0.03 gram-0.6 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067641</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32-5.4-10.7 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067642</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067643</ndc>
    <ndc_label_name>Vital AF 1.2 Cal 0.08 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067655</ndc>
    <ndc_label_name>Ensure Surgery Perioperative Bundle 0.08 gram-1.4 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067683</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32-5.4-10.7 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067684</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32-5.4-10.7 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067715</ndc>
    <ndc_label_name>Elecare Infant Formula 3.1-4.8-10.8 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067716</ndc>
    <ndc_label_name>Elecare Infant Formula 3.1-4.8-10.8 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067765</ndc>
    <ndc_label_name>Similac Organic A2 Milk NoGMO 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067766</ndc>
    <ndc_label_name>Similac Organic A2 Milk NoGMO 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067963</ndc>
    <ndc_label_name>PediaSure Harvest 0.04 gram-1 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067965</ndc>
    <ndc_label_name>Ensure Harvest 0.06 gram-1.2 kcal/mL liquid for tube feed</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067969</ndc>
    <ndc_label_name>Pedialyte Electrolyte Water oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074067970</ndc>
    <ndc_label_name>Pedialyte Electrolyte Water oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068048</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068054</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068055</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068057</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068058</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068060</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068061</ndc>
    <ndc_label_name>Ensure Complete 0.1 gram-1.18 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068062</ndc>
    <ndc_label_name>TwoCal HN 0.08 gram-2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068063</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068064</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068065</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068066</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068070</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068071</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068072</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068073</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068082</ndc>
    <ndc_label_name>Similac Sensitive Fuss-Gas 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068083</ndc>
    <ndc_label_name>Similac Sensitive Fuss-Gas 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068085</ndc>
    <ndc_label_name>Similac Advance With Iron 2.07 gram-5.6 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068086</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068087</ndc>
    <ndc_label_name>Similac For Spit-Up 2.1-5.4-11 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068088</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068089</ndc>
    <ndc_label_name>Similac Pro-Advance Non-GMO 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068090</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068091</ndc>
    <ndc_label_name>Similac Pro-Sensitive Non-GMO 2.1-5.4-10.9 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068092</ndc>
    <ndc_label_name>Pure Bliss Organic 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068093</ndc>
    <ndc_label_name>Pure Bliss Organic 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068099</ndc>
    <ndc_label_name>Pure Bliss Organic A2 Milk 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068100</ndc>
    <ndc_label_name>Pure Bliss Organic A2 Milk 2.07 gram-5.63 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068107</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32-5.4-10.7 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068108</ndc>
    <ndc_label_name>Similac Pro-Total Comfort Non-GMO 2.32-5.4-10.7 gram/100 kcal oral pwd</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068117</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068123</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral powdr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068130</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068131</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068132</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068138</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068140</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068145</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068146</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.4-11 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068151</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068153</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068155</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068157</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068159</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068160</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068161</ndc>
    <ndc_label_name>Similac 360 Total Care Sensitive 2.1-5.4-10.9 gram/100 kcal oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068169</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068170</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068171</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068222</ndc>
    <ndc_label_name>Pure Bliss Organic 2.07 gram-5.63 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068223</ndc>
    <ndc_label_name>Pure Bliss Organic 2.07 gram-5.63 gram/100 kcal oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068230</ndc>
    <ndc_label_name>Ensure Plus High Protein 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068231</ndc>
    <ndc_label_name>Ensure Plus High Protein 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068233</ndc>
    <ndc_label_name>Ensure Plus High Protein 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068235</ndc>
    <ndc_label_name>Ensure Plus High Protein 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068237</ndc>
    <ndc_label_name>Ensure Plus High Protein 0.08 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068398</ndc>
    <ndc_label_name>Similac Alimentum Toddler 13.9 gram-508 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068399</ndc>
    <ndc_label_name>Similac Alimentum Toddler 13.9 gram-508 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068608</ndc>
    <ndc_label_name>Glucerna Hunger Smart oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068625</ndc>
    <ndc_label_name>EleCare Jr 14.4 gram-493 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068628</ndc>
    <ndc_label_name>EleCare Jr 14.4 gram-493 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068630</ndc>
    <ndc_label_name>EleCare Jr 14.4 gram-493 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068631</ndc>
    <ndc_label_name>EleCare Jr 14.4 gram-493 kcal/100 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068654</ndc>
    <ndc_label_name>Similac 360 Total Care 2.07-5.6-10.5 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068756</ndc>
    <ndc_label_name>PediaSure Grow-Gain with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068758</ndc>
    <ndc_label_name>PediaSure Grow-Gain with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068781</ndc>
    <ndc_label_name>PediaSure Grow-Gain with Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068973</ndc>
    <ndc_label_name>Similac Total Comfort 2.32-5.4-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068974</ndc>
    <ndc_label_name>Similac Total Comfort 2.32-5.4-10.7 gram/100 kcal oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068978</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068979</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068982</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068983</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068984</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074068985</ndc>
    <ndc_label_name>Protality 0.09 gram-0.45 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074068995</ndc>
    <ndc_label_name>Pedialyte Immune Support oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074068996</ndc>
    <ndc_label_name>Pedialyte Immune Support oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074068997</ndc>
    <ndc_label_name>Pedialyte Immune Support oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074068998</ndc>
    <ndc_label_name>Pedialyte Immune Support oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069121</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069122</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069123</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069124</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069125</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069126</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069127</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069128</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069129</ndc>
    <ndc_label_name>Pedialyte Electrolyte Powder 11.25 mEq-5 mEq-8.75 mEq oral powder pkt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069255</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069256</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069260</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074069261</ndc>
    <ndc_label_name>Ensure MAX Protein oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70074080240</ndc>
    <ndc_label_name>Pedialyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70074080668</ndc>
    <ndc_label_name>Osmolite 1 Cal 0.04 gram-1.06 kcal/mL oral liquid</ndc_label_name>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092100144</ndc>
    <ndc_label_name>ATROPINE 2 MG/5 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>AMIODARONE 150 MG/100 ML-D5W</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092108836</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>HYDROMORPHONE 25 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092141547</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092141836</ndc>
    <ndc_label_name>MIDAZOLAM 100MG/100ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092141946</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092142743</ndc>
    <ndc_label_name>KETAMINE 10 MG/ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092142843</ndc>
    <ndc_label_name>HEPARIN 6,000 UNIT/3 ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092143044</ndc>
    <ndc_label_name>HEPARIN 2,500 UNIT/5 ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092143350</ndc>
    <ndc_label_name>R.E.C.K.(ROPIV-EPI-CLON-KETOR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092143546</ndc>
    <ndc_label_name>ACETAMINOPHEN 100 MG/10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092144076</ndc>
    <ndc_label_name>FENTANYL 2 MCG-ROPIV 0.2%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092144176</ndc>
    <ndc_label_name>FENTANYL 2 MCG-ROPIV 0.1%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092144204</ndc>
    <ndc_label_name>VANCO 750 MG/150 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092144343</ndc>
    <ndc_label_name>Buffered Lidocaine 0.9 % (1 mL) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092144405</ndc>
    <ndc_label_name>FENTANYL 1,250MCG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145244</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145336</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145444</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145546</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145643</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092145707</ndc>
    <ndc_label_name>OXYTOCIN 10 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092146805</ndc>
    <ndc_label_name>NOREPINEPH 16 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092147446</ndc>
    <ndc_label_name>DEXTROSE 25%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092147550</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092147744</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092147844</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092147903</ndc>
    <ndc_label_name>KCL 10MEQ-LIDOCAIN 10MG/100-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092148046</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092148443</ndc>
    <ndc_label_name>Buffered Lidocaine 0.9 % (1 mL) injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092148546</ndc>
    <ndc_label_name>PHENYLEPHRINE 400 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092148646</ndc>
    <ndc_label_name>PHENYLEPHRINE 800 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149005</ndc>
    <ndc_label_name>NOREPINEPHR 4 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149117</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149205</ndc>
    <ndc_label_name>NOREPINEPHR 8 MG/250-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149317</ndc>
    <ndc_label_name>NOREPINEPHRINE 8 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149449</ndc>
    <ndc_label_name>FENTANYL 1,500 MCG/30 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149550</ndc>
    <ndc_label_name>FENTANYL 2,750 MCG/55 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149747</ndc>
    <ndc_label_name>FENTANYL 1,000 MCG/20 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092149936</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.1%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150037</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.1%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150137</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150436</ndc>
    <ndc_label_name>FENTANYL 2 MCG-ROPIV 0.2%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150579</ndc>
    <ndc_label_name>FENTANYL 1,500 MCG/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150636</ndc>
    <ndc_label_name>FENTANYL 1,000MCG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092150935</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151246</ndc>
    <ndc_label_name>EPINEPHRINE 100 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151446</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151605</ndc>
    <ndc_label_name>EPINEPH 8 MG/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151743</ndc>
    <ndc_label_name>MORPHINE 1 MG/ML-0.9% NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151875</ndc>
    <ndc_label_name>MORPHINE 100MG/100ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092151948</ndc>
    <ndc_label_name>MORPHINE 30 MG/30 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152049</ndc>
    <ndc_label_name>MORPHINE 30 MG/30 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152174</ndc>
    <ndc_label_name>MORPHINE 50 MG/50 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152235</ndc>
    <ndc_label_name>MORPHINE 50 MG/50 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152350</ndc>
    <ndc_label_name>MORPHINE 50 MG/50 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152450</ndc>
    <ndc_label_name>MORPHINE 55 MG/55 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092152705</ndc>
    <ndc_label_name>EPINEPHRINE 4 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153243</ndc>
    <ndc_label_name>HYDROMORPHONE 1 MG/ML-NS SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153343</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/ML-NS SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153643</ndc>
    <ndc_label_name>MORPHINE 2 MG/ML-0.9% NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153743</ndc>
    <ndc_label_name>MORPHINE 4 MG/ML-0.9% NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153844</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPINEPH 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092153946</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-NS SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154046</ndc>
    <ndc_label_name>EPHEDRINE 100 MG/10ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154143</ndc>
    <ndc_label_name>EPHEDRINE 10 MG/ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154217</ndc>
    <ndc_label_name>EPINEPHRINE 2 MG/250 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154305</ndc>
    <ndc_label_name>EPINEPHRINE 2 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154436</ndc>
    <ndc_label_name>FENTANYL 5,000 MCG/100ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154507</ndc>
    <ndc_label_name>HEPARIN 5,000 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154635</ndc>
    <ndc_label_name>HYDROMORPHONE 50 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154746</ndc>
    <ndc_label_name>NICARDIPINE 1 MG/10 ML-NS SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154817</ndc>
    <ndc_label_name>VANCOMYCIN 1.25 GRAM/250ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092154935</ndc>
    <ndc_label_name>ROPIVACAINE 0.15%-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092155050</ndc>
    <ndc_label_name>PHENYLEPHRINE 20 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092155207</ndc>
    <ndc_label_name>OXYTOCIN 30 UNIT/500 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092155844</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092155944</ndc>
    <ndc_label_name>LABETALOL HCL 25 MG/5 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092156343</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092156446</ndc>
    <ndc_label_name>LIDOCAINE 200 MG/10 ML(2%) SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092156646</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092156744</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092157144</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092157343</ndc>
    <ndc_label_name>METHADONE 1 MG/ML-0.9% NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092157536</ndc>
    <ndc_label_name>DILTIAZEM 125 MG/125 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092157617</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092157705</ndc>
    <ndc_label_name>EPINEPHRINE 2 MG/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092158337</ndc>
    <ndc_label_name>BUPIVACAINE 0.125%-0.9% NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092158408</ndc>
    <ndc_label_name>HEPARIN 4,000 UNIT/1,000 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092158643</ndc>
    <ndc_label_name>BUFFERED LIDOCAINE 0.5%-EPINEP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092158838</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092159040</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092159140</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092160346</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092160447</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092161144</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092161379</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092161746</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092161950</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092162115</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092162203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70092162303</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VASOPRESSIN 5 UNIT/5 ML-D5W</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70100042401</ndc>
    <ndc_label_name>INDOCYANINE GREEN 25 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70100042402</ndc>
    <ndc_label_name>INDOCYANINE GREEN 25 MG VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70100072501</ndc>
    <ndc_label_name>IC Green 25 mg solution for injection</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70100082502</ndc>
    <ndc_label_name>IC Green 25 mg solution for injection</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70112001101</ndc>
    <ndc_label_name>Subsolv RDT powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70112015001</ndc>
    <ndc_label_name>LevigoLT 4 %-1 % topical cream</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LevigoSP 2.5 %-0.13 % topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114010101</ndc>
    <ndc_label_name>Udenyca 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114012001</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114013001</ndc>
    <ndc_label_name>Udenyca Onbody 6 mg/0.6 mL with wearable subcutaneous injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114022002</ndc>
    <ndc_label_name>Yusimry(CF) Pen 40 mg/0.8 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114034001</ndc>
    <ndc_label_name>Loqtorzi 240 mg/6 mL (40 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114044001</ndc>
    <ndc_label_name>Cimerli 0.3 mg/0.05 mL intravitreal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70114044101</ndc>
    <ndc_label_name>Cimerli 0.5 mg/0.05 mL intravitreal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121100001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121100005</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 40 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121100101</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121100105</ndc>
    <ndc_label_name>METHYLPREDNISOLONE SS 125 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121100201</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121104901</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121104902</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121104905</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121107601</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121107605</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121109901</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121116801</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121116901</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121118901</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121122101</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121122201</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121122301</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121123601</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121123701</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121123801</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121123901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121124001</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121124401</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121124407</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121135001</ndc>
    <ndc_label_name>RISPERIDONE ER 12.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>RISPERIDONE ER 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121135201</ndc>
    <ndc_label_name>RISPERIDONE ER 37.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121135301</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121138101</ndc>
    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FOSPHENYTOIN 100 MG PE/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121138801</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121138808</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121138907</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139007</ndc>
    <ndc_label_name>FOSPHENYTOIN 500 MG PE/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139405</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139501</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139505</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139605</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139701</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139707</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139901</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121139905</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121140801</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121140805</ndc>
    <ndc_label_name>DOXERCALCIFEROL 4 MCG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121145301</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121145307</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121145401</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121145407</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121146301</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121146302</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121146303</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121146309</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70121146702</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70121146705</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121147801</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121147807</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121147901</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121147907</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70121148001</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121148202</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121148301</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121148307</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121155201</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121155205</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121156801</ndc>
    <ndc_label_name>Releuko 300 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121156807</ndc>
    <ndc_label_name>Releuko 300 mcg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157001</ndc>
    <ndc_label_name>Releuko 480 mcg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157007</ndc>
    <ndc_label_name>Releuko 480 mcg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157201</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 175 MG/17.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157301</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157305</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157401</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157405</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 80 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157601</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157607</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157701</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157705</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157801</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157807</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121157901</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158001</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158005</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158007</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158101</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158105</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158501</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158505</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158601</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121158603</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160401</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160407</ndc>
    <ndc_label_name>ISOPROTERENOL 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160501</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160507</ndc>
    <ndc_label_name>ISOPROTERENOL 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160901</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121160905</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121161001</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121161005</ndc>
    <ndc_label_name>METHYLPREDNISOLONE 400 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121162701</ndc>
    <ndc_label_name>Fylnetra 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121163001</ndc>
    <ndc_label_name>Tepadina 15 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121163101</ndc>
    <ndc_label_name>Tepadina 100 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121163701</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121163705</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121163707</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164201</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164205</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164207</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164401</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164701</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121164707</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165101</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165105</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165201</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165301</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165401</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165501</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 400 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165701</ndc>
    <ndc_label_name>TRIAMCINOLONE ACET 40 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165801</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121165806</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121166002</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168001</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168007</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168207</ndc>
    <ndc_label_name>PHYTONADIONE 1 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168501</ndc>
    <ndc_label_name>EXENATIDE 5 MCG DOSE PEN INJ</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121168601</ndc>
    <ndc_label_name>EXENATIDE 10 MCG DOSE PEN INJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169402</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169502</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169807</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121169907</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121170501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121170507</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121170601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121170602</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121170604</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171109</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171202</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171203</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171707</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171901</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171902</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121171909</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121172001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121172003</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121172009</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121172201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121172209</ndc>
    <ndc_label_name>POTASSIUM PH 15 MMOL/250 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173209</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173301</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173309</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173401</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121173403</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 500 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121174301</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121174304</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121174401</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121174402</ndc>
    <ndc_label_name>FOSCARNET 6,000 MG/250 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Alymsys 25 mg/mL intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121175407</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121175501</ndc>
    <ndc_label_name>Alymsys 25 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121175507</ndc>
    <ndc_label_name>Alymsys 25 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121230801</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121230804</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121230901</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121230907</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121242801</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML SYRNG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121242803</ndc>
    <ndc_label_name>LABETALOL HCL 20 MG/4 ML SYRNG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121245301</ndc>
    <ndc_label_name>Pemrydi RTU 10 mg/mL intravenous solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121246101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121248401</ndc>
    <ndc_label_name>Boruzu 2.5 mg/mL injection solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121249401</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121249501</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121249605</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121250101</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121250202</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121250301</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121250502</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121253706</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121262505</ndc>
    <ndc_label_name>RISPERIDONE ER 12.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121262605</ndc>
    <ndc_label_name>RISPERIDONE ER 25 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121262705</ndc>
    <ndc_label_name>RISPERIDONE ER 37.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70121262805</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Focinvez 150 mg/50 mL (3 mg/mL) intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHYLENE BLUE 50 MG/10 ML AMP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HerbioMed Severe Cold-Flu Multi-Symp 10 mg-20 mg-650 mg/20 mL oral liq</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70134040308</ndc>
    <ndc_label_name>HerbioMed Body Aches-Sinus Multi-Sym 10 mg-20 mg-650 mg/20 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HerbioMed Allergy Cold-Sinus Night 12.5 mg-5 mg-325 mg/10 mL oral liq</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70156010708</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70156011118</ndc>
    <ndc_label_name>SELENIUM SULFIDE 2.25% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>70257031004</ndc>
    <ndc_label_name>WINRHO SDF 5,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257031051</ndc>
    <ndc_label_name>WINRHO SDF 5,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056001</ndc>
    <ndc_label_name>Lioresal 500 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056002</ndc>
    <ndc_label_name>Lioresal 500 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056020</ndc>
    <ndc_label_name>Lioresal 500 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056102</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056105</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056211</ndc>
    <ndc_label_name>Lioresal 50 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056255</ndc>
    <ndc_label_name>Lioresal 50 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056301</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056302</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70257056320</ndc>
    <ndc_label_name>Lioresal 2,000 mcg/mL intrathecal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70263033301</ndc>
    <ndc_label_name>OXICONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70263055501</ndc>
    <ndc_label_name>MUPIROCIN 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275050406</ndc>
    <ndc_label_name>MucositisRx 351 mg mucosal powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275062903</ndc>
    <ndc_label_name>SalivaMAX 351 mg mucosal powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275062904</ndc>
    <ndc_label_name>SalivaMAX 351 mg mucosal powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275062912</ndc>
    <ndc_label_name>SalivaMAX 351 mg mucosal powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275062930</ndc>
    <ndc_label_name>SalivaMAX 351 mg mucosal powder in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70275071305</ndc>
    <ndc_label_name>Orapeutic mucosal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70301100101</ndc>
    <ndc_label_name>Rayaldee 30 mcg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70301100102</ndc>
    <ndc_label_name>Rayaldee 30 mcg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70301100201</ndc>
    <ndc_label_name>Rayaldee 30 mcg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70309008002</ndc>
    <ndc_label_name>PinAway 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002113</ndc>
    <ndc_label_name>Tranquility Premium Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002115</ndc>
    <ndc_label_name>Tranquility Premium Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002132</ndc>
    <ndc_label_name>SlimLine Disposable Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002134</ndc>
    <ndc_label_name>SlimLine Brief XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002183</ndc>
    <ndc_label_name>ATN Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002185</ndc>
    <ndc_label_name>ATN Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002190</ndc>
    <ndc_label_name>Tranquility Bariatric Brief-3XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002603</ndc>
    <ndc_label_name>Select Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002604</ndc>
    <ndc_label_name>Select Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002605</ndc>
    <ndc_label_name>Select Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002606</ndc>
    <ndc_label_name>Select Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002607</ndc>
    <ndc_label_name>Select Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002620</ndc>
    <ndc_label_name>Select Disposable Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002624</ndc>
    <ndc_label_name>Select Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002634</ndc>
    <ndc_label_name>Select Disposable Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002635</ndc>
    <ndc_label_name>Select Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002675</ndc>
    <ndc_label_name>Select Underpads 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319002770</ndc>
    <ndc_label_name>Diaper Booster Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319003096</ndc>
    <ndc_label_name>Tranquility Topliner Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319003665</ndc>
    <ndc_label_name>Select Kids Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70319003666</ndc>
    <ndc_label_name>Select Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347002502</ndc>
    <ndc_label_name>Toprol XL 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347002503</ndc>
    <ndc_label_name>Toprol XL 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347005002</ndc>
    <ndc_label_name>Toprol XL 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347005003</ndc>
    <ndc_label_name>Toprol XL 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347010002</ndc>
    <ndc_label_name>Toprol XL 100 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Toprol XL 100 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347020002</ndc>
    <ndc_label_name>Toprol XL 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Toprol XL 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70347020890</ndc>
    <ndc_label_name>Zontivity 2.08 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350180000</ndc>
    <ndc_label_name>Picoderm topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350180100</ndc>
    <ndc_label_name>Dimethipac Gel topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350260005</ndc>
    <ndc_label_name>Ure-K 50 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350260203</ndc>
    <ndc_label_name>Noxifol-D3 2,500 unit-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Roxifol-D 500 unit-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350260400</ndc>
    <ndc_label_name>Anastia 2.75 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350260501</ndc>
    <ndc_label_name>Numbonex 2.75 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350261001</ndc>
    <ndc_label_name>SALICYLIC ACID 6% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350261002</ndc>
    <ndc_label_name>SALICYLIC ACID 6% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350261501</ndc>
    <ndc_label_name>SIL-K 2" X 5.5" topical pads</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350261806</ndc>
    <ndc_label_name>Lido-K 3 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350262601</ndc>
    <ndc_label_name>Rynoderm 37.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350360000</ndc>
    <ndc_label_name>Solu-K topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350360001</ndc>
    <ndc_label_name>Solu-K topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350360002</ndc>
    <ndc_label_name>Solu-K topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350360100</ndc>
    <ndc_label_name>Noxi-K topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350520001</ndc>
    <ndc_label_name>Inflamma-K 1.5 %-10 %-6 %-3.1 % kit,topical drops and a patch</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350520101</ndc>
    <ndc_label_name>Noxipak 0.01 %-20 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350521801</ndc>
    <ndc_label_name>Xilapak 0.01 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350522601</ndc>
    <ndc_label_name>Solupak 5 %-10 %-3 % kit, ointment and spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350523601</ndc>
    <ndc_label_name>Mentho-Caine 5 %-8 % kit, ointment and spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350781801</ndc>
    <ndc_label_name>GLUTAMINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70350781901</ndc>
    <ndc_label_name>RESVERATROL POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70364000104</ndc>
    <ndc_label_name>Transderm-iQ 4 %-20 %-0.0375 %-10 % topical ointment roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70369000101</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70369000201</ndc>
    <ndc_label_name>SODIUM BICARB 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370106001</ndc>
    <ndc_label_name>Ingrezza 60 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370108001</ndc>
    <ndc_label_name>Ingrezza 80 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370204001</ndc>
    <ndc_label_name>Ingrezza 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370204806</ndc>
    <ndc_label_name>Ingrezza Initiation (tardive) 40 mg (7)-80 mg (21) capsules, dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370302502</ndc>
    <ndc_label_name>Ongentys 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370305002</ndc>
    <ndc_label_name>Ongentys 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370404001</ndc>
    <ndc_label_name>Ingrezza Sprinkle 40 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370406001</ndc>
    <ndc_label_name>Ingrezza Sprinkle 60 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70370408001</ndc>
    <ndc_label_name>Ingrezza Sprinkle 80 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370502501</ndc>
    <ndc_label_name>Crenessity 25 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370505001</ndc>
    <ndc_label_name>Crenessity 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370510001</ndc>
    <ndc_label_name>Crenessity 100 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70370525001</ndc>
    <ndc_label_name>Crenessity 50 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000112</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000114</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000115</ndc>
    <ndc_label_name>SIMVASTATIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000212</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000214</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000215</ndc>
    <ndc_label_name>SIMVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000312</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000314</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000315</ndc>
    <ndc_label_name>SIMVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000412</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000414</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000415</ndc>
    <ndc_label_name>SIMVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000512</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000514</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000515</ndc>
    <ndc_label_name>SIMVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000612</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000613</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000712</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000713</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000812</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000813</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000911</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000912</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377000913</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001011</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001022</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001023</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001111</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001122</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001123</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001211</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001222</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001223</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001311</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001322</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377001323</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377001411</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377001511</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377001611</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377001711</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377001811</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002711</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002713</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002811</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002813</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002911</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377002913</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377003012</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377003014</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003112</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003113</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003212</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003213</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003312</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003313</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377003811</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377003911</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004011</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004512</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004514</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004612</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004614</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004712</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004714</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004812</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377004813</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377004913</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005013</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005113</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005211</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005311</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005411</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005511</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005512</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005513</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005611</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005612</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377005613</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006012</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006013</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006112</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006113</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006212</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006213</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006311</ndc>
    <ndc_label_name>LABETALOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006312</ndc>
    <ndc_label_name>LABETALOL HCL 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006611</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006711</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377006811</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377006911</ndc>
    <ndc_label_name>EVEROLIMUS 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377007011</ndc>
    <ndc_label_name>EVEROLIMUS 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377007111</ndc>
    <ndc_label_name>EVEROLIMUS 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377007591</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377007691</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007711</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007713</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007811</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007813</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007911</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377007913</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377008011</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377008013</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377008111</ndc>
    <ndc_label_name>DORZOLAMIDE HCL 2% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377008211</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008311</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008411</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008511</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008611</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008711</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377008811</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377009023</ndc>
    <ndc_label_name>EVEROLIMUS 2 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377009123</ndc>
    <ndc_label_name>EVEROLIMUS 3 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377009223</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TAB FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377009391</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377010211</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377010311</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 1,000 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377010411</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377011211</ndc>
    <ndc_label_name>EVEROLIMUS 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377011311</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377011412</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377011512</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377011612</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377011711</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377011831</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377012111</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377012112</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377012611</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70377012711</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377012811</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377012911</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377013811</ndc>
    <ndc_label_name>TRIAMTERENE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377013812</ndc>
    <ndc_label_name>TRIAMTERENE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377013911</ndc>
    <ndc_label_name>TRIAMTERENE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70377013912</ndc>
    <ndc_label_name>TRIAMTERENE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70382020401</ndc>
    <ndc_label_name>Dextenza 0.4 mg intracanalicular insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70382020410</ndc>
    <ndc_label_name>Dextenza 0.4 mg intracanalicular insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70382020488</ndc>
    <ndc_label_name>Dextenza 0.4 mg intracanalicular insert</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70388016008</ndc>
    <ndc_label_name>WatchBP Home BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70388016919</ndc>
    <ndc_label_name>WatchBP Home Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70388016922</ndc>
    <ndc_label_name>WatchBP Home Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70388016929</ndc>
    <ndc_label_name>WatchBP Home Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70388016942</ndc>
    <ndc_label_name>WatchBP Home Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393000107</ndc>
    <ndc_label_name>CareTouch Wrist Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393000142</ndc>
    <ndc_label_name>CareTouch Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393000518</ndc>
    <ndc_label_name>CareTouch Versa Arm BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393000811</ndc>
    <ndc_label_name>CareTouch Twist Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393000812</ndc>
    <ndc_label_name>CareTouch Twist Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393000813</ndc>
    <ndc_label_name>CareTouch Twist Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393008901</ndc>
    <ndc_label_name>CareTouch Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393010201</ndc>
    <ndc_label_name>CareTouch Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393010301</ndc>
    <ndc_label_name>CareTouch Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393010401</ndc>
    <ndc_label_name>CareTouch Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393011501</ndc>
    <ndc_label_name>CareTouch Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393011601</ndc>
    <ndc_label_name>CareTouch Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393013101</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393013401</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 20 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014001</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014201</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014301</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014401</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014501</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014601</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393014701</ndc>
    <ndc_label_name>CareTouch Hypodermic Needle 26 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393014901</ndc>
    <ndc_label_name>CareTouch Twist Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393015001</ndc>
    <ndc_label_name>CareTouch Twist Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393015101</ndc>
    <ndc_label_name>CareTouch Twist Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393015201</ndc>
    <ndc_label_name>CareTouch Twist Lancet 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393016901</ndc>
    <ndc_label_name>CareTouch Safety Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393017101</ndc>
    <ndc_label_name>CareTouch Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393020100</ndc>
    <ndc_label_name>CareTouch Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393021020</ndc>
    <ndc_label_name>CareTouch Glucose Monitoring System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393021105</ndc>
    <ndc_label_name>CareTouch Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393021201</ndc>
    <ndc_label_name>CareTouch Control Solution L2-L3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393021520</ndc>
    <ndc_label_name>CareTouch Ketone-Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393029601</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 1 mL 28 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393029901</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 1 mL 29 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393030101</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393030201</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393030901</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393031001</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393031101</ndc>
    <ndc_label_name>CareTouch Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393040010</ndc>
    <ndc_label_name>CareTouch Alcohol Prep Pad topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393040020</ndc>
    <ndc_label_name>CareTouch Alcohol Prep Pad topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393040030</ndc>
    <ndc_label_name>CareTouch Alcohol Prep Pad topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70393040040</ndc>
    <ndc_label_name>CareTouch Alcohol Prep Pad topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393040780</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 70 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393040820</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 75 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393040850</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 75 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393040916</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 75 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393040980</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 75 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393041511</ndc>
    <ndc_label_name>CareTouch Alcohol Sanitizing 62 % towelette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393050101</ndc>
    <ndc_label_name>CareTouch Luer Slip Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393050201</ndc>
    <ndc_label_name>CareTouch Luer Slip Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393050301</ndc>
    <ndc_label_name>CareTouch Luer Slip Syringe 5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393050401</ndc>
    <ndc_label_name>CareTouch Luer Slip Syringe 10 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393051701</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393051801</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393051901</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe 5 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393055501</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393055601</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393055701</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 23 x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393055901</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393056001</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393056101</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393056201</ndc>
    <ndc_label_name>CareTouch Luer Lock Syringe with needle 3 mL 25 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393090101</ndc>
    <ndc_label_name>CareTouch Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70393090201</ndc>
    <ndc_label_name>CareTouch Wrist Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70403092115</ndc>
    <ndc_label_name>Artificial Tears (carboxymethylcellulose) 1 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70403092230</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70403092330</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70403092430</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70403092530</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70408014634</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70408018534</ndc>
    <ndc_label_name>PROMETHAZINE-CODEINE SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70408023932</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70408064434</ndc>
    <ndc_label_name>ELIXOPHYLLIN 80 MG/15 ML ELIX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70428001111</ndc>
    <ndc_label_name>Qbrexza 2.4 % towelette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70428001112</ndc>
    <ndc_label_name>Qbrexza 2.4 % towelette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000101</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000103</ndc>
    <ndc_label_name>POTASSIUM CL ER 8 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000201</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000203</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436000406</ndc>
    <ndc_label_name>GALANTAMINE HBR 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436000506</ndc>
    <ndc_label_name>GALANTAMINE HBR 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436000606</ndc>
    <ndc_label_name>GALANTAMINE HBR 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000704</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000804</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436000904</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001002</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001004</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001006</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001102</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001104</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001106</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001204</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001206</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001304</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436001306</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001404</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 20-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001504</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001604</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-5-25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001704</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-12.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001804</ndc>
    <ndc_label_name>OLMSRTN-AMLDPN-HCTZ 40-10-25MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436001982</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002082</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002182</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002282</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002382</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002580</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002582</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002680</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002780</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002880</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436002980</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436003082</ndc>
    <ndc_label_name>ACYCLOVIR 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436003235</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436003282</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436003604</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436003901</ndc>
    <ndc_label_name>GUANFACINE HCL ER 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436004001</ndc>
    <ndc_label_name>GUANFACINE HCL ER 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436004101</ndc>
    <ndc_label_name>GUANFACINE HCL ER 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436004201</ndc>
    <ndc_label_name>GUANFACINE HCL ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005006</ndc>
    <ndc_label_name>CILOSTAZOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005106</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005404</ndc>
    <ndc_label_name>MEMANTINE HCL ER 7 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005504</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005506</ndc>
    <ndc_label_name>MEMANTINE HCL ER 14 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005604</ndc>
    <ndc_label_name>MEMANTINE HCL ER 21 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005704</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436005706</ndc>
    <ndc_label_name>MEMANTINE HCL ER 28 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005801</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005802</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005901</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005902</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436005922</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436006001</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436008955</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009006</ndc>
    <ndc_label_name>MONTELUKAST SOD 4 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009106</ndc>
    <ndc_label_name>MONTELUKAST SOD 5 MG TAB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436009205</ndc>
    <ndc_label_name>ASPIRIN-DIPYRIDAM ER 25-200 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009304</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009404</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009504</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009604</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436009704</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436010109</ndc>
    <ndc_label_name>TETRABENAZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436010209</ndc>
    <ndc_label_name>TETRABENAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011036</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011056</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011080</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011682</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011780</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011880</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436011980</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012080</ndc>
    <ndc_label_name>LEUCOVORIN CALCIUM 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012131</ndc>
    <ndc_label_name>GADOTERIDOL 1.3965 GM/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012133</ndc>
    <ndc_label_name>GADOTERIDOL 2.793 GM/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012134</ndc>
    <ndc_label_name>GADOTERIDOL 4.1895 GM/15 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012135</ndc>
    <ndc_label_name>GADOTERIDOL 5.586 GM/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012331</ndc>
    <ndc_label_name>GADOTERATE 2.5 MMOL/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012333</ndc>
    <ndc_label_name>GADOTERATE 5 MMOL/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012334</ndc>
    <ndc_label_name>GADOTERATE 7.5 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012335</ndc>
    <ndc_label_name>GADOTERATE 10 MMOL/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012340</ndc>
    <ndc_label_name>GADOTERATE 50 MMOL/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012356</ndc>
    <ndc_label_name>GADOTERATE 50 MMOL/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012433</ndc>
    <ndc_label_name>IOPAMIDOL 41% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012435</ndc>
    <ndc_label_name>IOPAMIDOL 41% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012452</ndc>
    <ndc_label_name>IOPAMIDOL 41% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012482</ndc>
    <ndc_label_name>IOPAMIDOL 41% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012537</ndc>
    <ndc_label_name>IOPAMIDOL 51% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012582</ndc>
    <ndc_label_name>IOPAMIDOL 51% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012634</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012682</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012740</ndc>
    <ndc_label_name>IOPAMIDOL 76% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436012782</ndc>
    <ndc_label_name>IOPAMIDOL 76% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436014006</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436014106</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436014206</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436014780</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436014781</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015119</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015120</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015157</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015158</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436015301</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015541</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436015542</ndc>
    <ndc_label_name>PROMETHAZINE-DM 6.25-15 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436015606</ndc>
    <ndc_label_name>CILOSTAZOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436015706</ndc>
    <ndc_label_name>CILOSTAZOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016002</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016004</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016006</ndc>
    <ndc_label_name>TOLTERODINE TART ER 2 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016102</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016104</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016106</ndc>
    <ndc_label_name>TOLTERODINE TART ER 4 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016280</ndc>
    <ndc_label_name>EPTIFIBATIDE 20 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016380</ndc>
    <ndc_label_name>EPTIFIBATIDE 75 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436016601</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436016602</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436016701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436016702</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016806</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 45 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436016906</ndc>
    <ndc_label_name>FENOFIBRIC ACID DR 135 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436017223</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436017323</ndc>
    <ndc_label_name>MYCOPHENOLIC ACID DR 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436017404</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018001</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018002</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018101</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018102</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018201</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018202</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436018302</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019080</ndc>
    <ndc_label_name>ESOMEPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019082</ndc>
    <ndc_label_name>ESOMEPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019101</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019102</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019201</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019202</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 180 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019301</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436019302</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(XR) 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019504</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 120 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019506</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 120 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019604</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019606</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 180 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019704</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 240 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019706</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 240 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019804</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019806</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 300 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019904</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436019906</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 360 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020004</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 420 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020006</ndc>
    <ndc_label_name>DILTIAZEM 24H ER(LA) 420 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436020201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436020202</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020380</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020382</ndc>
    <ndc_label_name>DOBUTAMINE 250 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020680</ndc>
    <ndc_label_name>SOD NITROPRUSSIDE 20 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020780</ndc>
    <ndc_label_name>SOD NITROPRUSSIDE 50 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436020980</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 175 MG/17.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021137</ndc>
    <ndc_label_name>IOPAMIDOL 41% 50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021180</ndc>
    <ndc_label_name>IOPAMIDOL 41% 50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021232</ndc>
    <ndc_label_name>GADOBUTROL 7.5 MMOL/7.5ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021254</ndc>
    <ndc_label_name>GADOBUTROL 7.5 MMOL/7.5ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021280</ndc>
    <ndc_label_name>GADOBUTROL 7.5 MMOL/7.5ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021434</ndc>
    <ndc_label_name>GADOBUTROL 15 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021454</ndc>
    <ndc_label_name>GADOBUTROL 15 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021480</ndc>
    <ndc_label_name>GADOBUTROL 15 MMOL/15 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021936</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021937</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021940</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021952</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021962</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436021982</ndc>
    <ndc_label_name>IOPAMIDOL 61% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436022034</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436022134</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436022236</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436022748</ndc>
    <ndc_label_name>FLUCONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70436022849</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023039</ndc>
    <ndc_label_name>VORICONAZOLE 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023155</ndc>
    <ndc_label_name>GANCICLOVIR 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023250</ndc>
    <ndc_label_name>AMIODARONE 900 MG/18 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023252</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023262</ndc>
    <ndc_label_name>AMIODARONE 450 MG/9 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023272</ndc>
    <ndc_label_name>AMIODARONE 150 MG/3 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023273</ndc>
    <ndc_label_name>AMIODARONE 450 MG/9 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70436023274</ndc>
    <ndc_label_name>AMIODARONE 900 MG/18 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70437024018</ndc>
    <ndc_label_name>Nerlynx 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70437024033</ndc>
    <ndc_label_name>Nerlynx 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457981701</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457981702</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457981703</ndc>
    <ndc_label_name>ESTRADIOL HEMIHYDRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457983301</ndc>
    <ndc_label_name>MEBENDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457983302</ndc>
    <ndc_label_name>MEBENDAZOLE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457986901</ndc>
    <ndc_label_name>L-GLUTATHIONE REDUCED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457986902</ndc>
    <ndc_label_name>L-GLUTATHIONE REDUCED POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457987701</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457987702</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457987703</ndc>
    <ndc_label_name>TADALAFIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457988601</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457988602</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457988603</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457988604</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457988605</ndc>
    <ndc_label_name>SILDENAFIL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989303</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989304</ndc>
    <ndc_label_name>ACYCLOVIR POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989401</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989402</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989403</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989404</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457989405</ndc>
    <ndc_label_name>PHENTOLAMINE MESYLATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990201</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990202</ndc>
    <ndc_label_name>SODIUM BICARBONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990401</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990402</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990403</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990404</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990405</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990406</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457990407</ndc>
    <ndc_label_name>PROGESTERONE MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991201</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991202</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991203</ndc>
    <ndc_label_name>MICROCRYSTALLINE CELLULOSE PWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991601</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991602</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457991603</ndc>
    <ndc_label_name>LIDOCAINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992401</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992402</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992403</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992404</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992406</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992801</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992802</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992803</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992804</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457992805</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993001</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993002</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993003</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993004</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993005</ndc>
    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993201</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993202</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993203</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993204</ndc>
    <ndc_label_name>ESTRADIOL MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993301</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993302</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993303</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993304</ndc>
    <ndc_label_name>CETYL MYRISTOLEATE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993701</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993702</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457993703</ndc>
    <ndc_label_name>XANTHAN GUM POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994001</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994002</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994003</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994004</ndc>
    <ndc_label_name>TETRACAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994201</ndc>
    <ndc_label_name>PenSomal transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994202</ndc>
    <ndc_label_name>PenSomal transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994203</ndc>
    <ndc_label_name>PenSomal transdermal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994601</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994602</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994603</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994604</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994605</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457994606</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457997102</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457997103</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457997104</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457997201</ndc>
    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457997202</ndc>
    <ndc_label_name>SORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457998801</ndc>
    <ndc_label_name>SALICYLIC ACID CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457998802</ndc>
    <ndc_label_name>SALICYLIC ACID CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457998803</ndc>
    <ndc_label_name>SALICYLIC ACID CRYSTALS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457999601</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457999602</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70457999603</ndc>
    <ndc_label_name>ASCORBIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70460000202</ndc>
    <ndc_label_name>Vaxchora Active Component 4x10exp8 to 2x10exp9 CF unit oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70460000302</ndc>
    <ndc_label_name>Vaxchora Buffer Component oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70460000401</ndc>
    <ndc_label_name>Vaxchora Vaccine 4x10exp8 to 2x10exp9 CF unit oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461002403</ndc>
    <ndc_label_name>FLUAD TRIVALENT 2024-2025 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461002404</ndc>
    <ndc_label_name>FLUAD TRIVALENT 2024-2025 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461002503</ndc>
    <ndc_label_name>Fluad 2025-26 65yr up(PF)45 mcg(15 mcgx3)/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461002504</ndc>
    <ndc_label_name>Fluad 2025-26 65yr up(PF)45 mcg(15 mcgx3)/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461012303</ndc>
    <ndc_label_name>FLUAD QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461012304</ndc>
    <ndc_label_name>FLUAD QUAD 2023-2024 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461032303</ndc>
    <ndc_label_name>FLUCELVAX QUAD 2023-2024 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461032304</ndc>
    <ndc_label_name>FLUCELVAX QUAD 2023-2024 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461042310</ndc>
    <ndc_label_name>FLUCELVAX QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461042311</ndc>
    <ndc_label_name>FLUCELVAX QUAD 2023-2024 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461055410</ndc>
    <ndc_label_name>FLUCELVAX TRIVAL 2024-2025 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461055411</ndc>
    <ndc_label_name>FLUCELVAX TRIVAL 2024-2025 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461055510</ndc>
    <ndc_label_name>Flucelvax 2025-2026 45 mcg (15 mcg x 3)/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461055511</ndc>
    <ndc_label_name>Flucelvax 2025-2026 45 mcg (15 mcg x 3)/0.5 mL IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461065403</ndc>
    <ndc_label_name>FLUCELVAX TRIVAL 2024-2025 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461065404</ndc>
    <ndc_label_name>FLUCELVAX TRIVAL 2024-2025 SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461065503</ndc>
    <ndc_label_name>Flucelvax 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70461065504</ndc>
    <ndc_label_name>Flucelvax 2025-2026 (PF) 45 mcg (15 mcg x 3)/0.5 mL IM syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461070003</ndc>
    <ndc_label_name>Audenz(PF)(National Stockpile) 7.5 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461070004</ndc>
    <ndc_label_name>Audenz(PF)(National Stockpile) 7.5 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461080040</ndc>
    <ndc_label_name>Audenz (National Stockpile) 7.5 mcg/0.5 mL intramuscular emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70461080041</ndc>
    <ndc_label_name>Audenz (National Stockpile) 7.5 mcg/0.5 mL intramuscular emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70482007530</ndc>
    <ndc_label_name>Osmolex ER 129 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70482007630</ndc>
    <ndc_label_name>Osmolex ER 193 mg tablet, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70482008560</ndc>
    <ndc_label_name>Gocovri 68.5 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70482017060</ndc>
    <ndc_label_name>Gocovri 137 mg capsule,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001010</ndc>
    <ndc_label_name>Neutrogena Facial Soap Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001180</ndc>
    <ndc_label_name>Neutrogena topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001300</ndc>
    <ndc_label_name>Neutrogena Hand topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001330</ndc>
    <ndc_label_name>Neutrogena Acne Cleansing Soap Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001350</ndc>
    <ndc_label_name>Neutrogena Facial Soap Bar</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001710</ndc>
    <ndc_label_name>Neutrogena Oil-Free Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001712</ndc>
    <ndc_label_name>Neutrogena Oil-Free Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501001790</ndc>
    <ndc_label_name>Neutrogena On The Spot 2.5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501002590</ndc>
    <ndc_label_name>Rapid Clear Treatment Pads 2 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501002700</ndc>
    <ndc_label_name>Neutrogena Toner topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501005360</ndc>
    <ndc_label_name>Neutrogena Oil-Free Acne Wash 2 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501006000</ndc>
    <ndc_label_name>Clear Pore Cleanser-Mask 3.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70501009650</ndc>
    <ndc_label_name>Neutrogena T/Sal 3 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027001</ndc>
    <ndc_label_name>Ixinity 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027101</ndc>
    <ndc_label_name>Ixinity 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027201</ndc>
    <ndc_label_name>Ixinity 1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027501</ndc>
    <ndc_label_name>IXINITY 250 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027601</ndc>
    <ndc_label_name>IXINITY 2,000 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504027701</ndc>
    <ndc_label_name>Ixinity 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028205</ndc>
    <ndc_label_name>Ixinity 500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028305</ndc>
    <ndc_label_name>Ixinity 1,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028405</ndc>
    <ndc_label_name>Ixinity 1,500 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028705</ndc>
    <ndc_label_name>IXINITY 250 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028805</ndc>
    <ndc_label_name>IXINITY 2,000 UNIT RANGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70504028905</ndc>
    <ndc_label_name>Ixinity 3,000 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70505010010</ndc>
    <ndc_label_name>DOXYLAMINE-PYRIDOXINE 10-10 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70505020260</ndc>
    <ndc_label_name>NITISINONE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70505020560</ndc>
    <ndc_label_name>NITISINONE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70505021060</ndc>
    <ndc_label_name>NITISINONE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70505022060</ndc>
    <ndc_label_name>NITISINONE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510217101</ndc>
    <ndc_label_name>Radicava 30 mg/100 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510217102</ndc>
    <ndc_label_name>Radicava 30 mg/100 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510220101</ndc>
    <ndc_label_name>EXSERVAN 50 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510220102</ndc>
    <ndc_label_name>EXSERVAN 50 MG FILM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510232101</ndc>
    <ndc_label_name>Radicava ORS Starter Kit Suspension 105 mg/5 mL oral</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510232102</ndc>
    <ndc_label_name>Radicava ORS Starter Kit Suspension 105 mg/5 mL oral</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70510232201</ndc>
    <ndc_label_name>Radicava ORS 105 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512001115</ndc>
    <ndc_label_name>LenzaPro 4 %-4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512001230</ndc>
    <ndc_label_name>LidaFlex 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512001315</ndc>
    <ndc_label_name>LenzaPro Flex 4 %-4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512001430</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512001515</ndc>
    <ndc_label_name>SynoFlex 4 %-5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512001610</ndc>
    <ndc_label_name>Capsimide 0.025 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512001715</ndc>
    <ndc_label_name>Triceptin 4 %-2 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512002505</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512002755</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512002860</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512002930</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512002985</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512003030</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003160</ndc>
    <ndc_label_name>DIFLORASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003204</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003350</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003460</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003560</ndc>
    <ndc_label_name>ERYTHROMYCIN 2% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512003630</ndc>
    <ndc_label_name>GENTAMICIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003710</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512003805</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512010030</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512010130</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512010230</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512010330</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512010460</ndc>
    <ndc_label_name>Neuracin 4 %-30 %-10 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512010610</ndc>
    <ndc_label_name>DICLOFENAC SODIUM 1% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512052005</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.1% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512075010</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512078010</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512078210</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512078460</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512078760</ndc>
    <ndc_label_name>OXAPROZIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512079005</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512079010</ndc>
    <ndc_label_name>KETOROLAC 0.5% OPHTH SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512079305</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512079310</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512079490</ndc>
    <ndc_label_name>IBUPROFEN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512079701</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512079724</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 200 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512079801</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512079824</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 400 MG/200 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512081005</ndc>
    <ndc_label_name>DICLOFENAC 1.5% TOPICAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512081201</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512081230</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512081460</ndc>
    <ndc_label_name>Coxanto 300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084001</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084025</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084105</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084106</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084110</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084111</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084125</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084126</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084150</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084151</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084160</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084161</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084201</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084225</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084301</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084325</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084401</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512084425</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512085028</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512085128</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512085214</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 120 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512085360</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512085901</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512085905</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512086008</ndc>
    <ndc_label_name>CABERGOLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512086502</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512086515</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512086605</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70512087210</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70512090030</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515000101</ndc>
    <ndc_label_name>Duaklir Pressair 400 mcg-12 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515000201</ndc>
    <ndc_label_name>Tudorza Pressair 400 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515000202</ndc>
    <ndc_label_name>Tudorza Pressair 400 mcg/actuation breath activated</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515010510</ndc>
    <ndc_label_name>Betapace 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515010610</ndc>
    <ndc_label_name>Betapace 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515010910</ndc>
    <ndc_label_name>Betapace 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515011506</ndc>
    <ndc_label_name>Betapace AF 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515011606</ndc>
    <ndc_label_name>Betapace AF 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515011906</ndc>
    <ndc_label_name>Betapace AF 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515026010</ndc>
    <ndc_label_name>LANOXIN 500 MCG/2 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515026110</ndc>
    <ndc_label_name>Lanoxin 500 mcg/2 mL (250 mcg/mL) (0.5 mg/2 mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515026210</ndc>
    <ndc_label_name>Lanoxin Pediatric 100 mcg/mL (0.1 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515026310</ndc>
    <ndc_label_name>Lanoxin Pediatric 100 mcg/mL (0.1 mg/mL) injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515050010</ndc>
    <ndc_label_name>Sular 8.5 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515050110</ndc>
    <ndc_label_name>Sular 17 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515050310</ndc>
    <ndc_label_name>Sular 34 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515059415</ndc>
    <ndc_label_name>Zanaflex 4 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515060215</ndc>
    <ndc_label_name>Zanaflex 2 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515060415</ndc>
    <ndc_label_name>Zanaflex 4 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515060615</ndc>
    <ndc_label_name>Zanaflex 6 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515061001</ndc>
    <ndc_label_name>Prilosec 10 mg oral suspension,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515062501</ndc>
    <ndc_label_name>Prilosec 2.5 mg oral suspension,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515062830</ndc>
    <ndc_label_name>ALTOPREV 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515062930</ndc>
    <ndc_label_name>ALTOPREV 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515063030</ndc>
    <ndc_label_name>ALTOPREV 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515070060</ndc>
    <ndc_label_name>RILUTEK 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515070101</ndc>
    <ndc_label_name>Omnaris 50 mcg nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515071101</ndc>
    <ndc_label_name>Alvesco 80 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515071105</ndc>
    <ndc_label_name>Alvesco 80 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515071201</ndc>
    <ndc_label_name>Alvesco 160 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515071205</ndc>
    <ndc_label_name>Alvesco 160 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70515073760</ndc>
    <ndc_label_name>ZETONNA 37 MCG NASAL SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539000101</ndc>
    <ndc_label_name>Tymlos 80 mcg/dose (3,120 mcg/1.56 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539000102</ndc>
    <ndc_label_name>Tymlos 80 mcg/dose (3,120 mcg/1.56 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539000198</ndc>
    <ndc_label_name>Tymlos 80 mcg/dose (3,120 mcg/1.56 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539000199</ndc>
    <ndc_label_name>Tymlos 80 mcg/dose (3,120 mcg/1.56 mL) subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539040000</ndc>
    <ndc_label_name>Binosto 70 mg effervescent tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70539040004</ndc>
    <ndc_label_name>Binosto 70 mg effervescent tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70564045615</ndc>
    <ndc_label_name>Gelclair mucosal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70564080260</ndc>
    <ndc_label_name>Mytesi 125 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70573009901</ndc>
    <ndc_label_name>Ryplazim 68.8 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70573009902</ndc>
    <ndc_label_name>Ryplazim 68.8 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594002301</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594002304</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594002309</ndc>
    <ndc_label_name>COLISTIMETHATE 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594002603</ndc>
    <ndc_label_name>BACITRACIN 50,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594002604</ndc>
    <ndc_label_name>BACITRACIN 50,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003401</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003402</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003501</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003502</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003601</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594003701</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004101</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004103</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004201</ndc>
    <ndc_label_name>VANCOMYCIN 1 GRAM/200 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004203</ndc>
    <ndc_label_name>VANCOMYCIN 1 GRAM/200 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004301</ndc>
    <ndc_label_name>VANCOMYCIN 1.5 GRAM/300 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004302</ndc>
    <ndc_label_name>VANCOMYCIN 1.5 GRAM/300 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004401</ndc>
    <ndc_label_name>VANCOMYCIN 2 GRAM/400 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004402</ndc>
    <ndc_label_name>VANCOMYCIN 2 GRAM/400 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004501</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004502</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004601</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004602</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004701</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004801</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004901</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594004902</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005301</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005601</ndc>
    <ndc_label_name>VANCOMYCIN 750 MG/150 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005603</ndc>
    <ndc_label_name>VANCOMYCIN 750 MG/150 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005701</ndc>
    <ndc_label_name>VANCOMYCIN 1.25 GM/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005702</ndc>
    <ndc_label_name>VANCOMYCIN 1.25 GM/250 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005801</ndc>
    <ndc_label_name>VANCOMYCIN 1.75 GM/350 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594005802</ndc>
    <ndc_label_name>VANCOMYCIN 1.75 GM/350 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006001</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006301</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006302</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006401</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006402</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006501</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006502</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006601</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006701</ndc>
    <ndc_label_name>VORICONAZOLE (HPBCD) 200 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70594006801</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70594006802</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006901</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594006902</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007201</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007202</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007501</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007502</ndc>
    <ndc_label_name>MEROPENEM IV 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007601</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007602</ndc>
    <ndc_label_name>MEROPENEM IV 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007801</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007802</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007901</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594007902</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008001</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008002</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008101</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008102</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008201</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008202</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008301</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008401</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008402</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008501</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008502</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008601</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008602</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008701</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008702</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008801</ndc>
    <ndc_label_name>AMPICILLIN 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008901</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594008902</ndc>
    <ndc_label_name>CEFEPIME HCL 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009001</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009002</ndc>
    <ndc_label_name>CEFEPIME HCL 2 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009401</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009402</ndc>
    <ndc_label_name>CEFTRIAXONE 250 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009501</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009502</ndc>
    <ndc_label_name>CEFTRIAXONE 500 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009601</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009602</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009701</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009702</ndc>
    <ndc_label_name>CEFTRIAXONE 2 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594009801</ndc>
    <ndc_label_name>CEFTRIAXONE 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011101</ndc>
    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ACETYLCYSTEINE 6 GRAM/30 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011201</ndc>
    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARBOPROST 250 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011401</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011501</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011601</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011801</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594011901</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012001</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012002</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012101</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012201</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012202</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70594012301</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677000502</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677000503</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677001301</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677001601</ndc>
    <ndc_label_name>SM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677001603</ndc>
    <ndc_label_name>SM ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677002101</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677002201</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677002401</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677003001</ndc>
    <ndc_label_name>SM NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677003101</ndc>
    <ndc_label_name>SM NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677003201</ndc>
    <ndc_label_name>SM NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677003601</ndc>
    <ndc_label_name>Loratadine-D 5 mg-120 mg tablet,extended release 12 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677004501</ndc>
    <ndc_label_name>SM ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677004601</ndc>
    <ndc_label_name>SM IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677004801</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677004901</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677005001</ndc>
    <ndc_label_name>Mucus-ER MAX 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677005101</ndc>
    <ndc_label_name>SM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677005301</ndc>
    <ndc_label_name>SM MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677005401</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677005801</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677006001</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677006601</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677006801</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677007101</ndc>
    <ndc_label_name>SM ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677007201</ndc>
    <ndc_label_name>Ibuprofen IB 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677007401</ndc>
    <ndc_label_name>SM FEXOFENADINE HCL 180 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677007402</ndc>
    <ndc_label_name>SM FEXOFENADINE HCL 180 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677007403</ndc>
    <ndc_label_name>SM FEXOFENADINE HCL 180 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677007801</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008201</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008301</ndc>
    <ndc_label_name>Stool Softener-Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008401</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008501</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008601</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008701</ndc>
    <ndc_label_name>SM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008801</ndc>
    <ndc_label_name>SM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677008901</ndc>
    <ndc_label_name>SM NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677009001</ndc>
    <ndc_label_name>SM NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677009202</ndc>
    <ndc_label_name>SM ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677009302</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677009401</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677010001</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677010101</ndc>
    <ndc_label_name>Children's Cold-Allergy (phenylephrine) 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677010801</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677010901</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677011501</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677011601</ndc>
    <ndc_label_name>Children's Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677011801</ndc>
    <ndc_label_name>Children's Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677011901</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677012201</ndc>
    <ndc_label_name>SM OLOPATADINE 0.2% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677012401</ndc>
    <ndc_label_name>SM LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677012801</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677013101</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677013701</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677013901</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677013902</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014201</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014202</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014203</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014301</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014401</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014402</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014501</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014502</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014503</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014504</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014601</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014701</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014801</ndc>
    <ndc_label_name>SM OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677014901</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677015001</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677015002</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677015101</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677015201</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677015301</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677016001</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677016101</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016201</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016301</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016302</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016303</ndc>
    <ndc_label_name>SM ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016401</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016701</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016801</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677016901</ndc>
    <ndc_label_name>SM NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677017001</ndc>
    <ndc_label_name>SM NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100001</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100101</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100201</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100301</ndc>
    <ndc_label_name>Athlete's Foot (terbinafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677100401</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677100501</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100701</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100702</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100703</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100704</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100801</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100901</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100902</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677100903</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101001</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D (fexo) 60 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677101101</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101201</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101202</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101301</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101302</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101401</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101402</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101501</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101502</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101601</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101701</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101702</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101703</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101801</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101802</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677101901</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102001</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102002</ndc>
    <ndc_label_name>All Day Allergy-D 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102101</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102102</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102201</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102202</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102203</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102204</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102301</ndc>
    <ndc_label_name>24 Hour Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102401</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102402</ndc>
    <ndc_label_name>Allergy Relief D12 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102501</ndc>
    <ndc_label_name>12-Hour Cough Relief 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677102601</ndc>
    <ndc_label_name>12-Hour Cough Relief 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677102701</ndc>
    <ndc_label_name>Severe Cold and Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677102801</ndc>
    <ndc_label_name>Daytime-Nighttime 10-5-325mg(d)/15-325-6.25mg capsules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677102901</ndc>
    <ndc_label_name>Severe Cold-Flu (phenylephrine) 5 mg-10 mg-325 mg-200 mg/15 mL liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103001</ndc>
    <ndc_label_name>Severe Cold-Flu Nighttime 6.25 mg-5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103101</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103201</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103301</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103302</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677103501</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677103502</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677103601</ndc>
    <ndc_label_name>Tussin DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677103701</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677103901</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104001</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104201</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104301</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677104401</ndc>
    <ndc_label_name>FT CHILD COLD-COUGH RELIEF DM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104601</ndc>
    <ndc_label_name>FT DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104701</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677104901</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105001</ndc>
    <ndc_label_name>Mucus DM 30 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105101</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105201</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105301</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105302</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105303</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105401</ndc>
    <ndc_label_name>Chest Congestion Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677105501</ndc>
    <ndc_label_name>Chest Congestion Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677105601</ndc>
    <ndc_label_name>Chest Congestion Relief PE 10 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105701</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105801</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677105901</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677106101</ndc>
    <ndc_label_name>Chest Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106201</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106301</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106401</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106501</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106601</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106701</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106702</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106801</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106802</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677106901</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107101</ndc>
    <ndc_label_name>Stool Softener 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107201</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107301</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107401</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107402</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107501</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107601</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107701</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107801</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677107901</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108001</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108101</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108201</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108301</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677108501</ndc>
    <ndc_label_name>FT CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108601</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108602</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108603</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108701</ndc>
    <ndc_label_name>Motion Sickness 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108801</ndc>
    <ndc_label_name>Motion Sickness (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108901</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677108902</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109001</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109101</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109201</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109301</ndc>
    <ndc_label_name>Gas Relief (simethicone) 180 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109401</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109501</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109502</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109601</ndc>
    <ndc_label_name>Stool Softener 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109701</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109801</ndc>
    <ndc_label_name>FT OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109901</ndc>
    <ndc_label_name>Acid Reducer (esomeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109902</ndc>
    <ndc_label_name>Acid Reducer (esomeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677109903</ndc>
    <ndc_label_name>Acid Reducer (esomeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110001</ndc>
    <ndc_label_name>Acid Reducer-Antacid 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110101</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110102</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110201</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110202</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110203</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677110301</ndc>
    <ndc_label_name>Acid Reducer (lansoprazole) 15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677110302</ndc>
    <ndc_label_name>Acid Reducer (lansoprazole) 15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110401</ndc>
    <ndc_label_name>FT OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110402</ndc>
    <ndc_label_name>FT OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110501</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) - Anti-Gas 2 mg-125 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110601</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110602</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110701</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110801</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110901</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110902</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110903</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677110904</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111001</ndc>
    <ndc_label_name>FT MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111101</ndc>
    <ndc_label_name>FT MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111201</ndc>
    <ndc_label_name>FT MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111301</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG MINI SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111401</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111501</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111502</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111601</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111701</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111801</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677111901</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112001</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112002</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112101</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112201</ndc>
    <ndc_label_name>FT ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112301</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112401</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112501</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677112601</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677112701</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677112801</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677112901</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113001</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113101</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113201</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113202</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113203</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113204</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113205</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113301</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113401</ndc>
    <ndc_label_name>FT ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113601</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113602</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113603</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113701</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113702</ndc>
    <ndc_label_name>All Day Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113801</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113802</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113803</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113805</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677113901</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114201</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114301</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114401</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677114501</ndc>
    <ndc_label_name>Ibuprofen IB 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114601</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114801</ndc>
    <ndc_label_name>FT NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677114901</ndc>
    <ndc_label_name>Pain Reliever PM Ex-Strength 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115001</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115002</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115003</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677115101</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677115201</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677115202</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115301</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115401</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115501</ndc>
    <ndc_label_name>Eye Allergy Itch Relief 0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115601</ndc>
    <ndc_label_name>Eye Allergy Itch-Redness Relief 0.1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677115701</ndc>
    <ndc_label_name>Dry Eye Relief (PEG 400) 1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677115801</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline-PEG) 0.05 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677115901</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116001</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677116101</ndc>
    <ndc_label_name>Redness Relief 0.012 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116201</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116401</ndc>
    <ndc_label_name>FT NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116501</ndc>
    <ndc_label_name>FT NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116601</ndc>
    <ndc_label_name>FT NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116602</ndc>
    <ndc_label_name>FT NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116701</ndc>
    <ndc_label_name>FT NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677116702</ndc>
    <ndc_label_name>FT NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117001</ndc>
    <ndc_label_name>FT NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117101</ndc>
    <ndc_label_name>FT NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117201</ndc>
    <ndc_label_name>FT NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117301</ndc>
    <ndc_label_name>FT NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117401</ndc>
    <ndc_label_name>FT NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117501</ndc>
    <ndc_label_name>FT NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117601</ndc>
    <ndc_label_name>FT NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117701</ndc>
    <ndc_label_name>FT NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117801</ndc>
    <ndc_label_name>FT NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677117901</ndc>
    <ndc_label_name>FT NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118001</ndc>
    <ndc_label_name>FT NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118101</ndc>
    <ndc_label_name>FT NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118201</ndc>
    <ndc_label_name>FT NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118401</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118501</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118502</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118601</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118602</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677118701</ndc>
    <ndc_label_name>Adult Tussin CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118801</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677118901</ndc>
    <ndc_label_name>FT ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119001</ndc>
    <ndc_label_name>Lubricant Eye Drops 0.5 % drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119101</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119201</ndc>
    <ndc_label_name>FT NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119301</ndc>
    <ndc_label_name>FT NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677119601</ndc>
    <ndc_label_name>FT CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119701</ndc>
    <ndc_label_name>FT CALAMINE PHENOLATED SUSPENS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677119801</ndc>
    <ndc_label_name>Caldyphen 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677119901</ndc>
    <ndc_label_name>Caldyphen Clear 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120001</ndc>
    <ndc_label_name>FT BENZOIN TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120101</ndc>
    <ndc_label_name>FT CAMPHOR SPIRIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120201</ndc>
    <ndc_label_name>FT DECOLORIZED IODINE TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120401</ndc>
    <ndc_label_name>FT IODINE 2% TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120702</ndc>
    <ndc_label_name>FT ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677120801</ndc>
    <ndc_label_name>FT POVIDONE-IODINE 10% SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121001</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121101</ndc>
    <ndc_label_name>Antibiotic (bacitracin zinc) 500 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121201</ndc>
    <ndc_label_name>Double Antibiotic (bacitrcn zn) 500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121301</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121401</ndc>
    <ndc_label_name>Itch Relief (HC) 1 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121501</ndc>
    <ndc_label_name>Itch Relief (HC) with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121601</ndc>
    <ndc_label_name>Itch Relief (HC) with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121602</ndc>
    <ndc_label_name>Itch Relief (HC) with aloe 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121701</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121801</ndc>
    <ndc_label_name>Antibiotic Plus Pain Relief 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677121901</ndc>
    <ndc_label_name>Triple Antibiotic-Pain Relief 3.5 mg-500 unit-10,000 unit/gram ointmnt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677122001</ndc>
    <ndc_label_name>FT ETHYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122101</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122201</ndc>
    <ndc_label_name>FT MICONAZOLE 7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122301</ndc>
    <ndc_label_name>Miconazole-3 4 % (200 mg)-2 % (9 gram) vaginal pack,prefil appl, cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122401</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122501</ndc>
    <ndc_label_name>FT MICONAZOLE 7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122601</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122801</ndc>
    <ndc_label_name>FT CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677122901</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677123001</ndc>
    <ndc_label_name>Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123101</ndc>
    <ndc_label_name>Clotrimazole-3 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123501</ndc>
    <ndc_label_name>FT PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123502</ndc>
    <ndc_label_name>FT PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123601</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677123701</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123801</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677123901</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124001</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124101</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124201</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124301</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124401</ndc>
    <ndc_label_name>Pain Relief (ibuprofen) 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124501</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124601</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677124701</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677124801</ndc>
    <ndc_label_name>FT HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677124901</ndc>
    <ndc_label_name>FT ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677125001</ndc>
    <ndc_label_name>FT ISOPROPYL ALCOHOL 91%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677125101</ndc>
    <ndc_label_name>FT ISOPROPYL RUB ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677125201</ndc>
    <ndc_label_name>FT WITCH HAZEL 86% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125301</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125501</ndc>
    <ndc_label_name>FT DOCOSANOL 10% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125601</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125602</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125701</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125702</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677125801</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677125901</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126001</ndc>
    <ndc_label_name>FT ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126101</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126102</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126201</ndc>
    <ndc_label_name>FT CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677126301</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126801</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677126802</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677126901</ndc>
    <ndc_label_name>Athlete's Foot (butenafine) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127001</ndc>
    <ndc_label_name>Children's Pain Reliever and Fever Reducer 120 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127101</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 650 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677127201</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 60 mg-600 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677127301</ndc>
    <ndc_label_name>Mucus Relief D (pseudoephed) 120 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677127401</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127501</ndc>
    <ndc_label_name>FT OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127502</ndc>
    <ndc_label_name>FT OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127601</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127701</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127901</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127902</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127903</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127904</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677127905</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128001</ndc>
    <ndc_label_name>Eye Allergy Itch-Redness Relief 0.1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128201</ndc>
    <ndc_label_name>FT IBUPROFEN 200 MG LIQUID GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128301</ndc>
    <ndc_label_name>FT NALOXONE HCL 4 MG NASAL SPR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128401</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128402</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128501</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128601</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677128701</ndc>
    <ndc_label_name>Child Cough-Cold (bromphen-DM) 2 mg-10 mg/10 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677128901</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677129001</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677129101</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677129201</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677129301</ndc>
    <ndc_label_name>Arthritis Pain (diclofenac) 1 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677129401</ndc>
    <ndc_label_name>FT MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677129601</ndc>
    <ndc_label_name>Cough Drops 7.6 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677129701</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70677129801</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677131201</ndc>
    <ndc_label_name>Pinworm Treatment 50 mg/mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677131501</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D (fexo) 60 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70677131502</ndc>
    <ndc_label_name>Allergy-Congestion Relief-D (fexo) 60 mg-120 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010184</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010185</ndc>
    <ndc_label_name>NORETH-EE-FE 1-0.02(24)-75 CHW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010615</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010616</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010617</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010618</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010715</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010716</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010915</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010916</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010917</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700010918</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011221</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011384</ndc>
    <ndc_label_name>Isibloom 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011385</ndc>
    <ndc_label_name>Isibloom 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011484</ndc>
    <ndc_label_name>Loryna (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011485</ndc>
    <ndc_label_name>Loryna (28) 3 mg-0.02 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011584</ndc>
    <ndc_label_name>Syeda 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011585</ndc>
    <ndc_label_name>Syeda 3 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011684</ndc>
    <ndc_label_name>Altavera (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011685</ndc>
    <ndc_label_name>Altavera (28) 0.15 mg-0.03 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011884</ndc>
    <ndc_label_name>Vienva 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011885</ndc>
    <ndc_label_name>Vienva 0.1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011984</ndc>
    <ndc_label_name>Estarylla 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700011985</ndc>
    <ndc_label_name>Estarylla 0.25 mg-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012084</ndc>
    <ndc_label_name>Tri-Lo-Estarylla 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012085</ndc>
    <ndc_label_name>Tri-Lo-Estarylla 0.18 mg/0.215 mg/0.25 mg-0.025 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012184</ndc>
    <ndc_label_name>Tri-Estarylla (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012185</ndc>
    <ndc_label_name>Tri-Estarylla (28) 0.18 mg(7)/0.215 mg(7)/0.25 mg(7)-0.035 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012284</ndc>
    <ndc_label_name>Volnea (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012285</ndc>
    <ndc_label_name>Volnea (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012387</ndc>
    <ndc_label_name>Jaimiess 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700012487</ndc>
    <ndc_label_name>LoJaimiess 0.1 mg-20 mcg (84)/10 mcg (7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700012692</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014119</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014120</ndc>
    <ndc_label_name>BETAMETHASONE VALER 0.12% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014335</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014434</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014435</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014535</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014615</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014616</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700014617</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015001</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015010</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015030</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015110</ndc>
    <ndc_label_name>OMEPRAZOLE DR 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015284</ndc>
    <ndc_label_name>Gemmily 1 mg-20 mcg (24)/75 mg (4) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015285</ndc>
    <ndc_label_name>Gemmily 1 mg-20 mcg (24)/75 mg (4) capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015611</ndc>
    <ndc_label_name>EnilloRing 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015691</ndc>
    <ndc_label_name>EnilloRing 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015701</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015801</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700015901</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016019</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016020</ndc>
    <ndc_label_name>KETOCONAZOLE 2% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016117</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016118</ndc>
    <ndc_label_name>NAFTIFINE HCL 2% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700016201</ndc>
    <ndc_label_name>PROGESTERONE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700016301</ndc>
    <ndc_label_name>PROGESTERONE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700016406</ndc>
    <ndc_label_name>LEVONORGESTREL 1.5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016522</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016525</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016622</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016625</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016722</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016725</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016822</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016823</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700016922</ndc>
    <ndc_label_name>IRINOTECAN HCL 40 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017022</ndc>
    <ndc_label_name>IRINOTECAN HCL 100 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017122</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017123</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017222</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017223</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017322</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017386</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017422</ndc>
    <ndc_label_name>DOCETAXEL 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017522</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700017622</ndc>
    <ndc_label_name>DOCETAXEL 160 MG/16 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700017784</ndc>
    <ndc_label_name>Joyeaux 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700017785</ndc>
    <ndc_label_name>Joyeaux 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018230</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018290</ndc>
    <ndc_label_name>DARIFENACIN ER 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018330</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018390</ndc>
    <ndc_label_name>DARIFENACIN ER 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018501</ndc>
    <ndc_label_name>CHLORDIAZEPOXIDE-CLIDINIUM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018622</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018623</ndc>
    <ndc_label_name>FLUOROURACIL 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018722</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018723</ndc>
    <ndc_label_name>FLUOROURACIL 1 GRAM/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018822</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700018922</ndc>
    <ndc_label_name>FLUOROURACIL 5 GRAM/100 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700019435</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700019535</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700020170</ndc>
    <ndc_label_name>PROGESTERONE 100 MG VAG INSERT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020687</ndc>
    <ndc_label_name>Jaimiess 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020693</ndc>
    <ndc_label_name>Jaimiess 0.15 mg-30 mcg (84)/10 mcg(7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020787</ndc>
    <ndc_label_name>LoJaimiess 0.1 mg-20 mcg (84)/10 mcg (7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020793</ndc>
    <ndc_label_name>LoJaimiess 0.1 mg-20 mcg (84)/10 mcg (7) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020887</ndc>
    <ndc_label_name>Introvale 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700020888</ndc>
    <ndc_label_name>Introvale 0.15 mg-30 mcg (91) tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700024922</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700024923</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700024925</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026305</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026330</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026390</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026894</ndc>
    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026899</ndc>
    <ndc_label_name>FOSFOMYCIN 3 GM SACHET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700026930</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027030</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027130</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027205</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027210</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027230</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027322</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 50 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027422</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027522</ndc>
    <ndc_label_name>ESTRADIOL VALERATE 200 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027696</ndc>
    <ndc_label_name>DILUENT FOR MELPHALAN 10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027722</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700027897</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700028498</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700028622</ndc>
    <ndc_label_name>PROGESTERONE 500 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700028822</ndc>
    <ndc_label_name>TESTOSTERONE CYP 1,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700028922</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700029022</ndc>
    <ndc_label_name>TESTOSTERONE CYP 2,000 MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030101</ndc>
    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030201</ndc>
    <ndc_label_name>GUANFACINE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700030384</ndc>
    <ndc_label_name>Abigale Lo 0.5 mg-0.1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700030385</ndc>
    <ndc_label_name>Abigale Lo 0.5 mg-0.1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030484</ndc>
    <ndc_label_name>Valtya 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030485</ndc>
    <ndc_label_name>Valtya 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030584</ndc>
    <ndc_label_name>Valtya 1 mg-50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030585</ndc>
    <ndc_label_name>Valtya 1 mg-50 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030684</ndc>
    <ndc_label_name>Galbriela 0.8 mg-25 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030685</ndc>
    <ndc_label_name>Galbriela 0.8 mg-25 mcg (24)/75 mg (4) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030784</ndc>
    <ndc_label_name>Feirza 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030785</ndc>
    <ndc_label_name>Feirza 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030884</ndc>
    <ndc_label_name>Xelria Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030885</ndc>
    <ndc_label_name>Xelria Fe 0.4 mg-35 mcg (21)/75 mg (7) chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030984</ndc>
    <ndc_label_name>Feirza 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700030985</ndc>
    <ndc_label_name>Feirza 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031084</ndc>
    <ndc_label_name>Xarah Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031085</ndc>
    <ndc_label_name>Xarah Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031287</ndc>
    <ndc_label_name>Rosyrah 0.15 mg-20 mcg/0.15 mg-25 mcg tablets,3 month dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031378</ndc>
    <ndc_label_name>Luizza 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031379</ndc>
    <ndc_label_name>Luizza 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031478</ndc>
    <ndc_label_name>Luizza 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031479</ndc>
    <ndc_label_name>Luizza 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031522</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031525</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031527</ndc>
    <ndc_label_name>MEDROXYPROGESTERONE 150 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031684</ndc>
    <ndc_label_name>Orquidea 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031685</ndc>
    <ndc_label_name>Orquidea 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031784</ndc>
    <ndc_label_name>Meleya 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700031785</ndc>
    <ndc_label_name>Meleya 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70700032650</ndc>
    <ndc_label_name>Gallifrey 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700032798</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700032822</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700032824</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700033084</ndc>
    <ndc_label_name>Abigale 1 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700033085</ndc>
    <ndc_label_name>Abigale 1 mg-0.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700033122</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700033124</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700033125</ndc>
    <ndc_label_name>PHYTONADIONE 10 MG/ML AMPUL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700090222</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700090225</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700090322</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70700090323</ndc>
    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709000060</ndc>
    <ndc_label_name>Nityr 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709000260</ndc>
    <ndc_label_name>Nityr 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709000560</ndc>
    <ndc_label_name>Nityr 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70709001301</ndc>
    <ndc_label_name>Sajazir 30 mg/3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70709001303</ndc>
    <ndc_label_name>Sajazir 30 mg/3 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709006230</ndc>
    <ndc_label_name>Tascenso ODT 0.25 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709006530</ndc>
    <ndc_label_name>Tascenso ODT 0.5 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709008510</ndc>
    <ndc_label_name>Ormalvi 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709011260</ndc>
    <ndc_label_name>Harliku 2 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709012130</ndc>
    <ndc_label_name>Venxxiva 100 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709012390</ndc>
    <ndc_label_name>Venxxiva 300 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015120</ndc>
    <ndc_label_name>Phyrago 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015250</ndc>
    <ndc_label_name>Phyrago 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015370</ndc>
    <ndc_label_name>Phyrago 70 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015480</ndc>
    <ndc_label_name>Phyrago 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015510</ndc>
    <ndc_label_name>Phyrago 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70709015614</ndc>
    <ndc_label_name>Phyrago 140 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710100802</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710100902</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710101002</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710101401</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710101403</ndc>
    <ndc_label_name>PHYTONADIONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710102208</ndc>
    <ndc_label_name>ISOTRETINOIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710102308</ndc>
    <ndc_label_name>ISOTRETINOIN 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710102408</ndc>
    <ndc_label_name>ISOTRETINOIN 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710102508</ndc>
    <ndc_label_name>ISOTRETINOIN 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103007</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103107</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103207</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103308</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103408</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103508</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710103903</ndc>
    <ndc_label_name>TOPIRAMATE ER 25MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104003</ndc>
    <ndc_label_name>TOPIRAMATE ER 50MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104103</ndc>
    <ndc_label_name>TOPIRAMATE ER 100MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104203</ndc>
    <ndc_label_name>TOPIRAMATE ER 150MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104303</ndc>
    <ndc_label_name>TOPIRAMATE ER 200MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104701</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104703</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104801</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710104803</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710106101</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710106201</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710106803</ndc>
    <ndc_label_name>VARDENAFIL HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710106903</ndc>
    <ndc_label_name>VARDENAFIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710107003</ndc>
    <ndc_label_name>VARDENAFIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710107103</ndc>
    <ndc_label_name>VARDENAFIL HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710111000</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710111001</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710111108</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710111208</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710111308</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710111403</ndc>
    <ndc_label_name>TERIFLUNOMIDE 7 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710111503</ndc>
    <ndc_label_name>TERIFLUNOMIDE 14 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112101</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112201</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112307</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112403</ndc>
    <ndc_label_name>DOXYCYCLINE MONO 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112701</ndc>
    <ndc_label_name>URSODIOL 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112801</ndc>
    <ndc_label_name>URSODIOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710112901</ndc>
    <ndc_label_name>CHLORPROMAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113001</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113101</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113201</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113301</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113703</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113801</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113803</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113907</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710113908</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710114001</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710114003</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710114801</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710114901</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710115001</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710115101</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710115201</ndc>
    <ndc_label_name>ISOSORBIDE DINITRATE 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710115703</ndc>
    <ndc_label_name>LEFLUNOMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710115803</ndc>
    <ndc_label_name>LEFLUNOMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710115903</ndc>
    <ndc_label_name>MIRABEGRON ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710115909</ndc>
    <ndc_label_name>MIRABEGRON ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710116003</ndc>
    <ndc_label_name>MIRABEGRON ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710116009</ndc>
    <ndc_label_name>MIRABEGRON ER 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116100</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116101</ndc>
    <ndc_label_name>MECLIZINE 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116200</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116201</ndc>
    <ndc_label_name>MECLIZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116506</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116701</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710116801</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710117903</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710118003</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119001</ndc>
    <ndc_label_name>NORELGESTROM-EE 150-35 MCG/DAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119003</ndc>
    <ndc_label_name>NORELGESTROM-EE 150-35 MCG/DAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119101</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119108</ndc>
    <ndc_label_name>ESTRADIOL 0.025 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119201</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119208</ndc>
    <ndc_label_name>ESTRADIOL 0.0375MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119301</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119308</ndc>
    <ndc_label_name>ESTRADIOL 0.05 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119401</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119408</ndc>
    <ndc_label_name>ESTRADIOL 0.075 MG PATCH(2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119501</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119508</ndc>
    <ndc_label_name>ESTRADIOL 0.1 MG PATCH (2/WK)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119601</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119607</ndc>
    <ndc_label_name>RIVASTIGMINE 4.6 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119701</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119707</ndc>
    <ndc_label_name>RIVASTIGMINE 9.5 MG/24HR PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119801</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710119807</ndc>
    <ndc_label_name>RIVASTIGMINE 13.3 MG/24HR PTCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710120801</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710120900</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710120901</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710121001</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710121005</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710122101</ndc>
    <ndc_label_name>CARBIDOPA 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122500</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122501</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122600</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122601</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122700</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122701</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122801</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710122901</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710123001</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710123301</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710123304</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710124003</ndc>
    <ndc_label_name>Zituvio 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710124103</ndc>
    <ndc_label_name>Zituvio 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710124203</ndc>
    <ndc_label_name>Zituvio 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127206</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127306</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127406</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127503</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127603</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710127703</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710128403</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128500</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128501</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128505</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128600</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128601</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710128605</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710128701</ndc>
    <ndc_label_name>VIGABATRIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710128901</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710128905</ndc>
    <ndc_label_name>TRIAZOLAM 0.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710130206</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710130207</ndc>
    <ndc_label_name>MESALAMINE 1,000 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134401</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134403</ndc>
    <ndc_label_name>RAMELTEON 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134803</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134809</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134903</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710134909</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135003</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135009</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710135101</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710135103</ndc>
    <ndc_label_name>COLCHICINE 0.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135203</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135209</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135901</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710135906</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710136403</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 100-150MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710136503</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 133-200MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710136603</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 167-250MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710136703</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710137701</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710137702</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710138909</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139009</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139109</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139503</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139603</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139703</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710139803</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710140102</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710140104</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710141101</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710144504</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PEROX 1.2-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710145701</ndc>
    <ndc_label_name>AZITHROMYCIN 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710145802</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710145902</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146002</ndc>
    <ndc_label_name>AZITHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146101</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146106</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146109</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146201</ndc>
    <ndc_label_name>HALOPERIDOL DEC 250 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146301</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146305</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146401</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146405</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710146707</ndc>
    <ndc_label_name>COLESTIPOL HCL 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710147106</ndc>
    <ndc_label_name>IVABRADINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710147206</ndc>
    <ndc_label_name>IVABRADINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710147801</ndc>
    <ndc_label_name>FOMEPIZOLE 1.5 GM/1.5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710148301</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710148801</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710149001</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710149005</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710149101</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710149105</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710150807</ndc>
    <ndc_label_name>BOSENTAN 32 MG TABLET FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710150808</ndc>
    <ndc_label_name>BOSENTAN 32 MG TABLET FOR SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151402</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151406</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151409</ndc>
    <ndc_label_name>FONDAPARINUX 2.5 MG/0.5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151502</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151506</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151509</ndc>
    <ndc_label_name>FONDAPARINUX 5 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151602</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151606</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151609</ndc>
    <ndc_label_name>FONDAPARINUX 7.5 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151702</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151706</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710151709</ndc>
    <ndc_label_name>FONDAPARINUX 10 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710152101</ndc>
    <ndc_label_name>TRIAZOLAM 0.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710152301</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710152401</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710152509</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710153001</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710153101</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710153401</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710153406</ndc>
    <ndc_label_name>CISATRACURIUM 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710154802</ndc>
    <ndc_label_name>GLATIRAMER 20 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710154809</ndc>
    <ndc_label_name>GLATIRAMER 20 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710154902</ndc>
    <ndc_label_name>GLATIRAMER 40 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710154906</ndc>
    <ndc_label_name>GLATIRAMER 40 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710159101</ndc>
    <ndc_label_name>ACETAZOLAMIDE ER 500 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710159207</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710160901</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710161001</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710161006</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710161306</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710161406</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710162601</ndc>
    <ndc_label_name>BALSALAZIDE DISODIUM 750 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710164106</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710164206</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710164301</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710164305</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710164307</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710164401</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710164405</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710165401</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710165501</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166301</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166307</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166401</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166406</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166407</ndc>
    <ndc_label_name>CYANOCOBALAMIN 10,000 MCG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166501</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710166505</ndc>
    <ndc_label_name>CYANOCOBALAMIN 30,000 MCG/30ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710166601</ndc>
    <ndc_label_name>BACLOFEN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710166701</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710166801</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710167401</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710168300</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710168301</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710168400</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710168401</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710168405</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710168802</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710168808</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710169800</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710169809</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710169900</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710169909</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710170000</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710170009</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710171001</ndc>
    <ndc_label_name>KETOROLAC 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710171604</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172401</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172406</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172501</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172506</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172601</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710172608</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710173804</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 0.5 GM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174106</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174206</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174306</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174403</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174503</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174603</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710174901</ndc>
    <ndc_label_name>Jaythari 6 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710175003</ndc>
    <ndc_label_name>Jaythari 18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710175103</ndc>
    <ndc_label_name>Jaythari 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710175203</ndc>
    <ndc_label_name>Jaythari 36 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175702</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175706</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175802</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175806</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175902</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710175906</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176002</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176006</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176102</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176106</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176202</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176206</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176302</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710176306</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177000</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177009</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177200</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177209</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177500</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177509</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177700</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710177709</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710178606</ndc>
    <ndc_label_name>Zituvimet 50 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710178706</ndc>
    <ndc_label_name>Zituvimet 50 mg-1,000 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710180406</ndc>
    <ndc_label_name>Zituvimet XR 50 mg-500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710180506</ndc>
    <ndc_label_name>Zituvimet XR 50 mg-1,000 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710180603</ndc>
    <ndc_label_name>Zituvimet XR 100 mg-1,000 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183201</ndc>
    <ndc_label_name>DICLOFENAC POT 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183301</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183401</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183501</ndc>
    <ndc_label_name>LEVOTHYROXINE 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183801</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183805</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183901</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710183908</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710184601</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710184602</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710184604</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710184607</ndc>
    <ndc_label_name>SCOPOLAMINE 1 MG/3 DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710184901</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710184907</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710185001</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710185007</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710185206</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710185207</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187601</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187607</ndc>
    <ndc_label_name>ZINC SULFATE 10 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187701</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187707</ndc>
    <ndc_label_name>ZINC SULFATE 30 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187801</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710187807</ndc>
    <ndc_label_name>ZINC SULFATE 25 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710188601</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710188606</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189501</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189506</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189601</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189606</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189903</ndc>
    <ndc_label_name>SITAGLIPTIN 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710189909</ndc>
    <ndc_label_name>SITAGLIPTIN 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710190003</ndc>
    <ndc_label_name>SITAGLIPTIN 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710190009</ndc>
    <ndc_label_name>SITAGLIPTIN 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710190103</ndc>
    <ndc_label_name>SITAGLIPTIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710190109</ndc>
    <ndc_label_name>SITAGLIPTIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710192601</ndc>
    <ndc_label_name>SOD PHENYLACET-SOD BENZOATE VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710193006</ndc>
    <ndc_label_name>MARAVIROC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70710193106</ndc>
    <ndc_label_name>MARAVIROC 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710193701</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710193705</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710193707</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710194803</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710194903</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710198801</ndc>
    <ndc_label_name>HYDRALAZINE 20 MG/ML VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710198807</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710200703</ndc>
    <ndc_label_name>DEFLAZACORT 22.75 MG/ML SUSP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ALLOPURINOL 200 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SITAGLIPTIN-METFO ER 100-1,000</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710205203</ndc>
    <ndc_label_name>DEFLAZACORT 18 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710205303</ndc>
    <ndc_label_name>DEFLAZACORT 30 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710205403</ndc>
    <ndc_label_name>DEFLAZACORT 36 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70710205808</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Beizray-Albumin 20 mg/mL intravenous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748017501</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748017530</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748017560</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748018601</ndc>
    <ndc_label_name>MYCOPHENOLATE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748019507</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748019607</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748019707</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748020807</ndc>
    <ndc_label_name>DASATINIB 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748020907</ndc>
    <ndc_label_name>DASATINIB 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748021007</ndc>
    <ndc_label_name>DASATINIB 70 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748021106</ndc>
    <ndc_label_name>DASATINIB 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748021206</ndc>
    <ndc_label_name>DASATINIB 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748021306</ndc>
    <ndc_label_name>DASATINIB 140 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748021607</ndc>
    <ndc_label_name>NAPROXEN-ESOMEPRAZ DR 500-20MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748023806</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748023906</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024011</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024013</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024111</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024113</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024211</ndc>
    <ndc_label_name>TOLVAPTAN 45 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024213</ndc>
    <ndc_label_name>TOLVAPTAN 45 MG-15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024311</ndc>
    <ndc_label_name>TOLVAPTAN 60 MG-30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024313</ndc>
    <ndc_label_name>TOLVAPTAN 60 MG-30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024411</ndc>
    <ndc_label_name>TOLVAPTAN 90 MG-30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748024413</ndc>
    <ndc_label_name>TOLVAPTAN 90 MG-30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748025807</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748026101</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748026130</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748026160</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027011</ndc>
    <ndc_label_name>RISPERIDONE ER 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027013</ndc>
    <ndc_label_name>RISPERIDONE ER 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027111</ndc>
    <ndc_label_name>RISPERIDONE ER 37.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027113</ndc>
    <ndc_label_name>RISPERIDONE ER 37.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027211</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027213</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027401</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027506</ndc>
    <ndc_label_name>TOPIRAMATE ER 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027606</ndc>
    <ndc_label_name>TOPIRAMATE ER 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027706</ndc>
    <ndc_label_name>TOPIRAMATE ER 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748027806</ndc>
    <ndc_label_name>TOPIRAMATE ER 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748029901</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748030001</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748030002</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748030806</ndc>
    <ndc_label_name>DOXYCYCLINE IR-DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748030901</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748031101</ndc>
    <ndc_label_name>Glucagon Emergency Kit 1 mg solution for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748031209</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748032211</ndc>
    <ndc_label_name>Minzoya 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748032214</ndc>
    <ndc_label_name>Minzoya 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748032301</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748032302</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748032310</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748032311</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748033202</ndc>
    <ndc_label_name>PREDNISOLONE AC 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748033203</ndc>
    <ndc_label_name>PREDNISOLONE AC 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748033204</ndc>
    <ndc_label_name>PREDNISOLONE AC 1% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748033601</ndc>
    <ndc_label_name>IPRATROPIUM 0.03% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748033701</ndc>
    <ndc_label_name>IPRATROPIUM 0.06% SPRAY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748033801</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70748033810</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748033901</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034001</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034601</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034602</ndc>
    <ndc_label_name>LIRAGLUTIDE 2-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034603</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034701</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034702</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034801</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034802</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034901</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748034902</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748035501</ndc>
    <ndc_label_name>RIVAROXABAN 1 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748038901</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748039001</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748041101</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG/ML ORAL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748042501</ndc>
    <ndc_label_name>GLYCEROL PHENYLBUT 1.1 GRAM/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70748045111</ndc>
    <ndc_label_name>RISPERIDONE ER 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752010112</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752010212</ndc>
    <ndc_label_name>ALBUTEROL SULF 2 MG/5 ML SYRUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752010406</ndc>
    <ndc_label_name>Children's Cetirizine 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752010710</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752010711</ndc>
    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752010810</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752010910</ndc>
    <ndc_label_name>GLYCOPYRROLATE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752011303</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752011304</ndc>
    <ndc_label_name>LIDOCAINE 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752011407</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752011902</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752011904</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% OINTMNT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012310</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012311</ndc>
    <ndc_label_name>BENZTROPINE MES 0.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012410</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012411</ndc>
    <ndc_label_name>BENZTROPINE MES 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012510</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012511</ndc>
    <ndc_label_name>BENZTROPINE MES 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752012905</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.025% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013005</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013114</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013214</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG/5 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013610</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013614</ndc>
    <ndc_label_name>OXYCODONE HCL 5 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752013703</ndc>
    <ndc_label_name>OXYCODONE HCL 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752013812</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752013906</ndc>
    <ndc_label_name>PROMETHAZINE-CODEINE SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752013912</ndc>
    <ndc_label_name>PROMETHAZINE-CODEINE SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752014017</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.1% PASTE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752014110</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752014210</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752014214</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752014410</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-300-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752014710</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752014810</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-325</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752015304</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752015320</ndc>
    <ndc_label_name>CLOBETASOL 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752015405</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752015606</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% BODY OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752015806</ndc>
    <ndc_label_name>FLUOCINOLONE 0.01% SCALP OIL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752015920</ndc>
    <ndc_label_name>FLUOCINOLONE OIL 0.01% EAR DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752017110</ndc>
    <ndc_label_name>PROPYLTHIOURACIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752018006</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752018012</ndc>
    <ndc_label_name>CODEINE-GUAIFEN 10-100 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70752018512</ndc>
    <ndc_label_name>CYPROHEPTADINE 2 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752020212</ndc>
    <ndc_label_name>VALPROIC ACID 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752020312</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752020410</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752020411</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752023110</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70752023111</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000111</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000112</ndc>
    <ndc_label_name>HALOPERIDOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000211</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000212</ndc>
    <ndc_label_name>HALOPERIDOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000311</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000312</ndc>
    <ndc_label_name>HALOPERIDOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000411</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756000412</ndc>
    <ndc_label_name>HALOPERIDOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001011</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001111</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001112</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001311</ndc>
    <ndc_label_name>NITROGLYCERIN 0.3 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001402</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001405</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001411</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001611</ndc>
    <ndc_label_name>NITROGLYCERIN 0.6 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001912</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756001990</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756002011</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756002012</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756002530</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756004911</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756005011</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756005111</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756005112</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756005211</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756005212</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756007911</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756008011</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756008051</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756008111</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756008151</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756008511</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756009411</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756009412</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756009511</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756009512</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756019335</ndc>
    <ndc_label_name>PROPARACAINE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020111</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020112</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020211</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020212</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020311</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020312</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020411</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020511</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756020611</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756021451</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756021490</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756021551</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756021590</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756023611</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756023612</ndc>
    <ndc_label_name>HALOPERIDOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024211</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024212</ndc>
    <ndc_label_name>HALOPERIDOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024712</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024751</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024790</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024812</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024851</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024890</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024912</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024951</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756024990</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756025051</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756025090</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756028811</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756028812</ndc>
    <ndc_label_name>BACLOFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756028911</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756028912</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756028951</ndc>
    <ndc_label_name>BACLOFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029130</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029190</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029230</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029290</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029330</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029390</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029611</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029651</ndc>
    <ndc_label_name>PROPRANOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029711</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029811</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756029851</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031230</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031330</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031430</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031501</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031530</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031531</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 40-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031601</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031630</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031631</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-12.5 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031701</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031730</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756031731</ndc>
    <ndc_label_name>TELMISARTAN-HCTZ 80-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756040411</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756040511</ndc>
    <ndc_label_name>CLOMIPRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756040611</ndc>
    <ndc_label_name>CLOMIPRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756040711</ndc>
    <ndc_label_name>CLOMIPRAMINE 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756041011</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756041111</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756041211</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042322</ndc>
    <ndc_label_name>OMEGA-3 ETHYL ESTERS 1 GM CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042411</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042511</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042611</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042711</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042811</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042911</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756042912</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756043011</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756043012</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756044011</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756044711</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756044712</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756060444</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756060456</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060505</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060525</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060582</ndc>
    <ndc_label_name>VERAPAMIL 5 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060605</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060685</ndc>
    <ndc_label_name>VERAPAMIL 10 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756060730</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060812</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060860</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756060870</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756060915</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756061030</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061125</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061182</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061212</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061244</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061260</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061270</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061430</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756061510</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756061581</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756061610</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756061681</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061756</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061825</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061882</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061925</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756061985</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062025</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062086</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062125</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062182</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062210</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062285</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062386</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756062485</ndc>
    <ndc_label_name>HALOPERIDOL DEC 250 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756062585</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062630</ndc>
    <ndc_label_name>BIMATOPROST 0.01% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062730</ndc>
    <ndc_label_name>BIMATOPROST 0.01% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062830</ndc>
    <ndc_label_name>BIMATOPROST 0.01% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756062925</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756063525</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756063581</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756063825</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064025</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064082</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064125</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064185</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064225</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064282</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064325</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064385</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064425</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064482</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064525</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064586</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064625</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064687</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064725</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064786</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064825</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064887</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756064935</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065030</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065125</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065225</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065335</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065415</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065530</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065615</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065730</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065810</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065825</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756065882</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756066199</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% INHAL VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756066360</ndc>
    <ndc_label_name>SODIUM CHLORIDE 3% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756066460</ndc>
    <ndc_label_name>SODIUM CHLORIDE 7% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756066910</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756066985</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756067010</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756067086</ndc>
    <ndc_label_name>ROCURONIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756067630</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756068610</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756068686</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756070130</ndc>
    <ndc_label_name>ALOSETRON HCL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756070230</ndc>
    <ndc_label_name>ALOSETRON HCL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756070360</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756070460</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756072011</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756072111</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756080630</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756080730</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756080751</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756080790</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081230</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081290</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081330</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081390</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081430</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70756081490</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756081560</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70756081622</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792010230</ndc>
    <ndc_label_name>Tonmya 2.8 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792010260</ndc>
    <ndc_label_name>Tonmya 2.8 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792080938</ndc>
    <ndc_label_name>Zembrace Symtouch 3 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792080989</ndc>
    <ndc_label_name>Zembrace Symtouch 3 mg/0.5 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792081261</ndc>
    <ndc_label_name>Tosymra 10 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70792081289</ndc>
    <ndc_label_name>Tosymra 10 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795101001</ndc>
    <ndc_label_name>Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795101005</ndc>
    <ndc_label_name>Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795101008</ndc>
    <ndc_label_name>Laxative (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795102102</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795102104</ndc>
    <ndc_label_name>Hemorrhoidal (phenyleph-cocoa) 0.25 %-88.44 % rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795112000</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795112001</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795124100</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795125200</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795241201</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70795241202</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70795802001</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70801000201</ndc>
    <ndc_label_name>Diluent For Zilretta intra-articular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70839015030</ndc>
    <ndc_label_name>Tekturna 150 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70839030030</ndc>
    <ndc_label_name>Tekturna 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70839036204</ndc>
    <ndc_label_name>COCAINE 160 MG/4 ML NASAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842010101</ndc>
    <ndc_label_name>Baxdela 450 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842010102</ndc>
    <ndc_label_name>Baxdela 450 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842010103</ndc>
    <ndc_label_name>Baxdela 450 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842010203</ndc>
    <ndc_label_name>Baxdela 300 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842011002</ndc>
    <ndc_label_name>Toprol XL 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842011102</ndc>
    <ndc_label_name>Toprol XL 50 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842011202</ndc>
    <ndc_label_name>Toprol XL 100 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842011302</ndc>
    <ndc_label_name>Toprol XL 200 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842012001</ndc>
    <ndc_label_name>Vabomere 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842012006</ndc>
    <ndc_label_name>Vabomere 2 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842014001</ndc>
    <ndc_label_name>Orbactiv 400 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842014003</ndc>
    <ndc_label_name>Orbactiv 400 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842016001</ndc>
    <ndc_label_name>Minocin 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842016010</ndc>
    <ndc_label_name>Minocin 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842022501</ndc>
    <ndc_label_name>Kimyrsa 1,200 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70842024001</ndc>
    <ndc_label_name>Rezzayo 200 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010010</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010041</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010310</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010341</ndc>
    <ndc_label_name>POLYMYXIN B SULFATE VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010410</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010441</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010520</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010541</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010610</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860010710</ndc>
    <ndc_label_name>CASPOFUNGIN ACETATE 70 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011215</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011241</ndc>
    <ndc_label_name>AMPICILLIN 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011315</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011341</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011415</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011441</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011526</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011541</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011626</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011641</ndc>
    <ndc_label_name>NAFCILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011726</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011741</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011899</ndc>
    <ndc_label_name>AMPICILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860011999</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012020</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012041</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012130</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012141</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012241</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012250</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012399</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 40.5 GRAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012541</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012566</ndc>
    <ndc_label_name>AZITHROMYCIN I.V. 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012620</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012641</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860012751</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020005</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020017</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020110</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020550</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020651</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020805</ndc>
    <ndc_label_name>DOXORUBICIN 10 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020825</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020851</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860020910</ndc>
    <ndc_label_name>MESNA 1 GRAM/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860021051</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860021210</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860021566</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860030110</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860030125</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040210</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040351</ndc>
    <ndc_label_name>BIVALIRUDIN RTU 250 MG/50 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040504</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040541</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040610</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040641</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860040710</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045110</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045210</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045310</ndc>
    <ndc_label_name>LEVOTHYROXINE 500 MCG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045401</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045410</ndc>
    <ndc_label_name>DESMOPRESSIN 40 MCG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860045441</ndc>
    <ndc_label_name>DESMOPRESSIN AC 4 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050141</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050142</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050181</ndc>
    <ndc_label_name>MAGNESIUM SULF 2 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050182</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/100 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050241</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860050281</ndc>
    <ndc_label_name>MAGNESIUM SULF 4 G/50 ML BAG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060002</ndc>
    <ndc_label_name>MIDAZOLAM HCL 2 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060041</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060105</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060141</ndc>
    <ndc_label_name>MIDAZOLAM HCL 25 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060142</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060241</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060282</ndc>
    <ndc_label_name>LEVETIRACETAM-NACL 500 MG/100</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060341</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060382</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060441</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060482</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860060502</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860065105</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860065142</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860065220</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860070002</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077602</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077641</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077720</ndc>
    <ndc_label_name>ONDANSETRON 40 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077721</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077802</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG/2 ML VL</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077810</ndc>
    <ndc_label_name>PROCHLORPERAZINE 50 MG/10 ML</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70860077841</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>GLYCOPYRROLATE 4 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>VALPROATE SOD 500 MG/5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Miclara DM 2.5 mg-10 mg-20 mg/5 mL oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954002020</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954002110</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954002120</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954003330</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954003430</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954003620</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954004110</ndc>
    <ndc_label_name>RIFABUTIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954005110</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954005120</ndc>
    <ndc_label_name>FELBAMATE 600 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005210</ndc>
    <ndc_label_name>HYDROCORTISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005310</ndc>
    <ndc_label_name>HYDROCORTISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005410</ndc>
    <ndc_label_name>HYDROCORTISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005610</ndc>
    <ndc_label_name>PREDNISONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005710</ndc>
    <ndc_label_name>PREDNISONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005810</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005820</ndc>
    <ndc_label_name>PREDNISONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005830</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005840</ndc>
    <ndc_label_name>PREDNISONE 5 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005910</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005920</ndc>
    <ndc_label_name>PREDNISONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005930</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954005940</ndc>
    <ndc_label_name>PREDNISONE 10 MG TAB DOSE PACK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954006010</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954006020</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954006030</ndc>
    <ndc_label_name>PREDNISONE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954006110</ndc>
    <ndc_label_name>PREDNISONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954007610</ndc>
    <ndc_label_name>MELOXICAM 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954007710</ndc>
    <ndc_label_name>MELOXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954008510</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954008520</ndc>
    <ndc_label_name>CHLORZOXAZONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954013510</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954013520</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954013610</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954013620</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954013910</ndc>
    <ndc_label_name>LEVOCARNITINE 1 G/10 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954014010</ndc>
    <ndc_label_name>LEVOCARNITINE SF 1 G/10 ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954014810</ndc>
    <ndc_label_name>PYRIDOSTIGMINE 60 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015110</ndc>
    <ndc_label_name>NAPROXEN 125 MG/5 ML SUSPEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015710</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015720</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015730</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015740</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015810</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015830</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015840</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015850</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015910</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015930</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015940</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954015950</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954016810</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954018810</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954020010</ndc>
    <ndc_label_name>DIGOXIN 62.5 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954020110</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954020120</ndc>
    <ndc_label_name>DIGOXIN 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954020210</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954020220</ndc>
    <ndc_label_name>DIGOXIN 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954021110</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954021120</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954021210</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954021220</ndc>
    <ndc_label_name>TRIHEXYPHENIDYL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954022810</ndc>
    <ndc_label_name>METHSUXIMIDE 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954024010</ndc>
    <ndc_label_name>CARBAMAZEPINE 100 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954025220</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954025230</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954025510</ndc>
    <ndc_label_name>METHYLTESTOSTERONE 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954025810</ndc>
    <ndc_label_name>SULFAMETHOXAZOLE-TMP SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954026110</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954026410</ndc>
    <ndc_label_name>ALENDRONATE SOD 70 MG/75 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954027310</ndc>
    <ndc_label_name>FLUPHENAZINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954027410</ndc>
    <ndc_label_name>FLUPHENAZINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954027510</ndc>
    <ndc_label_name>FLUPHENAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954027610</ndc>
    <ndc_label_name>FLUPHENAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954031010</ndc>
    <ndc_label_name>VALSARTAN 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954031020</ndc>
    <ndc_label_name>VALSARTAN 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954031610</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954031910</ndc>
    <ndc_label_name>PAROXETINE HCL 10 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954036510</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954039010</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 50-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954039110</ndc>
    <ndc_label_name>ATENOLOL-CHLORTHALIDONE 100-25</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954039810</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954039910</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954040110</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954040210</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954040310</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954040410</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041210</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041230</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041240</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041310</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041330</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041340</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041410</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041430</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954041440</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954041710</ndc>
    <ndc_label_name>L-GLUTAMINE 5 GRAM POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954041720</ndc>
    <ndc_label_name>L-GLUTAMINE 5 GRAM POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954044310</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954044320</ndc>
    <ndc_label_name>MISOPROSTOL 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954044410</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954044420</ndc>
    <ndc_label_name>MISOPROSTOL 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954045510</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954045520</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954045610</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954045620</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954048010</ndc>
    <ndc_label_name>ESTAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954048110</ndc>
    <ndc_label_name>ESTAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954048410</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954048420</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954048430</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954048440</ndc>
    <ndc_label_name>PYRAZINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954048810</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954049210</ndc>
    <ndc_label_name>LEVOCARNITINE 330 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954049610</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954050410</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954050420</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954051810</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954052210</ndc>
    <ndc_label_name>Inzirqo 10 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053020</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053120</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053220</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053320</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053420</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954053810</ndc>
    <ndc_label_name>TRANYLCYPROMINE SULF 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954054110</ndc>
    <ndc_label_name>TRIMETHOPRIM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954055910</ndc>
    <ndc_label_name>L-METHYLFOLATE CAL 7.5 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954055920</ndc>
    <ndc_label_name>L-METHYLFOLATE CAL 7.5 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056010</ndc>
    <ndc_label_name>L-METHYLFOLATE CAL 15 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056410</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056510</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056520</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056610</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954056620</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954059210</ndc>
    <ndc_label_name>Tezruly 1 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954059610</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954059710</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954060010</ndc>
    <ndc_label_name>FLUOXETINE 20 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954063710</ndc>
    <ndc_label_name>INDOMETHACIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954064610</ndc>
    <ndc_label_name>ESTRADIOL 0.06% 1.25G GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954066210</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954066810</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954066820</ndc>
    <ndc_label_name>PENTOXIFYLLINE ER 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954068810</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954068910</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954078410</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954078420</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954078510</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954078520</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954079710</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954079720</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 20-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954079810</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954079820</ndc>
    <ndc_label_name>OMEPRAZOLE-BICARB 40-1,680 PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954080420</ndc>
    <ndc_label_name>Sovuna 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954080510</ndc>
    <ndc_label_name>Sovuna 300 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954082510</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954082520</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954082530</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954085210</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954085220</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954085230</ndc>
    <ndc_label_name>LEVOFLOXACIN 25 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954086930</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954087010</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954087210</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML ELX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954087910</ndc>
    <ndc_label_name>ANAGRELIDE HCL 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954088110</ndc>
    <ndc_label_name>ANAGRELIDE HCL 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954089610</ndc>
    <ndc_label_name>MEGESTROL ACET 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954089620</ndc>
    <ndc_label_name>MEGESTROL ACET 40 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954089910</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954090010</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954090910</ndc>
    <ndc_label_name>LOFEXIDINE 0.18 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954090920</ndc>
    <ndc_label_name>LOFEXIDINE 0.18 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954091210</ndc>
    <ndc_label_name>HYDROXYZINE 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954092510</ndc>
    <ndc_label_name>NAPROXEN DR 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>70954092810</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954093410</ndc>
    <ndc_label_name>NITAZOXANIDE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954097520</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954097530</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954097620</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70954097630</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>70981016506</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>70981070201</ndc>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71052065020</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71052065255</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71052065601</ndc>
    <ndc_label_name>ACARBOSE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71052066150</ndc>
    <ndc_label_name>CICLOPIROX POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71085008301</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71085008330</ndc>
    <ndc_label_name>POTASSIUM CL 40 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71090000101</ndc>
    <ndc_label_name>Keveyis 50 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ITRACONAZOLE MICRONIZED POWDER</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999202</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999203</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999204</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999205</ndc>
    <ndc_label_name>CLONIDINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999301</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999302</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999303</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999304</ndc>
    <ndc_label_name>LIDOCAINE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999401</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999402</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999403</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999404</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999405</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999406</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999407</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999501</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999502</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999503</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999504</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999506</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999601</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999602</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999603</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999604</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999605</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71092999606</ndc>
    <ndc_label_name>FLURBIPROFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011104</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011105</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011204</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011205</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011904</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011905</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093011906</ndc>
    <ndc_label_name>TRAMADOL HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012004</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012005</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012104</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012105</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012204</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012205</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012312</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012405</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012412</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012602</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012701</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012703</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012705</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012706</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012801</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012803</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012805</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012806</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012901</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012903</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093012905</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013001</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013003</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013005</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013101</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013103</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013105</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013204</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013205</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013206</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013304</ndc>
    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METFORMIN HCL 850 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013404</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013502</ndc>
    <ndc_label_name>QUETIAPINE ER 50 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013602</ndc>
    <ndc_label_name>QUETIAPINE ER 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093013702</ndc>
    <ndc_label_name>QUETIAPINE ER 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>QUETIAPINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014004</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014005</ndc>
    <ndc_label_name>METHOCARBAMOL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014104</ndc>
    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014311</ndc>
    <ndc_label_name>SERTRALINE 20 MG/ML ORAL CONC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014413</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>71093014605</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 2.5 MG TAB</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014703</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014706</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>71093014803</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093014806</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093015301</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
    <ndc>71093015401</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093015504</ndc>
    <ndc_label_name>ZOLPIDEM TARTRATE 5 MG TABLET</ndc_label_name>
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    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71093015604</ndc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Eloctate 250 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104092201</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104093301</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104094401</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095109</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095201</ndc>
    <ndc_label_name>Alprolix 250 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095309</ndc>
    <ndc_label_name>Alprolix 500 unit intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095409</ndc>
    <ndc_label_name>Alprolix 1,000 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095509</ndc>
    <ndc_label_name>Alprolix 2,000 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104095609</ndc>
    <ndc_label_name>Alprolix 3,000 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alprolix 250 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104097701</ndc>
    <ndc_label_name>Alprolix 4,000 unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104097801</ndc>
    <ndc_label_name>Altuviiio 250 (+/-) unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104097901</ndc>
    <ndc_label_name>Altuviiio 500 (+/-) unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71104098101</ndc>
    <ndc_label_name>Altuviiio 1,000 (+/-) unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Altuviiio 250 (+/-) unit intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71121095838</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71121095924</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71121096014</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71121096172</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71121096248</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71139708701</ndc>
    <ndc_label_name>CEFAZOLIN 2 G/20 ML-WATER SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71143037501</ndc>
    <ndc_label_name>Xhance 93 mcg/actuation breath activated aerosol</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71143037599</ndc>
    <ndc_label_name>Xhance 93 mcg/actuation breath activated aerosol</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000001</ndc>
    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000006</ndc>
    <ndc_label_name>IgG Pure 8 gram-40 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000008</ndc>
    <ndc_label_name>OptiMag 125 mg magnesium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000011</ndc>
    <ndc_label_name>CholeRex 10 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000013</ndc>
    <ndc_label_name>VitalVasc 75 mg-250 mg-125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000015</ndc>
    <ndc_label_name>PanXyme pH 10.2 mg-10 mg-45 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000026</ndc>
    <ndc_label_name>Adrenal Essence 50 mg-25 mg-25 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000027</ndc>
    <ndc_label_name>SAM-e (Enteric Coated) 200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000028</ndc>
    <ndc_label_name>TestoPlex Plus 250 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000029</ndc>
    <ndc_label_name>Liver Protect 200 mg-200 mg-262.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000030</ndc>
    <ndc_label_name>MedCaps DPO 12.5 mg-170 mcg DFE-50 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000031</ndc>
    <ndc_label_name>Oraxinol 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000032</ndc>
    <ndc_label_name>Saloxicin 60 mg-25 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000033</ndc>
    <ndc_label_name>ActivNutrients 1.25 mg iron-170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000034</ndc>
    <ndc_label_name>ActivNutrients (No Iron) 170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000036</ndc>
    <ndc_label_name>Probio Defense 2 billion cell-2 mg-12.5 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000037</ndc>
    <ndc_label_name>I-Sight 15 mg-100 mg-75 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000039</ndc>
    <ndc_label_name>GarliX 650 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000040</ndc>
    <ndc_label_name>MedCaps GI 125 mg-200 mg-25 mg-3.75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000041</ndc>
    <ndc_label_name>MedCaps IS 50 mg-50 mg-5,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000042</ndc>
    <ndc_label_name>MedCaps Menopause capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000043</ndc>
    <ndc_label_name>OptiMag Neuro 200 mg magnesium/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000044</ndc>
    <ndc_label_name>MedCaps T3 225 mcg-2.5 mcg-16.75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000045</ndc>
    <ndc_label_name>SynovX Recovery 375 mg-300 mg-237.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000046</ndc>
    <ndc_label_name>Ossopan MD 200 mg calcium-1.25 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000047</ndc>
    <ndc_label_name>Xcellent C 750 mg-7.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000048</ndc>
    <ndc_label_name>Mood Food 250 mg-50mg-50mg-1,360mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000051</ndc>
    <ndc_label_name>Methyl Protect 1,000 mcg-3,400 mcg DFE-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000053</ndc>
    <ndc_label_name>Omega MonoPure Curcumin EC 417 mg-120 mg-276 mg-600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000054</ndc>
    <ndc_label_name>ProbioMax Complete DF 45 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000055</ndc>
    <ndc_label_name>Lipotropix 187.5 mg-100 mg-100 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000056</ndc>
    <ndc_label_name>GastrAcid 100 mg-350 mg-300 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000059</ndc>
    <ndc_label_name>CarniteX 340 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000061</ndc>
    <ndc_label_name>MemorAll 5 mg-100 mcg DFE-100 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000062</ndc>
    <ndc_label_name>MinRex 25 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000064</ndc>
    <ndc_label_name>UritraX oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000065</ndc>
    <ndc_label_name>ProbioMax Lean DF 10 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000068</ndc>
    <ndc_label_name>OmegaPure-600 EC 650 mg-240 mg-360 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000069</ndc>
    <ndc_label_name>OmegaPure-600 EC 650 mg-240 mg-360 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000071</ndc>
    <ndc_label_name>GlutAloeMine 3 gram-100 mg/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000079</ndc>
    <ndc_label_name>IgG 2000 CWP 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000083</ndc>
    <ndc_label_name>ActivEssentials 170 mcg DFE-650 mg-240 mg capsule,capsule DR in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000086</ndc>
    <ndc_label_name>ACTIVESSENTIALS-CALCIUM PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000087</ndc>
    <ndc_label_name>CheleX 50 mg-25 mg-75 mg-1.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000088</ndc>
    <ndc_label_name>SynovX DJD 150 mg-150 mg-250 mg-19 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000094</ndc>
    <ndc_label_name>ALLERDHQ CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000097</ndc>
    <ndc_label_name>MELATONIN 3 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000099</ndc>
    <ndc_label_name>Nattokinase 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000101</ndc>
    <ndc_label_name>DIMension-3  75 mg-125 mg-1.25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000102</ndc>
    <ndc_label_name>PhosphaLine 3 gram/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000103</ndc>
    <ndc_label_name>PhosphaLine 900 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000106</ndc>
    <ndc_label_name>CinnDromeX 100 mg-100 mcg-100 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000108</ndc>
    <ndc_label_name>Bio C 1:1  500 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000113</ndc>
    <ndc_label_name>Omega MonoPure DHA EC 790 mg-675 mg-118 mg-1,300 mg capsule,delay rel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000115</ndc>
    <ndc_label_name>Corticare B 375 mg-37.5 mg-340 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000116</ndc>
    <ndc_label_name>Corticare B 375 mg-37.5 mg-340 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000117</ndc>
    <ndc_label_name>GlutAloeMine 3 gram-100 mg/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000120</ndc>
    <ndc_label_name>SACCHAROMYCIN DF 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000121</ndc>
    <ndc_label_name>METHYLCOBALAMIN 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000122</ndc>
    <ndc_label_name>IRON GLYCINATE 29 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000123</ndc>
    <ndc_label_name>ZINC GLYCINATE 20 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000124</ndc>
    <ndc_label_name>Green Tea-600  600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000125</ndc>
    <ndc_label_name>MAGNESIUM CITRATE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000126</ndc>
    <ndc_label_name>ONCOPLEX 30 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000128</ndc>
    <ndc_label_name>ActivEssentials for Women 170 mcg DFE-650 mg-240 mg capsule,capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000129</ndc>
    <ndc_label_name>ActivNutrients (No Iron) 170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000130</ndc>
    <ndc_label_name>PMS Soothe capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000131</ndc>
    <ndc_label_name>Viragraphis 187.5 mg-150 mg-79.2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000132</ndc>
    <ndc_label_name>MENOFEM CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000133</ndc>
    <ndc_label_name>D3 LIQUID 25 MCG DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000134</ndc>
    <ndc_label_name>NiaVasc 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000138</ndc>
    <ndc_label_name>ONCOPLEX 30 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000141</ndc>
    <ndc_label_name>IgG 2000 CWP 4 gram-20 kcal/5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000142</ndc>
    <ndc_label_name>OptiMag Neuro 200 mg magnesium/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000145</ndc>
    <ndc_label_name>OmegaPure-780 EC 910 mg-330 mg-450 mg-1,400 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000146</ndc>
    <ndc_label_name>ALAmax CR 600 mg-450 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000148</ndc>
    <ndc_label_name>ImmunotiX 500 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000156</ndc>
    <ndc_label_name>Resveratin Plus 75 mg-250 mg-62.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000161</ndc>
    <ndc_label_name>ProbioMax IG 26 DF 500 million cell-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000162</ndc>
    <ndc_label_name>Xcellent A 3,000 mcg (10,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000163</ndc>
    <ndc_label_name>ActivNutrients Chewable 0.75 mg-85 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000164</ndc>
    <ndc_label_name>N.O.max ER 660 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000165</ndc>
    <ndc_label_name>D3-2000 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000166</ndc>
    <ndc_label_name>D3-5000 125 mcg (5,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000167</ndc>
    <ndc_label_name>CALCIUM D-GLUCARATE 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000168</ndc>
    <ndc_label_name>L-THEANINE 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000169</ndc>
    <ndc_label_name>Adrenaliv 125 mg-150 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000177</ndc>
    <ndc_label_name>Adrenaliv 125 mg-150 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000178</ndc>
    <ndc_label_name>B Activ 680 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000181</ndc>
    <ndc_label_name>Femquil 7.5 mg-170 mcg DFE-100 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000184</ndc>
    <ndc_label_name>Cogniquil 1,000 mcg-35 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000185</ndc>
    <ndc_label_name>ImmunotiX 500 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000186</ndc>
    <ndc_label_name>PepciX 16 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000191</ndc>
    <ndc_label_name>ProbioMax Daily DF 30 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000192</ndc>
    <ndc_label_name>CoQmax Ubiquinol 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000194</ndc>
    <ndc_label_name>Ossopan-1100  275 mg calcium (1,100 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000197</ndc>
    <ndc_label_name>AngiNOX 500 mg-2 gram-500 mg/8 gram oral effervescent powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000198</ndc>
    <ndc_label_name>AngiNOX 500 mg-2 gram-500 mg/8 gram oral effervescent powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000199</ndc>
    <ndc_label_name>Probiomax Sb DF 35 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000204</ndc>
    <ndc_label_name>SAM-e-TMG 400 mg-600 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000207</ndc>
    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000208</ndc>
    <ndc_label_name>ATP Ignite 68 mcg DFE-95 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000211</ndc>
    <ndc_label_name>ATP Ignite 68 mcg DFE-95 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000212</ndc>
    <ndc_label_name>TestoPlex Plus 250 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000213</ndc>
    <ndc_label_name>Appe-Curb 18.8 mg-187.5 mg-93.8 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000214</ndc>
    <ndc_label_name>Appe-Curb 18.8 mg-187.5 mg-93.8 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000215</ndc>
    <ndc_label_name>Adrenal Essence 50 mg-25 mg-25 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000216</ndc>
    <ndc_label_name>Mitochondrial Renewal Kit 600 mg-450 mcg-660 mg-75 mg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000217</ndc>
    <ndc_label_name>OmegaPure-820  937.5 mg-320 mg-500mg-1,250mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000218</ndc>
    <ndc_label_name>K2-D3 5000  90-125 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000221</ndc>
    <ndc_label_name>K2-D3 10,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000224</ndc>
    <ndc_label_name>ProbioMax Plus DF 40 billion cell-1.5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000230</ndc>
    <ndc_label_name>Ossopan MD 200 mg calcium-1.25 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000231</ndc>
    <ndc_label_name>ProbioMax 350 DF 350 billion cell oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000232</ndc>
    <ndc_label_name>GastrAcid 100 mg-350 mg-300 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000233</ndc>
    <ndc_label_name>PanXyme pH 10.2 mg-10 mg-45 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000235</ndc>
    <ndc_label_name>T-150 30 mg-40 mcg-50 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000236</ndc>
    <ndc_label_name>OSAplex 275 mg-25 mcg/60 mg-3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000237</ndc>
    <ndc_label_name>5-HTP CR 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000238</ndc>
    <ndc_label_name>MELATONIN-VIT B6 CR 5-10 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000239</ndc>
    <ndc_label_name>L-THEANINE 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000240</ndc>
    <ndc_label_name>ONCOPLEX ES 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000241</ndc>
    <ndc_label_name>D3-5000 125 mcg (5,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000242</ndc>
    <ndc_label_name>ActivNutrients (No Iron) 170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000243</ndc>
    <ndc_label_name>OptiMag 125 mg magnesium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000244</ndc>
    <ndc_label_name>ProbioMax DF 100 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000247</ndc>
    <ndc_label_name>Liver Protect 200 mg-200 mg-262.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000248</ndc>
    <ndc_label_name>Nattokinase 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000261</ndc>
    <ndc_label_name>SACCHAROMYCIN DF 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000264</ndc>
    <ndc_label_name>NiaVasc 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000265</ndc>
    <ndc_label_name>SACCHAROMYCIN DF 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000267</ndc>
    <ndc_label_name>Nrf2 Activator 200 mg-200 mg-50 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000268</ndc>
    <ndc_label_name>NiaVasc 750 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000269</ndc>
    <ndc_label_name>NiaVasc 750 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000271</ndc>
    <ndc_label_name>ActivEssentials-OncoPLEX-D3 170 mcg DFE-430mg-130mg capsule,capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000279</ndc>
    <ndc_label_name>NeuroActives BrainSustain 100 mg-37.5 mg-25 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000280</ndc>
    <ndc_label_name>NeuroActives BrainSustain 100 mg-37.5 mg-25 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000281</ndc>
    <ndc_label_name>5-MTHF 1,700 MCG DFE CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000282</ndc>
    <ndc_label_name>OLIVDEFENSE 300-150-75 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000283</ndc>
    <ndc_label_name>RelaxMax 75 mg-100 mg-50 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000284</ndc>
    <ndc_label_name>AdrenaMax 400 mg-133 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000285</ndc>
    <ndc_label_name>ActivNutrients (without copper-iron) 170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000287</ndc>
    <ndc_label_name>ProbioMax Daily DF 30 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000289</ndc>
    <ndc_label_name>MELATONIN-VIT B6 CR 5-10 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000290</ndc>
    <ndc_label_name>ImmunotiX 250 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000291</ndc>
    <ndc_label_name>Immune Essentials 333.3 mg-333.3 mg-83.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000293</ndc>
    <ndc_label_name>DHA from Algae 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000299</ndc>
    <ndc_label_name>Mood Food ES 50 mg-50 mg-50 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000301</ndc>
    <ndc_label_name>BrainSustain For Kids 100 mg-20 mg-50 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000303</ndc>
    <ndc_label_name>Xcellent A 7500 7,500 mcg (25,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000305</ndc>
    <ndc_label_name>SynovX Calm 100 mg-30 mg-15 mg-40 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000317</ndc>
    <ndc_label_name>K2-45 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000318</ndc>
    <ndc_label_name>K2-D3 10,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000320</ndc>
    <ndc_label_name>Mood Food ES 50 mg-50 mg-50 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000325</ndc>
    <ndc_label_name>Cortisolv 150 mg-250 mg-50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000327</ndc>
    <ndc_label_name>Nrf2 Activator 200 mg-200 mg-50 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000333</ndc>
    <ndc_label_name>K-MG CITRATE 99-70 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000334</ndc>
    <ndc_label_name>L-GLUTAMINE 4 GRAM/SCOOP POWDR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000336</ndc>
    <ndc_label_name>RegeneMax 120 mg-6 mg/6 drops oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000337</ndc>
    <ndc_label_name>L-LYSINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000338</ndc>
    <ndc_label_name>OptiMag Neuro 200 mg magnesium/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000342</ndc>
    <ndc_label_name>GI Protect 2 gram-25 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000343</ndc>
    <ndc_label_name>Candicidal 100 mg-150 mg-50 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000344</ndc>
    <ndc_label_name>ALLERDHQ CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000345</ndc>
    <ndc_label_name>S-ACETYL GLUTATHIONE 100 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000347</ndc>
    <ndc_label_name>VEGAPRO POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000348</ndc>
    <ndc_label_name>ColonX 100 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000355</ndc>
    <ndc_label_name>GI Protect 2 gram-25 kcal/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000356</ndc>
    <ndc_label_name>IgG 2000 CWP 4 gram-20 kcal/5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000358</ndc>
    <ndc_label_name>RelaxMax 75 mg-100 mg-50 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000360</ndc>
    <ndc_label_name>Hormone Protect 150 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000361</ndc>
    <ndc_label_name>BENFOTIAMINE 150 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000362</ndc>
    <ndc_label_name>5-MTHF ES 8,500 MCG DFE CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000363</ndc>
    <ndc_label_name>OSAplex MK-7 275 mg-12.5 mcg-22.5 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000364</ndc>
    <ndc_label_name>CoQmax Ubiquinol 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000365</ndc>
    <ndc_label_name>OrganiX PhytoFood 300 mg-20 mg/sccop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000366</ndc>
    <ndc_label_name>CoQmax Omega 348 mg-500 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000367</ndc>
    <ndc_label_name>T-150 30 mg-40 mcg-50 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000368</ndc>
    <ndc_label_name>XymoZyme capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000369</ndc>
    <ndc_label_name>XymoZyme capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000370</ndc>
    <ndc_label_name>XenoProtX 50 mg-50 mg-100 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000373</ndc>
    <ndc_label_name>CoQmax Omega 174 mg-50 mg-115 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000374</ndc>
    <ndc_label_name>CoQmax Omega 174 mg-50 mg-115 mg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000378</ndc>
    <ndc_label_name>Adrenal Manager capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000383</ndc>
    <ndc_label_name>Adrenal Manager capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000385</ndc>
    <ndc_label_name>Omega MonoPure 430 mg-130 mg-650 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000403</ndc>
    <ndc_label_name>ActivNutrients Multivitamin 340 mcg DFE-15 mcg/3 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000405</ndc>
    <ndc_label_name>D3-5000 125 mcg (5,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000406</ndc>
    <ndc_label_name>DioVasc 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000407</ndc>
    <ndc_label_name>ProteoXyme 50 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000408</ndc>
    <ndc_label_name>FlashArrest 96.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000409</ndc>
    <ndc_label_name>K2-D3 5000  90-125 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000410</ndc>
    <ndc_label_name>OptiFiber Lean 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000411</ndc>
    <ndc_label_name>Regenemax Plus 5,000 mcg-100 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000413</ndc>
    <ndc_label_name>IG 26 Plus DF 4.5 gram-1 gram/6.1 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000415</ndc>
    <ndc_label_name>XymoBolX oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000419</ndc>
    <ndc_label_name>Foundation Essentials 130 mg-300 mg-650 mg-30B cell capsule,capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000421</ndc>
    <ndc_label_name>D3 LIQUID 25 MCG DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000422</ndc>
    <ndc_label_name>5-MTHF PLUS B12 QUICK-DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000423</ndc>
    <ndc_label_name>XymoDine 7,500 mcg-5,000 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000424</ndc>
    <ndc_label_name>Omega MonoPure 860 mg-260 mg-1,300 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000425</ndc>
    <ndc_label_name>IG 26 DF 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000427</ndc>
    <ndc_label_name>B Activ 680 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000428</ndc>
    <ndc_label_name>Methyl Protect 1,000 mcg-3,400 mcg DFE-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000434</ndc>
    <ndc_label_name>D3-2000 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000435</ndc>
    <ndc_label_name>S-ACETYL GLUTATHIONE 100 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000436</ndc>
    <ndc_label_name>Omega MonoPure 430 mg-130 mg-650 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000438</ndc>
    <ndc_label_name>METHYLCOBALAMIN 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000439</ndc>
    <ndc_label_name>ALAmax CR 600 mg-450 mcg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000441</ndc>
    <ndc_label_name>SynovX Tendon-Ligament 260 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000442</ndc>
    <ndc_label_name>SynovX Performance 515 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71149000443</ndc>
    <ndc_label_name>MELATONIN 3 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000446</ndc>
    <ndc_label_name>ActivNutrients 1.25 mg iron-170 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000448</ndc>
    <ndc_label_name>SYNOVX METABOLIC 80-15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000449</ndc>
    <ndc_label_name>OptiMag Plus Calcium 600 mg-300 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000451</ndc>
    <ndc_label_name>Prostate FLO 160 mg-50 mg-250 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000452</ndc>
    <ndc_label_name>Xcellent E 33.5 mg-125 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000453</ndc>
    <ndc_label_name>ColonX 100 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000455</ndc>
    <ndc_label_name>OmegaPure-900 EC 967 mg-385 mg-515 mg-1,290 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000456</ndc>
    <ndc_label_name>Curcuplex-95 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000457</ndc>
    <ndc_label_name>Leptin Manager 80 mg-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000458</ndc>
    <ndc_label_name>Hormone Protect 150 mg-30 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000461</ndc>
    <ndc_label_name>DIMension-3  75 mg-125 mg-1.25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000466</ndc>
    <ndc_label_name>ALAmax Protect 125 mg-95 mcg-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000468</ndc>
    <ndc_label_name>OmegaPure 900-TG 964 mg-257 mg-643 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000471</ndc>
    <ndc_label_name>ActivNutrients Chewable 0.75 mg-85 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000473</ndc>
    <ndc_label_name>5-MTHF PLUS B12 QUICK-DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000474</ndc>
    <ndc_label_name>OmegaPure-900 EC 967 mg-385 mg-515 mg-1,290 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000477</ndc>
    <ndc_label_name>SYNOVX METABOLIC 80-15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000478</ndc>
    <ndc_label_name>OptiMag Neuro 200 mg magnesium/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000480</ndc>
    <ndc_label_name>Omega MonoPure 860 mg-260 mg-1,300 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000481</ndc>
    <ndc_label_name>IG 26 DF 2 gram/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000487</ndc>
    <ndc_label_name>XymoBolX oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000488</ndc>
    <ndc_label_name>Cortisolv 150 mg-250 mg-50 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000492</ndc>
    <ndc_label_name>Curcuplex-95 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000494</ndc>
    <ndc_label_name>NEUROPHX DPN CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000495</ndc>
    <ndc_label_name>FOLAFY ER 25,500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000496</ndc>
    <ndc_label_name>ATP Ignite Workout 40 mcg DFE-95 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000497</ndc>
    <ndc_label_name>OptiFiber Lean 1.5 gram/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000498</ndc>
    <ndc_label_name>Regenemax Plus 5,000 mcg-100 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000582</ndc>
    <ndc_label_name>OptiCleanse GHI 26 gram-210 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000660</ndc>
    <ndc_label_name>OMEGA MONOPURE EPA EC SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000670</ndc>
    <ndc_label_name>OMEGA MONOPURE EPA EC SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000690</ndc>
    <ndc_label_name>NEW ZEALAND WHEY PROTEIN POWDR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000693</ndc>
    <ndc_label_name>BrainSustain 800 mg-300 mg-200 mg-200 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000725</ndc>
    <ndc_label_name>BrainSustain 800 mg-300 mg-200 mg-200 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000727</ndc>
    <ndc_label_name>BERGACOR 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000728</ndc>
    <ndc_label_name>BERGACOR 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000729</ndc>
    <ndc_label_name>BergaCor Plus 400 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000730</ndc>
    <ndc_label_name>DHEA MICRONIZED 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000731</ndc>
    <ndc_label_name>DHEA MICRONIZED 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000735</ndc>
    <ndc_label_name>i5 0.4 gram-3.6 kcal/gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000736</ndc>
    <ndc_label_name>i5 0.4 gram-3.6 kcal/gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000739</ndc>
    <ndc_label_name>OptiMetaboliX 2:1 21 gram-170 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000741</ndc>
    <ndc_label_name>OptiMetaboliX 21 gram-160 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71149000742</ndc>
    <ndc_label_name>K2 LIQUID 90 MCG/0.5 ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71162000105</ndc>
    <ndc_label_name>AMMONIA N-13 SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71162000110</ndc>
    <ndc_label_name>AMMONIA N-13 VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71179001816</ndc>
    <ndc_label_name>Vivarin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71179001860</ndc>
    <ndc_label_name>Vivarin 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225012001</ndc>
    <ndc_label_name>Vivimusta 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225012602</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225012603</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225012605</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225012606</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225013201</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225013202</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200MCG/50ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225013301</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225013302</ndc>
    <ndc_label_name>DEXMEDETOMIDIN 400MCG/100ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71225014001</ndc>
    <ndc_label_name>BACLOFEN 25 MG/5 ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000101</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000102</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000105</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000110</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000125</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000150</ndc>
    <ndc_label_name>AMITRIPTYLINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000202</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000205</ndc>
    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BACLOFEN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYCLOBENZAPRINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000601</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000602</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000605</ndc>
    <ndc_label_name>DICLOFENAC SODIUM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000610</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000625</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000650</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000701</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000702</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000705</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000710</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000725</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000750</ndc>
    <ndc_label_name>GABAPENTIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000901</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000902</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232000910</ndc>
    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GUAIFENESIN POWDER</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001001</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001002</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001005</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001050</ndc>
    <ndc_label_name>KETOPROFEN MICRONIZED POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001401</ndc>
    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MINOXIDIL POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001601</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001602</ndc>
    <ndc_label_name>SALICYLIC ACID POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71232001610</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc>71266200101</ndc>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266800605</ndc>
    <ndc_label_name>BEVACIZUMAB 1.25 MG/0.05 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266802001</ndc>
    <ndc_label_name>AminoProtect 25 mg-25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266812001</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266821101</ndc>
    <ndc_label_name>TROPICA 1%-CYCLOPEN 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266821105</ndc>
    <ndc_label_name>TROPICA 1%-CYCLOPEN 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266822101</ndc>
    <ndc_label_name>TROPIC-CYCLOPENT-PE-KTRLC-PROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266824001</ndc>
    <ndc_label_name>TROP-CYCLOPNT-PE-KTRLC 1-1-2.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266824005</ndc>
    <ndc_label_name>TROP-CYCLOPNT-PE-KTRLC 1-1-2.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266824101</ndc>
    <ndc_label_name>TROP-CYCLOPNT-PE-KTRLC 1-1-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266824105</ndc>
    <ndc_label_name>TROP-CYCLOPNT-PE-KTRLC 1-1-10%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266831001</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266847503</ndc>
    <ndc_label_name>MITOMYCIN 0.2 MG/ML-WATER SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266851503</ndc>
    <ndc_label_name>MITOMYCIN 0.4 MG/ML-WATER SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266853601</ndc>
    <ndc_label_name>PHENYLEPHRINE 1.5%-BSS SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266859501</ndc>
    <ndc_label_name>VANCOMYCIN 10 MG/ML EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266859503</ndc>
    <ndc_label_name>VANCOMYCIN 2.5MG/0.25ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266860401</ndc>
    <ndc_label_name>MOXIFLOXACIN 1.6 MG/ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266861301</ndc>
    <ndc_label_name>MOXIFLOXACIN 0.3 MG/0.3ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266900505</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901001</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901002</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.5 MG/5 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901009</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901101</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901109</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901503</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266901505</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266902003</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266902005</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266902201</ndc>
    <ndc_label_name>PHENYLEPHRINE 5 MG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266902701</ndc>
    <ndc_label_name>EPHEDRINE SULF 25 MG/5 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266903001</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.8 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266903101</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.4 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266903201</ndc>
    <ndc_label_name>PHENYLEPHRINE 0.4 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266903509</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-NACL SYRN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266904505</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266905003</ndc>
    <ndc_label_name>LIDOCAINE 200 MG/10 ML(2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266907001</ndc>
    <ndc_label_name>KETAMINE 100 MG/2 ML-WATER SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266907002</ndc>
    <ndc_label_name>KETAMINE 50 MG/ML-WATER SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266908001</ndc>
    <ndc_label_name>KETAMINE 20 MG/2 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266908002</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266908003</ndc>
    <ndc_label_name>KETAMINE 20 MG/2 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266908004</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266908101</ndc>
    <ndc_label_name>KETAMINE 1,000 MG/100 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266909001</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266909002</ndc>
    <ndc_label_name>LIDOCAINE 10 MG/0.5 ML(2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266909009</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266909101</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 1000 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266910003</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/10 ML(1%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266911001</ndc>
    <ndc_label_name>HYDROMORPHONE 2 MG/10 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266911002</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266911003</ndc>
    <ndc_label_name>HYDROMORPHONE 10 MG/50 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266911004</ndc>
    <ndc_label_name>HYDROMORPHONE 6 MG/30 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266911501</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266912001</ndc>
    <ndc_label_name>HYDROMORPHONE 0.5 MG/ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266913001</ndc>
    <ndc_label_name>ROPIVACAINE HCL 0.5% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266916001</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% (20 ML) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266916002</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% (10 ML) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266917001</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266917002</ndc>
    <ndc_label_name>FENTANYL 50 MCG/ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266917005</ndc>
    <ndc_label_name>FENTANYL 1,500 MCG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266917006</ndc>
    <ndc_label_name>FENTANYL 2,500 MCG/50 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266918001</ndc>
    <ndc_label_name>FENTANYL 10 MCG/ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266919001</ndc>
    <ndc_label_name>MIDAZOLAM 5 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266919002</ndc>
    <ndc_label_name>MIDAZOLAM 2 MG/2 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266919003</ndc>
    <ndc_label_name>MIDAZOLAM 3 MG/3 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266919005</ndc>
    <ndc_label_name>MIDAZOLAM 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266919006</ndc>
    <ndc_label_name>MIDAZOLAM 50 MG/50 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266922501</ndc>
    <ndc_label_name>FENTANYL 2MCG-BUP 0.0625%-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266922701</ndc>
    <ndc_label_name>FENTANYL 2MCG-BUPIV0.125%-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266922801</ndc>
    <ndc_label_name>FENTANYL 2 MCG-BUPIV 0.125%-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266923501</ndc>
    <ndc_label_name>FENTANYL 2MCG-ROPIV 0.15%-NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71266968405</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 100 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71269004010</ndc>
    <ndc_label_name>Tuxarin ER 8 mg-54.3 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71269004030</ndc>
    <ndc_label_name>Tuxarin ER 8 mg-54.3 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71269025010</ndc>
    <ndc_label_name>Slo-Niacin 250 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71269050010</ndc>
    <ndc_label_name>Slo-Niacin 500 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71269050099</ndc>
    <ndc_label_name>Slo-Niacin 500 mg tablet,extended release</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71269075010</ndc>
    <ndc_label_name>Slo-Niacin 750 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71274017060</ndc>
    <ndc_label_name>Joenja 70 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71274035001</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71274035002</ndc>
    <ndc_label_name>Ruconest 2,100 unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285000101</ndc>
    <ndc_label_name>MICROPLEGIA 0.92 MOLAR BAG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285000201</ndc>
    <ndc_label_name>Cardioplegia Warm Induct 4:1 40 mEq/500 mL (potassium) perfusion soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285000701</ndc>
    <ndc_label_name>Cardioplegia Reperfusate 4:1  7.5 mEq/238.75 mL (potassium) perfusion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285000801</ndc>
    <ndc_label_name>Cardioplegia Reperfusate 4:1  15 mEq/477.5 mL(potassium)perfusion soln</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285000901</ndc>
    <ndc_label_name>Cardioplegia Reperfusate 4:1  15 mEq/500 mL (potassium) perfusion soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285001202</ndc>
    <ndc_label_name>MICROPLEGIA 0.92 MOLAR-CP2D</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285010001</ndc>
    <ndc_label_name>Cardioplegia Induction 4:1 60 mEq/830 mL (potassium)perfusion solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285010101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285010201</ndc>
    <ndc_label_name>Cardioplegia High Potassium 108 mEq/500 mL (potassium) perfusion soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285010301</ndc>
    <ndc_label_name>Cardioplegia Maintenance 4:1  20 mEq/810 mL (potassium) perfusion soln</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cardioplegia Maintenance 4:1  36 mEq/L (potassium) perfusion solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285010601</ndc>
    <ndc_label_name>Cardioplegia Induction 4:1  30 mEq/415 mL(potassium)perfusion solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285011101</ndc>
    <ndc_label_name>CARDIOPLEGIA 50 MEQ K/500 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285011201</ndc>
    <ndc_label_name>CARDIOPLEGIA 40 MEQ K/1,000 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285020201</ndc>
    <ndc_label_name>Cardioplegia Del Nido Formula 26 mEq/1,052.8 mL (potassium) perfusion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285020501</ndc>
    <ndc_label_name>Cardioplegia Maintenance 4:1 Ringer 12 mEq/504.8 mL (potass) perfusion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285020601</ndc>
    <ndc_label_name>Cardioplegia Induction 4:1 Ringer 48 mEq/522.8 mL(potassium) perfusion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285021101</ndc>
    <ndc_label_name>Cardioplegia Maint 4:1 Plasmalyte 30 mEq/1,047 mL (potassium)perfusion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71285021201</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cardioplegia Solution Induction 8:1 non-enrich70 mEq/300 mL(potassium)</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600001</ndc>
    <ndc_label_name>ATROPINE 2 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600101</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600301</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600302</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600401</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600601</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600701</ndc>
    <ndc_label_name>PHENYLEPHRINE 400 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600801</ndc>
    <ndc_label_name>PHENYLEPHRINE 800 MCG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286600901</ndc>
    <ndc_label_name>PHENYLEPHRINE 1 MG/10 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286601001</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286601101</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286601102</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286601201</ndc>
    <ndc_label_name>VECURONIUM 10 MG/10 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286606501</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71286608401</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287011901</ndc>
    <ndc_label_name>Yescarta intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287011902</ndc>
    <ndc_label_name>Yescarta intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287021901</ndc>
    <ndc_label_name>Tecartus 2x10exp6 to 2x10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287021902</ndc>
    <ndc_label_name>Tecartus 2x10exp6 to 2x10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287022001</ndc>
    <ndc_label_name>Tecartus 1x10exp6 to 1x10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71287022002</ndc>
    <ndc_label_name>Tecartus 1x10exp6 to 1x10exp8 cell intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001615</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001691</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001695</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001715</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001791</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001910</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288001911</ndc>
    <ndc_label_name>TIGECYCLINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002210</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002211</ndc>
    <ndc_label_name>VANCOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002320</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002321</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002420</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002421</ndc>
    <ndc_label_name>VANCOMYCIN HCL 750 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002575</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002675</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002730</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002810</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002811</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002812</ndc>
    <ndc_label_name>MICAFUNGIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002910</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002911</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288002912</ndc>
    <ndc_label_name>MICAFUNGIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288003020</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288003021</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003120</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003121</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003191</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003192</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003220</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003221</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003291</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003292</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003375</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003391</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM BTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003450</ndc>
    <ndc_label_name>DALBAVANCIN HCL 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003551</ndc>
    <ndc_label_name>Contepo 6 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288003552</ndc>
    <ndc_label_name>Contepo 6 gram intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010110</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010120</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010210</ndc>
    <ndc_label_name>BENDAMUSTINE 25 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010320</ndc>
    <ndc_label_name>BENDAMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010410</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010518</ndc>
    <ndc_label_name>LEVOLEUCOVORIN 175 MG/17.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010610</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 15 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010720</ndc>
    <ndc_label_name>BLEOMYCIN SULFATE 30 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288010920</ndc>
    <ndc_label_name>CYTARABINE 2 G/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011110</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011290</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011310</ndc>
    <ndc_label_name>GEMCITABINE HCL 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011450</ndc>
    <ndc_label_name>GEMCITABINE HCL 1 GRAM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011530</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011610</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011611</ndc>
    <ndc_label_name>BUSULFAN 60 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011706</ndc>
    <ndc_label_name>GEMCITABINE 200 MG/5.26 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011728</ndc>
    <ndc_label_name>GEMCITABINE 1 GRAM/26.3 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011754</ndc>
    <ndc_label_name>GEMCITABINE 2 GRAM/52.6 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011810</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288011920</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288012430</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288012503</ndc>
    <ndc_label_name>DILUENT FOR CARMUSTINE 3 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288012690</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288012820</ndc>
    <ndc_label_name>CLOFARABINE 20 MG/20 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288012902</ndc>
    <ndc_label_name>DACTINOMYCIN 500 MCG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013015</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013110</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013290</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013720</ndc>
    <ndc_label_name>MITOMYCIN 5 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013850</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288013951</ndc>
    <ndc_label_name>MITOMYCIN 40 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014408</ndc>
    <ndc_label_name>DOCETAXEL 80 MG/8 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014416</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014750</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 750 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014851</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014995</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288014996</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288015605</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288016691</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288016795</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288017075</ndc>
    <ndc_label_name>FLUOROURACIL 2.5 GRAM/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288017111</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288017191</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288017221</ndc>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043591</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043592</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043688</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043689</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043691</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043692</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043791</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043792</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043793</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043794</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043893</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043894</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043895</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288043896</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288043904</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288043905</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288044901</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288044902</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288045001</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288045002</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288045101</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288045102</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050010</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050011</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050110</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050111</ndc>
    <ndc_label_name>NEOSTIGMINE 10 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288050201</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288050202</ndc>
    <ndc_label_name>HALOPERIDOL DEC 50 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288050301</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288050302</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288050405</ndc>
    <ndc_label_name>HALOPERIDOL DEC 500 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050502</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288050503</ndc>
    <ndc_label_name>DEXMEDETOMIDINE 200 MCG/2 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288055480</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288055585</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288055586</ndc>
    <ndc_label_name>FULVESTRANT 250 MG/5 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288055602</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288055890</ndc>
    <ndc_label_name>CETRORELIX ACETATE 0.25 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056383</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056384</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056385</ndc>
    <ndc_label_name>LIRAGLUTIDE 2-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056503</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056601</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056602</ndc>
    <ndc_label_name>OCTREOTIDE ACET 50 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056701</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056702</ndc>
    <ndc_label_name>OCTREOTIDE ACET 100 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056801</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056802</ndc>
    <ndc_label_name>OCTREOTIDE ACET 500 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288056990</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288060010</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288060011</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070005</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070006</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070091</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070092</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070105</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070106</ndc>
    <ndc_label_name>ATRACURIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070210</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288070211</ndc>
    <ndc_label_name>ATRACURIUM 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288080876</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288080877</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288081110</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288081111</ndc>
    <ndc_label_name>METHYLENE BLUE 50 MG/10ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288081480</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71288081481</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288081580</ndc>
    <ndc_label_name>Yusimry(CF) Pen 40 mg/0.8 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71288081581</ndc>
    <ndc_label_name>Yusimry(CF) Pen 40 mg/0.8 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71296001103</ndc>
    <ndc_label_name>Sponix Arthritis-Muscle Pain Relief 4 %-10 %-0.035 % top soln roll-on</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71296001201</ndc>
    <ndc_label_name>Sponix Anti-Fungal 22 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297001001</ndc>
    <ndc_label_name>HYDROCORTISONE 2% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297001002</ndc>
    <ndc_label_name>HYDROCORTISONE 2% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71297003002</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297024034</ndc>
    <ndc_label_name>Augmentin 125 mg-31.25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297024035</ndc>
    <ndc_label_name>Augmentin 125 mg-31.25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297024036</ndc>
    <ndc_label_name>Augmentin 125 mg-31.25 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297024101</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297041002</ndc>
    <ndc_label_name>ADAPALENE 0.1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71297050016</ndc>
    <ndc_label_name>Primsol 50 mg/5 mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300643802</ndc>
    <ndc_label_name>Lidtopic Max 10 % topical cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300644002</ndc>
    <ndc_label_name>Neuraptine 10 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300644201</ndc>
    <ndc_label_name>Frotek 10 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300644202</ndc>
    <ndc_label_name>Frotek 10 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300644203</ndc>
    <ndc_label_name>Frotek 10 % topical cream packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300646702</ndc>
    <ndc_label_name>IFE-BiMix 30/1 30 mg-1 mg/mL intracavernosal solution injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300655501</ndc>
    <ndc_label_name>Lidocidex-I 5 mg-10 mg/1.5 mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300656401</ndc>
    <ndc_label_name>Dexonto 0.4 % iontophoretic transdermal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300656403</ndc>
    <ndc_label_name>Dexonto 0.4 % iontophoretic transdermal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300657301</ndc>
    <ndc_label_name>Diclofono 1.6 % topical gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300657303</ndc>
    <ndc_label_name>Diclofono 1.6 % topical gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300660003</ndc>
    <ndc_label_name>Lotrexone 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300660006</ndc>
    <ndc_label_name>Lotrexone 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300660009</ndc>
    <ndc_label_name>Lotrexone 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300661003</ndc>
    <ndc_label_name>Lotrexone 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300661006</ndc>
    <ndc_label_name>Lotrexone 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300661009</ndc>
    <ndc_label_name>Lotrexone 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300661602</ndc>
    <ndc_label_name>Praketamide 5 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300661604</ndc>
    <ndc_label_name>Praketamide 5 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300663502</ndc>
    <ndc_label_name>Muscusolice 2 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300663802</ndc>
    <ndc_label_name>Muscusolice 5 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300663804</ndc>
    <ndc_label_name>Muscusolice 5 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664603</ndc>
    <ndc_label_name>Naltrex 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664606</ndc>
    <ndc_label_name>Naltrex 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664609</ndc>
    <ndc_label_name>Naltrex 1.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664703</ndc>
    <ndc_label_name>Naltrex 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664706</ndc>
    <ndc_label_name>Naltrex 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300664709</ndc>
    <ndc_label_name>Naltrex 4.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300667602</ndc>
    <ndc_label_name>Lidtopic 7.5 % cream in metered-dose applicator</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71300672705</ndc>
    <ndc_label_name>Tresni 100 mg rectal suppository</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308001101</ndc>
    <ndc_label_name>OLINVYK 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308001110</ndc>
    <ndc_label_name>OLINVYK 1 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308002101</ndc>
    <ndc_label_name>OLINVYK 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308002110</ndc>
    <ndc_label_name>OLINVYK 2 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308030101</ndc>
    <ndc_label_name>OLINVYK 30 MG/30 ML PCA VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71308030110</ndc>
    <ndc_label_name>OLINVYK 30 MG/30 ML PCA VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309000703</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309000710</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71309000802</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309001101</ndc>
    <ndc_label_name>ACETAMINOPHEN ER 650 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71309015403</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309046005</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309058312</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309063418</ndc>
    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MELATONIN 3 MG FAST DISSOLVE</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MELATONIN 10 MG FAST DISSOLVE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71309071902</ndc>
    <ndc_label_name>MICONAZOLE NITRATE 2% POWDER</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71317097040</ndc>
    <ndc_label_name>Hyalo Gyn 0.2 % vaginal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>THEOPHYLLINE ER 100 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>THEOPHYLLINE ER 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321060312</ndc>
    <ndc_label_name>HYDROCORTISONE AC 30 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321060416</ndc>
    <ndc_label_name>ORAL CITRATE SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321070016</ndc>
    <ndc_label_name>BranTussin DM 2 mg-7.5 mg-15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321070150</ndc>
    <ndc_label_name>TRIPROLIDINE 0.625 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321080010</ndc>
    <ndc_label_name>MAGNESIUM LACTATE SR 84 MG CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71321080060</ndc>
    <ndc_label_name>MAGNESIUM LACTATE SR 84 MG CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>FERROUS SULF 220 MG/5 ML ELIX</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71321080320</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Brandycal-D 100 mg calcium-3 mcg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tinnitus Relief 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tavalisse 100 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tavalisse 150 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71334020507</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71351002110</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71351002125</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71351002202</ndc>
    <ndc_label_name>BUPIVACAIN 0.75%-DEXTROS 8.25%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Jelcaine Sterile 2 % topical gel</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71357000101</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TROMETHAMINE 18 GRAM/500 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71384065001</ndc>
    <ndc_label_name>PHENYLEPHRINE-LIDO 15-10 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71384066610</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71384072007</ndc>
    <ndc_label_name>TOBRAMYCIN 1%-VANCOMYCIN 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71384072107</ndc>
    <ndc_label_name>TOBRAMYCIN 1.5%-VANCOMYCIN 5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>71384073007</ndc>
    <ndc_label_name>VANCOMYCIN 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390001100</ndc>
    <ndc_label_name>Byfavo 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390001111</ndc>
    <ndc_label_name>Byfavo 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390012520</ndc>
    <ndc_label_name>Barhemsys 5 mg/2 mL (2.5 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390012521</ndc>
    <ndc_label_name>Barhemsys 5 mg/2 mL (2.5 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390012550</ndc>
    <ndc_label_name>Barhemsys 10 mg/4 mL (2.5 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71390012551</ndc>
    <ndc_label_name>Barhemsys 10 mg/4 mL (2.5 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71394006501</ndc>
    <ndc_label_name>Luxturna 1.5 x 10exp11 vg/0.3 mL (final) subretinal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71394041501</ndc>
    <ndc_label_name>Luxturna 1.5 x 10exp11 vg/0.3 mL (final) subretinal suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71394071601</ndc>
    <ndc_label_name>DILUENT-VORETIGENE 1.7 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002004</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002006</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002008</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002104</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002106</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002108</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002204</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002206</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002208</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002304</ndc>
    <ndc_label_name>MAXAllergy Kids 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002306</ndc>
    <ndc_label_name>MAXAllergy Kids 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002308</ndc>
    <ndc_label_name>MAXAllergy Kids 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002404</ndc>
    <ndc_label_name>MAXTussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002406</ndc>
    <ndc_label_name>MAXTussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002408</ndc>
    <ndc_label_name>MAXTussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002504</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002506</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002508</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002604</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002606</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002608</ndc>
    <ndc_label_name>MAXTussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399002708</ndc>
    <ndc_label_name>OneLAX Senna 8.8 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399003804</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399003806</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399003808</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399003906</ndc>
    <ndc_label_name>OneLAX Docusate Sodium 50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004006</ndc>
    <ndc_label_name>ONEVITE FERROUS SULF 220MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004101</ndc>
    <ndc_label_name>Teeny Tummy Infant Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004802</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004804</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004806</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004808</ndc>
    <ndc_label_name>MAXrelief junior 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004901</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004902</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399004903</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005001</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005002</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005101</ndc>
    <ndc_label_name>OneLAX Magnesium Citrate oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005102</ndc>
    <ndc_label_name>OneLAX Magnesium Citrate oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005301</ndc>
    <ndc_label_name>OneLAX Magnesium Citrate oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005302</ndc>
    <ndc_label_name>OneLAX Magnesium Citrate oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399005408</ndc>
    <ndc_label_name>MAXTussin 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399006301</ndc>
    <ndc_label_name>OneVite Calcium-D3 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399006305</ndc>
    <ndc_label_name>OneVite Calcium-D3 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399006306</ndc>
    <ndc_label_name>OneVite Calcium-D3 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399006308</ndc>
    <ndc_label_name>OneVite Calcium-D3 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399007101</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399007103</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399007104</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399011001</ndc>
    <ndc_label_name>Hemorrhoidal Hygiene 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012201</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012202</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012204</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012504</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012506</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012508</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399012801</ndc>
    <ndc_label_name>MAX sleep Junior 1 mg/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399014001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399014004</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399014008</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399016004</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral elixir</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399016006</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral elixir</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399016008</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral elixir</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399018001</ndc>
    <ndc_label_name>HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399018002</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399024502</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399024503</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399024506</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399040001</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048002</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048006</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048008</ndc>
    <ndc_label_name>SODIUM SULFACETAMIDE 10% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048206</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 9-4% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048406</ndc>
    <ndc_label_name>SOD SULFACE-SULFUR 9-4.5% WASH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048508</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-2% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048601</ndc>
    <ndc_label_name>SOD SULFACE-SULF 9.8-4.8% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048706</ndc>
    <ndc_label_name>SULFACETAMIDE-SULFUR 8-4% SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399048806</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399049404</ndc>
    <ndc_label_name>AMMONIUM LACTATE 12% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399050001</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399050003</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399065853</ndc>
    <ndc_label_name>OneLAX Fiber Therapy (psyllium-sucrose) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399065863</ndc>
    <ndc_label_name>OneLAX Fiber Therapy (psyllium-sucralose) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399066603</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399066606</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100301</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100302</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100404</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100406</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100408</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100504</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100506</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100508</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100604</ndc>
    <ndc_label_name>Tussin DM Clear 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100606</ndc>
    <ndc_label_name>Tussin DM Clear 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399100608</ndc>
    <ndc_label_name>Tussin DM Clear 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399101401</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399101402</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399101701</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399101702</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399101703</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102501</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102502</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102503</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102506</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102601</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102602</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102701</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102702</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102801</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399102802</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399124601</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399282901</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399282902</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399285505</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399388406</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399400006</ndc>
    <ndc_label_name>QUETIAPINE ER 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399443906</ndc>
    <ndc_label_name>AsperFlex Hot 0.025 %-1.25 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399445305</ndc>
    <ndc_label_name>AsperFlex Max 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399445601</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399445603</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399445605</ndc>
    <ndc_label_name>AsperFlex (lidocaine) 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399445806</ndc>
    <ndc_label_name>AsperFlex Advance 3.1 %-10 %-6 % topical patch (large)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399446105</ndc>
    <ndc_label_name>AsperFlex Menthol 7.5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399458901</ndc>
    <ndc_label_name>Vaporx Balm 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399510101</ndc>
    <ndc_label_name>Hydrophor 42 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399510102</ndc>
    <ndc_label_name>Hydrophor 42 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399654401</ndc>
    <ndc_label_name>AsperFlex (lidocaine HCl) 4 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399658701</ndc>
    <ndc_label_name>OneLAX Daily Fiber 3.4 gram/6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399674301</ndc>
    <ndc_label_name>Hydroseptine 0.44 %-20.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399685403</ndc>
    <ndc_label_name>AsperFlex (methyl salicylate-menthol) 15 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399740105</ndc>
    <ndc_label_name>Pediatric D-Vite 10 mcg/mL (400 unit/mL) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399742005</ndc>
    <ndc_label_name>Pediatric Poly-Vite with Iron 11 mg iron/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399744005</ndc>
    <ndc_label_name>Pediatric Poly-Vite 250 mcg-50 mg-10 mcg-5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399748005</ndc>
    <ndc_label_name>Fe-Vite 15 mg iron (75 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399750405</ndc>
    <ndc_label_name>Pediatric Tri-Vite 750 unit-35 mg-400 unit/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399783601</ndc>
    <ndc_label_name>OneVite Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399783602</ndc>
    <ndc_label_name>OneVite Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399783708</ndc>
    <ndc_label_name>MELATONIN 2.5 MG/10 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399788901</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399801401</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802001</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802202</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802401</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802402</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802501</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802502</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802601</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802602</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802701</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802702</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802801</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399802802</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399804201</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399804203</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399823508</ndc>
    <ndc_label_name>OneLAX Senna 8.8 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399823708</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399824501</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399824502</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399824503</ndc>
    <ndc_label_name>Senna Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71399843403</ndc>
    <ndc_label_name>UREA 20% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71399845508</ndc>
    <ndc_label_name>UREA 40% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449000611</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001015</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10 ML-NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001311</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001315</ndc>
    <ndc_label_name>FENTANYL CITRATE 500 MCG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001332</ndc>
    <ndc_label_name>FENTANYL 1,500 MCG/30 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001411</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/5 ML-NACL SYRN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001506</ndc>
    <ndc_label_name>ATROPINE 1 MG/2.5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001632</ndc>
    <ndc_label_name>MIDAZOLAM 150 MG/30 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001832</ndc>
    <ndc_label_name>HYDROMORPHONE 30 MG/30 ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449001977</ndc>
    <ndc_label_name>FENTANYL 2,000MCG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002015</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML-NS SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002232</ndc>
    <ndc_label_name>MORPHINE 150 MG/30 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002303</ndc>
    <ndc_label_name>LIDOCAINE HCL 10 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002311</ndc>
    <ndc_label_name>LIDOCAINE 50 MG/5 ML (1%) SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002411</ndc>
    <ndc_label_name>LIDOCAINE 100 MG/5 ML (2%) SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002768</ndc>
    <ndc_label_name>VANCO 1 GRAM/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002868</ndc>
    <ndc_label_name>VANCO 1.25 GM/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449002968</ndc>
    <ndc_label_name>VANCO 1.5 GM/250 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449003070</ndc>
    <ndc_label_name>VANCO 1.75 GM/500 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449003170</ndc>
    <ndc_label_name>VANCO 2 GRAM/500 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449006811</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449006815</ndc>
    <ndc_label_name>KETAMINE 100 MG/10 ML-NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449006832</ndc>
    <ndc_label_name>KETAMINE 300 MG/30 ML-NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449006911</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449006932</ndc>
    <ndc_label_name>KETAMINE 300 MG/30 ML-NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007025</ndc>
    <ndc_label_name>ROPIVACAINE 0.2%-0.9% NACL SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007282</ndc>
    <ndc_label_name>FENTANYL 2,500MCG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007851</ndc>
    <ndc_label_name>BUPIVACAINE 0.125%-NS ON-Q PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007951</ndc>
    <ndc_label_name>ROPIVACAINE 2MG/ML-NS ON-Q PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007955</ndc>
    <ndc_label_name>ROPIVACAINE 2MG/ML-NS ON-Q PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007957</ndc>
    <ndc_label_name>ROPIVACAINE 2MG/ML-NS ON-Q PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449007959</ndc>
    <ndc_label_name>ROPIVACAINE 2MG/ML-NS ON-Q PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009042</ndc>
    <ndc_label_name>LIDOCAINE 1%-PE 1.5%-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009122</ndc>
    <ndc_label_name>BEVACIZUMAB 2 MG/0.08 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009143</ndc>
    <ndc_label_name>BEVACIZUMAB 2.5 MG/0.1 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009144</ndc>
    <ndc_label_name>BEVACIZUMAB 3.25 MG/0.13 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009190</ndc>
    <ndc_label_name>BEVACIZUMAB 2.75 MG/0.11ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009198</ndc>
    <ndc_label_name>BEVACIZUMAB 2 MG/0.08 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009199</ndc>
    <ndc_label_name>BEVACIZUMAB 2.25 MG/0.09ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009245</ndc>
    <ndc_label_name>CYCLOPEN 1%-TROPICA 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009246</ndc>
    <ndc_label_name>CYCLOPEN 1%-TROPICA 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009345</ndc>
    <ndc_label_name>CYCLOPEN 1%-TROPICA 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009346</ndc>
    <ndc_label_name>CYCLOPEN 1%-TROPICA 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009347</ndc>
    <ndc_label_name>CYCLOPEN 1%-TROPICA 1%-PE 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009603</ndc>
    <ndc_label_name>MOXIFLOXACIN 1 MG/ML-BSS SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009642</ndc>
    <ndc_label_name>MOXIFLOXACIN 1 MG/ML-BSS VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009742</ndc>
    <ndc_label_name>MOXIFLOXACIN 5 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009846</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009847</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449009848</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010236</ndc>
    <ndc_label_name>CANTHARIDIN 0.7%-ACETONE SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010311</ndc>
    <ndc_label_name>NEOSTIGMINE 5 MG/5 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010407</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010411</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010511</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010515</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010611</ndc>
    <ndc_label_name>EPHEDRINE 25 MG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71449010615</ndc>
    <ndc_label_name>EPHEDRINE 50 MG/10ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ASPIRIN 81 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921018201</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921018250</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921018505</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921018510</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921018515</ndc>
    <ndc_label_name>BRIMONIDINE 0.2% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921018805</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921018810</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921018815</ndc>
    <ndc_label_name>BRIMONIDINE-TIMOLOL 0.2%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921019033</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921019433</ndc>
    <ndc_label_name>ENTECAVIR 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921019533</ndc>
    <ndc_label_name>ENTECAVIR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921021012</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021401</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021450</ndc>
    <ndc_label_name>GLIMEPIRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021501</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021550</ndc>
    <ndc_label_name>GLIMEPIRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021601</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921021650</ndc>
    <ndc_label_name>GLIMEPIRIDE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921022006</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921022106</ndc>
    <ndc_label_name>LACOSAMIDE 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921022206</ndc>
    <ndc_label_name>LACOSAMIDE 150 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921022306</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921022610</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921024001</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921024050</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921024060</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921024250</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921024260</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921025036</ndc>
    <ndc_label_name>LOFEXIDINE 0.18 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921025096</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921030751</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71921030856</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921040506</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921040521</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71921040833</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BRIVARACETAM 10 MG/ML ORAL SOL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>71923010020</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71930000912</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>71930001852</ndc>
    <ndc_label_name>ONDANSETRON HCL 8 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>HYDROCODONE-ACETAMIN 5-325 MG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Eucerin topical cream</ndc_label_name>
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  <Drug_Information>
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    <ndc>72140009186</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72140010759</ndc>
    <ndc_label_name>Wrist Brace Medium</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Eucerin Intensive Repair lotion</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205000660</ndc>
    <ndc_label_name>CAPECITABINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205000792</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205000891</ndc>
    <ndc_label_name>TRIENTINE HCL 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205000930</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205001030</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205001090</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001190</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001290</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001390</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001490</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001590</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001690</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001790</ndc>
    <ndc_label_name>PREGABALIN 225 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205001890</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205001901</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002030</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002090</ndc>
    <ndc_label_name>SOLIFENACIN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002130</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002190</ndc>
    <ndc_label_name>SOLIFENACIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002205</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002290</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002299</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002305</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002390</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002399</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002405</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002490</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002499</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002505</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002590</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002599</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002790</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205002799</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205002830</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205002930</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003092</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003101</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003373</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG/ML ORAL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205003474</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205003576</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003601</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205003772</ndc>
    <ndc_label_name>LEVETIRACETAM 100 MG/ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003877</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205003960</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205004060</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205004160</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205004211</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205004311</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205004411</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205004501</ndc>
    <ndc_label_name>THIOTEPA 15 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205004601</ndc>
    <ndc_label_name>THIOTEPA 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205004791</ndc>
    <ndc_label_name>CLOBAZAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205004891</ndc>
    <ndc_label_name>CLOBAZAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205004930</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205005030</ndc>
    <ndc_label_name>TOREMIFENE CITRATE 60 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205005108</ndc>
    <ndc_label_name>ALBENDAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205005230</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205005330</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205005401</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205005976</ndc>
    <ndc_label_name>SILDENAFIL 10 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205006078</ndc>
    <ndc_label_name>OSELTAMIVIR 6 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205006101</ndc>
    <ndc_label_name>PACLITAXEL 30 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205006201</ndc>
    <ndc_label_name>PACLITAXEL 100 MG/16.7 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205006301</ndc>
    <ndc_label_name>PACLITAXEL 300 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007072</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007179</ndc>
    <ndc_label_name>PERAMPANEL 0.5 MG/ML ORAL SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007290</ndc>
    <ndc_label_name>DROXIDOPA 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007390</ndc>
    <ndc_label_name>DROXIDOPA 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007490</ndc>
    <ndc_label_name>DROXIDOPA 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007530</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007561</ndc>
    <ndc_label_name>DEFERASIROX 180 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007630</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007661</ndc>
    <ndc_label_name>DEFERASIROX 360 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007730</ndc>
    <ndc_label_name>PREGABALIN ER 82.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007830</ndc>
    <ndc_label_name>PREGABALIN ER 165 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205007930</ndc>
    <ndc_label_name>PREGABALIN ER 330 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008030</ndc>
    <ndc_label_name>ERLOTINIB HCL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008130</ndc>
    <ndc_label_name>ERLOTINIB HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008230</ndc>
    <ndc_label_name>ERLOTINIB HCL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008301</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008430</ndc>
    <ndc_label_name>TIAGABINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008530</ndc>
    <ndc_label_name>TIAGABINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008630</ndc>
    <ndc_label_name>TIAGABINE HCL 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205008730</ndc>
    <ndc_label_name>TIAGABINE HCL 16 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205008891</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205008991</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009091</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009191</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009291</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009492</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009592</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009692</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009760</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205009872</ndc>
    <ndc_label_name>PYRIDOSTIGMINE 60 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205009978</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205010001</ndc>
    <ndc_label_name>FLUPHENAZINE DEC 125 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205010101</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205010107</ndc>
    <ndc_label_name>BUMETANIDE 1 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205010201</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205010207</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205010491</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205010591</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205010691</ndc>
    <ndc_label_name>CHLORPROMAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205010791</ndc>
    <ndc_label_name>CHLORPROMAZINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205011628</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205011728</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205011828</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205011928</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205012001</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205012007</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205012025</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013011</ndc>
    <ndc_label_name>TOLVAPTAN 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013111</ndc>
    <ndc_label_name>TOLVAPTAN 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013291</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 10 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013391</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 20 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013491</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 30 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013591</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 40 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013691</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 50 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205013791</ndc>
    <ndc_label_name>LISDEXAMFETAMINE 60 MG TB CHEW</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014190</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014199</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014230</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014290</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014299</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014330</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014390</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014399</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014505</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014530</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014591</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014599</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014605</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014630</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014691</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205014699</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015030</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015130</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015190</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015230</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015290</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015330</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205015390</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015401</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015404</ndc>
    <ndc_label_name>NELARABINE 250 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015630</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015730</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015830</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205015930</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016530</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016590</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016630</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016666</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016690</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016730</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016766</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205016790</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205016860</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205017072</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017101</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017107</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017201</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017207</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 12 MG/6 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017630</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205017661</ndc>
    <ndc_label_name>DEFERASIROX 90 MG GRANULE PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018126</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018130</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018136</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018190</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018290</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205018301</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205018460</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205018530</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205019701</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205019801</ndc>
    <ndc_label_name>CARMUSTINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205019901</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205019905</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205019930</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205019990</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020030</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020090</ndc>
    <ndc_label_name>ROFLUMILAST 500 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020111</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020113</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020124</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020132</ndc>
    <ndc_label_name>ROFLUMILAST 250 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205020260</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205020360</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 110 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205020460</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020501</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020507</ndc>
    <ndc_label_name>ZIPRASIDONE 20 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020730</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020830</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205020930</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205021030</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205021130</ndc>
    <ndc_label_name>LURASIDONE HCL 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205021830</ndc>
    <ndc_label_name>PRUCALOPRIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205021930</ndc>
    <ndc_label_name>PRUCALOPRIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022001</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022007</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022130</ndc>
    <ndc_label_name>PERAMPANEL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022230</ndc>
    <ndc_label_name>PERAMPANEL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022330</ndc>
    <ndc_label_name>PERAMPANEL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022430</ndc>
    <ndc_label_name>PERAMPANEL 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022530</ndc>
    <ndc_label_name>PERAMPANEL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205022630</ndc>
    <ndc_label_name>PERAMPANEL 12 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205023384</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205023863</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205023864</ndc>
    <ndc_label_name>NILOTINIB HCL 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205023963</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205023964</ndc>
    <ndc_label_name>NILOTINIB HCL 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205024642</ndc>
    <ndc_label_name>LOFEXIDINE 0.18 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205024643</ndc>
    <ndc_label_name>LOFEXIDINE 0.18 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205024701</ndc>
    <ndc_label_name>DEXRAZOXANE 250 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205024801</ndc>
    <ndc_label_name>DEXRAZOXANE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205024901</ndc>
    <ndc_label_name>PLERIXAFOR 24 MG/1.2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205026030</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205026130</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205026230</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026401</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026425</ndc>
    <ndc_label_name>PHENYLEPHRINE 10 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026501</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026507</ndc>
    <ndc_label_name>PHENYLEPHRINE 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026601</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026607</ndc>
    <ndc_label_name>PHENYLEPHRINE 100 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026760</ndc>
    <ndc_label_name>BRIVARACETAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026801</ndc>
    <ndc_label_name>BRIVARACETAM 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026806</ndc>
    <ndc_label_name>BRIVARACETAM 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026860</ndc>
    <ndc_label_name>BRIVARACETAM 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026901</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026906</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205026960</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027060</ndc>
    <ndc_label_name>BRIVARACETAM 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027101</ndc>
    <ndc_label_name>BRIVARACETAM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027106</ndc>
    <ndc_label_name>BRIVARACETAM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027160</ndc>
    <ndc_label_name>BRIVARACETAM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027201</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205027207</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027590</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027591</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027599</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027691</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027699</ndc>
    <ndc_label_name>PRAZOSIN 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027791</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72205027795</ndc>
    <ndc_label_name>PRAZOSIN 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028018</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028060</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028118</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028160</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028218</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028260</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028492</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205028560</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205033660</ndc>
    <ndc_label_name>IVABRADINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205033760</ndc>
    <ndc_label_name>IVABRADINE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205036860</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205036891</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040601</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040701</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040702</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-500 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040801</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-850 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040802</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-850 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040901</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-1,000MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72205040902</ndc>
    <ndc_label_name>LINAGLIPTIN-METFOR 2.5-1,000MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72217000101</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72217000201</ndc>
    <ndc_label_name>Ultra-Care Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000301</ndc>
    <ndc_label_name>Procare Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000401</ndc>
    <ndc_label_name>Procare Wrist Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000402</ndc>
    <ndc_label_name>Procare Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000501</ndc>
    <ndc_label_name>Procare Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000503</ndc>
    <ndc_label_name>Procare Pediatric Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000504</ndc>
    <ndc_label_name>Procare Pediatric Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000505</ndc>
    <ndc_label_name>Procare Pediatric Compressor Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000601</ndc>
    <ndc_label_name>Ultracare Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000602</ndc>
    <ndc_label_name>Ultracare Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000603</ndc>
    <ndc_label_name>Ultracare Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000604</ndc>
    <ndc_label_name>Ultracare Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000605</ndc>
    <ndc_label_name>Ultracare Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000606</ndc>
    <ndc_label_name>Ultracare Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000607</ndc>
    <ndc_label_name>Ultracare Pen Needle 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000701</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000702</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000703</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000704</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000705</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000706</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000707</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217000708</ndc>
    <ndc_label_name>Ultracare Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217002001</ndc>
    <ndc_label_name>Lullaby Double Electric Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217003901</ndc>
    <ndc_label_name>Procare Spacer With Adult Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217003902</ndc>
    <ndc_label_name>Procare Spacer With Child Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72217004101</ndc>
    <ndc_label_name>Procare Humidifier</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010103</ndc>
    <ndc_label_name>Xpovio 60 mg twice weekly (120 mg/week) (20 mg x 6) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010104</ndc>
    <ndc_label_name>Xpovio 80 mg twice weekly (160 mg/week) (20 mg x 8) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010113</ndc>
    <ndc_label_name>Xpovio 60 mg twice weekly (120 mg/week) (20 mg x 6) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010114</ndc>
    <ndc_label_name>Xpovio 80 mg twice weekly (160 mg/week) (20 mg x 8) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010202</ndc>
    <ndc_label_name>Xpovio 80 mg/week (40 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010206</ndc>
    <ndc_label_name>Xpovio 40 mg twice week (40 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010207</ndc>
    <ndc_label_name>XPOVIO 40 MG ONCE WEEKLY DOSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010212</ndc>
    <ndc_label_name>Xpovio 80 mg/week (40 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010216</ndc>
    <ndc_label_name>Xpovio 40 mg twice week (40 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010217</ndc>
    <ndc_label_name>XPOVIO 40 MG ONCE WEEKLY DOSE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010305</ndc>
    <ndc_label_name>Xpovio 100 mg/week (50 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010315</ndc>
    <ndc_label_name>Xpovio 100 mg/week (50 mg x 2) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010401</ndc>
    <ndc_label_name>Xpovio 60 mg/week (60 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010411</ndc>
    <ndc_label_name>Xpovio 60 mg/week (60 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010501</ndc>
    <ndc_label_name>Xpovio 80 mg/week (80 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010511</ndc>
    <ndc_label_name>Xpovio 80 mg/week (80 mg x 1) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010601</ndc>
    <ndc_label_name>Xpovio 40 mg/week (10 mg x 4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72237010611</ndc>
    <ndc_label_name>Xpovio 40 mg/week (10 mg x 4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000204</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000205</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000304</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000305</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000411</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000511</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000605</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000705</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000711</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000805</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000811</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000905</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241000910</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001005</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001011</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001022</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241001103</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241001203</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241001303</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241001403</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001522</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001622</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241001722</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002203</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002305</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002310</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002405</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002410</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002503</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241002805</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241002922</ndc>
    <ndc_label_name>PAROXETINE ER 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241003022</ndc>
    <ndc_label_name>PAROXETINE ER 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72241003122</ndc>
    <ndc_label_name>PAROXETINE ER 37.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003222</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003304</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003322</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003404</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003422</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003504</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003522</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003805</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003905</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003910</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241003911</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241004005</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241004010</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241004011</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241005005</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241005011</ndc>
    <ndc_label_name>FOLIC ACID 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241005111</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241005122</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72241005211</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72266012325</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72266013101</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72319002102</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72319002202</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72319002302</ndc>
    <ndc_label_name>POSACONAZOLE DR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MARAVIROC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72319002904</ndc>
    <ndc_label_name>METHSCOPOLAMINE BROM 2.5 MG TB</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72319069660</ndc>
    <ndc_label_name>CLINDAMYCIN PHOS 1% PLEDGET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336001401</ndc>
    <ndc_label_name>Bentivite BX 35 mg iron-1 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336001901</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336006430</ndc>
    <ndc_label_name>METFORMIN HCL 625 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ONDANSETRON ODT 16 MG TABLET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72336007719</ndc>
    <ndc_label_name>LifEMS Naloxone 2 mg/2 mL syringe kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336009530</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336011275</ndc>
    <ndc_label_name>CLINDAMYCIN PHOSPHATE 1% GEL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336017230</ndc>
    <ndc_label_name>LactoVive 31 billion cell capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336022560</ndc>
    <ndc_label_name>CHLORZOXAZONE 250 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336043212</ndc>
    <ndc_label_name>DICLOFENAC POTASSIUM 25 MG CAP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336081928</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72336091079</ndc>
    <ndc_label_name>VALSARTAN 20 MG/5 ML SOLUTION</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72356010103</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72356010190</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72360033100</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72374010101</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72374010110</ndc>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467003070</ndc>
    <ndc_label_name>Nextol SF Candy Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467003075</ndc>
    <ndc_label_name>Nextol SF Candy Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467004050</ndc>
    <ndc_label_name>Supposi-Plex R36 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467004060</ndc>
    <ndc_label_name>Supposi-Plex R36 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467004070</ndc>
    <ndc_label_name>Supposi-Plex R36 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467004073</ndc>
    <ndc_label_name>Supposi-Plex R36 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467005050</ndc>
    <ndc_label_name>Supposi-Plex V33 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467005060</ndc>
    <ndc_label_name>Supposi-Plex V33 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467005070</ndc>
    <ndc_label_name>Supposi-Plex V33 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467005073</ndc>
    <ndc_label_name>Supposi-Plex V33 pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006050</ndc>
    <ndc_label_name>PolyBlend Rx Suppository Base flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006060</ndc>
    <ndc_label_name>PolyBlend Rx Suppository Base flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006070</ndc>
    <ndc_label_name>PolyBlend Rx Suppository Base flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006073</ndc>
    <ndc_label_name>PolyBlend Rx Suppository Base flakes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006440</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006450</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006460</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006465</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006470</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006475</ndc>
    <ndc_label_name>Techna 10 Troche Base Unsweet powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006540</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006550</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006560</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006565</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006570</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006575</ndc>
    <ndc_label_name>Techna 10 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006650</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006660</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006670</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467006673</ndc>
    <ndc_label_name>Witepsol H-15 100 % pellet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007040</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007050</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007060</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007065</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007070</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007073</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007075</ndc>
    <ndc_label_name>Techna 20 SF Troche Base powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007140</ndc>
    <ndc_label_name>TECHNA 20 UNSWEET TROCHE BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007150</ndc>
    <ndc_label_name>TECHNA 20 UNSWEET TROCHE BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007160</ndc>
    <ndc_label_name>TECHNA 20 UNSWEET TROCHE BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007165</ndc>
    <ndc_label_name>TECHNA 20 UNSWEET TROCHE BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007175</ndc>
    <ndc_label_name>TECHNA 20 UNSWEET TROCHE BASE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007580</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007585</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007590</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467007595</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467009025</ndc>
    <ndc_label_name>TruClear Stevia Plus 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467009040</ndc>
    <ndc_label_name>TruClear Stevia Plus 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467009050</ndc>
    <ndc_label_name>TruClear Stevia Plus 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467009055</ndc>
    <ndc_label_name>TruClear Stevia Plus 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010080</ndc>
    <ndc_label_name>SuspendRx Anhydrous Unsweetened oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010085</ndc>
    <ndc_label_name>SuspendRx Anhydrous Unsweetened oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010380</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010385</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010390</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010395</ndc>
    <ndc_label_name>Bitter-Bloc WS-OS Liquid Concentrate</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010480</ndc>
    <ndc_label_name>SuspendRx Anhydrous Sweetened oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010485</ndc>
    <ndc_label_name>SuspendRx Anhydrous Sweetened oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010540</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010550</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010560</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010565</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010570</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010575</ndc>
    <ndc_label_name>Techna Natural SF Troche Base G2 powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010625</ndc>
    <ndc_label_name>Bitter-Bloc WS Powder Concentrate powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010640</ndc>
    <ndc_label_name>Bitter-Bloc WS Powder Concentrate powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010650</ndc>
    <ndc_label_name>Bitter-Bloc WS Powder Concentrate powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010655</ndc>
    <ndc_label_name>Bitter-Bloc WS Powder Concentrate powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010822</ndc>
    <ndc_label_name>Bitter-Bloc Pure 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010825</ndc>
    <ndc_label_name>Bitter-Bloc Pure 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010840</ndc>
    <ndc_label_name>Bitter-Bloc Pure 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010850</ndc>
    <ndc_label_name>Bitter-Bloc Pure 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010855</ndc>
    <ndc_label_name>Bitter-Bloc Pure 100 % powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467010980</ndc>
    <ndc_label_name>FOS-A Fixed Oil Suspension Vehicle oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011380</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011385</ndc>
    <ndc_label_name>PEANUT BUTTER FLAVOR CONC LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011395</ndc>
    <ndc_label_name>PEANUT BUTTER FLAVOR CONC LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011580</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011585</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011590</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011595</ndc>
    <ndc_label_name>WILD CHERRY FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011680</ndc>
    <ndc_label_name>Tropical Fusion Flavor liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011685</ndc>
    <ndc_label_name>Tropical Fusion Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011690</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011695</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011885</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011890</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467011895</ndc>
    <ndc_label_name>MARSHMALLOW FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012580</ndc>
    <ndc_label_name>BLOOD ORANGE FLAVOR CONC LIQ</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012585</ndc>
    <ndc_label_name>BLOOD ORANGE FLAVOR CONC LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012590</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012595</ndc>
    <ndc_label_name>BLOOD ORANGE FLAVOR CONC LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012680</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012790</ndc>
    <ndc_label_name>Peppermint Burst Flavor liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467012795</ndc>
    <ndc_label_name>Peppermint Burst Flavor liquid</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013385</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013395</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013490</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013495</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CARAMEL FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013595</ndc>
    <ndc_label_name>CARAMEL FLAVOR CONC LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467013680</ndc>
    <ndc_label_name>Creme Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467014380</ndc>
    <ndc_label_name>GRAPE FLAVOR CONCENTRATE LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467014385</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467014390</ndc>
    <ndc_label_name>GRAPE FLAVOR CONCENTRATE LIQ</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>GRAPE FLAVOR CONCENTRATE LIQ</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467014895</ndc>
    <ndc_label_name>BUBBLE GUM FLAVOR CONC LIQUID</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72467021560</ndc>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>OraPenn SD Sweetened liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc>72485020290</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72485021401</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72485021504</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72485060205</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572002101</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>72572002110</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572002201</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572002210</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572002901</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572002910</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572003501</ndc>
    <ndc_label_name>BIVALIRUDIN 250 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572003510</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572004001</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572004101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572004110</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005010</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005201</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005210</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 10% VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005501</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005525</ndc>
    <ndc_label_name>CEFAZOLIN 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005601</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572005610</ndc>
    <ndc_label_name>CEFAZOLIN 10 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572006101</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572006125</ndc>
    <ndc_label_name>CEFTRIAXONE 1 GM VIAL</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572006225</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572006710</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572007424</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572007601</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572007624</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572008301</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572008501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572008701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572009401</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572009725</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572009825</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572010501</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572013601</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572015801</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <ndc>72572016001</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572020701</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572022625</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572074710</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572075001</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572075010</ndc>
    <ndc_label_name>Anectine 20 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72572076001</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72572076101</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572080101</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572080102</ndc>
    <ndc_label_name>VANCOMYCIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572080301</ndc>
    <ndc_label_name>VANCOMYCIN HCL 5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572080501</ndc>
    <ndc_label_name>VANCOMYCIN HCL 10 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572086001</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572086025</ndc>
    <ndc_label_name>VASOPRESSIN 20 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72572087501</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000105</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000118</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000201</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000205</ndc>
    <ndc_label_name>ACYCLOVIR 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000305</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000314</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000405</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000414</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000506</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000516</ndc>
    <ndc_label_name>MODAFINIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000601</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000606</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000616</ndc>
    <ndc_label_name>MODAFINIL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000701</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000705</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000721</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000801</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000805</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578000818</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578003601</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578004001</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578004101</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578004201</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578004205</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578005418</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578005505</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578005518</ndc>
    <ndc_label_name>DOXYCYCLINE HYCLATE 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578005601</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578005616</ndc>
    <ndc_label_name>FELBAMATE 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578005701</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578005716</ndc>
    <ndc_label_name>FELBAMATE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578006206</ndc>
    <ndc_label_name>VORICONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578006306</ndc>
    <ndc_label_name>VORICONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578006414</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578006514</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008101</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008105</ndc>
    <ndc_label_name>SUCRALFATE 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008201</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008206</ndc>
    <ndc_label_name>ACYCLOVIR 5% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008402</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008403</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008501</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008502</ndc>
    <ndc_label_name>CLOBETASOL 0.05% TOPICAL LOTN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008601</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008602</ndc>
    <ndc_label_name>DESONIDE 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008702</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008706</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008707</ndc>
    <ndc_label_name>FLUOCINONIDE 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008801</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008802</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578008804</ndc>
    <ndc_label_name>NYSTATIN-TRIAMCINOLONE OINTM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008901</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578008904</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009001</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009010</ndc>
    <ndc_label_name>TRIAMTERENE-HCTZ 37.5-25 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009101</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009102</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009103</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009301</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009306</ndc>
    <ndc_label_name>BETAMETHASONE DP 0.05% OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009402</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009403</ndc>
    <ndc_label_name>DAPSONE 7.5% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009501</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009502</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578009503</ndc>
    <ndc_label_name>DESOXIMETASONE 0.25% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009610</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009621</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009710</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009721</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009776</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009818</ndc>
    <ndc_label_name>LEVOFLOXACIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578009918</ndc>
    <ndc_label_name>LEVOFLOXACIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010006</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010092</ndc>
    <ndc_label_name>LEVOFLOXACIN 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010105</ndc>
    <ndc_label_name>ACYCLOVIR 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010204</ndc>
    <ndc_label_name>TAVABOROLE 5% TOPICAL SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010369</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010384</ndc>
    <ndc_label_name>MIRTAZAPINE 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010469</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010484</ndc>
    <ndc_label_name>MIRTAZAPINE 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010569</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578010584</ndc>
    <ndc_label_name>MIRTAZAPINE 45 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010606</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010630</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010678</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010706</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010730</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578010778</ndc>
    <ndc_label_name>ARIPIPRAZOLE ODT 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011101</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011106</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011201</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011206</ndc>
    <ndc_label_name>BISOPROLOL FUMARATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011301</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011305</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011306</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 2.5-6.25 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011401</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011405</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011406</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 5-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011501</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011505</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011506</ndc>
    <ndc_label_name>BISOPROLOL-HCTZ 10-6.25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011801</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578011802</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578011904</ndc>
    <ndc_label_name>ADAPALENE-BNZYL PEROX 0.3-2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578012008</ndc>
    <ndc_label_name>IVERMECTIN 1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578012908</ndc>
    <ndc_label_name>METRONIDAZOLE 0.75% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013106</ndc>
    <ndc_label_name>VALSARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013216</ndc>
    <ndc_label_name>VALSARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013316</ndc>
    <ndc_label_name>VALSARTAN 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013416</ndc>
    <ndc_label_name>VALSARTAN 320 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578013606</ndc>
    <ndc_label_name>FEBUXOSTAT 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578013706</ndc>
    <ndc_label_name>FEBUXOSTAT 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013801</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578013805</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578014714</ndc>
    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578014806</ndc>
    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578014901</ndc>
    <ndc_label_name>ACETAZOLAMIDE 125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578015001</ndc>
    <ndc_label_name>ACETAZOLAMIDE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578015308</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578015309</ndc>
    <ndc_label_name>TRETINOIN 0.1% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578015612</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016401</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016405</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016506</ndc>
    <ndc_label_name>LIDOCAINE-PRILOCAINE CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016601</ndc>
    <ndc_label_name>DEXAMETHASONE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016701</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016801</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578016901</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017001</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017101</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017201</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017301</ndc>
    <ndc_label_name>THEOPHYLLINE ER 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017401</ndc>
    <ndc_label_name>THEOPHYLLINE ER 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017501</ndc>
    <ndc_label_name>METHENAMINE HIPP 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017701</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017706</ndc>
    <ndc_label_name>DAPSONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017801</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578017806</ndc>
    <ndc_label_name>DAPSONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578018106</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578018206</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578020904</ndc>
    <ndc_label_name>METRONIDAZOLE TOPICAL 0.75% GL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578021201</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578021301</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72578021416</ndc>
    <ndc_label_name>IBUPROFEN-FAMOTIDIN 800-26.6MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578021501</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72578021506</ndc>
    <ndc_label_name>BICALUTAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72579001102</ndc>
    <ndc_label_name>BRUKINSA 80 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72579012101</ndc>
    <ndc_label_name>Tevimbra 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72579012201</ndc>
    <ndc_label_name>Brukinsa 160 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72594184608</ndc>
    <ndc_label_name>NEPTUNE ICE PAIN RELIEF GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72594500001</ndc>
    <ndc_label_name>FOURPAINRX OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603010101</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603010301</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603010401</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603010701</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603011001</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603011101</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603011201</ndc>
    <ndc_label_name>CLORAZEPATE 3.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603011301</ndc>
    <ndc_label_name>CLORAZEPATE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603011401</ndc>
    <ndc_label_name>CLORAZEPATE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603011501</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603011502</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603011801</ndc>
    <ndc_label_name>MEMANTINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603011901</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603011902</ndc>
    <ndc_label_name>MEMANTINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012001</ndc>
    <ndc_label_name>TOPIRAMATE ER 25MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012101</ndc>
    <ndc_label_name>TOPIRAMATE ER 50MG SPRINKL CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012201</ndc>
    <ndc_label_name>TOPIRAMATE ER 100MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012301</ndc>
    <ndc_label_name>TOPIRAMATE ER 150MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012401</ndc>
    <ndc_label_name>TOPIRAMATE ER 200MG SPRINK CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603012501</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603012601</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603012701</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012801</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603012810</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603012901</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013001</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013101</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013201</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013301</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013325</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013401</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013402</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013403</ndc>
    <ndc_label_name>SPIRONOLACTONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013501</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013502</ndc>
    <ndc_label_name>SPIRONOLACTONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013601</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603013602</ndc>
    <ndc_label_name>SPIRONOLACTONE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013901</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603013925</ndc>
    <ndc_label_name>THIAMINE 200 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603014001</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603014002</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014101</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014102</ndc>
    <ndc_label_name>SUMATRIPTAN 6 MG/0.5ML AUTOINJ</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014202</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014203</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014302</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014303</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014402</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014403</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014501</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014502</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603014601</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603014701</ndc>
    <ndc_label_name>DAPTOMYCIN 350 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603014801</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603014901</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015001</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015101</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603015201</ndc>
    <ndc_label_name>DAPTOMYCIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603015301</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603015325</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015401</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015402</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015403</ndc>
    <ndc_label_name>OLANZAPINE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015501</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015502</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015503</ndc>
    <ndc_label_name>OLANZAPINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015601</ndc>
    <ndc_label_name>OLANZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015701</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015702</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015703</ndc>
    <ndc_label_name>OLANZAPINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015801</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015802</ndc>
    <ndc_label_name>OLANZAPINE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015901</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015902</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603015903</ndc>
    <ndc_label_name>OLANZAPINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016001</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016006</ndc>
    <ndc_label_name>TOBRAMYCIN 1.2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016101</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016125</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016201</ndc>
    <ndc_label_name>TIMOLOL 0.25% GEL-SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016301</ndc>
    <ndc_label_name>TIMOLOL 0.5% GEL-SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016401</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016402</ndc>
    <ndc_label_name>DESONIDE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016501</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016510</ndc>
    <ndc_label_name>ENOXAPARIN 30 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016601</ndc>
    <ndc_label_name>METHAZOLAMIDE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603016701</ndc>
    <ndc_label_name>METHAZOLAMIDE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016801</ndc>
    <ndc_label_name>PROCHLORPERAZINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603016901</ndc>
    <ndc_label_name>PROCHLORPERAZINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017001</ndc>
    <ndc_label_name>FLUDROCORTISONE 0.1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017101</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017201</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017225</ndc>
    <ndc_label_name>KETOROLAC 60 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017301</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017310</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017324</ndc>
    <ndc_label_name>ACETAMINOPHEN 1,000MG/100ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017401</ndc>
    <ndc_label_name>VALGANCICLOVIR HCL 50 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017501</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017510</ndc>
    <ndc_label_name>ENOXAPARIN 40 MG/0.4 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017601</ndc>
    <ndc_label_name>NITROFURANTOIN 25 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017701</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603017801</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017901</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603017925</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603018001</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603018010</ndc>
    <ndc_label_name>NOREPINEPHRINE 4 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018101</ndc>
    <ndc_label_name>OLANZAPINE 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603018201</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603018301</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603018401</ndc>
    <ndc_label_name>NITROFURANTOIN MCR 100 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018501</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018510</ndc>
    <ndc_label_name>ENOXAPARIN 60 MG/0.6 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018601</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018602</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EAR DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018701</ndc>
    <ndc_label_name>DEXAMETHASONE 1.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018801</ndc>
    <ndc_label_name>DEXAMETHASONE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603018901</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019001</ndc>
    <ndc_label_name>DEXAMETHASONE 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019101</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019201</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019202</ndc>
    <ndc_label_name>OFLOXACIN 0.3% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019301</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019330</ndc>
    <ndc_label_name>SAPROPTERIN 100 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019401</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019430</ndc>
    <ndc_label_name>SAPROPTERIN 500 MG POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019501</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019510</ndc>
    <ndc_label_name>ENOXAPARIN 80 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603019601</ndc>
    <ndc_label_name>NITROFURANTOIN MONO-MCR 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603019801</ndc>
    <ndc_label_name>ZOLEDRONIC ACID 4 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020001</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020101</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020301</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020325</ndc>
    <ndc_label_name>EPHEDRINE SULFATE 50 MG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603020501</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603020510</ndc>
    <ndc_label_name>ENOXAPARIN 100 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603020601</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603020602</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020701</ndc>
    <ndc_label_name>DICLOFENAC 2% SOLUTION PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020801</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020804</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020830</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020860</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020901</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603020925</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021001</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021010</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603021201</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603021301</ndc>
    <ndc_label_name>DEXAMETHASONE 0.75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021401</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021425</ndc>
    <ndc_label_name>HEPARIN 50,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603021501</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603021510</ndc>
    <ndc_label_name>ENOXAPARIN 120 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021601</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021625</ndc>
    <ndc_label_name>ROPIVACAINE 0.2% 40 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021701</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021725</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 100 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021801</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021825</ndc>
    <ndc_label_name>ROPIVACAINE 0.5% 150 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021901</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603021925</ndc>
    <ndc_label_name>ROPIVACAINE 1% 200 MG/20 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022001</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022010</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022101</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022110</ndc>
    <ndc_label_name>AMPICILLIN 500 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022201</ndc>
    <ndc_label_name>DOXEPIN HCL 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022301</ndc>
    <ndc_label_name>DOXEPIN HCL 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022401</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022425</ndc>
    <ndc_label_name>HEPARIN SOD 20,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603022501</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603022510</ndc>
    <ndc_label_name>ENOXAPARIN 150 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603022901</ndc>
    <ndc_label_name>PHENOXYBENZAMINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603023001</ndc>
    <ndc_label_name>HALOPERIDOL DEC 100 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023101</ndc>
    <ndc_label_name>DEFERASIROX 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023201</ndc>
    <ndc_label_name>DEFERASIROX 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023301</ndc>
    <ndc_label_name>DEFERASIROX 360 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023401</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023425</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023701</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023710</ndc>
    <ndc_label_name>NICARDIPINE 25 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603023901</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024001</ndc>
    <ndc_label_name>GLYCOPYRROLATE 1 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024101</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024130</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024201</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024230</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.5MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024301</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024330</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (0.75MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024401</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024430</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1 MG) GEL PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024501</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024530</ndc>
    <ndc_label_name>ESTRADIOL 0.1% (1.25MG) GEL PK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024601</ndc>
    <ndc_label_name>ZILEUTON ER 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603024701</ndc>
    <ndc_label_name>ENALAPRIL 1 MG/ML ORAL SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603024801</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025001</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025025</ndc>
    <ndc_label_name>HEPARIN SOD 1,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025101</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025125</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025201</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025401</ndc>
    <ndc_label_name>EVEROLIMUS 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025501</ndc>
    <ndc_label_name>EVEROLIMUS 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025601</ndc>
    <ndc_label_name>EVEROLIMUS 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025701</ndc>
    <ndc_label_name>EVEROLIMUS 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025801</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025803</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603025901</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026001</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026002</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026101</ndc>
    <ndc_label_name>RUFINAMIDE 40 MG/ML SUSPENSION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026201</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026202</ndc>
    <ndc_label_name>PYRIMETHAMINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026301</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026302</ndc>
    <ndc_label_name>LACOSAMIDE 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603026401</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603026402</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603026501</ndc>
    <ndc_label_name>TESTOSTERONE 1.62% GEL PUMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603026601</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603026604</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4 MG TABLET SL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026701</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603026725</ndc>
    <ndc_label_name>HEPARIN 30,000 UNIT/30 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603027001</ndc>
    <ndc_label_name>BORTEZOMIB 3.5 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027101</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027102</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027201</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027202</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027301</ndc>
    <ndc_label_name>ESTRADIOL 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027401</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027402</ndc>
    <ndc_label_name>ESTRADIOL 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027501</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027502</ndc>
    <ndc_label_name>ESTRADIOL 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027801</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603027802</ndc>
    <ndc_label_name>SOD SUL-POTASS SUL-MAG SUL SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603027901</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 125 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603027925</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 125 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603028101</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603028130</ndc>
    <ndc_label_name>INDOMETHACIN 50 MG SUPPOSITORY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028201</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028202</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028203</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028301</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028302</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028303</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028401</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028402</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028403</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028501</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028502</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028503</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603028601</ndc>
    <ndc_label_name>TESTOSTERONE CYP 200 MG/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603028701</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 250 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603028725</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 250 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028801</ndc>
    <ndc_label_name>LUBIPROSTONE 8 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603028901</ndc>
    <ndc_label_name>LUBIPROSTONE 24 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029001</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029002</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 20-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029101</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029102</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029201</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029202</ndc>
    <ndc_label_name>OLMESARTAN-HCTZ 40-25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029701</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029801</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029802</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029901</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603029902</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603030101</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030201</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030202</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030203</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030204</ndc>
    <ndc_label_name>POLYETHYLENE GLYCOL 3350 POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603030301</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603030401</ndc>
    <ndc_label_name>MESALAMINE DR 1.2 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030501</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030701</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030702</ndc>
    <ndc_label_name>CLONAZEPAM 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030801</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030802</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030803</ndc>
    <ndc_label_name>CLONAZEPAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030901</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603030902</ndc>
    <ndc_label_name>CLONAZEPAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031001</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031002</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031101</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031201</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031202</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031203</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031301</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031310</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031401</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031410</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG ODT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031501</ndc>
    <ndc_label_name>METHIMAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031601</ndc>
    <ndc_label_name>METHIMAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031701</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603031730</ndc>
    <ndc_label_name>PANTOPRAZOLE DR 40 MG SUSP PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603031901</ndc>
    <ndc_label_name>TRIAMCINOLONE 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032001</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032101</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032102</ndc>
    <ndc_label_name>CLINDAMYCIN PH 1% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032201</ndc>
    <ndc_label_name>CLIND PH-BENZOYL PEROX 1.2-5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032301</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032302</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032303</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032304</ndc>
    <ndc_label_name>CLOBETASOL 0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032401</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032402</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032403</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032501</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 100 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032601</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032701</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 25MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032710</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 25MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603032725</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 25MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032801</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032802</ndc>
    <ndc_label_name>LOPERAMIDE 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603032901</ndc>
    <ndc_label_name>EXEMESTANE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033501</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033510</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033601</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033625</ndc>
    <ndc_label_name>HEPARIN 2,000 UNIT/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603033701</ndc>
    <ndc_label_name>POTASSIUM CL ER 10 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603033801</ndc>
    <ndc_label_name>POTASSIUM CL ER 20 MEQ TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033901</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603033910</ndc>
    <ndc_label_name>ARSENIC TRIOXIDE 10 MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034001</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034002</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034101</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034102</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034201</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603034202</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603034401</ndc>
    <ndc_label_name>LEUPROLIDE 2WK 14 MG/2.8 ML KT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603034501</ndc>
    <ndc_label_name>PENICILLIN GK 20 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603034601</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603035001</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603035010</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603035025</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 20 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603035101</ndc>
    <ndc_label_name>CUPRIC CHLORIDE 4 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603035125</ndc>
    <ndc_label_name>CUPRIC CHLORIDE 4 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035201</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035301</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035401</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035501</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035601</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035701</ndc>
    <ndc_label_name>PREGABALIN 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603035801</ndc>
    <ndc_label_name>PREGABALIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603036101</ndc>
    <ndc_label_name>SEVELAMER HCL 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603036301</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603036310</ndc>
    <ndc_label_name>AMPICILLIN 1 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036401</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036402</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036501</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036502</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036601</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036602</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036603</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036701</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036702</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036703</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603036704</ndc>
    <ndc_label_name>ROSUVASTATIN CALCIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603036801</ndc>
    <ndc_label_name>ERIBULIN MESYLATE 1 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603038701</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603038710</ndc>
    <ndc_label_name>TRANEXAMIC ACID 1,000 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603039001</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603039101</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603039201</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603039301</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603039401</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603039801</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603039802</ndc>
    <ndc_label_name>SEVELAMER 0.8 GM POWDER PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603039901</ndc>
    <ndc_label_name>METHYLPHENIDATE ER 72 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603040201</ndc>
    <ndc_label_name>Stimufend 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040301</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040302</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040401</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040402</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040501</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040502</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040601</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040602</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603040701</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603040702</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603040703</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603040801</ndc>
    <ndc_label_name>PACLITAXEL PROTEIN-BOUND 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603040901</ndc>
    <ndc_label_name>SIROLIMUS 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041001</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041025</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 40 MG/2 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041201</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041225</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603041301</ndc>
    <ndc_label_name>FESOTERODINE ER 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603041401</ndc>
    <ndc_label_name>FESOTERODINE ER 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041501</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041510</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603041525</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% 75MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603042001</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603042501</ndc>
    <ndc_label_name>PEMETREXED DISODIUM 500 MG VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603043004</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603043056</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/5 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603044401</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM BTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603044501</ndc>
    <ndc_label_name>ARIPIPRAZOLE 1 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045001</ndc>
    <ndc_label_name>FOSAPREPITANT 150 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045301</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045310</ndc>
    <ndc_label_name>NAFCILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045401</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045410</ndc>
    <ndc_label_name>AMPICILLIN 2 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045601</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603045625</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603047401</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603047425</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603047601</ndc>
    <ndc_label_name>VARENICLINE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603047701</ndc>
    <ndc_label_name>VARENICLINE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603047801</ndc>
    <ndc_label_name>VARENICLINE STARTING MONTH BOX</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603047901</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603048001</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603048801</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603048802</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603048901</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603048902</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049001</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049002</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049003</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049101</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049102</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603049103</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050101</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050125</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050501</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050510</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050525</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 100 MG/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050601</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 50MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050610</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 50MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050625</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 50MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603050701</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603052001</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603052002</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603053001</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603054001</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055501</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055601</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055602</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 50 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055701</ndc>
    <ndc_label_name>DESVENLAFAXINE SUCCNT ER 100MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055801</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055802</ndc>
    <ndc_label_name>MIRTAZAPINE 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603055901</ndc>
    <ndc_label_name>DORZOLAMIDE-TIMOLOL EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603056701</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BULK VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603057801</ndc>
    <ndc_label_name>AMPICILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603057901</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603057925</ndc>
    <ndc_label_name>HEPARIN SOD 10,000 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603059001</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603059010</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603059025</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060001</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060101</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603060201</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 150MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603060225</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% 150MG/30ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060401</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060402</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060403</ndc>
    <ndc_label_name>DICLOFENAC SOD DR 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060501</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060601</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060701</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060901</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603060902</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603061001</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603061101</ndc>
    <ndc_label_name>AZELASTINE 0.1% (137 MCG) SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603061301</ndc>
    <ndc_label_name>URSODIOL 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603062001</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603062004</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603062030</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603062060</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603062101</ndc>
    <ndc_label_name>LURASIDONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603062201</ndc>
    <ndc_label_name>LURASIDONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603062301</ndc>
    <ndc_label_name>LURASIDONE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603062401</ndc>
    <ndc_label_name>LURASIDONE HCL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603063004</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603063056</ndc>
    <ndc_label_name>TOBRAMYCIN 300 MG/4 ML AMPULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603065001</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603065025</ndc>
    <ndc_label_name>CYANOCOBALAMIN 1,000 MCG/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066001</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066002</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066101</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066201</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066301</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066401</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066402</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066501</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066601</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066701</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066801</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066802</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603066901</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603067001</ndc>
    <ndc_label_name>IRBESARTAN 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603067101</ndc>
    <ndc_label_name>IRBESARTAN 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603067201</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603067202</ndc>
    <ndc_label_name>IRBESARTAN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603070001</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603070010</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603070025</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 75MG/10ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603070101</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603070301</ndc>
    <ndc_label_name>FLUOCINONIDE 0.05% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603072001</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 16 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603072101</ndc>
    <ndc_label_name>CANDESARTAN CILEXETIL 32 MG TB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603072201</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603072225</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 200 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603073201</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 500 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603073225</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 500 MG/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603074401</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 400 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603074425</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 400 MG/20 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603074501</ndc>
    <ndc_label_name>LIRAGLUTIDE 18 MG/3 ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603074502</ndc>
    <ndc_label_name>LIRAGLUTIDE 2-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603074503</ndc>
    <ndc_label_name>LIRAGLUTIDE 3-PAK 18 MG/3 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603075001</ndc>
    <ndc_label_name>VALGANCICLOVIR 450 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603075101</ndc>
    <ndc_label_name>MYCOPHENOLATE 200 MG/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603080001</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 225 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603080025</ndc>
    <ndc_label_name>BUPIVACAINE 0.75% 225 MG/30 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081001</ndc>
    <ndc_label_name>REPAGLINIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081101</ndc>
    <ndc_label_name>REPAGLINIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081201</ndc>
    <ndc_label_name>REPAGLINIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081301</ndc>
    <ndc_label_name>VILAZODONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081401</ndc>
    <ndc_label_name>VILAZODONE HCL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081501</ndc>
    <ndc_label_name>VILAZODONE HCL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603081601</ndc>
    <ndc_label_name>METHENAMINE HIPP 1 GM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603082501</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 1,000 MG/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603082510</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 1,000 MG/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603082525</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 1,000 MG/50ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603083101</ndc>
    <ndc_label_name>TELMISARTAN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603083201</ndc>
    <ndc_label_name>TELMISARTAN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603083301</ndc>
    <ndc_label_name>TELMISARTAN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603084001</ndc>
    <ndc_label_name>FENOFIBRATE 54 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603084101</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603084102</ndc>
    <ndc_label_name>FENOFIBRATE 160 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603085501</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603085502</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603085503</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603085504</ndc>
    <ndc_label_name>CLOBETASOL 0.05% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087001</ndc>
    <ndc_label_name>NEBIVOLOL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087101</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087102</ndc>
    <ndc_label_name>NEBIVOLOL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087201</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087202</ndc>
    <ndc_label_name>NEBIVOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087301</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087302</ndc>
    <ndc_label_name>NEBIVOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603087408</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72603087418</ndc>
    <ndc_label_name>ESTRADIOL 10 MCG VAGINAL INSRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087501</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087503</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603087801</ndc>
    <ndc_label_name>KETOCONAZOLE 2% SHAMPOO</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090201</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090202</ndc>
    <ndc_label_name>LABETALOL HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090301</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090302</ndc>
    <ndc_label_name>LABETALOL HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090401</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72603090402</ndc>
    <ndc_label_name>LABETALOL HCL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72606001101</ndc>
    <ndc_label_name>Vegzelma 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72606001201</ndc>
    <ndc_label_name>Vegzelma 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72606002206</ndc>
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    <ndc>72865020518</ndc>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865020530</ndc>
    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SERTRALINE HCL 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865020605</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865020910</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865020945</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865020990</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021001</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021010</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021045</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021050</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021090</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021101</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021110</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021145</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021150</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021190</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021205</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021310</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021318</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021390</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021401</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021405</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021418</ndc>
    <ndc_label_name>FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021501</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021505</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865021518</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865022990</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023010</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023090</ndc>
    <ndc_label_name>PANTOPRAZOLE SOD DR 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023160</ndc>
    <ndc_label_name>MARAVIROC 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023305</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023401</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023710</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023790</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023810</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023890</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023910</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865023990</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024010</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024090</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024110</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024190</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024210</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024290</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024310</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024390</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024410</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024490</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024510</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024590</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024610</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024690</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024710</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865024790</ndc>
    <ndc_label_name>LEVOTHYROXINE 300 MCG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025205</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025218</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025227</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025290</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025305</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025318</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025327</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025330</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025360</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025390</ndc>
    <ndc_label_name>GABAPENTIN 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025405</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025427</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025490</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025730</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025890</ndc>
    <ndc_label_name>TORSEMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025901</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865025990</ndc>
    <ndc_label_name>TORSEMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865026001</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865026005</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865026090</ndc>
    <ndc_label_name>TORSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865026101</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865026190</ndc>
    <ndc_label_name>TORSEMIDE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865027260</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865027360</ndc>
    <ndc_label_name>DABIGATRAN ETEXILATE 150 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028205</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028290</ndc>
    <ndc_label_name>TAMSULOSIN HCL 0.4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028301</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028305</ndc>
    <ndc_label_name>OXCARBAZEPINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028401</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028405</ndc>
    <ndc_label_name>OXCARBAZEPINE 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028501</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028505</ndc>
    <ndc_label_name>OXCARBAZEPINE 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865028924</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 0.5 GM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865029012</ndc>
    <ndc_label_name>ICOSAPENT ETHYL 1 GRAM CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865029190</ndc>
    <ndc_label_name>PITAVASTATIN 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865029290</ndc>
    <ndc_label_name>PITAVASTATIN 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865029390</ndc>
    <ndc_label_name>PITAVASTATIN 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865029930</ndc>
    <ndc_label_name>ELTROMBOPAG 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865030030</ndc>
    <ndc_label_name>ELTROMBOPAG 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865030130</ndc>
    <ndc_label_name>ELTROMBOPAG 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865030230</ndc>
    <ndc_label_name>ELTROMBOPAG 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865030301</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865030310</ndc>
    <ndc_label_name>ALLOPURINOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865030401</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>72865030405</ndc>
    <ndc_label_name>ALLOPURINOL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865031018</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72865031060</ndc>
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    <ndc_label_name>Taroxia 0.025 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934130302</ndc>
    <ndc_label_name>Deoxia 1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934130402</ndc>
    <ndc_label_name>Varoxia 0.05 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934131102</ndc>
    <ndc_label_name>Dimoxia 5 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934131302</ndc>
    <ndc_label_name>Deoxiademtar 0.025 %-1 %-2 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934131402</ndc>
    <ndc_label_name>Tardimaxia 0.025 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934131502</ndc>
    <ndc_label_name>Vardimaxia 0.05 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132102</ndc>
    <ndc_label_name>Diaoxia 6 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132202</ndc>
    <ndc_label_name>Diadimaxia 6 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132302</ndc>
    <ndc_label_name>Diasoxia 8.5 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132402</ndc>
    <ndc_label_name>Diasaxiatar 0.025 %-8.5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132502</ndc>
    <ndc_label_name>Diasdimaxia 8.5 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132602</ndc>
    <ndc_label_name>Inzdeoxia 2.5 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132702</ndc>
    <ndc_label_name>Onzdeoxia 5 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132802</ndc>
    <ndc_label_name>Inzdeaxiavar 0.05 %-2.5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934132902</ndc>
    <ndc_label_name>Inzdeaxiatar 0.025 %-2.5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133002</ndc>
    <ndc_label_name>Onzdeaxiatar 0.025 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133102</ndc>
    <ndc_label_name>Onzdeaxiavar 0.05 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133202</ndc>
    <ndc_label_name>Onzdeaxiazar 0.1 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133302</ndc>
    <ndc_label_name>Onzdeaxiademtar 0.025 %-5 %-1 %-2 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133402</ndc>
    <ndc_label_name>Onzdeaxiademvar 0.05 %-5 %-1 %-2 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133502</ndc>
    <ndc_label_name>Adainzoxia 0.3 %-2.5 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133602</ndc>
    <ndc_label_name>ADAINZDE 0.3%-2.5%-1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133802</ndc>
    <ndc_label_name>Roaoxia 3 %-2 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934133902</ndc>
    <ndc_label_name>Quihoxvar 5 %-0.05 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934134102</ndc>
    <ndc_label_name>Quihoxaxia 5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934134202</ndc>
    <ndc_label_name>Quidroxzar 5 %-0.1 %-30 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934139602</ndc>
    <ndc_label_name>Dazomon 0.25 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934139802</ndc>
    <ndc_label_name>Aveida 1 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934139902</ndc>
    <ndc_label_name>Dazaveidaoxia 0.25 %-1 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934140002</ndc>
    <ndc_label_name>Aveidaoxia 1 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934141102</ndc>
    <ndc_label_name>ADEINZDE 0.1%-2.5%-1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934141204</ndc>
    <ndc_label_name>Pronal 10 %-40 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934141302</ndc>
    <ndc_label_name>Idyyxiatar 0.025 %-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934141802</ndc>
    <ndc_label_name>Acioxia 0.1 %-0.5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934143502</ndc>
    <ndc_label_name>Metdray 17 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934143602</ndc>
    <ndc_label_name>Nendrux 40 %-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934144010</ndc>
    <ndc_label_name>Lounzdomdioxiatar 0.05 %-10 %-2 %-4 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934144110</ndc>
    <ndc_label_name>Unzdomdioxiazar 0.1 %-10 %-2 %-4 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934153002</ndc>
    <ndc_label_name>Remyda 0.25 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934153102</ndc>
    <ndc_label_name>Restimo 1 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934153202</ndc>
    <ndc_label_name>Rovis 0.25 %-1 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934153302</ndc>
    <ndc_label_name>Rositara 1 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934154102</ndc>
    <ndc_label_name>Weleris 17 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934154302</ndc>
    <ndc_label_name>Wayzen 40 %-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934154406</ndc>
    <ndc_label_name>Xirun 10 %-40 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934154502</ndc>
    <ndc_label_name>Sirvana 0.025 %-5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934155102</ndc>
    <ndc_label_name>Teliora 0.1 %-0.5 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934156302</ndc>
    <ndc_label_name>Aporix 1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934156402</ndc>
    <ndc_label_name>Aluris 0.05 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157102</ndc>
    <ndc_label_name>Adalina 5 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157302</ndc>
    <ndc_label_name>Augustil 0.025 %-1 %-2 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157402</ndc>
    <ndc_label_name>Azalta 0.025 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157502</ndc>
    <ndc_label_name>Azalta HP 0.05 %-5 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157802</ndc>
    <ndc_label_name>Artilis 2.5 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934157902</ndc>
    <ndc_label_name>Artilis HP 5 %-1 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158002</ndc>
    <ndc_label_name>Adermica HP 0.05 %-2.5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158102</ndc>
    <ndc_label_name>Adermica 0.025 %-2.5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158202</ndc>
    <ndc_label_name>Alomira LP 0.025 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158302</ndc>
    <ndc_label_name>Alomira 0.05 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158402</ndc>
    <ndc_label_name>Alomira HP 0.1 %-5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934158502</ndc>
    <ndc_label_name>Aphoria 0.3 %-2.5 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159102</ndc>
    <ndc_label_name>Aluxof 0.05 %-10 %-2 %-4 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159202</ndc>
    <ndc_label_name>Aluxof HP 0.1 %-10 %-2 %-4 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159302</ndc>
    <ndc_label_name>Keraxa 3 %-2 %-4 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159402</ndc>
    <ndc_label_name>Kazuri 5 %-0.05 %-1 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159502</ndc>
    <ndc_label_name>Kynara 5 %-1 %-2 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934159602</ndc>
    <ndc_label_name>Kerida 5 %-0.1 %-30 % topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934229904</ndc>
    <ndc_label_name>OXIAVAR 4-0.05% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230002</ndc>
    <ndc_label_name>Taroxia 0.025 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230202</ndc>
    <ndc_label_name>Tardeoxia 0.025 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230402</ndc>
    <ndc_label_name>Varoxia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230502</ndc>
    <ndc_label_name>Deoxiavar 0.05 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230602</ndc>
    <ndc_label_name>Oxiavary 0.1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230702</ndc>
    <ndc_label_name>Oxiatar 0.025 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230802</ndc>
    <ndc_label_name>Oxiavarry 0.05 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934230902</ndc>
    <ndc_label_name>Oxiazar 0.1 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934231702</ndc>
    <ndc_label_name>Ethoxia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934231802</ndc>
    <ndc_label_name>Ithoxia 0.1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934232102</ndc>
    <ndc_label_name>Diaoxia 6 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934232202</ndc>
    <ndc_label_name>Diadimaxia 6 %-5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934232302</ndc>
    <ndc_label_name>Diasoxia 8.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934232402</ndc>
    <ndc_label_name>Diasaxiatar 0.025 %-8.5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934232502</ndc>
    <ndc_label_name>Diasdimaxia 8.5 %-5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934235802</ndc>
    <ndc_label_name>Imioxia 1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934236202</ndc>
    <ndc_label_name>Tetoxia 0.01 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934236302</ndc>
    <ndc_label_name>Pheoxia 2 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934236403</ndc>
    <ndc_label_name>Chlooxia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934236602</ndc>
    <ndc_label_name>Oxianujo (with hyaluronate) 0.1 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934236902</ndc>
    <ndc_label_name>Pheyo 2 %-2.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934237002</ndc>
    <ndc_label_name>Pheodoyo 2 %-1 %-2.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934239102</ndc>
    <ndc_label_name>Prooxia 10 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934239502</ndc>
    <ndc_label_name>Diooxia 0.005 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934240202</ndc>
    <ndc_label_name>Nynutey 23 %-7 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934240702</ndc>
    <ndc_label_name>Nuju 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934241402</ndc>
    <ndc_label_name>Acioxiay 15 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934241502</ndc>
    <ndc_label_name>Fluoxia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934242102</ndc>
    <ndc_label_name>Eceoxia 10 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934242902</ndc>
    <ndc_label_name>Saroxia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934250002</ndc>
    <ndc_label_name>Elyzia (with hyaluronate) 0.1 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934250302</ndc>
    <ndc_label_name>Delibon 2 %-2.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934250402</ndc>
    <ndc_label_name>Dazinia 2 %-1 %-2.5 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934252502</ndc>
    <ndc_label_name>Myvori 10 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934252902</ndc>
    <ndc_label_name>Purazil 0.005 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934253502</ndc>
    <ndc_label_name>Nolira 23 %-7 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934254002</ndc>
    <ndc_label_name>Veven 0.1 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934254602</ndc>
    <ndc_label_name>Sorixia 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934254702</ndc>
    <ndc_label_name>Rumilo 15 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934254802</ndc>
    <ndc_label_name>Dynoma 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934255402</ndc>
    <ndc_label_name>Abenor 10 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256102</ndc>
    <ndc_label_name>Aluris LP 0.025 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256202</ndc>
    <ndc_label_name>Avidora 0.025 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256402</ndc>
    <ndc_label_name>Aluris 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256404</ndc>
    <ndc_label_name>Aluris 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256502</ndc>
    <ndc_label_name>Avidora HP 0.05 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256602</ndc>
    <ndc_label_name>Aluris HP 0.1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256702</ndc>
    <ndc_label_name>Aluris Lp Plus 0.025 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256802</ndc>
    <ndc_label_name>Aluris Plus 0.05 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934256902</ndc>
    <ndc_label_name>Aluris HP Plus 0.1 %-0.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257002</ndc>
    <ndc_label_name>Rensoti 1 %-1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257102</ndc>
    <ndc_label_name>Sivora 0.3 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257202</ndc>
    <ndc_label_name>Melzara 10 %-6 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257302</ndc>
    <ndc_label_name>Rocelix 1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257602</ndc>
    <ndc_label_name>Alvox 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934257702</ndc>
    <ndc_label_name>Alvox HP 0.1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934258602</ndc>
    <ndc_label_name>Alixi 6 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934258702</ndc>
    <ndc_label_name>Admirazol 6 %-5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934258802</ndc>
    <ndc_label_name>Alixi HP 8.5 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934258902</ndc>
    <ndc_label_name>Awanis 0.025 %-8.5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934259002</ndc>
    <ndc_label_name>Admirazol HP 8.5 %-5 %-2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934261202</ndc>
    <ndc_label_name>Frivo 1 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934261502</ndc>
    <ndc_label_name>Domela 0.01 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934261602</ndc>
    <ndc_label_name>Denvita 2 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934261708</ndc>
    <ndc_label_name>Divinix 0.05 %-4 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934263002</ndc>
    <ndc_label_name>Kefunova 5 %-0.005 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934330303</ndc>
    <ndc_label_name>Deoxia 1 %-4 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934331002</ndc>
    <ndc_label_name>Oxiaice 15 %-4 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934335702</ndc>
    <ndc_label_name>Hexiounyl 3 %-5 %-20 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934356308</ndc>
    <ndc_label_name>Aporix 1 %-4 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934357002</ndc>
    <ndc_label_name>Abenor HP 15 %-4 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934361102</ndc>
    <ndc_label_name>Fervina 3 %-5 %-20 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934423509</ndc>
    <ndc_label_name>Difmetioxrime 4 %-2 %-1 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934431203</ndc>
    <ndc_label_name>Deoxiatar 0.025 %-1 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434308</ndc>
    <ndc_label_name>Oxopid 5 %-0.05 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434408</ndc>
    <ndc_label_name>Oxopidaxiaqup 5 %-0.05 %-0.5 %-2 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434508</ndc>
    <ndc_label_name>Finapid 5 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434608</ndc>
    <ndc_label_name>Flyprogpidtar 5 %-0.1 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434708</ndc>
    <ndc_label_name>Pidprogtar 5 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434808</ndc>
    <ndc_label_name>Tetpidtar 5 %-0.01 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934434908</ndc>
    <ndc_label_name>Nujo 0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435008</ndc>
    <ndc_label_name>Oxopod 7 %-0.05 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435108</ndc>
    <ndc_label_name>Podtar 7 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435208</ndc>
    <ndc_label_name>Finapod 7 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435308</ndc>
    <ndc_label_name>Finapodtar 7 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435408</ndc>
    <ndc_label_name>Podprogtar 7 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435508</ndc>
    <ndc_label_name>Podprog 7 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934435608</ndc>
    <ndc_label_name>Podoxia 7 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934436009</ndc>
    <ndc_label_name>Hixdefrima 8 %-1 %-1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934436405</ndc>
    <ndc_label_name>Chlooxia 0.05 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934436503</ndc>
    <ndc_label_name>Diochloy 0.05 %-0.005 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934457203</ndc>
    <ndc_label_name>Avidora 0.025 %-1 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934459708</ndc>
    <ndc_label_name>Hemtara 5 %-0.05 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934459808</ndc>
    <ndc_label_name>Hesmilla 5 %-0.05 %-0.5 %-2 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934459908</ndc>
    <ndc_label_name>Harviva 5 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460008</ndc>
    <ndc_label_name>Harisis 5 %-0.1 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460108</ndc>
    <ndc_label_name>Hentis 5 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460208</ndc>
    <ndc_label_name>Hevona 5 %-0.01 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460308</ndc>
    <ndc_label_name>Hovyn 0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460408</ndc>
    <ndc_label_name>Hemtara HP 7 %-0.05 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460508</ndc>
    <ndc_label_name>Holizar 7 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460608</ndc>
    <ndc_label_name>Harviva HP 7 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460708</ndc>
    <ndc_label_name>Honista 7 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460808</ndc>
    <ndc_label_name>Hentis HP 7 %-0.1 %-0.025 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934460908</ndc>
    <ndc_label_name>Holixia 7 %-0.1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934461008</ndc>
    <ndc_label_name>Hovitra 7 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934461309</ndc>
    <ndc_label_name>Fenovia 4 %-2 %-1 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934461409</ndc>
    <ndc_label_name>Filoma 8 %-1 %-1 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934461708</ndc>
    <ndc_label_name>Divinix 0.05 %-4 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934461803</ndc>
    <ndc_label_name>Plenura 0.05 %-0.005 % topical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934536403</ndc>
    <ndc_label_name>Chlooxia 0.05 %-4 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934536702</ndc>
    <ndc_label_name>Oxianujo 0.1 %-4 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934540402</ndc>
    <ndc_label_name>Enznonuty 10 %-10 %-20 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934541602</ndc>
    <ndc_label_name>Idaran 1 %-2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934541702</ndc>
    <ndc_label_name>Nanran 2 %-2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934550100</ndc>
    <ndc_label_name>Elyzia 0.1 %-4 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934550102</ndc>
    <ndc_label_name>Elyzia 0.1 %-4 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934553805</ndc>
    <ndc_label_name>Nobela 10 %-10 %-20 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934554905</ndc>
    <ndc_label_name>Baxonil 1 %-2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934555000</ndc>
    <ndc_label_name>Batizia 2 %-2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934555002</ndc>
    <ndc_label_name>Batizia 2 %-2 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934561708</ndc>
    <ndc_label_name>Divinix 0.05 %-4 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637102</ndc>
    <ndc_label_name>Kaxm 4 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637202</ndc>
    <ndc_label_name>Kexm 6 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637302</ndc>
    <ndc_label_name>Kotaraxap 5 %-0.025 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637402</ndc>
    <ndc_label_name>Kataraxap 4 %-0.025 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637502</ndc>
    <ndc_label_name>Katarya 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637602</ndc>
    <ndc_label_name>Ketarya 6 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637702</ndc>
    <ndc_label_name>Kevarya 6 %-0.05 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637802</ndc>
    <ndc_label_name>Kuvarya 8 %-0.05 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934637902</ndc>
    <ndc_label_name>Kuxm 8 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638002</ndc>
    <ndc_label_name>Katarvia 4 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638102</ndc>
    <ndc_label_name>Kutar 8 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638202</ndc>
    <ndc_label_name>Kevartia 6 %-0.05 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638302</ndc>
    <ndc_label_name>Keido 6 %-1 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638402</ndc>
    <ndc_label_name>Yaxatarxyn 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638502</ndc>
    <ndc_label_name>Kutaryaxmpa 8 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638602</ndc>
    <ndc_label_name>Kataryaxn 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638702</ndc>
    <ndc_label_name>Kutaryaxm 8 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638802</ndc>
    <ndc_label_name>Yokatar 4 %-0.025 %-2.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934638902</ndc>
    <ndc_label_name>Kevaraxap 6 %-0.05 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934639002</ndc>
    <ndc_label_name>Kutea 8 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934639202</ndc>
    <ndc_label_name>Kutarvia 8 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934639302</ndc>
    <ndc_label_name>Kuvarye 8 %-0.05 %-1 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934639402</ndc>
    <ndc_label_name>Keya 6 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934650502</ndc>
    <ndc_label_name>Medorfa LP 4 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934650602</ndc>
    <ndc_label_name>Medorfa 6 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934650702</ndc>
    <ndc_label_name>Mavilo 5 %-0.025 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934650802</ndc>
    <ndc_label_name>Mavilo LP 4 %-0.025 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934650902</ndc>
    <ndc_label_name>Melondis 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651002</ndc>
    <ndc_label_name>Mekam 6 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651102</ndc>
    <ndc_label_name>Mekam HP 6 %-0.05 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651202</ndc>
    <ndc_label_name>Mecorix HP 8 %-0.05 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651302</ndc>
    <ndc_label_name>Medorfa HP 8 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651402</ndc>
    <ndc_label_name>Mokura LP 4 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651502</ndc>
    <ndc_label_name>Mokura 8 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651602</ndc>
    <ndc_label_name>Mokura Mod 6 %-0.05 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651702</ndc>
    <ndc_label_name>Medorfa Plus 6 %-1 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651802</ndc>
    <ndc_label_name>Melidu 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934651902</ndc>
    <ndc_label_name>Mecorix Plus 8 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652002</ndc>
    <ndc_label_name>Melondis Plus 4 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652102</ndc>
    <ndc_label_name>Mecorix 8 %-0.025 %-0.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652202</ndc>
    <ndc_label_name>Molexi 4 %-0.025 %-2.5 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652302</ndc>
    <ndc_label_name>Mavilo HP 6 %-0.05 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652402</ndc>
    <ndc_label_name>Medorfa HP Plus 8 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652602</ndc>
    <ndc_label_name>Mokura Plus 8 %-0.025 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>72934652702</ndc>
    <ndc_label_name>Mythius 8 %-0.05 %-1 % topical emulsion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043001514</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043001605</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002001</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002010</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002025</ndc>
    <ndc_label_name>PANTOPRAZOLE SODIUM 40 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002101</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002191</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002201</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002291</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002391</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG/4 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002401</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043002491</ndc>
    <ndc_label_name>FUROSEMIDE 100 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003401</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003405</ndc>
    <ndc_label_name>LEVOCARNITINE 1 GM/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003801</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003828</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003901</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043003928</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004001</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004028</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004101</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004121</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004201</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004221</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004301</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043004321</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73043004801</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73043004825</ndc>
    <ndc_label_name>CHLORPROMAZINE 25 MG/ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73043004901</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73043004925</ndc>
    <ndc_label_name>CHLORPROMAZINE 50 MG/2 ML AMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005101</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005193</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005196</ndc>
    <ndc_label_name>FORMOTEROL 20 MCG/2 ML NEB VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005201</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005204</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005260</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73043005293</ndc>
    <ndc_label_name>ARFORMOTEROL 15 MCG/2 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73057035508</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73057035511</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73057036308</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73057041408</ndc>
    <ndc_label_name>IRON EC 65MG (FE SUL 324MG) TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73057051011</ndc>
    <ndc_label_name>Vis Guard (petrolatum-min oil) 83 %-15 % eye ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73057053008</ndc>
    <ndc_label_name>Vis Guard (polyvinyl alcohol) 1.4 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73059000160</ndc>
    <ndc_label_name>Accrufer 30 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73063003503</ndc>
    <ndc_label_name>RELYVRIO 3 GM-1 GM POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73063003504</ndc>
    <ndc_label_name>RELYVRIO 3 GM-1 GM POWDER PKT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070010011</ndc>
    <ndc_label_name>INSULIN ASPART 100 UNIT/ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070010210</ndc>
    <ndc_label_name>INSULIN ASPART 100 UNIT/ML CRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070010215</ndc>
    <ndc_label_name>INSULIN ASPART 100 UNIT/ML CRT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070010310</ndc>
    <ndc_label_name>INSULIN ASPART 100 UNIT/ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070010315</ndc>
    <ndc_label_name>INSULIN ASPART 100 UNIT/ML PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070020011</ndc>
    <ndc_label_name>INSULIN ASPART PRO MIX70-30 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070020310</ndc>
    <ndc_label_name>INSULIN ASPART PRO MIX70-30 PN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73070020315</ndc>
    <ndc_label_name>INSULIN ASPART PRO MIX70-30 PN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73070040011</ndc>
    <ndc_label_name>INSULIN DEGLUDEC 100 UNIT/ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73070040310</ndc>
    <ndc_label_name>INSULIN DEGLUDEC PEN (U-100)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73070040315</ndc>
    <ndc_label_name>INSULIN DEGLUDEC PEN (U-100)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73070050310</ndc>
    <ndc_label_name>INSULIN DEGLUDEC PEN (U-200)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>73077001001</ndc>
    <ndc_label_name>Pedmark 12.5 gram/100 mL (125 mg/mL) intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73079005030</ndc>
    <ndc_label_name>Zokinvy 50 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73079007530</ndc>
    <ndc_label_name>Zokinvy 75 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086010008</ndc>
    <ndc_label_name>Triamvex 0.1 %-4" X 4" topical kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086010308</ndc>
    <ndc_label_name>Clobezin 1 %-0.05 %-0.44 % topical combo pack</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73086021001</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73086021101</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086050030</ndc>
    <ndc_label_name>ProBionexx 500 mg capsule</ndc_label_name>
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    <drug_tier>0</drug_tier>
    <ndc>73086080597</ndc>
    <ndc_label_name>SKARLITE 1.57"X5.12" SHEET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086080598</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086080599</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086090099</ndc>
    <ndc_label_name>MENTHO-CAP 4.5%-0.0225% PATCH</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73086090299</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086090399</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086090699</ndc>
    <ndc_label_name>NOPIOID-LMC KIT</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73086090799</ndc>
    <ndc_label_name>SKYADERM-LP 2.5-2.5% CRM-DRESS</ndc_label_name>
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    <drug_tier>0</drug_tier>
    <ndc>73089008112</ndc>
    <ndc_label_name>Vazalore 81 mg capsule</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sylvant 100 mg intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Copiktra 15 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73116022528</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73141000602</ndc>
    <ndc_label_name>SELEGILINE HCL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Eye Health AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73141001203</ndc>
    <ndc_label_name>ISOSORBIDE-HYDRALAZINE 20-37.5</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>GUANFACINE 1 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73153090108</ndc>
    <ndc_label_name>Breyanzi CD8 Component (1of 2) 1.5x to 70x10exp6 cell/mL IV suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73153090204</ndc>
    <ndc_label_name>Breyanzi CD4 Component (2of 2) 1.5x to 70x10exp6 cell/mL IV suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73154005060</ndc>
    <ndc_label_name>Ibsrela 50 mg tablet</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73154012060</ndc>
    <ndc_label_name>Xphozah 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73154013060</ndc>
    <ndc_label_name>Xphozah 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73159000460</ndc>
    <ndc_label_name>Ertaczo 2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73159000560</ndc>
    <ndc_label_name>CLEARACYLIC 5.7% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73159000760</ndc>
    <ndc_label_name>CLEARACYLIC PRO 6.3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73159000860</ndc>
    <ndc_label_name>Ultravate 0.05 % lotion</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010102</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010106</ndc>
    <ndc_label_name>KETAMINE 30 MG/3 ML-NACL SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010201</ndc>
    <ndc_label_name>FENTANYL 20 MCG/2 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010202</ndc>
    <ndc_label_name>FENTANYL 50 MCG/5 ML-0.9% NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010203</ndc>
    <ndc_label_name>FENTANYL 100 MCG/10ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010205</ndc>
    <ndc_label_name>FENTANYL 500 MCG/50ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010225</ndc>
    <ndc_label_name>FENTANYL 2,500MCG/250-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010227</ndc>
    <ndc_label_name>FENTANYL 1,000MCG/100-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010302</ndc>
    <ndc_label_name>FENTANYL 250 MCG/5 ML-0.9%NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010304</ndc>
    <ndc_label_name>FENTANYL 1,250 MCG/25 ML-NS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010305</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010307</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010316</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010328</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010401</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010403</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010405</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010430</ndc>
    <ndc_label_name>HYDROMORPHONE 6 MG/30 ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010501</ndc>
    <ndc_label_name>MORPHINE 2 MG/2 ML-NACL SYRING</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010502</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010504</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010505</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73177010604</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Pyquvi 22.75 mg/mL oral suspension</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73292001101</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73336007530</ndc>
    <ndc_label_name>Gemtesa 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73336007590</ndc>
    <ndc_label_name>Gemtesa 75 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352003330</ndc>
    <ndc_label_name>MicroFlor 33 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352003430</ndc>
    <ndc_label_name>MicroFlor 33 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352005110</ndc>
    <ndc_label_name>Pruradik 10 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352008630</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352008660</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352008960</ndc>
    <ndc_label_name>TIZANIDINE HCL 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352009060</ndc>
    <ndc_label_name>Zanaflex 8 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352009306</ndc>
    <ndc_label_name>AURANOFIN 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352009618</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352009619</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010070</ndc>
    <ndc_label_name>ECONAZOLE NITRATE 1% FOAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010101</ndc>
    <ndc_label_name>FENOFIBRATE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010201</ndc>
    <ndc_label_name>FENOFIBRATE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010316</ndc>
    <ndc_label_name>BACLOFEN 5 MG/5 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010522</ndc>
    <ndc_label_name>Undecatrex 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352010730</ndc>
    <ndc_label_name>SALICYLIC ACID 3% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352011960</ndc>
    <ndc_label_name>DICYCLOMINE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352020460</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352031828</ndc>
    <ndc_label_name>FeRiva 21-7 75 mg-175 mg-1,667 mcg DFE tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352045501</ndc>
    <ndc_label_name>HYDROCORTISONE 2.5% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352050410</ndc>
    <ndc_label_name>KIPROFEN 25 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352051010</ndc>
    <ndc_label_name>METHOCARBAMOL 1,000 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352052001</ndc>
    <ndc_label_name>Tridergel 0.1 % topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352054001</ndc>
    <ndc_label_name>RevivaSil 3" X 5.5" topical kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352055001</ndc>
    <ndc_label_name>Tripenicol S 25 % topical solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352055501</ndc>
    <ndc_label_name>Tripenicol C 13 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352056001</ndc>
    <ndc_label_name>TriTolnacide S 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352056110</ndc>
    <ndc_label_name>TriTolnacide C 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352057001</ndc>
    <ndc_label_name>Trimazole 1 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352057504</ndc>
    <ndc_label_name>Tricylate 10 %-2 % topical cream</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73352062001</ndc>
    <ndc_label_name>Trilogel 2.8 % topical</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069310</ndc>
    <ndc_label_name>EvexiTHROID 15 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069410</ndc>
    <ndc_label_name>EvexiTHROID 30 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069510</ndc>
    <ndc_label_name>EvexiTHROID 45 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069610</ndc>
    <ndc_label_name>EvexiTHROID 60 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069710</ndc>
    <ndc_label_name>EvexiTHROID 75 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069810</ndc>
    <ndc_label_name>EvexiTHROID 90 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352069910</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352070010</ndc>
    <ndc_label_name>EvexiTHROID 180 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352075001</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-1% EMUL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352089030</ndc>
    <ndc_label_name>Fola-B Complex 1,000 mcg-10 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352089130</ndc>
    <ndc_label_name>NeoMaterna 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352089230</ndc>
    <ndc_label_name>FolateXcel 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352090001</ndc>
    <ndc_label_name>LACTULOSE 10 GM PACKET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352090015</ndc>
    <ndc_label_name>LACTULOSE 10 GM PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352090501</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73352090515</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73354128002</ndc>
    <ndc_label_name>Lido King 4 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73358024101</ndc>
    <ndc_label_name>CURAE 1.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73358091101</ndc>
    <ndc_label_name>LEVONORGESTREL 1.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000301</ndc>
    <ndc_label_name>Skytrofa 3 mg subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000302</ndc>
    <ndc_label_name>Skytrofa 3 mg subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000401</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000402</ndc>
    <ndc_label_name>Skytrofa 3.6 mg subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000501</ndc>
    <ndc_label_name>Skytrofa 4.3 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000502</ndc>
    <ndc_label_name>Skytrofa 4.3 mg subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000601</ndc>
    <ndc_label_name>Skytrofa 5.2 mg subcutaneous cartridge</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000602</ndc>
    <ndc_label_name>Skytrofa 5.2 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000701</ndc>
    <ndc_label_name>Skytrofa 6.3 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000702</ndc>
    <ndc_label_name>Skytrofa 6.3 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000801</ndc>
    <ndc_label_name>Skytrofa 7.6 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000802</ndc>
    <ndc_label_name>Skytrofa 7.6 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000901</ndc>
    <ndc_label_name>Skytrofa 9.1 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362000902</ndc>
    <ndc_label_name>Skytrofa 9.1 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001001</ndc>
    <ndc_label_name>Skytrofa 11 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001002</ndc>
    <ndc_label_name>Skytrofa 11 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001101</ndc>
    <ndc_label_name>Skytrofa 13.3 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001102</ndc>
    <ndc_label_name>Skytrofa 13.3 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001201</ndc>
    <ndc_label_name>Skytrofa 0.7 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001202</ndc>
    <ndc_label_name>Skytrofa 0.7 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001301</ndc>
    <ndc_label_name>Skytrofa 1.4 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001302</ndc>
    <ndc_label_name>Skytrofa 1.4 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001401</ndc>
    <ndc_label_name>Skytrofa 1.8 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001402</ndc>
    <ndc_label_name>Skytrofa 1.8 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001501</ndc>
    <ndc_label_name>Skytrofa 2.1 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001502</ndc>
    <ndc_label_name>Skytrofa 2.1 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001601</ndc>
    <ndc_label_name>Skytrofa 2.5 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362001602</ndc>
    <ndc_label_name>Skytrofa 2.5 mg subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010001</ndc>
    <ndc_label_name>Yorvipath 168 mcg/0.56 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010002</ndc>
    <ndc_label_name>Yorvipath 168 mcg/0.56 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010003</ndc>
    <ndc_label_name>Yorvipath 168 mcg/0.56 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010101</ndc>
    <ndc_label_name>Yorvipath 294 mcg/0.98 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010102</ndc>
    <ndc_label_name>Yorvipath 294 mcg/0.98 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010103</ndc>
    <ndc_label_name>Yorvipath 294 mcg/0.98 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010201</ndc>
    <ndc_label_name>Yorvipath 420 mcg/1.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010202</ndc>
    <ndc_label_name>Yorvipath 420 mcg/1.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362010203</ndc>
    <ndc_label_name>Yorvipath 420 mcg/1.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020101</ndc>
    <ndc_label_name>Yuviwel 1.3 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020103</ndc>
    <ndc_label_name>Yuviwel 1.3 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020201</ndc>
    <ndc_label_name>Yuviwel 2.8 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020203</ndc>
    <ndc_label_name>Yuviwel 2.8 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73362020303</ndc>
    <ndc_label_name>Yuviwel 5.5 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73372011601</ndc>
    <ndc_label_name>Scenesse 16 mg subcutaneous implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377003403</ndc>
    <ndc_label_name>MEPACRINE DIHYDROCHLORIDE PWD</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377008401</ndc>
    <ndc_label_name>TOFACITINIB CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377008403</ndc>
    <ndc_label_name>TOFACITINIB CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377022501</ndc>
    <ndc_label_name>ERLOTINIB HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377025001</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73377030903</ndc>
    <ndc_label_name>TRAMETINIB POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73441006201</ndc>
    <ndc_label_name>Aphexda 62 mg subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73441080004</ndc>
    <ndc_label_name>Omisirge intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73457041580</ndc>
    <ndc_label_name>ASPIRIN-OMEPRAZOLE DR 81-40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73462010101</ndc>
    <ndc_label_name>Cosela 300 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473030275</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73473030370</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473030660</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473030850</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473030910</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473030930</ndc>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473031010</ndc>
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    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473031030</ndc>
    <ndc_label_name>TAZAROTENE 0.1% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473050030</ndc>
    <ndc_label_name>NITROGLYCERIN 0.4% OINTMENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73473080001</ndc>
    <ndc_label_name>DICYCLOMINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73473080010</ndc>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473090105</ndc>
    <ndc_label_name>NEOMYCIN 500 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73473090201</ndc>
    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DICYCLOMINE 20 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73473090330</ndc>
    <ndc_label_name>MOXIFLOXACIN HCL 400 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>73473090960</ndc>
    <ndc_label_name>CLARITHROMYCIN 250 MG TABLET</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CLARITHROMYCIN ER 500 MG TAB</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73475310203</ndc>
    <ndc_label_name>Vyvgart Hytrulo 1,008 mg-11,200 unit/5.6 mL subcutaneous solution</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73480015004</ndc>
    <ndc_label_name>Diphen 12.5 mg/5 mL oral elixir</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>73480024290</ndc>
    <ndc_label_name>DICLOFENAC 35 MG CAPSULE</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CO Q-10 200 MG CAPSULE</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73502068713</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73502078608</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73515012330</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Profinac 1.5 % topical kit</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>73521003090</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74157010160</ndc>
    <ndc_label_name>Dolobid 375 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74157011190</ndc>
    <ndc_label_name>Gabarone 400 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74157071010</ndc>
    <ndc_label_name>CLOBETASOL 0.025% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74157099960</ndc>
    <ndc_label_name>ORPHENAD-ASA-CAFF 50-770-60 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300000065</ndc>
    <ndc_label_name>Desitin 40 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300000070</ndc>
    <ndc_label_name>Desitin 40 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300000071</ndc>
    <ndc_label_name>Desitin 40 % topical paste</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000300</ndc>
    <ndc_label_name>Desitin Daily Defense 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000301</ndc>
    <ndc_label_name>Desitin Daily Defense 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000320</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000401</ndc>
    <ndc_label_name>Visine-AC 0.05 %-0.25 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000412</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000414</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300000421</ndc>
    <ndc_label_name>RID Complete Lice Elimination Kit 0.5 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300001067</ndc>
    <ndc_label_name>Visine Dry Eye Relief 1 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300001181</ndc>
    <ndc_label_name>RID Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300008149</ndc>
    <ndc_label_name>Bengay Ultra Strength (menthol) 5 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300008193</ndc>
    <ndc_label_name>Bengay Ultra Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300008194</ndc>
    <ndc_label_name>Bengay Ultra Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300008197</ndc>
    <ndc_label_name>BenGay Vanishing Scent 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74300049516</ndc>
    <ndc_label_name>Desitin Daily Defense 13 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74300093519</ndc>
    <ndc_label_name>Bengay Ultra Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000090</ndc>
    <ndc_label_name>L-ARGININE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000139</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000190</ndc>
    <ndc_label_name>B-COMPLEX WITH B-12 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000238</ndc>
    <ndc_label_name>Glucosamine Chondroitin 550 mg-30 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000300</ndc>
    <ndc_label_name>LECITHIN 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000525</ndc>
    <ndc_label_name>Sleep3 10 mg-200 mg-50 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000530</ndc>
    <ndc_label_name>B-COMPLEX-VITAMIN C TR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000610</ndc>
    <ndc_label_name>E-CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000640</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000650</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000690</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312000810</ndc>
    <ndc_label_name>VITAMIN E-OIL 100 UNIT/0.25 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312000812</ndc>
    <ndc_label_name>Probiotic-10 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001110</ndc>
    <ndc_label_name>POTASSIUM GLUCONATE 595 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001140</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312001200</ndc>
    <ndc_label_name>IRON 28 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001380</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001403</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312001452</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001471</ndc>
    <ndc_label_name>Vitamin B-12 5,000 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001474</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001580</ndc>
    <ndc_label_name>MULTI-DAY PLUS IRON TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001603</ndc>
    <ndc_label_name>Gentle Iron 28 mg iron-60 mg-8 mcg-400 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312001620</ndc>
    <ndc_label_name>B-12 1,000 MCG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312001621</ndc>
    <ndc_label_name>MAGNESIUM GLYCINATE 120 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001670</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312001683</ndc>
    <ndc_label_name>L-Carnitine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001751</ndc>
    <ndc_label_name>VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312001799</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312002041</ndc>
    <ndc_label_name>JOINT SUPPORT COMPLEX SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312002060</ndc>
    <ndc_label_name>ZINC 50 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312002099</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312002532</ndc>
    <ndc_label_name>CO Q-10 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312002610</ndc>
    <ndc_label_name>ACIDOPHILUS PROBIOTIC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312002832</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312002871</ndc>
    <ndc_label_name>B Complex 1.7 mg-20 mg-2 mg-1.2 mg/mL sublingual liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312003201</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312003595</ndc>
    <ndc_label_name>B-12 500 MCG QUICK DISSOLVE TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312003822</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312003848</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312003860</ndc>
    <ndc_label_name>B-12 2,500 MCG TABLET SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004082</ndc>
    <ndc_label_name>CALCIUM MAGNESIUM CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312004130</ndc>
    <ndc_label_name>MULTI-DAY PLUS MINERALS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004171</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 1,000 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312004233</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 800 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004349</ndc>
    <ndc_label_name>CRANBERRY PLUS VITAMIN C SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004544</ndc>
    <ndc_label_name>GINKGO BILOBA 120 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004549</ndc>
    <ndc_label_name>MILK THISTLE 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312004750</ndc>
    <ndc_label_name>VITAMIN C-500 MG TR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312004886</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312004902</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312005145</ndc>
    <ndc_label_name>GINGER ROOT 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312005535</ndc>
    <ndc_label_name>MAGNESIUM 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312005633</ndc>
    <ndc_label_name>ECHINACEA 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312006005</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312006212</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312007090</ndc>
    <ndc_label_name>OYSTERCAL-D 500 MG-400 UNIT TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312007373</ndc>
    <ndc_label_name>Primrose Oil 1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312007510</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312007580</ndc>
    <ndc_label_name>HAIR, SKIN AND NAILS CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312007760</ndc>
    <ndc_label_name>L-ARGININE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312007901</ndc>
    <ndc_label_name>MELATONIN 3 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312007903</ndc>
    <ndc_label_name>MELATONIN 3 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312007961</ndc>
    <ndc_label_name>BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312011932</ndc>
    <ndc_label_name>Ginseng Complex 150 mg-25 mg-25 mg-15 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312012326</ndc>
    <ndc_label_name>GARLIC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312013102</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312013123</ndc>
    <ndc_label_name>KRILL OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312013168</ndc>
    <ndc_label_name>SUPER B COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312013185</ndc>
    <ndc_label_name>SAM-e (Enteric Coated) 400 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312013329</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312013430</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312013437</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 500 SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312014020</ndc>
    <ndc_label_name>Cinnamon 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312015605</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312015606</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312015745</ndc>
    <ndc_label_name>MELATONIN 5 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312016887</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312017139</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312017243</ndc>
    <ndc_label_name>GINKGO BILOBA 30 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312017621</ndc>
    <ndc_label_name>D3-2000 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312018187</ndc>
    <ndc_label_name>Vitamin B-12 5,000 mcg/mL sublingual drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312019377</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312019404</ndc>
    <ndc_label_name>FISH OIL OMEGA-3 SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312019405</ndc>
    <ndc_label_name>Fish Oil-Vit D3 360 mg-1,200 mg-1,000 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312019491</ndc>
    <ndc_label_name>MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312019939</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312027602</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312027800</ndc>
    <ndc_label_name>FISH OIL EC 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312029176</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312030413</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312030421</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312030696</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 Plus 100 mg-20 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312031644</ndc>
    <ndc_label_name>PROBIOTIC-10 10 BILL CELL CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312033491</ndc>
    <ndc_label_name>MILK THISTLE 175 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312033511</ndc>
    <ndc_label_name>BLACK COHOSH 540 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312035710</ndc>
    <ndc_label_name>HAIR, SKIN AND NAILS SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312035873</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312036015</ndc>
    <ndc_label_name>UBIQUINOL 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312041383</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312041783</ndc>
    <ndc_label_name>ABC PLUS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312044191</ndc>
    <ndc_label_name>SAW PALMETTO 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312051135</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312051239</ndc>
    <ndc_label_name>KRILL OIL 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312051520</ndc>
    <ndc_label_name>CONTROL DELIVERY PROBIOTC CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312051697</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312052802</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312052805</ndc>
    <ndc_label_name>B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312052807</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312053086</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312053098</ndc>
    <ndc_label_name>MELATONIN 5 MG BI-LAYER TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312053545</ndc>
    <ndc_label_name>Hair,Skin,Nails with Biotin 7.5 mg-7.5 unit-1,250 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312053795</ndc>
    <ndc_label_name>B-12 DUAL SPECTRUM 5,000MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312055273</ndc>
    <ndc_label_name>TURMERIC 538 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312055393</ndc>
    <ndc_label_name>VITAMIN C-ZINC QUICK DSSLV SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312058911</ndc>
    <ndc_label_name>B-12 2,500 MCG TABLET SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312058912</ndc>
    <ndc_label_name>VITAMIN B-12 5,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312058913</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG QUICK DISSOLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312059408</ndc>
    <ndc_label_name>MAGNESIUM 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312066070</ndc>
    <ndc_label_name>ACETYL L-CARNITINE-LIPOIC ACID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>74312067291</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312071950</ndc>
    <ndc_label_name>B-12 1,000 MCG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74312079334</ndc>
    <ndc_label_name>Women's Multivitamin with Collagen 200 mcg-25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74527002201</ndc>
    <ndc_label_name>Margenza 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74527002202</ndc>
    <ndc_label_name>Margenza 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74527002203</ndc>
    <ndc_label_name>Margenza 25 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74528002001</ndc>
    <ndc_label_name>Bylvay 200 mcg oral pellet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74528004001</ndc>
    <ndc_label_name>Bylvay 400 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74528006001</ndc>
    <ndc_label_name>Bylvay 600 mcg oral pellet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74528012001</ndc>
    <ndc_label_name>Bylvay 1,200 mcg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676011202</ndc>
    <ndc_label_name>Tlando 112.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590200</ndc>
    <ndc_label_name>Trelstar 3.75 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590201</ndc>
    <ndc_label_name>Trelstar 3.75 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590400</ndc>
    <ndc_label_name>Trelstar 11.25 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590401</ndc>
    <ndc_label_name>Trelstar 11.25 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590600</ndc>
    <ndc_label_name>Trelstar 22.5 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74676590601</ndc>
    <ndc_label_name>Trelstar 22.5 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74695082318</ndc>
    <ndc_label_name>Vivjoa 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74725010025</ndc>
    <ndc_label_name>Illuccix 25 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>74725010064</ndc>
    <ndc_label_name>Illuccix 25 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75052000101</ndc>
    <ndc_label_name>PREHEVBRIO 10 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75052000110</ndc>
    <ndc_label_name>PREHEVBRIO 10 MCG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137000001</ndc>
    <ndc_label_name>Compound W 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137000003</ndc>
    <ndc_label_name>Compound W Nitrofreeze topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137000028</ndc>
    <ndc_label_name>Compound W Total Care 17 % topical pack,cream and gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137000030</ndc>
    <ndc_label_name>Compound W Gel Kit 17 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137000031</ndc>
    <ndc_label_name>Compound W Freeze Off Kit topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137000493</ndc>
    <ndc_label_name>Percogesic 12.5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137000495</ndc>
    <ndc_label_name>Percogesic 12.5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137000497</ndc>
    <ndc_label_name>Percogesic Extra Strength 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137010721</ndc>
    <ndc_label_name>Compound W 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137010825</ndc>
    <ndc_label_name>Compound W Freeze Off Advanced topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137010835</ndc>
    <ndc_label_name>Compound W 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137011085</ndc>
    <ndc_label_name>Compound W DUAL Power 2-IN-1 17 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137021210</ndc>
    <ndc_label_name>Percogesic Backache Relief 580 mg (467 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137043211</ndc>
    <ndc_label_name>Percogesic Extra Strength 12.5 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137043900</ndc>
    <ndc_label_name>Compound W 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137044034</ndc>
    <ndc_label_name>Compound W Freeze Off Kit topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137053005</ndc>
    <ndc_label_name>Compound W Freeze Off Kit topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137058507</ndc>
    <ndc_label_name>Compound W 17 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75137059110</ndc>
    <ndc_label_name>Compound W 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137059510</ndc>
    <ndc_label_name>Compound W 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137059550</ndc>
    <ndc_label_name>Compound W 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75137070401</ndc>
    <ndc_label_name>New Skin (benzethonium) 0.2 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75450029047</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75450029758</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75537018007</ndc>
    <ndc_label_name>Chemstrip (calibration)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75626000101</ndc>
    <ndc_label_name>Lupkynis 7.9 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75626000102</ndc>
    <ndc_label_name>Lupkynis 7.9 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826010700</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826010703</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826010790</ndc>
    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826011410</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826011510</ndc>
    <ndc_label_name>PHENAZOPYRIDINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826011810</ndc>
    <ndc_label_name>Phenohytro 16.2 mg-0.1037 mg-0.0194 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012010</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012030</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 2.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012210</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012230</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 7.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012310</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012410</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012430</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 15 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012510</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012530</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012610</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012630</ndc>
    <ndc_label_name>DEXTROAMPHETAMINE 30 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826012704</ndc>
    <ndc_label_name>Phenohytro 16.2 mg-0.1037 mg-0.0194 mg/5 mL oral elixir</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826012716</ndc>
    <ndc_label_name>Phenohytro 16.2 mg-0.1037 mg-0.0194 mg/5 mL oral elixir</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826012804</ndc>
    <ndc_label_name>Phenohytro 16.2 mg-0.1037 mg-0.0194 mg/5 mL oral elixir</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75826012816</ndc>
    <ndc_label_name>Phenohytro 16.2 mg-0.1037 mg-0.0194 mg/5 mL oral elixir</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012905</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826012917</ndc>
    <ndc_label_name>MORPHINE SULF 10 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013005</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013017</ndc>
    <ndc_label_name>MORPHINE SULF 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013101</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013104</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013115</ndc>
    <ndc_label_name>MORPHINE SULF 100 MG/5 ML CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013610</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013650</ndc>
    <ndc_label_name>PHENOBARBITAL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013700</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013710</ndc>
    <ndc_label_name>PHENOBARBITAL 16.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013810</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013850</ndc>
    <ndc_label_name>PHENOBARBITAL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013900</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826013910</ndc>
    <ndc_label_name>PHENOBARBITAL 32.4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014010</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014050</ndc>
    <ndc_label_name>PHENOBARBITAL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014100</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014110</ndc>
    <ndc_label_name>PHENOBARBITAL 64.8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014200</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014210</ndc>
    <ndc_label_name>PHENOBARBITAL 97.2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014310</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826014350</ndc>
    <ndc_label_name>PHENOBARBITAL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826016320</ndc>
    <ndc_label_name>FLUORIDE 0.25 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826016420</ndc>
    <ndc_label_name>FLUORIDE 0.5 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826016520</ndc>
    <ndc_label_name>FLUORIDE 1 MG TABLET CHEWABLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826016655</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826016910</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826017010</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 0.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75826017110</ndc>
    <ndc_label_name>Multi-Vitamin With Fluoride 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75833060101</ndc>
    <ndc_label_name>Hepzato (50 mm catheter) 50 mg intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75833060102</ndc>
    <ndc_label_name>Hepzato (62 mm catheter) 50 mg intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75833080001</ndc>
    <ndc_label_name>Hepzato 50 mg intra-arterial solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834001060</ndc>
    <ndc_label_name>ERGOCALCIFEROL 8,000 UNIT/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834002001</ndc>
    <ndc_label_name>VITAMIN D3 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834002012</ndc>
    <ndc_label_name>VITAMIN D3 50,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834004060</ndc>
    <ndc_label_name>Nivanex DMX 10 mg-15 mg-380 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834005001</ndc>
    <ndc_label_name>Niva-Plus 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834008090</ndc>
    <ndc_label_name>Niva-Fol 2.5 mg-25 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834010101</ndc>
    <ndc_label_name>Psoriatar 2 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834010301</ndc>
    <ndc_label_name>PIROXICAM 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834010401</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834010405</ndc>
    <ndc_label_name>PIROXICAM 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010701</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010705</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010725</ndc>
    <ndc_label_name>METRONIDAZOLE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010801</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010805</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010850</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010901</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834010910</ndc>
    <ndc_label_name>CHLORTHALIDONE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011001</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011010</ndc>
    <ndc_label_name>CHLORTHALIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834011201</ndc>
    <ndc_label_name>OFLOXACIN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834011250</ndc>
    <ndc_label_name>OFLOXACIN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011330</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011529</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011584</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.03 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011629</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834011684</ndc>
    <ndc_label_name>DROSPIRENONE-EE 3-0.02 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834011901</ndc>
    <ndc_label_name>OFLOXACIN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834011950</ndc>
    <ndc_label_name>OFLOXACIN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012201</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012205</ndc>
    <ndc_label_name>ACYCLOVIR 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012301</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012305</ndc>
    <ndc_label_name>ACYCLOVIR 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012601</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012700</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012701</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834012801</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834012929</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 0.5-2.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834012984</ndc>
    <ndc_label_name>NORETHIND-ETH ESTRAD 0.5-2.5</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013029</ndc>
    <ndc_label_name>NORETHIN-ETH ESTRAD 1 MG-5 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013084</ndc>
    <ndc_label_name>NORETHIN-ETH ESTRAD 1 MG-5 MCG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834013105</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834013118</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834013160</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013205</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013214</ndc>
    <ndc_label_name>TEMOZOLOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013305</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013360</ndc>
    <ndc_label_name>RIVASTIGMINE 1.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013405</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013460</ndc>
    <ndc_label_name>RIVASTIGMINE 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013505</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013560</ndc>
    <ndc_label_name>RIVASTIGMINE 4.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013605</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013660</ndc>
    <ndc_label_name>RIVASTIGMINE 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013701</ndc>
    <ndc_label_name>HYDROQUINONE 4% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834013960</ndc>
    <ndc_label_name>BALSAM PERU-CASTOR OIL OINT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834014130</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014205</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014214</ndc>
    <ndc_label_name>TEMOZOLOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014305</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014314</ndc>
    <ndc_label_name>TEMOZOLOMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014405</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014414</ndc>
    <ndc_label_name>TEMOZOLOMIDE 140 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014505</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014514</ndc>
    <ndc_label_name>TEMOZOLOMIDE 180 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014605</ndc>
    <ndc_label_name>TEMOZOLOMIDE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014706</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014712</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014724</ndc>
    <ndc_label_name>HYDROCORTISONE AC 25 MG SUPP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834014830</ndc>
    <ndc_label_name>FLUOXETINE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834015102</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834015125</ndc>
    <ndc_label_name>SUCCINYLCHOLINE 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834015218</ndc>
    <ndc_label_name>COLESEVELAM 625 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834015801</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834015805</ndc>
    <ndc_label_name>VERAPAMIL ER 180 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834015901</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834015905</ndc>
    <ndc_label_name>VERAPAMIL ER 240 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834016712</ndc>
    <ndc_label_name>Weekly-D 1,250 mcg (50,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834016724</ndc>
    <ndc_label_name>Weekly-D 1,250 mcg (50,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834017001</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834017002</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834017015</ndc>
    <ndc_label_name>ZINC OXIDE 20% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834017101</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834017119</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834019001</ndc>
    <ndc_label_name>DECITABINE 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020001</ndc>
    <ndc_label_name>OFLOXACIN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020050</ndc>
    <ndc_label_name>OFLOXACIN 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020101</ndc>
    <ndc_label_name>OFLOXACIN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020150</ndc>
    <ndc_label_name>OFLOXACIN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020200</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020201</ndc>
    <ndc_label_name>GLYBURIDE 1.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020300</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020301</ndc>
    <ndc_label_name>GLYBURIDE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020400</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020401</ndc>
    <ndc_label_name>GLYBURIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020501</ndc>
    <ndc_label_name>NATEGLINIDE 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834020601</ndc>
    <ndc_label_name>NATEGLINIDE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020715</ndc>
    <ndc_label_name>TIZANIDINE HCL 2 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020815</ndc>
    <ndc_label_name>TIZANIDINE HCL 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834020915</ndc>
    <ndc_label_name>TIZANIDINE HCL 6 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021730</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021790</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021830</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021890</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021930</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834021990</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 225 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834022100</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834022101</ndc>
    <ndc_label_name>CARBAMAZEPINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834023516</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834023560</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023660</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023701</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023705</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023801</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023805</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834023960</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024000</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024001</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024030</ndc>
    <ndc_label_name>SILDENAFIL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024100</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024101</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024130</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024201</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024230</ndc>
    <ndc_label_name>ERYTHROMYCIN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024301</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024330</ndc>
    <ndc_label_name>ERYTHROMYCIN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834024505</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834024560</ndc>
    <ndc_label_name>LEVETIRACETAM ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834024605</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834024660</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024701</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024730</ndc>
    <ndc_label_name>TADALAFIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024801</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024830</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024901</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834024930</ndc>
    <ndc_label_name>TADALAFIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834025001</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834025030</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025501</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025550</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025590</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025601</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025650</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025690</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025701</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025750</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025790</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025801</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025850</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834025890</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834026460</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 50-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834026560</ndc>
    <ndc_label_name>DICLOFENAC-MISOPROST 75-0.2 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026601</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026605</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026701</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026801</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026805</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026901</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026905</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834026960</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834027060</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834027200</ndc>
    <ndc_label_name>SILDENAFIL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834027301</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 2 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834027401</ndc>
    <ndc_label_name>ALBUTEROL SULFATE 4 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834028008</ndc>
    <ndc_label_name>POTASSIUM IODIDE 1 GM/ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834028030</ndc>
    <ndc_label_name>POTASSIUM IODIDE 1 GM/ML SOL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834028100</ndc>
    <ndc_label_name>ATENOLOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834028200</ndc>
    <ndc_label_name>ATENOLOL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834028300</ndc>
    <ndc_label_name>ATENOLOL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029000</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029001</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029005</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029100</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029101</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029105</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029200</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029201</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029205</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029300</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029301</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029305</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834029401</ndc>
    <ndc_label_name>ERYTHROMYCIN 400 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029501</ndc>
    <ndc_label_name>ERYTHROMYCIN 200 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029790</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029890</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834029990</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834030090</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834031001</ndc>
    <ndc_label_name>Niva Thyroid 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834031101</ndc>
    <ndc_label_name>Niva Thyroid 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834031201</ndc>
    <ndc_label_name>Niva Thyroid 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834031301</ndc>
    <ndc_label_name>Niva Thyroid 90 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834031401</ndc>
    <ndc_label_name>Niva Thyroid 120 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032001</ndc>
    <ndc_label_name>VERAPAMIL ER 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032302</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032401</ndc>
    <ndc_label_name>METHYLPHENIDATE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032501</ndc>
    <ndc_label_name>METHYLPHENIDATE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032601</ndc>
    <ndc_label_name>METHYLPHENIDATE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032701</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834032801</ndc>
    <ndc_label_name>DEXMETHYLPHENIDATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834033330</ndc>
    <ndc_label_name>LIDOCAINE ANORECTAL 5% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834033730</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75834033760</ndc>
    <ndc_label_name>DICLOFENAC POT 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834050001</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75834050005</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854030130</ndc>
    <ndc_label_name>Prenate Elite 26 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854030190</ndc>
    <ndc_label_name>Prenate Elite 26 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854030230</ndc>
    <ndc_label_name>Prenate DHA 28 mg iron-1 mg-300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854030330</ndc>
    <ndc_label_name>Prenate Essential 29 mg iron-1 mg-300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854030530</ndc>
    <ndc_label_name>FeRiva 75 mg iron-1 mg-175 mg capsule,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854030630</ndc>
    <ndc_label_name>Prenate Chewable 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854030730</ndc>
    <ndc_label_name>Prenate AM 1 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854030830</ndc>
    <ndc_label_name>Prenate Restore 27 mg iron-1 mg-400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854030930</ndc>
    <ndc_label_name>Prenate Enhance 28 mg iron-1 mg-400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031130</ndc>
    <ndc_label_name>Prenate Star 20 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031230</ndc>
    <ndc_label_name>Prenate DHA (ferrous asparto glycinate) 18 mg iron-1 mg-300 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854031330</ndc>
    <ndc_label_name>Prenate Essential (iron asparto glycinate) 18 mg iron-1 mg-300 mg cap</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031430</ndc>
    <ndc_label_name>Prenate Elite (iron asparto glycinate) 20 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031530</ndc>
    <ndc_label_name>Prenate Mini (ferrous asparto glycinate) 18 mg-1 mg-350 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031630</ndc>
    <ndc_label_name>Prenate Pixie 10 mg iron-1 mg-200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031828</ndc>
    <ndc_label_name>FeRiva 21-7  75 mg iron-175 mg-12 mcg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854031930</ndc>
    <ndc_label_name>FeRiva FA (with Sumalate) 110 mg-175 mg-1 mg-12 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854032030</ndc>
    <ndc_label_name>Chromagen(Sumalate-Quatrefolic) 75 mg iron-60 mg-1 mg-10 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854032130</ndc>
    <ndc_label_name>NIFEREX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854032230</ndc>
    <ndc_label_name>PRIMACARE SOFTGEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854034360</ndc>
    <ndc_label_name>Nicomide (selenium-chromium) 500 mcg-750 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854034430</ndc>
    <ndc_label_name>Niferex (ferrous asparto glycinate) 75 mg-175 mg-1,700 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854060203</ndc>
    <ndc_label_name>Balcoltra 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854060228</ndc>
    <ndc_label_name>Balcoltra 0.1 mg-0.02 mg (21)/iron (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854060401</ndc>
    <ndc_label_name>Averi 0.15 mg-0.03 mg (21)/36.5 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75854060403</ndc>
    <ndc_label_name>Averi 0.15 mg-0.03 mg (21)/36.5 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75854070101</ndc>
    <ndc_label_name>Dhivy 25 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907000101</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 25 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907000401</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 50 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907000530</ndc>
    <ndc_label_name>AMIODARONE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907000660</ndc>
    <ndc_label_name>AMIODARONE HCL 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907000801</ndc>
    <ndc_label_name>BUTALBITAL-ACETAMINOPHN 50-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907000901</ndc>
    <ndc_label_name>BUTALB-ACETAMIN-CAFF 50-325-40</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002001</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002005</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002010</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002101</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002105</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 25-250 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002201</ndc>
    <ndc_label_name>CARBIDOPA-LEVODOPA 10-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002311</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002348</ndc>
    <ndc_label_name>CLONIDINE 0.1 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002411</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002448</ndc>
    <ndc_label_name>CLONIDINE 0.2 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002511</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907002548</ndc>
    <ndc_label_name>CLONIDINE 0.3 MG/DAY PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907002601</ndc>
    <ndc_label_name>DISOPYRAMIDE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907002701</ndc>
    <ndc_label_name>DISOPYRAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907002801</ndc>
    <ndc_label_name>ESTAZOLAM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907002901</ndc>
    <ndc_label_name>ESTAZOLAM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907003901</ndc>
    <ndc_label_name>LIOTHYRONINE SOD 5 MCG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004301</ndc>
    <ndc_label_name>TRIMETHOPRIM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004401</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004501</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 90 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004601</ndc>
    <ndc_label_name>DILTIAZEM 12HR ER 120 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004730</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004781</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 25 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004830</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907004881</ndc>
    <ndc_label_name>CYCLOSPORINE MODIFIED 100 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907004901</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 10MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005001</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 20MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005101</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 30MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005201</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 40MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005330</ndc>
    <ndc_label_name>METHYLPHENIDATE ER(LA) 60MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005460</ndc>
    <ndc_label_name>DOFETILIDE 500 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005560</ndc>
    <ndc_label_name>DOFETILIDE 250 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907005660</ndc>
    <ndc_label_name>DOFETILIDE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907005810</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907005860</ndc>
    <ndc_label_name>TAMOXIFEN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907005910</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907005930</ndc>
    <ndc_label_name>TAMOXIFEN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907006030</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907006044</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907006060</ndc>
    <ndc_label_name>NYSTATIN 100,000 UNIT/GM POWD</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907006901</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907006905</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 10 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007001</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007005</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 25 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007101</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007105</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 50 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007201</ndc>
    <ndc_label_name>NORTRIPTYLINE HCL 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007428</ndc>
    <ndc_label_name>Camila 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007432</ndc>
    <ndc_label_name>Camila 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007528</ndc>
    <ndc_label_name>Errin 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907007532</ndc>
    <ndc_label_name>Errin 0.35 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907007601</ndc>
    <ndc_label_name>ERYTHROMYCIN DR 250 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008128</ndc>
    <ndc_label_name>Microgestin Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008162</ndc>
    <ndc_label_name>Microgestin Fe 1.5/30 (28) 1.5 mg-30 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008228</ndc>
    <ndc_label_name>Microgestin FE 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008262</ndc>
    <ndc_label_name>Microgestin FE 1/20 (28) 1 mg-20 mcg (21)/75 mg (7) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008321</ndc>
    <ndc_label_name>Microgestin 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008363</ndc>
    <ndc_label_name>Microgestin 1.5/30 (21) 1.5 mg-30 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008421</ndc>
    <ndc_label_name>Microgestin 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008463</ndc>
    <ndc_label_name>Microgestin 1/20 (21) 1 mg-20 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008528</ndc>
    <ndc_label_name>Necon 0.5/35 (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008532</ndc>
    <ndc_label_name>Necon 0.5/35 (28) 0.5 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008628</ndc>
    <ndc_label_name>Tilia Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008632</ndc>
    <ndc_label_name>Tilia Fe 1-20 (5)/1-30(7)/1mg-35mcg(9) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008728</ndc>
    <ndc_label_name>Zovia 1-35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008762</ndc>
    <ndc_label_name>Zovia 1-35 (28) 1 mg-35 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008811</ndc>
    <ndc_label_name>Haloette 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907008813</ndc>
    <ndc_label_name>Haloette 0.12 mg-0.015 mg/24 hr vaginal ring</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907009128</ndc>
    <ndc_label_name>Azurette (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907009162</ndc>
    <ndc_label_name>Azurette (28) 0.15 mg-0.02 mg (21)/0.01 mg (5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907009303</ndc>
    <ndc_label_name>BROMFENAC SODIUM 0.07% EYE DRP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907009401</ndc>
    <ndc_label_name>METHAMPHETAMINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907009540</ndc>
    <ndc_label_name>FLUOROURACIL 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907011111</ndc>
    <ndc_label_name>MELPHALAN HCL 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907011211</ndc>
    <ndc_label_name>MELPHALAN 50 MG VIAL W-DILUENT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907012907</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907013023</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907016601</ndc>
    <ndc_label_name>METYROSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907016630</ndc>
    <ndc_label_name>METYROSINE 250 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907016721</ndc>
    <ndc_label_name>IVERMECTIN 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907016911</ndc>
    <ndc_label_name>FLUOROURACIL 0.5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907018935</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 2 GM/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907019007</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 1 GM/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907019102</ndc>
    <ndc_label_name>CYCLOPHOSPHAMIDE 500 MG/2.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907020704</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907020716</ndc>
    <ndc_label_name>BROMPHEN-PSE-DM 2-30-10 MG/5ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907022404</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907022511</ndc>
    <ndc_label_name>AZACITIDINE 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907028502</ndc>
    <ndc_label_name>OLOPATADINE HCL 0.7% EYE DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907029011</ndc>
    <ndc_label_name>SODIUM NITROPRUSSIDE 50 MG/2ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907030930</ndc>
    <ndc_label_name>TRANEXAMIC ACID 650 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907031030</ndc>
    <ndc_label_name>SERTRALINE 150 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907031130</ndc>
    <ndc_label_name>SERTRALINE 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907032422</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907032989</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907033091</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907033194</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034401</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034410</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034501</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034510</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034601</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034605</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034701</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>75907034710</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907034850</ndc>
    <ndc_label_name>DEFERIPRONE 1,000 MG TB(3X/DY)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907034901</ndc>
    <ndc_label_name>DEFERIPRONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907036301</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 20MG/10ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75907036401</ndc>
    <ndc_label_name>DOXORUBICIN LIPOSOME 50MG/25ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75981006330</ndc>
    <ndc_label_name>GS CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987001003</ndc>
    <ndc_label_name>DUEXIS 800-26.6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987002001</ndc>
    <ndc_label_name>RAYOS DR 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987002101</ndc>
    <ndc_label_name>RAYOS DR 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987002201</ndc>
    <ndc_label_name>RAYOS DR 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987003104</ndc>
    <ndc_label_name>VIMOVO DR 375-20 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987004005</ndc>
    <ndc_label_name>PENNSAID 2% PUMP</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987004074</ndc>
    <ndc_label_name>PENNSAID 2% SOLUTION PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987005006</ndc>
    <ndc_label_name>Ravicti 1.1 gram/mL oral liquid</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987005801</ndc>
    <ndc_label_name>Krystexxa 8 mg/50 mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987006008</ndc>
    <ndc_label_name>Buphenyl 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Actimmune 100 mcg (2 million unit)/0.5 mL subcutaneous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tepezza 500 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>75987015001</ndc>
    <ndc_label_name>Uplizna 10 mg/mL intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Uplizna 10 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Dilaudid (PF) 2 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045010610</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045010710</ndc>
    <ndc_label_name>KETOROLAC 15 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045010800</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045010810</ndc>
    <ndc_label_name>HEPARIN SOD 5,000 UNIT/ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045010910</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045011201</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045011220</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045011401</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045011410</ndc>
    <ndc_label_name>NALOXONE 0.4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045012101</ndc>
    <ndc_label_name>Dilaudid (PF) 0.2 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045012111</ndc>
    <ndc_label_name>Dilaudid (PF) 0.2 mg/mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020301</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020302</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020310</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020320</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020400</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020420</ndc>
    <ndc_label_name>DIAZEPAM 10 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020601</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020610</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.2 MG/ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020802</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020820</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020900</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045020910</ndc>
    <ndc_label_name>KETOROLAC 30 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021000</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021010</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021100</ndc>
    <ndc_label_name>MIDAZOLAM 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021120</ndc>
    <ndc_label_name>MIDAZOLAM 2 MG/2 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021200</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021210</ndc>
    <ndc_label_name>DEXAMETHASONE 10 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021300</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021320</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021400</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021430</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021600</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045021620</ndc>
    <ndc_label_name>ONDANSETRON HCL 4 MG/2 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045022303</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045022330</ndc>
    <ndc_label_name>GLYCOPYRROLATE 0.6 MG/3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045038313</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76045038330</ndc>
    <ndc_label_name>NEOSTIGMINE 3 MG/3 ML SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045073701</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76045073710</ndc>
    <ndc_label_name>HALOPERIDOL LAC 5 MG/ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074012001</ndc>
    <ndc_label_name>MEDI-DERM PAIN RELIEF CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074012214</ndc>
    <ndc_label_name>MEDI-DERM-L CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074012321</ndc>
    <ndc_label_name>MEDI-PATCH WITH LIDOCAINE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074013214</ndc>
    <ndc_label_name>MEDI-DERM-L CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074013321</ndc>
    <ndc_label_name>MEDI-PATCH WITH LIDOCAINE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074014214</ndc>
    <ndc_label_name>DOLORACIN-L-RX CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074015214</ndc>
    <ndc_label_name>MEDI-DERM-L-RX CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074020133</ndc>
    <ndc_label_name>MEDI-FLEXX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76074040131</ndc>
    <ndc_label_name>MEDI-DOZE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010101</ndc>
    <ndc_label_name>Kyprolis 60 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010121</ndc>
    <ndc_label_name>Kyprolis 60 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010201</ndc>
    <ndc_label_name>Kyprolis 30 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010221</ndc>
    <ndc_label_name>Kyprolis 30 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010301</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76075010321</ndc>
    <ndc_label_name>Kyprolis 10 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76117000116</ndc>
    <ndc_label_name>Rycontuss 2 mg-5 mg-10 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76125015002</ndc>
    <ndc_label_name>Kedrab (PF) 150 unit/mL intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76125015003</ndc>
    <ndc_label_name>Kedrab (PF) 150 unit/mL intramuscular solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76125015010</ndc>
    <ndc_label_name>Kedrab (PF) 150 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Kedrab (PF) 150 unit/mL intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76125025221</ndc>
    <ndc_label_name>Koate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76125025620</ndc>
    <ndc_label_name>Koate 250 (+/-) unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282021430</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282021460</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282021490</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022505</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022518</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022560</ndc>
    <ndc_label_name>GEMFIBROZIL 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022601</ndc>
    <ndc_label_name>ZONISAMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022701</ndc>
    <ndc_label_name>ZONISAMIDE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282022801</ndc>
    <ndc_label_name>ZONISAMIDE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282023810</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282023890</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282023910</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282023990</ndc>
    <ndc_label_name>AMLODIPINE BESYLATE 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282024910</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282024930</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282024990</ndc>
    <ndc_label_name>ESCITALOPRAM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025010</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025030</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025090</ndc>
    <ndc_label_name>ESCITALOPRAM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025110</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025130</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025190</ndc>
    <ndc_label_name>ESCITALOPRAM 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025605</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282025630</ndc>
    <ndc_label_name>RALOXIFENE HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282025701</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282025705</ndc>
    <ndc_label_name>NABUMETONE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282025801</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282025805</ndc>
    <ndc_label_name>NABUMETONE 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282027810</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282027860</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282027910</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282027960</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028010</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028060</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028110</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028160</ndc>
    <ndc_label_name>TOPIRAMATE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028310</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028318</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028327</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028330</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028360</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282028390</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030201</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030205</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030210</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030212</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030290</ndc>
    <ndc_label_name>ALFUZOSIN HCL ER 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030901</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282030910</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282031001</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282031010</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282031101</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282031110</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282031201</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032105</ndc>
    <ndc_label_name>GABAPENTIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032305</ndc>
    <ndc_label_name>GABAPENTIN 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032701</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032710</ndc>
    <ndc_label_name>WARFARIN SODIUM 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032801</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032810</ndc>
    <ndc_label_name>WARFARIN SODIUM 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032901</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282032910</ndc>
    <ndc_label_name>WARFARIN SODIUM 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033001</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033010</ndc>
    <ndc_label_name>WARFARIN SODIUM 3 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033101</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033110</ndc>
    <ndc_label_name>WARFARIN SODIUM 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033201</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033210</ndc>
    <ndc_label_name>WARFARIN SODIUM 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033301</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033310</ndc>
    <ndc_label_name>WARFARIN SODIUM 6 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033401</ndc>
    <ndc_label_name>WARFARIN SODIUM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282033501</ndc>
    <ndc_label_name>WARFARIN SODIUM 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282033660</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034001</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034005</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034101</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034105</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034201</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034205</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034701</ndc>
    <ndc_label_name>NADOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034801</ndc>
    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282034901</ndc>
    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282037702</ndc>
    <ndc_label_name>CALCIUM ACETATE 667 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040501</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040505</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040590</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040601</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040605</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040690</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282040727</ndc>
    <ndc_label_name>SEVELAMER CARBONATE 800 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041205</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041230</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041290</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041701</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041705</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041801</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041810</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041845</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041890</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041901</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041910</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041945</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041950</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282041990</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042001</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042010</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042018</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042045</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042050</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042090</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042101</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042105</ndc>
    <ndc_label_name>LISINOPRIL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042201</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042210</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042218</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042245</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282042290</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282044601</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282044605</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282044610</ndc>
    <ndc_label_name>LISINOPRIL-HCTZ 10-12.5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067101</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067105</ndc>
    <ndc_label_name>RAMIPRIL 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067201</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067205</ndc>
    <ndc_label_name>RAMIPRIL 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067301</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067305</ndc>
    <ndc_label_name>RAMIPRIL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067430</ndc>
    <ndc_label_name>CINACALCET HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067530</ndc>
    <ndc_label_name>CINACALCET HCL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067630</ndc>
    <ndc_label_name>CINACALCET HCL 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067830</ndc>
    <ndc_label_name>EFAVIR-EMTRI-TENOF 600-200-300</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282067942</ndc>
    <ndc_label_name>ALBUTEROL HFA 90 MCG INHALER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282068043</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282068044</ndc>
    <ndc_label_name>DIHYDROERGOTAMINE 4 MG/ML SPRY</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282068145</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 35 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282068245</ndc>
    <ndc_label_name>ALENDRONATE SODIUM 70 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282069648</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282069748</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282069848</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282069947</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282070047</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282070147</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070245</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070345</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 45 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070445</ndc>
    <ndc_label_name>OSELTAMIVIR PHOS 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070605</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070690</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070705</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282070790</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282070850</ndc>
    <ndc_label_name>DIFLUPREDNATE 0.05% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071210</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071246</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071250</ndc>
    <ndc_label_name>IBUPROFEN 400 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071310</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071350</ndc>
    <ndc_label_name>IBUPROFEN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071410</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071430</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071446</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071450</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282071490</ndc>
    <ndc_label_name>IBUPROFEN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282071527</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282071690</ndc>
    <ndc_label_name>PIRFENIDONE 801 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282071727</ndc>
    <ndc_label_name>PIRFENIDONE 267 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76282072067</ndc>
    <ndc_label_name>LANREOTIDE 120 MG/0.5 ML SYRNG</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072110</ndc>
    <ndc_label_name>PRAZOSIN 1 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072201</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072210</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072325</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072801</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072805</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072910</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072945</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282072990</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073001</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073010</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073045</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073050</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073090</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073101</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282073150</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DARUNAVIR 600 MG TABLET</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DARUNAVIR 800 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76282078240</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300017400</ndc>
    <ndc_label_name>IV 3000 TRANSPARENT DRESSNG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300023982</ndc>
    <ndc_label_name>Guardian Link 3 Transmitter device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300032610</ndc>
    <ndc_label_name>Paradigm Reservoir 1.8 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300033210</ndc>
    <ndc_label_name>Paradigm Reservoir 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300038501</ndc>
    <ndc_label_name>Sil-serter misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76300039501</ndc>
    <ndc_label_name>MiniMed Quick-Serter (MMT-395) misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310001701</ndc>
    <ndc_label_name>Ethyol 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310001750</ndc>
    <ndc_label_name>Ethyol 500 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002201</ndc>
    <ndc_label_name>Proleukin 22 million unit intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002401</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002411</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002415</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002425</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002441</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76310002445</ndc>
    <ndc_label_name>Foscavir 24 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030193</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030199</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030201</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030202</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030203</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030204</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030205</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030206</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030207</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030210</ndc>
    <ndc_label_name>Emergen-C MSM Lite 1,000 mg-1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030213</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030232</ndc>
    <ndc_label_name>Emergen-C Electro Mix 408 mg-100 mg-120 mg-2 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030297</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030298</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030299</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030319</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030404</ndc>
    <ndc_label_name>Emergen-C Kidz Drink Mix oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030405</ndc>
    <ndc_label_name>Emergen-C Kidz Drink Mix oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030406</ndc>
    <ndc_label_name>Emergen-C Kidz Drink Mix oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314030494</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314032450</ndc>
    <ndc_label_name>Emergen-C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314034171</ndc>
    <ndc_label_name>Emergen-C Apple Cider Vinegar 83.3 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314034174</ndc>
    <ndc_label_name>Emergen-C Ashwagandha 250 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314034175</ndc>
    <ndc_label_name>Emergen-C Apple Cider Vinegar 250 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314037210</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314039090</ndc>
    <ndc_label_name>Emergen-C Turmeric Ginger 83.3 mg-33.3 mg-16.6 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314039091</ndc>
    <ndc_label_name>Emergen-C Turmeric Ginger 250 mg-100 mg-150 mg effervescent powder pk</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314051018</ndc>
    <ndc_label_name>Emergen-C Energy Plus 250 mg-50 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314051170</ndc>
    <ndc_label_name>Emergen-C 1,000 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314054229</ndc>
    <ndc_label_name>Emergen-C Apple Cider Vinegar 250 mg oral effervescent powder pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Emergen-C Kidz Daily Immune chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76314060842</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Emergen-C Kidz Daily Immune chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76314060964</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329124001</ndc>
    <ndc_label_name>PHYTONADIONE 1 MG/0.5 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329191201</ndc>
    <ndc_label_name>MORPHINE 30 MG/30 ML PCA VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329301105</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% JEL UROJET AC</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329301205</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% JELLY URO-JET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329301305</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% JELLY URO-JET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329301505</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% JELLY URO-JET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329330201</ndc>
    <ndc_label_name>DEXTROSE 50%-WATER SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329330401</ndc>
    <ndc_label_name>CALCIUM CHLORIDE 1 GM/10ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329331801</ndc>
    <ndc_label_name>EPINEPHRINE 1 MG/10 ML LUERJET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329332100</ndc>
    <ndc_label_name>REGADENOSON 0.4 MG/5 ML SYRING</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329334001</ndc>
    <ndc_label_name>ATROPINE 1 MG/10 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329335201</ndc>
    <ndc_label_name>SODIUM BICARB 8.4% SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76329336901</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329339001</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% LUER-JET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329339905</ndc>
    <ndc_label_name>PROCAINAMID 1,000 MG/10 ML SYR</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76329346901</ndc>
    <ndc_label_name>NALOXONE 2 MG/2 ML SYRINGE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76329366902</ndc>
    <ndc_label_name>Rextovy 4 mg/actuation nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329630005</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329826100</ndc>
    <ndc_label_name>LORAZEPAM 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329826101</ndc>
    <ndc_label_name>LORAZEPAM 20 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329906000</ndc>
    <ndc_label_name>EPINEPHRINE 30 MG/30 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329920001</ndc>
    <ndc_label_name>IRON SUCROSE 50 MG/2.5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329920101</ndc>
    <ndc_label_name>IRON SUCROSE 100 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76329920205</ndc>
    <ndc_label_name>IRON SUCROSE 200 MG/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76336008060</ndc>
    <ndc_label_name>Lysodren 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76336045518</ndc>
    <ndc_label_name>Metopirone 250 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76346007301</ndc>
    <ndc_label_name>Korlym 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76346007302</ndc>
    <ndc_label_name>Korlym 300 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76346065403</ndc>
    <ndc_label_name>MIFEPRISTONE 300 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76385010001</ndc>
    <ndc_label_name>METHSCOPOLAMINE BROM 2.5 MG TB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76385010160</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PRIMAQUINE 26.3 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385010617</ndc>
    <ndc_label_name>KETOTIFEN 0.025% (0.035%) DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>DIPHENOXYLATE-ATROP 2.5-0.025</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385011050</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385011150</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385011250</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385011350</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385011401</ndc>
    <ndc_label_name>SOTALOL 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>SOTALOL 160 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ETODOLAC 400 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385012301</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METHOCARBAMOL 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sotalol AF 80 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Sotalol AF 160 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385012810</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CYPROHEPTADINE 4 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PINDOLOL 5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PINDOLOL 10 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NADOLOL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NADOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014205</ndc>
    <ndc_label_name>CHLOROQUINE PH 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014401</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014450</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014501</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014601</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76385014701</ndc>
    <ndc_label_name>FLECAINIDE ACETATE 150 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc>76420024001</ndc>
    <ndc_label_name>Betaloan SUIK 6 mg/mL injection suspension, topical spray</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Toronova SUIK 30 mg/mL kit</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DMT SUIK 10 mg/mL injection solution and topical spray</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Vitalee 0.4 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Preorbotic 250 million cell capsule</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76420031301</ndc>
    <ndc_label_name>Cadira Compliant Blood Stat 21 gauge x 3/4"-2.5 %-2.5 % kit</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Tumersaid 100 mg-100 mg-100 mg-125 mg tablet</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Eha (lidocaine) 4 % lotion</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Narcosoft 545 mg capsule</ndc_label_name>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Immunicare 15 mg-15 unit-10 mcg capsule</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76518005050</ndc>
    <ndc_label_name>Pedia D-Vite 10 mcg/mL (400 unit/mL) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>76518006050</ndc>
    <ndc_label_name>Pedia Iron 15 mg iron (75 mg)/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76635090405</ndc>
    <ndc_label_name>VITAMIN K-1 500 MCG TABLET SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76635090530</ndc>
    <ndc_label_name>VITAMIN A 10,000 UNIT TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76961010101</ndc>
    <ndc_label_name>Rolvedon 13.2 mg/0.6 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76964000110</ndc>
    <ndc_label_name>Petadolex 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>76964000750</ndc>
    <ndc_label_name>Petadolex 75 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77052001001</ndc>
    <ndc_label_name>Ala-Scalp 2 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77052001002</ndc>
    <ndc_label_name>Ala-Scalp 2 % lotion</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333000415</ndc>
    <ndc_label_name>ACIDOPHILUS LACTBACLLI 500 MIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333000450</ndc>
    <ndc_label_name>ACIDOPHILUS LACTBACLLI 500 MIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333003120</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333003125</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333004920</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333004925</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011010</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011025</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-5 mcg (200 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011310</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011325</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011510</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011525</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011810</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333011825</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333012025</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333012050</ndc>
    <ndc_label_name>Fiber Laxative (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333013810</ndc>
    <ndc_label_name>Centravites Adults 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333013825</ndc>
    <ndc_label_name>Centravites Adults 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333013910</ndc>
    <ndc_label_name>Centravites 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333013925</ndc>
    <ndc_label_name>Centravites 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333014610</ndc>
    <ndc_label_name>Children's Chewable Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333014625</ndc>
    <ndc_label_name>Children's Chewable Vitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333030710</ndc>
    <ndc_label_name>Fish Oil 60 mg-90 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333030725</ndc>
    <ndc_label_name>Fish Oil 60 mg-90 mg-500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333030810</ndc>
    <ndc_label_name>Fish Oil 1,000 mg (120 mg-180 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333030825</ndc>
    <ndc_label_name>Fish Oil 1,000 mg (120 mg-180 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333036010</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333036025</ndc>
    <ndc_label_name>GUAIFENESIN 400 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333043025</ndc>
    <ndc_label_name>LACTASE 3,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333043050</ndc>
    <ndc_label_name>LACTASE 3,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333043525</ndc>
    <ndc_label_name>LACTASE 9,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333043550</ndc>
    <ndc_label_name>LACTASE 9,000 UNIT CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333044110</ndc>
    <ndc_label_name>LACTOBACILLUS 1 MILLION CFU TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333044125</ndc>
    <ndc_label_name>LACTOBACILLUS 1 MILLION CFU TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333050120</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333050125</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333051610</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333051625</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333052010</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333052025</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333071510</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333071525</ndc>
    <ndc_label_name>Prenatal Vitamin 27 mg iron-0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333080025</ndc>
    <ndc_label_name>SACCH-BOULARDII 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333080050</ndc>
    <ndc_label_name>SACCH-BOULARDII 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333081210</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333081225</ndc>
    <ndc_label_name>SIMETHICONE 80 MG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333082710</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333082725</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333083110</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333083125</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333084410</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77333084425</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333086110</ndc>
    <ndc_label_name>Thera-Vite Max-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333086125</ndc>
    <ndc_label_name>Thera-Vite Max-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093410</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093425</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093710</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093725</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093810</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333093825</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094010</ndc>
    <ndc_label_name>VITAMIN B-6 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094025</ndc>
    <ndc_label_name>VITAMIN B-6 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094510</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094525</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094810</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333094825</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333095110</ndc>
    <ndc_label_name>VITAMIN E 180MG(400 UNIT) SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333095125</ndc>
    <ndc_label_name>VITAMIN E 180MG(400 UNIT) SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333098310</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77333098325</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000004</ndc>
    <ndc_label_name>Seni Active Super Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000005</ndc>
    <ndc_label_name>Seni Active Super Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000006</ndc>
    <ndc_label_name>Seni Active Super Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000008</ndc>
    <ndc_label_name>Seni Classic Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000009</ndc>
    <ndc_label_name>Seni Classic Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000010</ndc>
    <ndc_label_name>Seni Classic Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000011</ndc>
    <ndc_label_name>Seni Classic Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000012</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000013</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000014</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000015</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000016</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000017</ndc>
    <ndc_label_name>Seni Super Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000020</ndc>
    <ndc_label_name>Seni Soft Classic Dry Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000026</ndc>
    <ndc_label_name>Seni Soft Super Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000030</ndc>
    <ndc_label_name>Seni Classic Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000031</ndc>
    <ndc_label_name>Seni Classic Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000032</ndc>
    <ndc_label_name>Seni Classic Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000033</ndc>
    <ndc_label_name>Seni Classic Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000035</ndc>
    <ndc_label_name>Seni Active Classic Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000036</ndc>
    <ndc_label_name>Seni Active Classic Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000037</ndc>
    <ndc_label_name>Seni Active Classic Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000049</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000050</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000051</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000052</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000053</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000054</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000055</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000064</ndc>
    <ndc_label_name>Seni Booster Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000070</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000071</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000074</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000075</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000076</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000077</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000078</ndc>
    <ndc_label_name>Seni Super Plus Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000079</ndc>
    <ndc_label_name>Seni Super Quatro Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000080</ndc>
    <ndc_label_name>Seni Super Quatro Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000081</ndc>
    <ndc_label_name>Seni Super Quatro Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000082</ndc>
    <ndc_label_name>Seni Super Quatro Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000083</ndc>
    <ndc_label_name>Seni Super Quatro Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000114</ndc>
    <ndc_label_name>Seni Classic Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000117</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000121</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000122</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000123</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000124</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000125</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000126</ndc>
    <ndc_label_name>Seni Lady Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000148</ndc>
    <ndc_label_name>Seni Soft Super Dry Underpad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000153</ndc>
    <ndc_label_name>Seni Day Shaped Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000172</ndc>
    <ndc_label_name>Seni Overnight Shaped Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000205</ndc>
    <ndc_label_name>Seni Act Super Plus Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000214</ndc>
    <ndc_label_name>Seni Man Guards pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77353000216</ndc>
    <ndc_label_name>Seni Man Guards pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77530072501</ndc>
    <ndc_label_name>Trudhesa 0.725 mg/pump act. (4 mg/mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77530072504</ndc>
    <ndc_label_name>Trudhesa 0.725 mg/pump act. (4 mg/mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011301</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011310</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011401</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011410</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011501</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771011505</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771012410</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771012430</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771012490</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014405</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014430</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014490</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014505</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014530</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771014590</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015660</ndc>
    <ndc_label_name>CELECOXIB 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015701</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015705</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015801</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015805</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771015960</ndc>
    <ndc_label_name>CELECOXIB 400 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017405</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017460</ndc>
    <ndc_label_name>BUPROPION HCL SR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017505</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017560</ndc>
    <ndc_label_name>BUPROPION HCL SR 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017660</ndc>
    <ndc_label_name>BUPROPION HCL SR 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017705</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017790</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017805</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771017890</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018201</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018210</ndc>
    <ndc_label_name>HYDRALAZINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018301</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018310</ndc>
    <ndc_label_name>HYDRALAZINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018401</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018410</ndc>
    <ndc_label_name>HYDRALAZINE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771018501</ndc>
    <ndc_label_name>HYDRALAZINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771020101</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771020105</ndc>
    <ndc_label_name>FEXOFENADINE HCL 60 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771020201</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771020205</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771020230</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023401</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023405</ndc>
    <ndc_label_name>BUSPIRONE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023501</ndc>
    <ndc_label_name>BUSPIRONE HCL 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023601</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023605</ndc>
    <ndc_label_name>BUSPIRONE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023705</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023760</ndc>
    <ndc_label_name>BUSPIRONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771023860</ndc>
    <ndc_label_name>BUSPIRONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039630</ndc>
    <ndc_label_name>FLUCONAZOLE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039701</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039730</ndc>
    <ndc_label_name>FLUCONAZOLE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039811</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039813</ndc>
    <ndc_label_name>FLUCONAZOLE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039901</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771039930</ndc>
    <ndc_label_name>FLUCONAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771042360</ndc>
    <ndc_label_name>RANOLAZINE ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771042460</ndc>
    <ndc_label_name>RANOLAZINE ER 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043401</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043405</ndc>
    <ndc_label_name>NAPROXEN 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043501</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043505</ndc>
    <ndc_label_name>NAPROXEN 375 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043601</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771043605</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045110</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045190</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045205</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045290</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045310</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045390</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045405</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771045490</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771046001</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 25-100 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77771046101</ndc>
    <ndc_label_name>CARBIDOPA-LEVO ER 50-200 TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771052160</ndc>
    <ndc_label_name>TICAGRELOR 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77771052260</ndc>
    <ndc_label_name>TICAGRELOR 90 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>77790000110</ndc>
    <ndc_label_name>Vista Tears 0.4 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77790000210</ndc>
    <ndc_label_name>Vista Gel 0.3 % eye gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77790000310</ndc>
    <ndc_label_name>Vista Meibo Tears 0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77790002215</ndc>
    <ndc_label_name>Vista Gonio 2.5 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890012583</ndc>
    <ndc_label_name>Training Pants 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890012597</ndc>
    <ndc_label_name>Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890023869</ndc>
    <ndc_label_name>Training Pants 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890023884</ndc>
    <ndc_label_name>Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890023887</ndc>
    <ndc_label_name>Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031292</ndc>
    <ndc_label_name>Supreme Diapers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031297</ndc>
    <ndc_label_name>Supreme Diapers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031298</ndc>
    <ndc_label_name>Supreme Diapers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031300</ndc>
    <ndc_label_name>Supreme Diapers Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031301</ndc>
    <ndc_label_name>Supreme Diapers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031307</ndc>
    <ndc_label_name>Supreme Diapers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031309</ndc>
    <ndc_label_name>Supreme Diapers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031311</ndc>
    <ndc_label_name>Supreme Diapers Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031312</ndc>
    <ndc_label_name>Supreme Diapers Size 1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031313</ndc>
    <ndc_label_name>Supreme Diapers Size 2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031316</ndc>
    <ndc_label_name>Supreme Diapers Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031318</ndc>
    <ndc_label_name>Supreme Diapers Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031321</ndc>
    <ndc_label_name>Supreme Diapers Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>77890031323</ndc>
    <ndc_label_name>Supreme Diapers Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112000042</ndc>
    <ndc_label_name>Clear Eyes Sensitive 0.2 %-0.25 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112000056</ndc>
    <ndc_label_name>Clear Eyes Redness Relief 0.012 %-0.25 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112000068</ndc>
    <ndc_label_name>Chloraseptic Max Sore Throat 1.5 %-33 % mucosal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112000084</ndc>
    <ndc_label_name>CLEAR EYES NIGHTTIME 0.25% DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112000088</ndc>
    <ndc_label_name>Chloraseptic Children's Sore Throat 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112001103</ndc>
    <ndc_label_name>Chloraseptic Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112001104</ndc>
    <ndc_label_name>Chloraseptic Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112001106</ndc>
    <ndc_label_name>Chloraseptic Sore Throat 6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112001255</ndc>
    <ndc_label_name>Chloraseptic Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112001266</ndc>
    <ndc_label_name>Chloraseptic Sore Throat 6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112001511</ndc>
    <ndc_label_name>Chloraseptic Total 5 mg-6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112001746</ndc>
    <ndc_label_name>Chloraseptic Max 15 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112010125</ndc>
    <ndc_label_name>Clear Eyes Cooling Comfort 0.03 %-0.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112010189</ndc>
    <ndc_label_name>Chloraseptic Warming Sore Throat 15 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112010256</ndc>
    <ndc_label_name>Chloraseptic Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112025415</ndc>
    <ndc_label_name>Clear Eyes Redness Relief 0.012 %-0.25 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112025418</ndc>
    <ndc_label_name>Clear Eyes Redness Relief 0.012 %-0.2 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112025419</ndc>
    <ndc_label_name>Clear Eyes Redness Relief 0.012 %-0.25 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112025433</ndc>
    <ndc_label_name>Clear Eyes Triple Action 0.05 %-0.5 %-0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112025510</ndc>
    <ndc_label_name>Clear Eyes Maximum Redness Relief 0.03 %-0.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112065920</ndc>
    <ndc_label_name>Clear Eyes Itchy Eye Relief 0.012 %-0.25 %-0.25 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112065979</ndc>
    <ndc_label_name>CLEAR EYES COMPLETE EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112066577</ndc>
    <ndc_label_name>Clear Eyes Maximum Redness Relief 0.03 %-0.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112069480</ndc>
    <ndc_label_name>Chloraseptic Throat Spray 1.4 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112073621</ndc>
    <ndc_label_name>MURINE EAR WAX REMOVAL SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112073623</ndc>
    <ndc_label_name>MURINE 6.5% EAR DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78112073645</ndc>
    <ndc_label_name>Clear Eyes Natural Tears 0.5 %-0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78112080122</ndc>
    <ndc_label_name>Chloraseptic Total 5 mg-6 mg-10 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011101</ndc>
    <ndc_label_name>Asmanex HFA 50 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011201</ndc>
    <ndc_label_name>Asmanex HFA 100 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011301</ndc>
    <ndc_label_name>Asmanex HFA 200 mcg/actuation aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011401</ndc>
    <ndc_label_name>Asmanex Twisthaler 220 mcg/actuation(120 doses) breath activated inhlr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011402</ndc>
    <ndc_label_name>Asmanex Twisthaler 220 mcg/actuation(60 doses) breath activated inhalr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011403</ndc>
    <ndc_label_name>Asmanex Twisthaler 220 mcg/actuation(14 doses) breath activated inhalr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011404</ndc>
    <ndc_label_name>Asmanex Twisthaler 220 mcg/actuation(30 doses) breath activated inhalr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206011501</ndc>
    <ndc_label_name>Asmanex Twisthaler 110 mcg/actuation(30 doses) breath activated inhalr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206011801</ndc>
    <ndc_label_name>Celestone Soluspan 6 mg/mL suspension for injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012001</ndc>
    <ndc_label_name>Clarinex-D 12 HOUR 2.5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012101</ndc>
    <ndc_label_name>Cozaar 25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012201</ndc>
    <ndc_label_name>Cozaar 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012202</ndc>
    <ndc_label_name>Cozaar 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012301</ndc>
    <ndc_label_name>Cozaar 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012302</ndc>
    <ndc_label_name>Cozaar 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012401</ndc>
    <ndc_label_name>Diprolene (augmented) 0.05 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012402</ndc>
    <ndc_label_name>Diprolene (augmented) 0.05 % topical ointment</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012501</ndc>
    <ndc_label_name>Dulera 50 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012601</ndc>
    <ndc_label_name>Dulera 200 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012602</ndc>
    <ndc_label_name>Dulera 200 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012659</ndc>
    <ndc_label_name>Dulera 200 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012701</ndc>
    <ndc_label_name>Dulera 100 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206012702</ndc>
    <ndc_label_name>Dulera 100 mcg-5 mcg/actuation HFA aerosol inhaler</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206012901</ndc>
    <ndc_label_name>Follistim AQ 300 unit/0.36 mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013001</ndc>
    <ndc_label_name>Follistim AQ 600 unit/0.72 mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013101</ndc>
    <ndc_label_name>Follistim AQ 900 unit/1.08 mL subcutaneous cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013501</ndc>
    <ndc_label_name>Fosamax 70 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013601</ndc>
    <ndc_label_name>Fosamax Plus D 70 mg-5,600 unit tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013701</ndc>
    <ndc_label_name>Fosamax Plus D 70 mg-2,800 unit tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013801</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013802</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013901</ndc>
    <ndc_label_name>Hyzaar 50 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206013902</ndc>
    <ndc_label_name>Hyzaar 50 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014001</ndc>
    <ndc_label_name>Hyzaar 100 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014002</ndc>
    <ndc_label_name>Hyzaar 100 mg-12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014101</ndc>
    <ndc_label_name>Hyzaar 100 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014102</ndc>
    <ndc_label_name>Hyzaar 100 mg-25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014201</ndc>
    <ndc_label_name>Maxalt 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014299</ndc>
    <ndc_label_name>Maxalt 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014301</ndc>
    <ndc_label_name>Maxalt-MLT 10 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014399</ndc>
    <ndc_label_name>Maxalt-MLT 10 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206014501</ndc>
    <ndc_label_name>Nexplanon 68 mg subdermal implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014601</ndc>
    <ndc_label_name>NuvaRing 0.12 mg-0.015 mg/24 hr vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014603</ndc>
    <ndc_label_name>NuvaRing 0.12 mg-0.015 mg/24 hr vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014701</ndc>
    <ndc_label_name>Ontruzant 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014799</ndc>
    <ndc_label_name>Ontruzant 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014801</ndc>
    <ndc_label_name>Ontruzant 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206014899</ndc>
    <ndc_label_name>Ontruzant 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015001</ndc>
    <ndc_label_name>Pregnyl 10,000 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015099</ndc>
    <ndc_label_name>Pregnyl 10,000 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015201</ndc>
    <ndc_label_name>Propecia 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015202</ndc>
    <ndc_label_name>Propecia 1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015301</ndc>
    <ndc_label_name>Proscar 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015302</ndc>
    <ndc_label_name>Proscar 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015601</ndc>
    <ndc_label_name>Remeron SolTab 15 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015699</ndc>
    <ndc_label_name>Remeron SolTab 15 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015801</ndc>
    <ndc_label_name>Remeron SolTab 30 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015899</ndc>
    <ndc_label_name>Remeron SolTab 30 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015901</ndc>
    <ndc_label_name>Remeron SolTab 45 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206015999</ndc>
    <ndc_label_name>Remeron SolTab 45 mg disintegrating tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016001</ndc>
    <ndc_label_name>Remeron 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016101</ndc>
    <ndc_label_name>Remeron 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016201</ndc>
    <ndc_label_name>Renflexis 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016299</ndc>
    <ndc_label_name>Renflexis 100 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016601</ndc>
    <ndc_label_name>Sinemet 10 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206016801</ndc>
    <ndc_label_name>Sinemet 25 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017001</ndc>
    <ndc_label_name>Singulair 4 mg chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017101</ndc>
    <ndc_label_name>Singulair 4 mg oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017201</ndc>
    <ndc_label_name>Singulair 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017202</ndc>
    <ndc_label_name>Singulair 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017301</ndc>
    <ndc_label_name>Singulair 5 mg chewable tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017401</ndc>
    <ndc_label_name>Vytorin 10 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017402</ndc>
    <ndc_label_name>Vytorin 10 mg-10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017501</ndc>
    <ndc_label_name>Vytorin 10 mg-20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017502</ndc>
    <ndc_label_name>Vytorin 10 mg-20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017601</ndc>
    <ndc_label_name>Vytorin 10 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017602</ndc>
    <ndc_label_name>Vytorin 10 mg-40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017701</ndc>
    <ndc_label_name>Vytorin 10 mg-80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017702</ndc>
    <ndc_label_name>Vytorin 10 mg-80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206017801</ndc>
    <ndc_label_name>Zetia 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018001</ndc>
    <ndc_label_name>Zocor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018002</ndc>
    <ndc_label_name>Zocor 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018101</ndc>
    <ndc_label_name>Zocor 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018102</ndc>
    <ndc_label_name>Zocor 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018201</ndc>
    <ndc_label_name>Zocor 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018202</ndc>
    <ndc_label_name>Zocor 40 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018301</ndc>
    <ndc_label_name>Hadlima 40 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018399</ndc>
    <ndc_label_name>Hadlima 40 mg/0.8 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018401</ndc>
    <ndc_label_name>Hadlima PushTouch 40 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018499</ndc>
    <ndc_label_name>Hadlima PushTouch 40 mg/0.8 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018601</ndc>
    <ndc_label_name>Hadlima(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018699</ndc>
    <ndc_label_name>Hadlima(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018701</ndc>
    <ndc_label_name>Hadlima(CF) PushTouch 40 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206018799</ndc>
    <ndc_label_name>Hadlima(CF) PushTouch 40 mg/0.4 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018801</ndc>
    <ndc_label_name>Clarinex 5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018901</ndc>
    <ndc_label_name>Xaciato 2 % vaginal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206018999</ndc>
    <ndc_label_name>Xaciato 2 % vaginal gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206019001</ndc>
    <ndc_label_name>Sinemet 25 mg-100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78206019199</ndc>
    <ndc_label_name>Ontruzant 420 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206019301</ndc>
    <ndc_label_name>Bildyos 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78206019501</ndc>
    <ndc_label_name>Bilprevda 120 mg/1.7 mL (70 mg/mL) subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78482011002</ndc>
    <ndc_label_name>ALBENDAZOLE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78573000074</ndc>
    <ndc_label_name>Flavorx liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78613020130</ndc>
    <ndc_label_name>Syndros 5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78670000367</ndc>
    <ndc_label_name>Revonto 20 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78670005036</ndc>
    <ndc_label_name>Lucemyra 0.18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78670005096</ndc>
    <ndc_label_name>Lucemyra 0.18 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78670014002</ndc>
    <ndc_label_name>Zimhi 5 mg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78670014011</ndc>
    <ndc_label_name>Zimhi 5 mg/0.5 mL injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78670015001</ndc>
    <ndc_label_name>Iwilfin 192 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742000985</ndc>
    <ndc_label_name>SV VITAMIN B12 TR 1,000 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742000986</ndc>
    <ndc_label_name>SV VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742000988</ndc>
    <ndc_label_name>SV B-50 COMPLEX TR TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742000995</ndc>
    <ndc_label_name>SV VITAMIN B12 TR 1,000 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742001010</ndc>
    <ndc_label_name>EQ MICONAZOLE 1 COMBO PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742001190</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742001191</ndc>
    <ndc_label_name>Swimmer's Instant Ear Dry 95 %-5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742001650</ndc>
    <ndc_label_name>Options Liners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742001651</ndc>
    <ndc_label_name>Options Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742002017</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742002344</ndc>
    <ndc_label_name>Fish Oil 120 mg-180 mg-60 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742002644</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742002648</ndc>
    <ndc_label_name>Micro Thin Lancets 33 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742003575</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742004887</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742005452</ndc>
    <ndc_label_name>Cold Relief 2 mg-7.8 mg-325 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742005861</ndc>
    <ndc_label_name>SV CRANBERRY 500 MG SOFT CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742006331</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742006599</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-MSM with vit D 750 mg-625 mg-1,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742006600</ndc>
    <ndc_label_name>SV MELATONIN TR 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742006780</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742006781</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742006795</ndc>
    <ndc_label_name>SV L-LYSINE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742007185</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742007186</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742007189</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742007588</ndc>
    <ndc_label_name>EQ ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742008979</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009058</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009060</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009100</ndc>
    <ndc_label_name>CALCIUM CITRATE-VIT D3 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009111</ndc>
    <ndc_label_name>Antacid 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009203</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009253</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009255</ndc>
    <ndc_label_name>Chocolate Laxative 15 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009257</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009261</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009262</ndc>
    <ndc_label_name>Senna-S 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009263</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009266</ndc>
    <ndc_label_name>Antacid Multi-Symptom 675 mg-135 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742009268</ndc>
    <ndc_label_name>Dairy Digestive 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009269</ndc>
    <ndc_label_name>Fiber Therapy Laxative (psyllium husk) 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742009271</ndc>
    <ndc_label_name>Dairy Digestive 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742009309</ndc>
    <ndc_label_name>Antibiotic Plus (pramoxine) 3.5 mg-10,000 unit-10 mg/gram top cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742009317</ndc>
    <ndc_label_name>SV GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742009318</ndc>
    <ndc_label_name>SV GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742009359</ndc>
    <ndc_label_name>Estroblend 500 mcg-1,000 unit-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742011944</ndc>
    <ndc_label_name>CETIRIZINE HCL 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742012307</ndc>
    <ndc_label_name>Jock Itch (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742012413</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742014327</ndc>
    <ndc_label_name>Fiber Supplement (inulin) 2 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742014584</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742014586</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742021129</ndc>
    <ndc_label_name>Vaporizing Rub 4.8 %-1.2 %-2.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742023460</ndc>
    <ndc_label_name>Easy-Touch Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742023461</ndc>
    <ndc_label_name>Easy Touch Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742023550</ndc>
    <ndc_label_name>FEXOFENADINE HCL 180 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025657</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025659</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025661</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 30GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025663</ndc>
    <ndc_label_name>INSULIN SYRIN 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025665</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025767</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742025769</ndc>
    <ndc_label_name>Twist Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742025770</ndc>
    <ndc_label_name>Twist Lancets 32 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742025771</ndc>
    <ndc_label_name>LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025773</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025774</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742025775</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742026442</ndc>
    <ndc_label_name>Ultra Thin Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742035191</ndc>
    <ndc_label_name>GREAT VALUE DISTILLED WATER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043509</ndc>
    <ndc_label_name>SV CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043518</ndc>
    <ndc_label_name>SV CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742043525</ndc>
    <ndc_label_name>SV ALFALFA 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742043526</ndc>
    <ndc_label_name>SV BEE POLLEN 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742043532</ndc>
    <ndc_label_name>SV GELATIN 650 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742043539</ndc>
    <ndc_label_name>SV LECITHIN 400 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043574</ndc>
    <ndc_label_name>SV VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043590</ndc>
    <ndc_label_name>SV VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043617</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043619</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043620</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742043656</ndc>
    <ndc_label_name>Prenatal 28 mg-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742044274</ndc>
    <ndc_label_name>Complete Multivitamin-Multimineral 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742044277</ndc>
    <ndc_label_name>Complete Multivitamin Adult 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742044281</ndc>
    <ndc_label_name>EQ CALCIUM 600-D3-MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742045610</ndc>
    <ndc_label_name>SV MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742049904</ndc>
    <ndc_label_name>SV VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742049905</ndc>
    <ndc_label_name>SV VIT E 12,000 UNIT SKIN OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742049908</ndc>
    <ndc_label_name>Cod Liver Oil plus Vits A and D3 1,250 unit-130 unit-530 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742049911</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>78742049923</ndc>
    <ndc_label_name>SV L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742049947</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>78742063438</ndc>
    <ndc_label_name>SV CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043011028</ndc>
    <ndc_label_name>Dermelle topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043015028</ndc>
    <ndc_label_name>Derpixa topical gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043018008</ndc>
    <ndc_label_name>Clenia Plus 9 %-4.25 % topical suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043020025</ndc>
    <ndc_label_name>ZCort 1.5 mg (25 tabs) tablets in a dose pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043024031</ndc>
    <ndc_label_name>HYDROCORT-PRAMOXIN 2.35-1% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043033401</ndc>
    <ndc_label_name>URIMAR-T 120 mg-10.8 mg-0.12 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043033860</ndc>
    <ndc_label_name>Urneva 120 mg-10.8 mg-40.8 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043041090</ndc>
    <ndc_label_name>Hydrocortisone Lotion Complete 2 % topical combo pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043045001</ndc>
    <ndc_label_name>Uro-SP 118 mg-10 mg-40.8 mg-36 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79043098008</ndc>
    <ndc_label_name>SULFACET-SULFUR 9%-4.25% SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378000102</ndc>
    <ndc_label_name>Cholbam 50 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378000202</ndc>
    <ndc_label_name>Cholbam 250 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378011001</ndc>
    <ndc_label_name>Livmarli 9.5 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378011101</ndc>
    <ndc_label_name>Livmarli 19 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378021030</ndc>
    <ndc_label_name>Livmarli 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378021530</ndc>
    <ndc_label_name>Livmarli 15 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378022030</ndc>
    <ndc_label_name>Livmarli 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378023030</ndc>
    <ndc_label_name>Livmarli 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79378031090</ndc>
    <ndc_label_name>Ctexli 250 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79481010300</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503010330</ndc>
    <ndc_label_name>HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503010530</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503010630</ndc>
    <ndc_label_name>MICONAZOLE 2% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503010730</ndc>
    <ndc_label_name>BACITRACIN ZN 500 UNIT/GM OINT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503010830</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79503020230</ndc>
    <ndc_label_name>HYDROCORTISONE-ALOE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79622001004</ndc>
    <ndc_label_name>Tembexa 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79622001010</ndc>
    <ndc_label_name>Tembexa 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79622001265</ndc>
    <ndc_label_name>Tembexa 10 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79622001270</ndc>
    <ndc_label_name>Tembexa 10 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643000201</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643000301</ndc>
    <ndc_label_name>METHYL SALICYLATE 10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643000401</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79643000501</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643000701</ndc>
    <ndc_label_name>CAPSAICIN 0.035% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79643000801</ndc>
    <ndc_label_name>LIDOCAINE PAIN RELIEF 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643001001</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643001101</ndc>
    <ndc_label_name>CAPSAICIN 0.035% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79643001201</ndc>
    <ndc_label_name>CAPSAICIN 0.05% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061301</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061302</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061303</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061304</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061305</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061310</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061320</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061330</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061340</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672061350</ndc>
    <ndc_label_name>SODIUM CHLORIDE 0.9% SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672082502</ndc>
    <ndc_label_name>OXALIPLATIN 50 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79672082602</ndc>
    <ndc_label_name>OXALIPLATIN 100 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79802020030</ndc>
    <ndc_label_name>Rezurock 200 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000007</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000010</ndc>
    <ndc_label_name>EVENING PRIMROSE 500 MG SFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000020</ndc>
    <ndc_label_name>Cranberry Concentrate 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000035</ndc>
    <ndc_label_name>ULTRA ENERGY TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000154</ndc>
    <ndc_label_name>Odorless Garlic 1250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000260</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000615</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000672</ndc>
    <ndc_label_name>SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000687</ndc>
    <ndc_label_name>GRAPE SEED 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000691</ndc>
    <ndc_label_name>BILBERRY EXTRACT 40 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000701</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000705</ndc>
    <ndc_label_name>Niacin No Flush 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000715</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000732</ndc>
    <ndc_label_name>CALCIUM 600-VIT D3 400 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000758</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000787</ndc>
    <ndc_label_name>GLUCOSAMINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000848</ndc>
    <ndc_label_name>COENZYME Q10 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854000893</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000930</ndc>
    <ndc_label_name>Theratrum Complete with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854000938</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus(lycopene,lutein) 0.4 mg-300 mcg-250 mcg tab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001101</ndc>
    <ndc_label_name>GINGER EXTRACT 250 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001104</ndc>
    <ndc_label_name>GREEN TEA 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001107</ndc>
    <ndc_label_name>ALPHA LIPOIC ACID 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001109</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001118</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 250 mg-200 mg-30 mg-2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001153</ndc>
    <ndc_label_name>Glucosamine-Methylsulfonylmethane Complex 500 mg-333 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001156</ndc>
    <ndc_label_name>Acidophilus chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001157</ndc>
    <ndc_label_name>SUPER ANTIOXIDANT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001162</ndc>
    <ndc_label_name>Vitamin D3 10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001163</ndc>
    <ndc_label_name>SELENIUM 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001170</ndc>
    <ndc_label_name>Theratrum Complete with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001171</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001181</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 250 mg-200 mg-30 mg-2.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001203</ndc>
    <ndc_label_name>APPLE CIDER VINGR 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001213</ndc>
    <ndc_label_name>BLACK COHOSH 160 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001245</ndc>
    <ndc_label_name>Macuvite Eye Care 7,160 unit-113 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001255</ndc>
    <ndc_label_name>Coral Calcium 185 mg-50 mg-2.5 mcg (100 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001269</ndc>
    <ndc_label_name>Full Spectrum B-Vitamin C 0.8 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001287</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROIT-MSM CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001417</ndc>
    <ndc_label_name>ECHINACEA &amp; GOLDENSEAL CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001445</ndc>
    <ndc_label_name>ST. JOHN'S WORT 300 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001451</ndc>
    <ndc_label_name>MILK THISTLE 175 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001551</ndc>
    <ndc_label_name>Vitamin B-12  2,500 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001609</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001680</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001681</ndc>
    <ndc_label_name>Calcium with Vitamin D 600 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854001689</ndc>
    <ndc_label_name>CALCIUM-MAGNESIUM-ZINC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854001711</ndc>
    <ndc_label_name>Theratrum Complete 50 Plus with Lutein tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854003163</ndc>
    <ndc_label_name>Oyster Shell Calcium-Vitamin D3 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854003592</ndc>
    <ndc_label_name>MSM 900 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854003824</ndc>
    <ndc_label_name>MULTIVITAMINS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854003838</ndc>
    <ndc_label_name>B COMPLEX-FOLIC ACID TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854003985</ndc>
    <ndc_label_name>BIOTIN 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854004038</ndc>
    <ndc_label_name>CINNAMON 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854004039</ndc>
    <ndc_label_name>CALCIUM CITRATE MALATE WITH D</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854004076</ndc>
    <ndc_label_name>MACUVITE WITH LUTEIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854004097</ndc>
    <ndc_label_name>NAC 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854004112</ndc>
    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854005023</ndc>
    <ndc_label_name>Vitamin D3 25 mcg (1,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854005024</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854005026</ndc>
    <ndc_label_name>MELATONIN TR 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854006400</ndc>
    <ndc_label_name>DOCUSATE CAL 240 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854006900</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL EC 1,000 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854006990</ndc>
    <ndc_label_name>FLAXSEED-FISH-BORAGE OIL SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854006991</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,760 MG STGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007009</ndc>
    <ndc_label_name>FISH OIL 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007723</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT/ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007724</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT/ML DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854007725</ndc>
    <ndc_label_name>SUPERIOR DIGESTIVE ENZYME CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007742</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007747</ndc>
    <ndc_label_name>CALCIUM CITRATE - VIT D CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007749</ndc>
    <ndc_label_name>Slow Release Iron 160 mg (50 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854007764</ndc>
    <ndc_label_name>Antioxidant A/C/E/Selenium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007788</ndc>
    <ndc_label_name>Daily-Vite tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007882</ndc>
    <ndc_label_name>CALCIUM CITRATE-VITAMIN D3 LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854007935</ndc>
    <ndc_label_name>Prostate Control 50 mg-20 mg-25 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007941</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007974</ndc>
    <ndc_label_name>COENZYME Q10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007975</ndc>
    <ndc_label_name>COENZYME Q10 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854007986</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,200 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008009</ndc>
    <ndc_label_name>Tropical Liquid Nutrition oral</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008036</ndc>
    <ndc_label_name>LUTEIN 15 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008038</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008041</ndc>
    <ndc_label_name>Glucosamine Chondroitin Maximum Strength 500 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008044</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008412</ndc>
    <ndc_label_name>VITAMIN K 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008963</ndc>
    <ndc_label_name>Magnesium Fizz-Plus 500 mg-300 mg/6.1 gram oral effervescent powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008980</ndc>
    <ndc_label_name>B-12 3,000 MCG/ML SUBLING LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008981</ndc>
    <ndc_label_name>ACIDOPHILUS PROBIOTIC TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008982</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008983</ndc>
    <ndc_label_name>MELATONIN TR 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008992</ndc>
    <ndc_label_name>Prenatal Formula-DHA 28 mg-800 mcg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854008993</ndc>
    <ndc_label_name>OMEGA-3-FISH OIL-VIT D3 SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854008994</ndc>
    <ndc_label_name>Hair-Skin-Nails (multivit-folic-biotin) 400 mcg-2,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009027</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009043</ndc>
    <ndc_label_name>MAG-OXIDE 200 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009074</ndc>
    <ndc_label_name>TURMERIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009090</ndc>
    <ndc_label_name>Extreme Omega-3 120 mg-180 mg-600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009097</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009098</ndc>
    <ndc_label_name>VITAMIN D3 5,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009104</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009161</ndc>
    <ndc_label_name>Vitamin C 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009162</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009163</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009257</ndc>
    <ndc_label_name>Mega Probiotic 14 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009275</ndc>
    <ndc_label_name>Men's Pack 0.4 mg-250 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009291</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009295</ndc>
    <ndc_label_name>DARK CHERRY CONCENTRATE LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009310</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009316</ndc>
    <ndc_label_name>Women's 50 Plus Multivitamin 400 mcg-500 mg calcium-20 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009322</ndc>
    <ndc_label_name>Men's 50 Plus Multivitamin 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009330</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009332</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009356</ndc>
    <ndc_label_name>L-TRYPTOPHAN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009362</ndc>
    <ndc_label_name>B-12 1,000 MCG MICROLOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854009363</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854009407</ndc>
    <ndc_label_name>PAC CRANBERRY 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010005</ndc>
    <ndc_label_name>VITAMIN A 8,000 UNIT CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010011</ndc>
    <ndc_label_name>BETA-CAROTENE 25,000 UNIT SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010076</ndc>
    <ndc_label_name>NIACIN TR 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010078</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010080</ndc>
    <ndc_label_name>NIACIN ER 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010815</ndc>
    <ndc_label_name>ZINC-VITAMIN C-B6 LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010892</ndc>
    <ndc_label_name>CALCIUM 500 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010910</ndc>
    <ndc_label_name>L. ACIDOPHILUS 25 MILL CFU CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010925</ndc>
    <ndc_label_name>Papaya Enzyme tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010936</ndc>
    <ndc_label_name>Antioxidant A/C/E/Selenium capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010945</ndc>
    <ndc_label_name>Magnesium (oxide/AA chelate) 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010955</ndc>
    <ndc_label_name>Strawberry C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854010965</ndc>
    <ndc_label_name>Calcium with Vit D3 600 mg (as carbonate)-12.5 mcg (500 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854010980</ndc>
    <ndc_label_name>C 1,000-BIOFLAVONOIDS-RH CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854011893</ndc>
    <ndc_label_name>OMEGA-3 FISH OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854013082</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854016860</ndc>
    <ndc_label_name>CALCIUM CIT 200 MG-D3 3 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020010</ndc>
    <ndc_label_name>Vitamin B-1 (mononitrate) 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020025</ndc>
    <ndc_label_name>Vitamin B-2 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020030</ndc>
    <ndc_label_name>Vitamin B-6 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020035</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020050</ndc>
    <ndc_label_name>Vitamin B-12  100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020055</ndc>
    <ndc_label_name>Vitamin B-12 250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020060</ndc>
    <ndc_label_name>Vitamin B-12 500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020062</ndc>
    <ndc_label_name>Vitamin B-12  1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020070</ndc>
    <ndc_label_name>Super B/C capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020080</ndc>
    <ndc_label_name>B COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020085</ndc>
    <ndc_label_name>B COMPLEX CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020090</ndc>
    <ndc_label_name>Balance B-50 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020095</ndc>
    <ndc_label_name>BALANCE B-100 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854020096</ndc>
    <ndc_label_name>Complex B-100 tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020100</ndc>
    <ndc_label_name>Stress Formula tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020105</ndc>
    <ndc_label_name>Stress Formula With Iron(sulf) 500 mg-400 mcg-27 mg iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020110</ndc>
    <ndc_label_name>Stress Formula with Zinc tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854020112</ndc>
    <ndc_label_name>Vitamins for Hair 400 mcg-400 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020115</ndc>
    <ndc_label_name>FOLIC ACID 0.4 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020125</ndc>
    <ndc_label_name>NIACIN 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020130</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020140</ndc>
    <ndc_label_name>NIACIN 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020185</ndc>
    <ndc_label_name>B Complex 1 (with folic acid) 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020195</ndc>
    <ndc_label_name>Vitamin B-2  100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854020983</ndc>
    <ndc_label_name>NIACIN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030015</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030035</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030037</ndc>
    <ndc_label_name>C COMPLEX 500 MG TABLET SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030040</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030055</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030057</ndc>
    <ndc_label_name>C Complex 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030060</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030062</ndc>
    <ndc_label_name>VITAMIN C 500 MG CAPSULE SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854030065</ndc>
    <ndc_label_name>VITAMIN C 1,500 MG TABLET SA</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030075</ndc>
    <ndc_label_name>Vitamin C 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030087</ndc>
    <ndc_label_name>Vitamin C 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030090</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030105</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854030115</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854033100</ndc>
    <ndc_label_name>Vitamin E Beauty with Safflower topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854033110</ndc>
    <ndc_label_name>Vitamin E Beauty topical oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854033120</ndc>
    <ndc_label_name>Vitamin E and K Beautiful Skin oil</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854033200</ndc>
    <ndc_label_name>Vitamin E and C Beauty Lotion 14,000 unit-100 mg topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854033400</ndc>
    <ndc_label_name>AUSTRALIAN TEA TREE 100% OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040006</ndc>
    <ndc_label_name>Super Thera Vite M tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040015</ndc>
    <ndc_label_name>Children's Chew Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040025</ndc>
    <ndc_label_name>Daily-Vite tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040035</ndc>
    <ndc_label_name>Daily Vites/Iron tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040050</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERALS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040055</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERALS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040060</ndc>
    <ndc_label_name>Multi-Vitamin HP/Minerals capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854040067</ndc>
    <ndc_label_name>Mega Multiple/Chelated Mineral tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854041113</ndc>
    <ndc_label_name>Multiple Vitamin-Minerals tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854050021</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854050022</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854050023</ndc>
    <ndc_label_name>Oyster Shell Calcium and Magnesium 250 mg-155 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854050032</ndc>
    <ndc_label_name>FERROUS GLUCONATE 324 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854050050</ndc>
    <ndc_label_name>KELP TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854050060</ndc>
    <ndc_label_name>POTASSIUM GLUC 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854050075</ndc>
    <ndc_label_name>ZINC GLUCONATE 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854050087</ndc>
    <ndc_label_name>ZINC GLUCONATE 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854051280</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854051281</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060005</ndc>
    <ndc_label_name>GELATIN 10GR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060010</ndc>
    <ndc_label_name>ALFALFA 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060020</ndc>
    <ndc_label_name>COD LIVER OIL CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060025</ndc>
    <ndc_label_name>GARLIC 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060030</ndc>
    <ndc_label_name>GINSENG 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060035</ndc>
    <ndc_label_name>LECITHIN 19GR CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060055</ndc>
    <ndc_label_name>LYSINE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060060</ndc>
    <ndc_label_name>LYSINE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854060070</ndc>
    <ndc_label_name>KELP-LECITHIN-VIT B-6 TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060085</ndc>
    <ndc_label_name>PROTEIN 80% POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854060090</ndc>
    <ndc_label_name>PROTEIN 500 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854061002</ndc>
    <ndc_label_name>BEE POLLEN CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854061045</ndc>
    <ndc_label_name>ECHINACEA 400 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854061090</ndc>
    <ndc_label_name>VALERIAN ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854061091</ndc>
    <ndc_label_name>GINKGO BILOBA 40 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854070061</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854070605</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854071222</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854073301</ndc>
    <ndc_label_name>HONEY BEARS CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854073311</ndc>
    <ndc_label_name>HONEY BEARS IRON-ZINC TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854073540</ndc>
    <ndc_label_name>Probiotic Blend 2 billion cell-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854073851</ndc>
    <ndc_label_name>Zinc (with Vitamins A and C) Lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854074404</ndc>
    <ndc_label_name>Deep Blue Relief topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090005</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090010</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090020</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090025</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090040</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854090045</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854090416</ndc>
    <ndc_label_name>CHEWABLE IRON 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79854090651</ndc>
    <ndc_label_name>WHEY PROTEIN CONCENTRATE POWD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854095005</ndc>
    <ndc_label_name>DOCUSATE SODIUM 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79854095010</ndc>
    <ndc_label_name>DOCUSATE SODIUM 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79880060008</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79880060015</ndc>
    <ndc_label_name>HYDROCODONE-ACETAMIN 10-325/15</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903003201</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903003210</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903003240</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903005610</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903006410</ndc>
    <ndc_label_name>Vegetable Laxative 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903012420</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903012808</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903015610</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903017204</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>79903048150</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>79952011001</ndc>
    <ndc_label_name>Zynlonta 10 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80005011402</ndc>
    <ndc_label_name>LOMUSTINE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80005011502</ndc>
    <ndc_label_name>LOMUSTINE 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80005011602</ndc>
    <ndc_label_name>LOMUSTINE 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80005011714</ndc>
    <ndc_label_name>PRIMIDONE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80005011811</ndc>
    <ndc_label_name>PRIMIDONE 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80005011916</ndc>
    <ndc_label_name>FAMOTIDINE 40 MG/5 ML SUSP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>BALSALAZIDE DISODIUM 750 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80005013022</ndc>
    <ndc_label_name>AMINOCAPROIC ACID 0.25 GRAM/ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>CLINDAMYCIN PHOS 1% PLEDGET</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>E.E.S. Granules 200 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EryPed 400 mg/5 mL oral suspension</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80053000048</ndc>
    <ndc_label_name>Bio-D-Mulsion 10 mcg/drop (400 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80053000049</ndc>
    <ndc_label_name>Bio-D-Mulsion Forte 50 mcg/drop (2,000 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80053000093</ndc>
    <ndc_label_name>Chlorocaps 10 mg-30 mcg-30 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80056014301</ndc>
    <ndc_label_name>Reltone 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80056014401</ndc>
    <ndc_label_name>Reltone 400 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80056016010</ndc>
    <ndc_label_name>Glycate 1.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80064014101</ndc>
    <ndc_label_name>Vyleesi 1.75 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80064014104</ndc>
    <ndc_label_name>Vyleesi 1.75 mg/0.3 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80136079101</ndc>
    <ndc_label_name>Gas Relief (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196027899</ndc>
    <ndc_label_name>Exuderm OdorShield 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196027900</ndc>
    <ndc_label_name>Exuderm OdorShield 4" X 3.6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196027901</ndc>
    <ndc_label_name>Exuderm OdorShield 8" X 8" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196027902</ndc>
    <ndc_label_name>Exuderm OdorShield 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196028539</ndc>
    <ndc_label_name>Dry Time Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196029272</ndc>
    <ndc_label_name>Push Button Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196029273</ndc>
    <ndc_label_name>Push Button Safety Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196029654</ndc>
    <ndc_label_name>SilvaSorb topical gel,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196029660</ndc>
    <ndc_label_name>SilvaSorb topical gel,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196029684</ndc>
    <ndc_label_name>Maxorb Extra 4" X 4" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030008</ndc>
    <ndc_label_name>Curad Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030009</ndc>
    <ndc_label_name>Curad Stretch Gauze 4" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030010</ndc>
    <ndc_label_name>Curad Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030020</ndc>
    <ndc_label_name>Curad Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196030260</ndc>
    <ndc_label_name>Mediplast Corn-Callus-Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196030308</ndc>
    <ndc_label_name>Mediplast Corn-Callus-Wart Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030522</ndc>
    <ndc_label_name>Curad Gauze Pad 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196030615</ndc>
    <ndc_label_name>Remedy Calazime Protect Paste 3.5 %-0.2 %-69 %-16.5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196031110</ndc>
    <ndc_label_name>Remedy Clear-Aid Protect 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196031680</ndc>
    <ndc_label_name>Puracol Plus AG 2" X 2.2" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196039581</ndc>
    <ndc_label_name>Ultra Fine Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196052856</ndc>
    <ndc_label_name>Remedy Phytoplex Antifungal 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196056775</ndc>
    <ndc_label_name>Pure and Gentle (saline) 19 gram-7 gram/118 mL enema</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066035</ndc>
    <ndc_label_name>Carrasyn Hydrogel Wound Dressing topical</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066041</ndc>
    <ndc_label_name>Carraklenz Dermal Wound Cleanser topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066813</ndc>
    <ndc_label_name>Soothe and Cool Skin Cream (aloe, Vit A, D, E)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066815</ndc>
    <ndc_label_name>Soothe and Cool Skin Cream (aloe, Vit A, D, E)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066830</ndc>
    <ndc_label_name>Soothe-Cool Moisturize Body lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066838</ndc>
    <ndc_label_name>Soothe-Cool Moisturize Body lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066840</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 98.3 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066842</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 98.3 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066846</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066854</ndc>
    <ndc_label_name>Soothe and Cool Inzo Barrier 5 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066866</ndc>
    <ndc_label_name>Soothe and Cool Skin Paste topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196066941</ndc>
    <ndc_label_name>Stratasorb Island Dressing 4" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196069298</ndc>
    <ndc_label_name>Bulkee II 4.5" X 4.1 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196070075</ndc>
    <ndc_label_name>Capri Bladder Control Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073314</ndc>
    <ndc_label_name>Optifoam Non-Adhesive 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073315</ndc>
    <ndc_label_name>Optifoam Non-Adhesive 6" X 6" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073405</ndc>
    <ndc_label_name>EvenCare solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073413</ndc>
    <ndc_label_name>EvenCare kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073463</ndc>
    <ndc_label_name>EvenCare Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073591</ndc>
    <ndc_label_name>Dry Time Diaper Size 2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073592</ndc>
    <ndc_label_name>Dry Time Diaper Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073593</ndc>
    <ndc_label_name>Dry Time Diaper Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073594</ndc>
    <ndc_label_name>Dry Time Diaper Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073595</ndc>
    <ndc_label_name>Dry Time Diaper Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196073685</ndc>
    <ndc_label_name>Protection Plus Underpad 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074489</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074491</ndc>
    <ndc_label_name>Soothe and Cool Body Powder topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074508</ndc>
    <ndc_label_name>Soothe-Cool Protect Medseptic 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074510</ndc>
    <ndc_label_name>Soothe and Cool Medseptic 50 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196074817</ndc>
    <ndc_label_name>Inzo Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196074818</ndc>
    <ndc_label_name>Inzo Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074855</ndc>
    <ndc_label_name>Epi-Clenz 62 % topical foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196074920</ndc>
    <ndc_label_name>Soothe and Cool Moisture Barrier 92.8 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075363</ndc>
    <ndc_label_name>Remedy Dimethicone Cream 5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196075364</ndc>
    <ndc_label_name>Remedy Antifungal 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196075365</ndc>
    <ndc_label_name>Remedy Antifungal 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075366</ndc>
    <ndc_label_name>Remedy 4-In-1 Body 0.7 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075367</ndc>
    <ndc_label_name>Remedy Cleansing Body 1.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075368</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075371</ndc>
    <ndc_label_name>Remedy 4-in-1 Cleanser topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196075372</ndc>
    <ndc_label_name>Remedy 4-in-1 Cleanser topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196076295</ndc>
    <ndc_label_name>Dry Time Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196076296</ndc>
    <ndc_label_name>Dry Time Training Pants 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196076992</ndc>
    <ndc_label_name>VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80196076993</ndc>
    <ndc_label_name>PETROLEUM JELLY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196076994</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196076995</ndc>
    <ndc_label_name>Remedy Skin Repair 1.5 % cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196091443</ndc>
    <ndc_label_name>Exuderm OdorShield 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196091444</ndc>
    <ndc_label_name>Exuderm OdorShield 6" X 6 1/2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196091689</ndc>
    <ndc_label_name>Remedy Cleansing Body 1.5 % topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80196735660</ndc>
    <ndc_label_name>Exuderm Satin Dressing 2" X 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80203034701</ndc>
    <ndc_label_name>Enjaymo 50 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80410000041</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80410000042</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80410000043</ndc>
    <ndc_label_name>Cough Drops 7.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80446040101</ndc>
    <ndc_label_name>Kimmtrak 100 mcg/0.5 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80491782503</ndc>
    <ndc_label_name>Quviviq 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80491785003</ndc>
    <ndc_label_name>Quviviq 50 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80491801203</ndc>
    <ndc_label_name>Tryvio 12.5 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80534100001</ndc>
    <ndc_label_name>Xenoview Patient Dose 1,000 mL gas for inhalation</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80534635001</ndc>
    <ndc_label_name>Xenoview Preparation Gas Blend</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80603010122</ndc>
    <ndc_label_name>KYZATREX 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80603010322</ndc>
    <ndc_label_name>Kyzatrex 150 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80603010522</ndc>
    <ndc_label_name>Kyzatrex 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80603010533</ndc>
    <ndc_label_name>Kyzatrex 200 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80610010560</ndc>
    <ndc_label_name>Zoryve 0.05 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80610011560</ndc>
    <ndc_label_name>Zoryve 0.15 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80610013060</ndc>
    <ndc_label_name>Zoryve 0.3 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80610043060</ndc>
    <ndc_label_name>Zoryve 0.3 % topical foam</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80631010501</ndc>
    <ndc_label_name>NOVAVAX COVID 2023-24 VL (EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80631010502</ndc>
    <ndc_label_name>NOVAVAX COVID 2023-24 VL (EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80631010701</ndc>
    <ndc_label_name>NOVAVAX COVID 2024-25 SYR(EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80631010710</ndc>
    <ndc_label_name>NOVAVAX COVID 2024-25 SYR(EUA)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80631020701</ndc>
    <ndc_label_name>Nuvaxovid 2025-2026 (PF) 5 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80631020710</ndc>
    <ndc_label_name>Nuvaxovid 2025-2026 (PF) 5 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80656001187</ndc>
    <ndc_label_name>Silikon 1,000 centistokes oil for intraocular injection</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681000200</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681000300</ndc>
    <ndc_label_name>Therems Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681000400</ndc>
    <ndc_label_name>OYSTER SHELL CALCIUM 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681000500</ndc>
    <ndc_label_name>CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001000</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001100</ndc>
    <ndc_label_name>VITAMIN E 180MG(400 UNIT) SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001300</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001400</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001500</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001600</ndc>
    <ndc_label_name>Oralyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681001900</ndc>
    <ndc_label_name>NIACINAMIDE 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681002000</ndc>
    <ndc_label_name>MULTIVITAMIN TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681002200</ndc>
    <ndc_label_name>Reguloid (psyllium husk) 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681002300</ndc>
    <ndc_label_name>Antioxidant Formula (selenium yeast) 8,333 unit-167 mg-133 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681002500</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681002900</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681003400</ndc>
    <ndc_label_name>SHEER ADHESIVE BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004000</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004001</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004002</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004100</ndc>
    <ndc_label_name>MELATONIN 1 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004201</ndc>
    <ndc_label_name>Reguloid (aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004300</ndc>
    <ndc_label_name>Reguloid (psyllium husk) 3 gram/5.4 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004301</ndc>
    <ndc_label_name>Reguloid (psyllium husk) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004500</ndc>
    <ndc_label_name>CALCIUM CIT 315 MG-VIT D3 5MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681004900</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681005000</ndc>
    <ndc_label_name>Daily-Vite (with folic acid) 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681005200</ndc>
    <ndc_label_name>Eye Multivitamin 2,148 mcg-113 mg-45 mg-17.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681005500</ndc>
    <ndc_label_name>Fish Oil 1,200 mg (144 mg-216 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681005700</ndc>
    <ndc_label_name>NIACIN 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681005800</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681006200</ndc>
    <ndc_label_name>Probiotic Formula (inulin) 1 billion cell-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681006300</ndc>
    <ndc_label_name>Tab-A-Vite Multivitamin w-iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681006301</ndc>
    <ndc_label_name>Tab-A-Vite Multivitamin w-iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681006400</ndc>
    <ndc_label_name>Therems Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681007100</ndc>
    <ndc_label_name>VITAMIN B-12 100 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681007200</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681007400</ndc>
    <ndc_label_name>FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681007600</ndc>
    <ndc_label_name>MULTIVITAMIN WITH MINERALS TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681008000</ndc>
    <ndc_label_name>COENZYME Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681008100</ndc>
    <ndc_label_name>Probiotic Formula (inulin) 1 billion cell-250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681008500</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681008600</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681008900</ndc>
    <ndc_label_name>CALCIUM 500 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009000</ndc>
    <ndc_label_name>NIACIN TR 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009500</ndc>
    <ndc_label_name>Reguloid (psyllium husk-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009501</ndc>
    <ndc_label_name>Reguloid (psyllium husk-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009600</ndc>
    <ndc_label_name>Reguloid (psyllium husk-sucrose) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009601</ndc>
    <ndc_label_name>Reguloid (psyllium husk-sucrose) 3 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009700</ndc>
    <ndc_label_name>VITAMIN B-1 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009800</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681009900</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681010000</ndc>
    <ndc_label_name>GLUCOSE 3.75 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681011000</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 420 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681011200</ndc>
    <ndc_label_name>Multivitamin-Zinc-Stress 500 mg-400 mcg-23.9 mg-3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681011500</ndc>
    <ndc_label_name>CALCIUM CIT 315 MG-VIT D3 5MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681011600</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681011701</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681012400</ndc>
    <ndc_label_name>Tab-A-Vite Multivitamin w-iron 15 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681012600</ndc>
    <ndc_label_name>VITAMIN B COMPLEX-VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681012800</ndc>
    <ndc_label_name>VITAMIN B-12 500 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681012900</ndc>
    <ndc_label_name>VITAMIN C 250 MG TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013100</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013200</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013400</ndc>
    <ndc_label_name>VITAMIN E 45 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013500</ndc>
    <ndc_label_name>ZINC SULFATE 220 MG (50MG) CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013700</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 10 MCG CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013800</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013801</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013900</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681013901</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681014000</ndc>
    <ndc_label_name>CALCIUM CITRATE 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681014101</ndc>
    <ndc_label_name>CertaVite Senior 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681014202</ndc>
    <ndc_label_name>Certavite-Antioxidant 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681014800</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681015400</ndc>
    <ndc_label_name>VITAMIN B COMPLEX-VITAMIN C TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681015500</ndc>
    <ndc_label_name>Minerin Creme topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681015700</ndc>
    <ndc_label_name>VITAMIN B COMPLEX-VITAMIN C TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681015900</ndc>
    <ndc_label_name>VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681016600</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681016800</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681016801</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681016900</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681017000</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80681017200</ndc>
    <ndc_label_name>SODIUM-POTASSIUM-PHOS POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681017400</ndc>
    <ndc_label_name>VITAMIN D3 1,250 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681017401</ndc>
    <ndc_label_name>VITAMIN D3 1,250 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80681017600</ndc>
    <ndc_label_name>IRON-VITAMIN C 100-250 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80705010030</ndc>
    <ndc_label_name>Elepsia XR 1,000 mg tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80705010130</ndc>
    <ndc_label_name>Elepsia XR 1,500 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80705012030</ndc>
    <ndc_label_name>CARBINOXAMINE MALEATE 6 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80707000570</ndc>
    <ndc_label_name>Nasal Spray 12 Hour (oxymetazoline) 0.05 % mist</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725000401</ndc>
    <ndc_label_name>Valium 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725000501</ndc>
    <ndc_label_name>Valium 5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725000601</ndc>
    <ndc_label_name>Valium 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725001030</ndc>
    <ndc_label_name>Lunesta 1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725001130</ndc>
    <ndc_label_name>Lunesta 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725001230</ndc>
    <ndc_label_name>Lunesta 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725013920</ndc>
    <ndc_label_name>Coreg 3.125 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725014020</ndc>
    <ndc_label_name>Coreg 6.25 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725014120</ndc>
    <ndc_label_name>Coreg 12.5 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725014220</ndc>
    <ndc_label_name>Coreg 25 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725014318</ndc>
    <ndc_label_name>Eulexin 125 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725024330</ndc>
    <ndc_label_name>AcipHex 20 mg tablet,delayed release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725025001</ndc>
    <ndc_label_name>Humatin 250 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Coreg CR 10 mg capsule, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725038513</ndc>
    <ndc_label_name>Coreg CR 20 mg capsule, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Coreg CR 40 mg capsule, extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725042012</ndc>
    <ndc_label_name>Lovaza 1 gram capsule</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725060018</ndc>
    <ndc_label_name>Eulexin 125 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725061025</ndc>
    <ndc_label_name>Leukeran 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725062025</ndc>
    <ndc_label_name>Myleran 2 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Tabloid 40 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725071204</ndc>
    <ndc_label_name>Avodart 0.5 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725071215</ndc>
    <ndc_label_name>Avodart 0.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725080913</ndc>
    <ndc_label_name>Jalyn 0.5 mg-0.4 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725080959</ndc>
    <ndc_label_name>Jalyn 0.5 mg-0.4 mg capsule, extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80725081010</ndc>
    <ndc_label_name>Hydrea 500 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Droxia 200 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Krazati 200 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>SPIKEVAX 2023-24 (12Y UP) VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777011288</ndc>
    <ndc_label_name>Spikevax 2025-2026(12y up)(PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777011296</ndc>
    <ndc_label_name>Spikevax 2025-2026(12y up)(PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777011309</ndc>
    <ndc_label_name>Spikevax 2025-26 (6M-11Y) (PF) 25 mcg/0.25 mL intramuscular syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777011380</ndc>
    <ndc_label_name>Spikevax 2025-26 (6M-11Y) (PF) 25 mcg/0.25 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777011387</ndc>
    <ndc_label_name>Spikevax 2025-26 (6M-11Y) (PF) 25 mcg/0.25 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80777028707</ndc>
    <ndc_label_name>MODERNA COVID 23-24(6M-11Y)EUA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80777028792</ndc>
    <ndc_label_name>MODERNA COVID 23-24(6M-11Y)EUA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777029109</ndc>
    <ndc_label_name>MODERNA COVID 24-25(6M-11Y)EUA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777029180</ndc>
    <ndc_label_name>MODERNA COVID 24-25(6M-11Y)EUA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777029181</ndc>
    <ndc_label_name>MODERNA COVID 24-25(6M-11Y)EUA</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777034501</ndc>
    <ndc_label_name>mRESVIA (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777034561</ndc>
    <ndc_label_name>mRESVIA (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777034563</ndc>
    <ndc_label_name>mRESVIA (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777034590</ndc>
    <ndc_label_name>mRESVIA (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777034596</ndc>
    <ndc_label_name>mRESVIA (PF) 50 mcg/0.5 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777040017</ndc>
    <ndc_label_name>Mnexspike 2025-2026 (PF) 10 mcg/0.2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777040060</ndc>
    <ndc_label_name>Mnexspike 2025-2026 (PF) 10 mcg/0.2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777040061</ndc>
    <ndc_label_name>Mnexspike 2025-2026 (PF) 10 mcg/0.2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>80777040062</ndc>
    <ndc_label_name>Mnexspike 2025-2026 (PF) 10 mcg/0.2 mL intramuscular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80789000315</ndc>
    <ndc_label_name>Vigafyde 100 mg/mL oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80789011701</ndc>
    <ndc_label_name>VIGPODER 500 MG POWDER PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80789011750</ndc>
    <ndc_label_name>VIGPODER 500 MG POWDER PACKET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80803015350</ndc>
    <ndc_label_name>Fyarro 100 mg intravenous suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830118801</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830118807</ndc>
    <ndc_label_name>PROPOFOL 200 MG/20 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167201</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167202</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000 MG/10 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167301</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167302</ndc>
    <ndc_label_name>CALCIUM GLUC 5,000 MG/50 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167402</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830167408</ndc>
    <ndc_label_name>CALCIUM GLUC 10,000 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169101</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169102</ndc>
    <ndc_label_name>POTASSIUM PHOSP 45 MMOL/15 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169201</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169202</ndc>
    <ndc_label_name>POTASSIUM PHOSP 150 MMOL/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169301</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830169303</ndc>
    <ndc_label_name>POTASSIUM PHOSPH 15 MMOL/5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830232901</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830232902</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830232903</ndc>
    <ndc_label_name>TRANEXAMIC 1,000 MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236201</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236202</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236209</ndc>
    <ndc_label_name>CALCIUM GLUC 1,000MG/50ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236301</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236302</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236309</ndc>
    <ndc_label_name>CALCIUM GLU 2,000MG/100ML-NACL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236401</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236408</ndc>
    <ndc_label_name>PROPOFOL 500 MG/50 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236501</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830236507</ndc>
    <ndc_label_name>PROPOFOL 1,000 MG/100 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830243601</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830243602</ndc>
    <ndc_label_name>SODIUM ACETATE 100 MEQ/50 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830243701</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830243702</ndc>
    <ndc_label_name>SODIUM ACETATE 200 MEQ/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246501</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246509</ndc>
    <ndc_label_name>METRONIDAZOLE 500 MG/100 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246701</ndc>
    <ndc_label_name>IOHEXOL 300 MG/ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246702</ndc>
    <ndc_label_name>IOHEXOL 300 MG/ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246801</ndc>
    <ndc_label_name>IOHEXOL 300 MG/ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>80830246802</ndc>
    <ndc_label_name>IOHEXOL 300 MG/ML BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81005012401</ndc>
    <ndc_label_name>METOLAZONE 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81005012501</ndc>
    <ndc_label_name>METOLAZONE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81005012601</ndc>
    <ndc_label_name>METOLAZONE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000205</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000210</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000220</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000230</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000240</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000250</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000253</ndc>
    <ndc_label_name>ACETAMINOPHEN 650MG/20.3ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000254</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG/10.15 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000255</ndc>
    <ndc_label_name>ACETAMINOPHEN 160 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000305</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000310</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000340</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000350</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000501</ndc>
    <ndc_label_name>MAG-AL 200 mg-200 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000530</ndc>
    <ndc_label_name>MAG-AL 200 mg-200 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000601</ndc>
    <ndc_label_name>Mag-Al Plus 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000630</ndc>
    <ndc_label_name>Mag-Al Plus 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000701</ndc>
    <ndc_label_name>Mag-Al Plus Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000730</ndc>
    <ndc_label_name>Mag-Al Plus Extra Strength 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000805</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033000850</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81033001005</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81033001024</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001105</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001150</ndc>
    <ndc_label_name>FERROUS SULF 300 MG/5 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001430</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001452</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001501</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001505</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001554</ndc>
    <ndc_label_name>NYSTATIN 500,000 UNIT/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001605</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033001650</ndc>
    <ndc_label_name>PROMETHAZINE 6.25 MG/5 ML CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033002105</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033002154</ndc>
    <ndc_label_name>PREDNISOLONE 15MG/5ML SOLN CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033002210</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033002250</ndc>
    <ndc_label_name>DOCUSATE SOD 100 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033002712</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81033002801</ndc>
    <ndc_label_name>SODIUM CHLORIDE 1 GM TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81033006620</ndc>
    <ndc_label_name>Likmez 500 mg/5 mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010205</ndc>
    <ndc_label_name>GUAIFENESIN 100MG/5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010210</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010215</ndc>
    <ndc_label_name>GUAIFENESIN 300 MG/15 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010216</ndc>
    <ndc_label_name>GUAIFENESIN 100 MG/5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010251</ndc>
    <ndc_label_name>GUAIFENESIN 100MG/5ML SOLN CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010252</ndc>
    <ndc_label_name>GUAIFENESIN 200 MG/10 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010253</ndc>
    <ndc_label_name>GUAIFENESIN 300 MG/15 ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010505</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010522</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033010542</ndc>
    <ndc_label_name>ATOVAQUONE 750 MG/5ML SUSP CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033012005</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033012010</ndc>
    <ndc_label_name>SENNA 17.6 MG/10 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033012015</ndc>
    <ndc_label_name>SENNA 26.4 MG/15 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033012050</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033012054</ndc>
    <ndc_label_name>SENNA 17.6 MG/10 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033016354</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>DM-GUAIFENSN 10-200MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033024132</ndc>
    <ndc_label_name>LACTULOSE 10 GM/15 ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL10%(40MEQ/30ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>POTASSIUM CL10%(20MEQ/15ML)CUP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033050108</ndc>
    <ndc_label_name>MULTIVITAMIN-MINERAL LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81033050115</ndc>
    <ndc_label_name>MULTIVITAMIN-MULTIMIN 15ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MULTIVITAMIN-MULTIMIN 15ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>MULTIVITAMIN-MULTIMIN 15ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>81034010300</ndc>
    <ndc_label_name>RADIAGUARD 1% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>81046011101</ndc>
    <ndc_label_name>MydCombi 2.5 %-1 % eye cartridge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81046011105</ndc>
    <ndc_label_name>MydCombi 2.5 %-1 % eye cartridge</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81046031901</ndc>
    <ndc_label_name>CLOBETASOL 0.05% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81052013810</ndc>
    <ndc_label_name>Cytalux 3.2 mg/1.6 mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81092112000</ndc>
    <ndc_label_name>Igalmi 120 mcg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81092112001</ndc>
    <ndc_label_name>Igalmi 120 mcg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81092118000</ndc>
    <ndc_label_name>Igalmi 180 mcg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81092118001</ndc>
    <ndc_label_name>Igalmi 180 mcg sublingual film</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131000184</ndc>
    <ndc_label_name>Flu-Severe Cold-Cough Nighttime 25 mg-10 mg-650 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Tussin DM Max 10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cough Drops 9.1 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Baby Chest Rub topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000222</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000223</ndc>
    <ndc_label_name>Co Q-10  50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000250</ndc>
    <ndc_label_name>EQ ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000253</ndc>
    <ndc_label_name>Motion Sickness Relief (meclizine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000254</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131000378</ndc>
    <ndc_label_name>SV LYCOPENE 10 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000379</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000380</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131000454</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000575</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000576</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000577</ndc>
    <ndc_label_name>EQ LOPERAMIDE 1 MG/7.5 ML SUSP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Vitamin D3 50 mcg (2,000 unit) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131000786</ndc>
    <ndc_label_name>EQ LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131000876</ndc>
    <ndc_label_name>Probiotic Digestive System Support 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131001132</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131001625</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131001659</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131001660</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002245</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002246</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002405</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002406</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131002413</ndc>
    <ndc_label_name>Hemorrhoidal (witch hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002417</ndc>
    <ndc_label_name>EQ OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002418</ndc>
    <ndc_label_name>EQ MICONAZOLE 2% VAGINAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002419</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002444</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002446</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002450</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002451</ndc>
    <ndc_label_name>Acid Reducer Complete (famotidine) 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131002530</ndc>
    <ndc_label_name>SV GLUCOSAMINE-CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002600</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002712</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002775</ndc>
    <ndc_label_name>EQ HYDROCORTISONE-ALOE 1% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002776</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131002939</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003114</ndc>
    <ndc_label_name>EQ MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003116</ndc>
    <ndc_label_name>EQ MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003413</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003414</ndc>
    <ndc_label_name>Options Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003416</ndc>
    <ndc_label_name>Options Liners pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003417</ndc>
    <ndc_label_name>Options Ultra Thins pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003419</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003674</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003676</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003677</ndc>
    <ndc_label_name>Nite Time Cold-Flu 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003678</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003706</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003711</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003833</ndc>
    <ndc_label_name>SV CHIA SEED OIL 1,000 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003842</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003849</ndc>
    <ndc_label_name>Vapor Inhaler 50 mg nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003850</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003851</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003882</ndc>
    <ndc_label_name>Children's Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003884</ndc>
    <ndc_label_name>Tussin CF MAX 5 mg-10 mg-200 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003885</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003887</ndc>
    <ndc_label_name>Antacid Anti-Gas (calcium carb-simeth) 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003889</ndc>
    <ndc_label_name>SV RASPBERRY KETONE 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003921</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003922</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003924</ndc>
    <ndc_label_name>Infants' Pain and Fever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003925</ndc>
    <ndc_label_name>Allergy Relief Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131003926</ndc>
    <ndc_label_name>Children's Allergy Relief (diphenhyd) 12.5 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003964</ndc>
    <ndc_label_name>ReliOn Glucose 15 gram-400 unit/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131003965</ndc>
    <ndc_label_name>ReliOn Glucose 15 gram-400 unit/60 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131004597</ndc>
    <ndc_label_name>SV CALCIUM CITRATE-VIT D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131004599</ndc>
    <ndc_label_name>Glucosamine-Chondroitin 3X 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131004600</ndc>
    <ndc_label_name>glucosamine-chondroitin 750 mg-60 mg-150 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131004608</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131005295</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131005584</ndc>
    <ndc_label_name>One Daily Men's 50 Plus with D3 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131005673</ndc>
    <ndc_label_name>SV MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131005855</ndc>
    <ndc_label_name>SV PROBIOTIC ACIDOPHILUS CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006024</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006026</ndc>
    <ndc_label_name>RELION THERMOMETER TIP COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006027</ndc>
    <ndc_label_name>RELION BASAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006029</ndc>
    <ndc_label_name>Ultima Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006030</ndc>
    <ndc_label_name>Ultima Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006041</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006043</ndc>
    <ndc_label_name>Ketone Urine Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006044</ndc>
    <ndc_label_name>RELION ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006126</ndc>
    <ndc_label_name>Pain Relief Adult 500 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006131</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006140</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006144</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006146</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006266</ndc>
    <ndc_label_name>RELION BP200W WRIST MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006275</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006445</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006453</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006456</ndc>
    <ndc_label_name>Assurance Womens Underwear S-M</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131006458</ndc>
    <ndc_label_name>Assurance Womens Underwear XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006557</ndc>
    <ndc_label_name>EQ NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006566</ndc>
    <ndc_label_name>Children's Allergy Relief (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006575</ndc>
    <ndc_label_name>EQ ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131006577</ndc>
    <ndc_label_name>Restore Plus (carboxymethylcellulose) 0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131007162</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007164</ndc>
    <ndc_label_name>SV FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007165</ndc>
    <ndc_label_name>SV VITAMIN D3 1,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131007166</ndc>
    <ndc_label_name>Daily Probiotic (10 Strains) 4 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007173</ndc>
    <ndc_label_name>Complete Multivitamin Adult 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007178</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007179</ndc>
    <ndc_label_name>SV MAGNESIUM OXIDE 400 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131007181</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131007850</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131007917</ndc>
    <ndc_label_name>Soy Isoflavones 40 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131008239</ndc>
    <ndc_label_name>EQ GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131008665</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131008751</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131009371</ndc>
    <ndc_label_name>SV IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131009935</ndc>
    <ndc_label_name>EQ MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131010486</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131010679</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011132</ndc>
    <ndc_label_name>SV GREEN TEA PLUS HOODIA CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011135</ndc>
    <ndc_label_name>SV RED YEAST RICE 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011137</ndc>
    <ndc_label_name>SV ACIDOPHILUS CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011138</ndc>
    <ndc_label_name>SV ACIDOPHILUS CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011142</ndc>
    <ndc_label_name>Tonalin CLA 1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131011143</ndc>
    <ndc_label_name>SV B-12 2,500 MCG MICROLOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131011147</ndc>
    <ndc_label_name>SV BIOTIN 5,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011148</ndc>
    <ndc_label_name>L-Carnitine 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011151</ndc>
    <ndc_label_name>SV L-CARNITINE-LIPOIC ACID CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011152</ndc>
    <ndc_label_name>SV L-ARGININE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011179</ndc>
    <ndc_label_name>SV GINGER ROOT 550 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011180</ndc>
    <ndc_label_name>SV HYALURONIC ACID-VIT C CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011181</ndc>
    <ndc_label_name>SV HAWTHORN BERRIES 565 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011182</ndc>
    <ndc_label_name>SV ROYAL JELLY 500 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011184</ndc>
    <ndc_label_name>Hair,Skin and Nails 1 mg iron-66.7 mcg-1,000 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131011187</ndc>
    <ndc_label_name>SV VIT B-12 500 MCG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131011201</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131012373</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131012979</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013031</ndc>
    <ndc_label_name>ReliOn All-In-One Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131013347</ndc>
    <ndc_label_name>2-In-1 Lancet Device 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013834</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 31GX15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013835</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 31GX15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013836</ndc>
    <ndc_label_name>RELION INS SYR 0.5 ML 31GX6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013837</ndc>
    <ndc_label_name>RELION INS SYR 0.5 ML 31GX6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013838</ndc>
    <ndc_label_name>RELION INS SYR 0.3 ML 31GX6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131013839</ndc>
    <ndc_label_name>RELION INS SYR 0.3 ML 31GX6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131014482</ndc>
    <ndc_label_name>SV FLAXSEED OIL 1,000 MG SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131014780</ndc>
    <ndc_label_name>EQ CALCIUM CIT 315-VIT D3 250</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131014797</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131014798</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131015008</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131015699</ndc>
    <ndc_label_name>EQ BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131017096</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018377</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018379</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018380</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018387</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018391</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018392</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018393</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018394</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018395</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018396</ndc>
    <ndc_label_name>Tussin CF Cough-Cold 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018397</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018402</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018403</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018709</ndc>
    <ndc_label_name>Severe Allergy-Sinus Headache 25 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018714</ndc>
    <ndc_label_name>Suphedrine PE Sinus and Allergy 4 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018716</ndc>
    <ndc_label_name>Allergy and Sinus Relief 25 mg-10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131018720</ndc>
    <ndc_label_name>Sinus Congestion and Pain (guaifenesin) 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018721</ndc>
    <ndc_label_name>ChlorTabs 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018722</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018728</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018730</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018734</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018738</ndc>
    <ndc_label_name>EQ NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018739</ndc>
    <ndc_label_name>EQ NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018740</ndc>
    <ndc_label_name>EQ NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018741</ndc>
    <ndc_label_name>EQ NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131018748</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131023516</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131024068</ndc>
    <ndc_label_name>Space Chamber with Small Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131024069</ndc>
    <ndc_label_name>Space Chamber with Medium Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131024070</ndc>
    <ndc_label_name>Space Chamber with Large Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131024071</ndc>
    <ndc_label_name>Space Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131024789</ndc>
    <ndc_label_name>EQ WRIST BP MONITOR 4500 SERIE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029768</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029775</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029776</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029780</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029782</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131029783</ndc>
    <ndc_label_name>Arthricream 10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029791</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131029793</ndc>
    <ndc_label_name>EQ OMEPRAZOLE MAG DR 20.6 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131029795</ndc>
    <ndc_label_name>Sinus Congestion and Pain 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131029796</ndc>
    <ndc_label_name>Cold Multi-Symptom 5 mg-10 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029798</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029800</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131029801</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031164</ndc>
    <ndc_label_name>Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031165</ndc>
    <ndc_label_name>Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031174</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031175</ndc>
    <ndc_label_name>RELION INS SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031176</ndc>
    <ndc_label_name>RELION SYRING 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031177</ndc>
    <ndc_label_name>RELION SYRING 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031178</ndc>
    <ndc_label_name>RELION SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031179</ndc>
    <ndc_label_name>RELION SYRING 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131031251</ndc>
    <ndc_label_name>FERROUS SULFATE 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131031255</ndc>
    <ndc_label_name>SV POTASSIUM GLUC 595 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031264</ndc>
    <ndc_label_name>SV SALMON OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031265</ndc>
    <ndc_label_name>Algal Omega-3 DHA 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131031266</ndc>
    <ndc_label_name>Algal-900 DHA 450 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131031271</ndc>
    <ndc_label_name>SV VITAMIN D3 5,000 UNIT SFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131031282</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131038679</ndc>
    <ndc_label_name>RELION PEN NEEDLE 32GX5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131038680</ndc>
    <ndc_label_name>RELION PEN NEEDLE 31G 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131038681</ndc>
    <ndc_label_name>RELION PEN NEEDLE 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131040327</ndc>
    <ndc_label_name>Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131040328</ndc>
    <ndc_label_name>Platinum Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131040339</ndc>
    <ndc_label_name>Platinum Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131054393</ndc>
    <ndc_label_name>SV VITAMIN D3 1,000 UNIT GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131057364</ndc>
    <ndc_label_name>SV SAW PALMETTO 160 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131057368</ndc>
    <ndc_label_name>Co Q-10 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131057371</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131060417</ndc>
    <ndc_label_name>Thin Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131063306</ndc>
    <ndc_label_name>MSM 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131063308</ndc>
    <ndc_label_name>B Complex 1.7 mg-20 mg-2 mg-1.2 mg/mL sublingual liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131063325</ndc>
    <ndc_label_name>Niacin Flush Free 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131063328</ndc>
    <ndc_label_name>SV ZINC 50 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131066523</ndc>
    <ndc_label_name>Day and Night Brief,Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131067885</ndc>
    <ndc_label_name>SV VITAMIN E 670 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131067887</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131067892</ndc>
    <ndc_label_name>SV LUTEIN 6 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131068757</ndc>
    <ndc_label_name>HYDROGEN PEROXIDE 3% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131069612</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131069693</ndc>
    <ndc_label_name>Black Cohosh Menopause Complex 20-250-50 (d)/20-200-10 mg(n) tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069697</ndc>
    <ndc_label_name>SV VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131069703</ndc>
    <ndc_label_name>SV LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069708</ndc>
    <ndc_label_name>SV FOLIC ACID 800 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069937</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069940</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069944</ndc>
    <ndc_label_name>EQ ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069947</ndc>
    <ndc_label_name>EQ ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069949</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069953</ndc>
    <ndc_label_name>EQ FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069957</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069958</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069968</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069972</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069973</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069974</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069984</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069985</ndc>
    <ndc_label_name>Antacid and Pain Relief 325 mg-1,916 mg-1,000 mg effervescent tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069986</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069989</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131069991</ndc>
    <ndc_label_name>Fiber Therapy (psyllium seed-sucrose) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069992</ndc>
    <ndc_label_name>Daily Fiber (psyllium-sucrose) 3.4 gram/12 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069993</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069996</ndc>
    <ndc_label_name>Liquid Antacid 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069998</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131069999</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070000</ndc>
    <ndc_label_name>Acetaminophen Extra Strength 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070001</ndc>
    <ndc_label_name>Antacid Extra Strength (mag carb-Al hyd) 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070003</ndc>
    <ndc_label_name>Natural Fiber Laxative (aspartame) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070004</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070008</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070011</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070012</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070017</ndc>
    <ndc_label_name>Original Nasal Spray 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070020</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070021</ndc>
    <ndc_label_name>EQ IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131070024</ndc>
    <ndc_label_name>Nasal Spray (sodium chloride) 0.65 % aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073145</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073153</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073159</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131073160</ndc>
    <ndc_label_name>Sleep Aid (doxylamine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073171</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073181</ndc>
    <ndc_label_name>Laxative (sennosides) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073183</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073193</ndc>
    <ndc_label_name>Eye Allergy Relief (naphazoline-pheniramine) 0.02675 %-0.315 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073194</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073195</ndc>
    <ndc_label_name>Artificial Tears (glycerin-peg) 1 %-0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131073197</ndc>
    <ndc_label_name>First Aid Antiseptic (povidone-iodine) 10 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073198</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073200</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073202</ndc>
    <ndc_label_name>EQ HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131073203</ndc>
    <ndc_label_name>EQ Gentle 0.3 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073207</ndc>
    <ndc_label_name>Redness Reliever Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073208</ndc>
    <ndc_label_name>Redness Reliever Eye Drops 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073209</ndc>
    <ndc_label_name>Complete Lice Treatment 4 %-0.33 %-0.5 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073212</ndc>
    <ndc_label_name>Lice Killing 0.33 %-4 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073214</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073215</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131073927</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131074217</ndc>
    <ndc_label_name>SV VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131074219</ndc>
    <ndc_label_name>Vision Formula (with lutein) 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131074241</ndc>
    <ndc_label_name>SV CALCIUM-MAG-ZINC-VIT D CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131074913</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131074918</ndc>
    <ndc_label_name>SV LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131074933</ndc>
    <ndc_label_name>iron 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131074934</ndc>
    <ndc_label_name>SV GLUCOSAMINE CHONDROITIN TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131074940</ndc>
    <ndc_label_name>SV GLUCOSAMINE-CHONDROIT CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131076943</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131076944</ndc>
    <ndc_label_name>Hemorrhoidal (witch hazel) 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131077635</ndc>
    <ndc_label_name>Hemorrhoidal Cream 0.25 %-1 % rectal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077637</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077638</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077639</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077642</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077647</ndc>
    <ndc_label_name>Natural Vegetable Laxative (sennosides) 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077648</ndc>
    <ndc_label_name>Women's Laxative (bisacodyl) 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131077650</ndc>
    <ndc_label_name>Acid Reducer (cimetidine) 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077677</ndc>
    <ndc_label_name>EQ NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131077909</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077911</ndc>
    <ndc_label_name>Complete Multivitamin Adult 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131077913</ndc>
    <ndc_label_name>Pain Relieving Cream 4 %-30 %-10 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077915</ndc>
    <ndc_label_name>EQ ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077922</ndc>
    <ndc_label_name>Daily Fiber 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131077923</ndc>
    <ndc_label_name>Personal Lubricating Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077924</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077925</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077930</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077933</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077943</ndc>
    <ndc_label_name>Women's One Daily 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131077947</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131081227</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131081234</ndc>
    <ndc_label_name>Women's One Daily 18 mg iron-400 mcg-500 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083706</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083709</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083710</ndc>
    <ndc_label_name>Arthritis Pain Relief (acetaminophen) ER 650 mg tablet,extend release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083715</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083716</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083718</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083747</ndc>
    <ndc_label_name>EQ CALCIUM 600MG-D3 20MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131083748</ndc>
    <ndc_label_name>Calcium 500 With D 500 mg-10 mcg (400 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131086586</ndc>
    <ndc_label_name>Child Complete Multivitamin 18 mg iron chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092820</ndc>
    <ndc_label_name>EQ NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092822</ndc>
    <ndc_label_name>EQ NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092834</ndc>
    <ndc_label_name>EQ TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092840</ndc>
    <ndc_label_name>Men's One Daily 400 mcg-20 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131092841</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092842</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092844</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092845</ndc>
    <ndc_label_name>EQ ACETAMINOPHEN 500 MG GELCAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092861</ndc>
    <ndc_label_name>Q-Sorb Co Q-10 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092881</ndc>
    <ndc_label_name>SV CALC 600 MG-D3 12.5MCG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131092882</ndc>
    <ndc_label_name>SV BIOTIN 1,000 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131092883</ndc>
    <ndc_label_name>SV POMEGRANATE 250 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092886</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 1,000 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092887</ndc>
    <ndc_label_name>SV POTASSIUM GLUC 595 MG CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81131092888</ndc>
    <ndc_label_name>POTASSIUM GLU 99(595) MG CAPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81131092889</ndc>
    <ndc_label_name>SV ACIDOPHILUS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81137000115</ndc>
    <ndc_label_name>Lasix ONYU 80 mg/2.67 mL subcutaneous wearable injector kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81137090131</ndc>
    <ndc_label_name>Lasix ONYU Reusable Unit subcutaneous device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81140010110</ndc>
    <ndc_label_name>RoxyBond 5 mg tablet,oral ONLY (not feeding tubes)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81140010210</ndc>
    <ndc_label_name>RoxyBond 15 mg tablet,oral ONLY (not feeding tubes)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81140010310</ndc>
    <ndc_label_name>RoxyBond 30 mg tablet,oral ONLY (not feeding tubes)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81140010410</ndc>
    <ndc_label_name>RoxyBond 10 mg tablet,oral ONLY (not feeding tubes)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81153010001</ndc>
    <ndc_label_name>Orlynvah 500 mg-500 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81165005001</ndc>
    <ndc_label_name>Letybo 50 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81165010001</ndc>
    <ndc_label_name>Letybo 100 unit intramuscular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81262020001</ndc>
    <ndc_label_name>Nutramine oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81266092001</ndc>
    <ndc_label_name>DIBUCAINE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279010050</ndc>
    <ndc_label_name>FLORAFOL PEDI 0.25 MG/ML DROPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81279010150</ndc>
    <ndc_label_name>FLORAFOL FE PEDI 0.25MG/ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81279010230</ndc>
    <ndc_label_name>FLORAFOL PEDI 0.5 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81279010330</ndc>
    <ndc_label_name>FLORAFOL PEDI 1 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279010420</ndc>
    <ndc_label_name>Ergomar 2 mg sublingual tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279010601</ndc>
    <ndc_label_name>SELENIOUS ACID 400 MCG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279010605</ndc>
    <ndc_label_name>SELENIOUS ACID 400 MCG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279012260</ndc>
    <ndc_label_name>Bucapsol 7.5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279012360</ndc>
    <ndc_label_name>Bucapsol 10 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279012460</ndc>
    <ndc_label_name>Bucapsol 15 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279013310</ndc>
    <ndc_label_name>Sdamlo 2.5 mg powder in container for oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279013410</ndc>
    <ndc_label_name>Sdamlo 5 mg powder in container for oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81279013510</ndc>
    <ndc_label_name>Sdamlo 10 mg powder in container for oral solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81284015100</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81284015110</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 2.25 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81284015200</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81284015210</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81284015300</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317000308</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317008500</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317030800</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Self-Cath 10" 10 Fr</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317033080</ndc>
    <ndc_label_name>Ultra-Fresh spray</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317040350</ndc>
    <ndc_label_name>Irrigation Syringe</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317040800</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317041200</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317041400</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317041600</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317041800</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317045000</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317046000</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317047500</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317048600</ndc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317050020</ndc>
    <ndc_label_name>Mounting Ring 2"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317058200</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317058600</ndc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317058800</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317062500</ndc>
    <ndc_label_name>Female Specimen Catheter 8 Fr</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Self-Cath</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Self-Cath</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Self-Cath</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Self-Cath 14 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317081600</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317081800</ndc>
    <ndc_label_name>Self-Cath</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317082000</ndc>
    <ndc_label_name>Self-Cath 20 Fr-16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317082050</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317082350</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317083050</ndc>
    <ndc_label_name>Active Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317090630</ndc>
    <ndc_label_name>Mini-Drain Open End Pouch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317300200</ndc>
    <ndc_label_name>Ultra-Fresh topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317300800</ndc>
    <ndc_label_name>Ultra-Fresh topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317340500</ndc>
    <ndc_label_name>Adhesive Remover Wipes</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317340800</ndc>
    <ndc_label_name>ADHESIVE REMOVER LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317400400</ndc>
    <ndc_label_name>Double-Hesive misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317406000</ndc>
    <ndc_label_name>E-Z Hold Catheter Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317406500</ndc>
    <ndc_label_name>E-Z Hold Catheter Holder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317440050</ndc>
    <ndc_label_name>Shield Skin topical swab</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317447000</ndc>
    <ndc_label_name>Shield Skin Spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317510200</ndc>
    <ndc_label_name>Gizmo Foam Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317570700</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317610000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317613000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317620000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317623000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317630000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317633000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317640000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317643000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317650000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317653000</ndc>
    <ndc_label_name>Clear Advantage misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707100</ndc>
    <ndc_label_name>Uro-San Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707400</ndc>
    <ndc_label_name>Plastic Connector misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707500</ndc>
    <ndc_label_name>Freedom Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707600</ndc>
    <ndc_label_name>Freedom Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707700</ndc>
    <ndc_label_name>Freedom Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707800</ndc>
    <ndc_label_name>Freedom T-Tap Leg Bag Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317707900</ndc>
    <ndc_label_name>Freedom T-Tap Leg Bag Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317708000</ndc>
    <ndc_label_name>Deluxe Leg Bag Straps</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317708200</ndc>
    <ndc_label_name>Tube and Connector Kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317708500</ndc>
    <ndc_label_name>Freedom Leg Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317708600</ndc>
    <ndc_label_name>Freedom Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317708700</ndc>
    <ndc_label_name>Freedom Leg Bag kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317709000</ndc>
    <ndc_label_name>Comfort Leg Bag Straps kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317709500</ndc>
    <ndc_label_name>Freedom Drainage Bag</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317720000</ndc>
    <ndc_label_name>Gizmo misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317725000</ndc>
    <ndc_label_name>Gizmo misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317727500</ndc>
    <ndc_label_name>Gizmo misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317780000</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317780030</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317785000</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317785030</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317787500</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317787530</ndc>
    <ndc_label_name>Uro-San Plus misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317800000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317803000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317810000</ndc>
    <ndc_label_name>Active Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317820000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317823000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317830000</ndc>
    <ndc_label_name>Active Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317840000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81317843000</ndc>
    <ndc_label_name>Freedom Cath</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370003601</ndc>
    <ndc_label_name>Aveeno Daily Moisturizing 1.2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370003602</ndc>
    <ndc_label_name>Aveeno Daily Moisturizing 1.2 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370003640</ndc>
    <ndc_label_name>Aveeno Soothing Bath packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370003690</ndc>
    <ndc_label_name>Aveeno Anti-Itch 1 %-3 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370004424</ndc>
    <ndc_label_name>Band-Aid Tough Strips 1 3/4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81370004833</ndc>
    <ndc_label_name>Band-Aid Plastic bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81375000105</ndc>
    <ndc_label_name>Hydra-C 0.1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81375000205</ndc>
    <ndc_label_name>PREDNISOLONE PH 1%-BROMF 0.09%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81375010340</ndc>
    <ndc_label_name>MITOMYCIN 40 MG/40 ML-WATER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81375020210</ndc>
    <ndc_label_name>TROPICAMIDE 1%-PHENYLEPHR 2.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81375030008</ndc>
    <ndc_label_name>PRED PH-MOXI-BROM 1-0.5-0.09%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002001</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002002</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002003</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002004</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002014</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002020</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002101</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002102</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002103</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002105</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002108</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 10 mg rectal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002202</ndc>
    <ndc_label_name>Dulcolax Stool Softener (docusate) 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002203</ndc>
    <ndc_label_name>Dulcolax Stool Softener (docusate) 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002204</ndc>
    <ndc_label_name>Dulcolax Stool Softener (docusate) 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002209</ndc>
    <ndc_label_name>Dulcolax Stool Softener (docusate) 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002248</ndc>
    <ndc_label_name>Dulcolax (magnesium citrate) 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002250</ndc>
    <ndc_label_name>Dulcolax (magnesium citrate) 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002560</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 600 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002570</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 600 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002571</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 600 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002590</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002600</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002653</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002656</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81421002658</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 1,200 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002905</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002908</ndc>
    <ndc_label_name>Dulcolax (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002910</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421002920</ndc>
    <ndc_label_name>Dulcolax (magnesium hydroxide) 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003610</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003612</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003614</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003616</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003618</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81421003641</ndc>
    <ndc_label_name>Zantac-360 (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469013990</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469014090</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469014190</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469016802</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469016815</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469016905</ndc>
    <ndc_label_name>PHENYLEPHRINE 10% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469020905</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469020910</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.25% EYE DROP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469021005</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469021010</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469022101</ndc>
    <ndc_label_name>BUMETANIDE 0.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469022201</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469022205</ndc>
    <ndc_label_name>BUMETANIDE 1 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469022301</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469022305</ndc>
    <ndc_label_name>BUMETANIDE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041501</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041505</ndc>
    <ndc_label_name>DOXEPIN 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041601</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041605</ndc>
    <ndc_label_name>DOXEPIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041701</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041705</ndc>
    <ndc_label_name>DOXEPIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041801</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041805</ndc>
    <ndc_label_name>DOXEPIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041901</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81469041905</ndc>
    <ndc_label_name>DOXEPIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469049201</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469049210</ndc>
    <ndc_label_name>DIVALPROEX DR 125 MG CAP SPRNK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81469099912</ndc>
    <ndc_label_name>Astringent 952 mg-1,347 mg topical powder in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81481080301</ndc>
    <ndc_label_name>Anktiva 400 mcg/0.4 mL intravesical solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000000</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 100 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000001</ndc>
    <ndc_label_name>LIDOCAINE HCL 1% 50 MG/5 ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000101</ndc>
    <ndc_label_name>LIDOCAINE HCL 2% 200 MG/10 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000300</ndc>
    <ndc_label_name>BUPIVACAINE 0.25% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000400</ndc>
    <ndc_label_name>BUPIVACAINE 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000600</ndc>
    <ndc_label_name>KETAMINE 50 MG/5 ML-WATER VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483000700</ndc>
    <ndc_label_name>KETAMINE 500 MG/5 ML-WATER VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483003100</ndc>
    <ndc_label_name>WATER FOR INJECTION VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483003500</ndc>
    <ndc_label_name>BUPIVACAINE 0.25%-EPI 1:200000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483003600</ndc>
    <ndc_label_name>BUPIVACAINE 0.5%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483003700</ndc>
    <ndc_label_name>LIDOCAINE 1%-EPI 1:100,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483003800</ndc>
    <ndc_label_name>LIDOCAINE 2%-EPI 1:200,000</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004101</ndc>
    <ndc_label_name>BEVACIZUMAB 1.25 MG/0.05 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004105</ndc>
    <ndc_label_name>BEVACIZUMAB 1.25 MG/0.05 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004300</ndc>
    <ndc_label_name>EPINEPHRINE 0.3 MG/0.3 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004504</ndc>
    <ndc_label_name>SEMAGLUTIDE 0.25MG/0.05ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004604</ndc>
    <ndc_label_name>SEMAGLUTIDE 0.5 MG/0.1 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004704</ndc>
    <ndc_label_name>SEMAGLUTIDE 1 MG/0.2 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004804</ndc>
    <ndc_label_name>SEMAGLUTIDE 1.7 MG/0.22 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483004904</ndc>
    <ndc_label_name>SEMAGLUTIDE 2.4 MG/0.3 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005004</ndc>
    <ndc_label_name>TIRZEPATIDE 2.5 MG/0.1 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005104</ndc>
    <ndc_label_name>TIRZEPATIDE 5 MG/0.2 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005204</ndc>
    <ndc_label_name>TIRZEPATIDE 7.5 MG/0.3 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005304</ndc>
    <ndc_label_name>TIRZEPATIDE 10 MG/0.2 ML SYRNG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005404</ndc>
    <ndc_label_name>TIRZEPATIDE 12.5MG/0.25ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483005504</ndc>
    <ndc_label_name>TIRZEPATIDE 15 MG/0.3 ML SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81483006100</ndc>
    <ndc_label_name>LORAZEPAM 2 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000201</ndc>
    <ndc_label_name>Dermeleve 0.2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000202</ndc>
    <ndc_label_name>Dermeleve 0.2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000206</ndc>
    <ndc_label_name>Dermeleve 0.2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000301</ndc>
    <ndc_label_name>Dermeleve 0.2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000302</ndc>
    <ndc_label_name>Dermeleve 0.2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81507000401</ndc>
    <ndc_label_name>Dermeleve Scalp topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520010030</ndc>
    <ndc_label_name>Voquezna 10 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520020030</ndc>
    <ndc_label_name>Voquezna 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520025001</ndc>
    <ndc_label_name>Voquezna Dual Pak 20 mg (28)-500 mg (84) oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520025014</ndc>
    <ndc_label_name>Voquezna Dual Pak 20 mg (28)-500 mg (84) oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520025501</ndc>
    <ndc_label_name>Voquezna Triple Pak 20 mg-500 mg-500 mg oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81520025514</ndc>
    <ndc_label_name>Voquezna Triple Pak 20 mg-500 mg-500 mg oral pack</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533020015</ndc>
    <ndc_label_name>CapsAid ES 0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533020105</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533030010</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533030024</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533060010</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533060011</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81533060030</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81542020108</ndc>
    <ndc_label_name>UREA 40% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81542020212</ndc>
    <ndc_label_name>SOD SULFACET-SULFUR 10-5% CLSR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81561041301</ndc>
    <ndc_label_name>ERWINASE 10,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81561041305</ndc>
    <ndc_label_name>ERWINASE 10,000 UNIT VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020101</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020102</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020201</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020202</ndc>
    <ndc_label_name>DEXAMETHASONE 4 MG/ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020301</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020302</ndc>
    <ndc_label_name>HEPARIN 10,000 UNIT/10 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020401</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020402</ndc>
    <ndc_label_name>ROCURONIUM 50 MG/5 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020501</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020502</ndc>
    <ndc_label_name>FENTANYL 100 MCG/2 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020601</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81565020602</ndc>
    <ndc_label_name>VECURONIUM 10 MG VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81583010001</ndc>
    <ndc_label_name>Ztalmy 50 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81583010201</ndc>
    <ndc_label_name>Loargys 5 mg/mL injection solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603062510</ndc>
    <ndc_label_name>DropSafe Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81603094205</ndc>
    <ndc_label_name>DropSafe Sicura Safety Needle 25 gauge x 1"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81603262010</ndc>
    <ndc_label_name>Insupen Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81603290210</ndc>
    <ndc_label_name>Insupen Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81603299010</ndc>
    <ndc_label_name>Insupen Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603963105</ndc>
    <ndc_label_name>Droplet Medlance Plus 30 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603963810</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603963910</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603964010</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603964110</ndc>
    <ndc_label_name>DropSafe Haemolance Plus 18 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603964210</ndc>
    <ndc_label_name>DropSafe Haemolance Plus Blade 1.5 mm X 1.6 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603964310</ndc>
    <ndc_label_name>DropSafe Haemolance Plus Blade 1.5 mm X 1.2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603965010</ndc>
    <ndc_label_name>DropSafe ergoLance 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603965110</ndc>
    <ndc_label_name>DropSafe ergoLance 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603965210</ndc>
    <ndc_label_name>DropSafe ergoLance 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603965620</ndc>
    <ndc_label_name>DropSafe MediSafe Solo Lancet 29 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603965720</ndc>
    <ndc_label_name>DropSafe MediSafe Solo Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603966520</ndc>
    <ndc_label_name>DropSafe Medlance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603966620</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603966720</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603966820</ndc>
    <ndc_label_name>DropSafe Medlance Plus Blade 0.8 mm X 2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603966920</ndc>
    <ndc_label_name>DropSafe Medlance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603967010</ndc>
    <ndc_label_name>DropSafe Medlance Plus 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603967110</ndc>
    <ndc_label_name>DropSafe Medlance Plus 25 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603967210</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603967310</ndc>
    <ndc_label_name>DropSafe Medlance Plus 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603967410</ndc>
    <ndc_label_name>DropSafe Medlance Plus Blade 0.8 mm X 2 mm</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603968620</ndc>
    <ndc_label_name>DropSafe Acti-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603968720</ndc>
    <ndc_label_name>DropSafe Acti-Lance 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603968820</ndc>
    <ndc_label_name>DropSafe Acti-Lance 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603968910</ndc>
    <ndc_label_name>DropSafe Acti-Lance 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603969010</ndc>
    <ndc_label_name>DropSafe Acti-Lance 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81603969110</ndc>
    <ndc_label_name>DropSafe Acti-Lance 17 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81642019344</ndc>
    <ndc_label_name>Flanders Buttocks topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81643927001</ndc>
    <ndc_label_name>FLOXURIDINE 500 MG VIAL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010060</ndc>
    <ndc_label_name>LEVETIRACETAM ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010210</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010310</ndc>
    <ndc_label_name>ISOSORBIDE MONONIT 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81665010496</ndc>
    <ndc_label_name>CROMOLYN 100 MG/5 ML ORAL CONC</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010710</ndc>
    <ndc_label_name>ISONIAZID 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010810</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010830</ndc>
    <ndc_label_name>ISONIAZID 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>81665010910</ndc>
    <ndc_label_name>DIETHYLPROPION ER 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81665020001</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81665020005</ndc>
    <ndc_label_name>SODIUM BICARBONATE 8.4% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>81665020025</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004030</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004090</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004190</ndc>
    <ndc_label_name>VALACYCLOVIR HCL 1 GRAM TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004210</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004310</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004410</ndc>
    <ndc_label_name>LOSARTAN POTASSIUM 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004505</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004610</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004710</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009004905</ndc>
    <ndc_label_name>SERTRALINE HCL 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005005</ndc>
    <ndc_label_name>SERTRALINE HCL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005105</ndc>
    <ndc_label_name>BUPROPION HCL XL 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005205</ndc>
    <ndc_label_name>BUPROPION HCL XL 300 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005401</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005610</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 37.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005710</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 75 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009005805</ndc>
    <ndc_label_name>VENLAFAXINE HCL ER 150 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006090</ndc>
    <ndc_label_name>FENOFIBRATE 145 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006105</ndc>
    <ndc_label_name>FINASTERIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006205</ndc>
    <ndc_label_name>LISINOPRIL 2.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006310</ndc>
    <ndc_label_name>LISINOPRIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006410</ndc>
    <ndc_label_name>LISINOPRIL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006510</ndc>
    <ndc_label_name>LISINOPRIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009006610</ndc>
    <ndc_label_name>LISINOPRIL 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009006805</ndc>
    <ndc_label_name>CELECOXIB 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009006905</ndc>
    <ndc_label_name>CELECOXIB 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009007105</ndc>
    <ndc_label_name>GABAPENTIN 600 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009007205</ndc>
    <ndc_label_name>GABAPENTIN 800 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009007390</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 5 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009007490</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009007590</ndc>
    <ndc_label_name>OLMESARTAN MEDOXOMIL 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009007705</ndc>
    <ndc_label_name>TADALAFIL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009007905</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009008060</ndc>
    <ndc_label_name>TADALAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009008690</ndc>
    <ndc_label_name>IMATINIB MESYLATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009008730</ndc>
    <ndc_label_name>IMATINIB MESYLATE 400 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009008805</ndc>
    <ndc_label_name>ARIPIPRAZOLE 2 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009008905</ndc>
    <ndc_label_name>ARIPIPRAZOLE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009005</ndc>
    <ndc_label_name>ARIPIPRAZOLE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009105</ndc>
    <ndc_label_name>ARIPIPRAZOLE 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009009301</ndc>
    <ndc_label_name>SILDENAFIL 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009490</ndc>
    <ndc_label_name>SILDENAFIL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009501</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009610</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009710</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009009801</ndc>
    <ndc_label_name>QUETIAPINE FUMARATE 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010010</ndc>
    <ndc_label_name>FLUOXETINE HCL 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010110</ndc>
    <ndc_label_name>FLUOXETINE HCL 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010205</ndc>
    <ndc_label_name>FLUOXETINE HCL 40 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010305</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010405</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 30 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010505</ndc>
    <ndc_label_name>PIOGLITAZONE HCL 45 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010605</ndc>
    <ndc_label_name>CITALOPRAM HBR 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010705</ndc>
    <ndc_label_name>CITALOPRAM HBR 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010805</ndc>
    <ndc_label_name>CITALOPRAM HBR 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009010930</ndc>
    <ndc_label_name>EMTRICITABINE-TENOFV 200-300MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009011212</ndc>
    <ndc_label_name>CAPECITABINE 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011305</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 25 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011405</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011505</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 100 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011605</ndc>
    <ndc_label_name>METOPROLOL SUCC ER 200 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011710</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011801</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009011905</ndc>
    <ndc_label_name>DONEPEZIL HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012005</ndc>
    <ndc_label_name>DONEPEZIL HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012105</ndc>
    <ndc_label_name>LEVETIRACETAM 250 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012205</ndc>
    <ndc_label_name>LEVETIRACETAM 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012305</ndc>
    <ndc_label_name>LEVETIRACETAM 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012460</ndc>
    <ndc_label_name>LEVETIRACETAM 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012505</ndc>
    <ndc_label_name>CARVEDILOL 3.125 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012605</ndc>
    <ndc_label_name>CARVEDILOL 6.25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012705</ndc>
    <ndc_label_name>CARVEDILOL 12.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012805</ndc>
    <ndc_label_name>CARVEDILOL 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009012905</ndc>
    <ndc_label_name>MELOXICAM 7.5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013005</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013110</ndc>
    <ndc_label_name>LAMOTRIGINE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013210</ndc>
    <ndc_label_name>LAMOTRIGINE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013305</ndc>
    <ndc_label_name>LAMOTRIGINE 150 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013405</ndc>
    <ndc_label_name>LAMOTRIGINE 200 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013505</ndc>
    <ndc_label_name>TOPIRAMATE 25 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013605</ndc>
    <ndc_label_name>TOPIRAMATE 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013705</ndc>
    <ndc_label_name>TOPIRAMATE 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009013860</ndc>
    <ndc_label_name>DIMETHYL FUMARATE DR 240 MG CP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009013912</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009014060</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014130</ndc>
    <ndc_label_name>AMBRISENTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014230</ndc>
    <ndc_label_name>AMBRISENTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014330</ndc>
    <ndc_label_name>FINGOLIMOD 0.5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014422</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014622</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009014822</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) PEN 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009015022</ndc>
    <ndc_label_name>ADALIMUMAB-ADBM(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009015622</ndc>
    <ndc_label_name>ADALIMUMAB-RYVK(CF) AI 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009015822</ndc>
    <ndc_label_name>ADALIMUMAB-RYVK(CF) 40 MG SYRG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009016011</ndc>
    <ndc_label_name>USTEKINUMAB-TTWE 45 MG SYRINGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009016194</ndc>
    <ndc_label_name>USTEKINUMAB-TTWE 45MG/0.5ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009016211</ndc>
    <ndc_label_name>USTEKINUMAB-TTWE 90 MG/ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009016394</ndc>
    <ndc_label_name>USTEKINUMAB-TTWE 130MG/26ML VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009016401</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009016501</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017010</ndc>
    <ndc_label_name>DULOXETINE HCL DR 20 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017110</ndc>
    <ndc_label_name>DULOXETINE HCL DR 30 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82009017230</ndc>
    <ndc_label_name>DULOXETINE HCL DR 40 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017310</ndc>
    <ndc_label_name>DULOXETINE HCL DR 60 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017410</ndc>
    <ndc_label_name>METFORMIN HCL 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017510</ndc>
    <ndc_label_name>METFORMIN HCL 1,000 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017610</ndc>
    <ndc_label_name>ATORVASTATIN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017710</ndc>
    <ndc_label_name>ATORVASTATIN 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017810</ndc>
    <ndc_label_name>ATORVASTATIN 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009017910</ndc>
    <ndc_label_name>ATORVASTATIN 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009018005</ndc>
    <ndc_label_name>METFORMIN HCL ER 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009018101</ndc>
    <ndc_label_name>METFORMIN HCL ER 750 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009018205</ndc>
    <ndc_label_name>CLOPIDOGREL 75 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82009018310</ndc>
    <ndc_label_name>OMEPRAZOLE DR 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000013</ndc>
    <ndc_label_name>FiberCel 5 gram/5.6 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000014</ndc>
    <ndc_label_name>FiberCel 5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000020</ndc>
    <ndc_label_name>Push 20 Plus 20 gram-120 kcal/37.5 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000021</ndc>
    <ndc_label_name>Push 20 Plus 20 gram-120 kcal/37.5 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000022</ndc>
    <ndc_label_name>Push 20 Plus 20 gram-120 kcal/37.5 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000079</ndc>
    <ndc_label_name>Procel Singles 5 gram-26 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82028000080</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82260000101</ndc>
    <ndc_label_name>ATROPINE 1% EYE DROPS</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260004505</ndc>
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    <otc>False</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260010210</ndc>
    <ndc_label_name>PHENYLEPHRINE 2.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260010305</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260029905</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.5% DRP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260029910</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260029915</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260035805</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260035810</ndc>
    <ndc_label_name>TOBRAMYCIN-LOTEPRED 0.3%-0.5%</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260036105</ndc>
    <ndc_label_name>LOTEPREDNOL ETABONATE 0.2% DRP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260046605</ndc>
    <ndc_label_name>BESIFLOXACIN 0.6% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260049605</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260050801</ndc>
    <ndc_label_name>LOTEPREDNOL 0.5% OPHTHALMC GEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260060203</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260063005</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260063010</ndc>
    <ndc_label_name>BEPOTASTINE 1.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260073405</ndc>
    <ndc_label_name>FLUORESCEIN-BENOXIN 0.3%-0.4%</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82260081305</ndc>
    <ndc_label_name>TIMOLOL MALEATE 0.5% EYE DROPS</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82260081825</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82260081905</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260092005</ndc>
    <ndc_label_name>TETRACAINE 0.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82260092015</ndc>
    <ndc_label_name>TETRACAINE 0.5% EYE DROP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82292004001</ndc>
    <ndc_label_name>Lumisight 39 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82292004010</ndc>
    <ndc_label_name>Lumisight 39 mg intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000110</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 250 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000210</ndc>
    <ndc_label_name>ABIRATERONE ACETATE 500 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82293000310</ndc>
    <ndc_label_name>MIDODRINE HCL 2.5 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82293000410</ndc>
    <ndc_label_name>MIDODRINE HCL 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82293000510</ndc>
    <ndc_label_name>MIDODRINE HCL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000610</ndc>
    <ndc_label_name>LENALIDOMIDE 2.5 MG CAPSULE</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000710</ndc>
    <ndc_label_name>LENALIDOMIDE 5 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000810</ndc>
    <ndc_label_name>LENALIDOMIDE 10 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293000910</ndc>
    <ndc_label_name>LENALIDOMIDE 15 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001010</ndc>
    <ndc_label_name>LENALIDOMIDE 20 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001110</ndc>
    <ndc_label_name>LENALIDOMIDE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001410</ndc>
    <ndc_label_name>SUNITINIB MALATE 12.5 MG CAP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001510</ndc>
    <ndc_label_name>SUNITINIB MALATE 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001610</ndc>
    <ndc_label_name>SUNITINIB MALATE 37.5 MG CAP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293001710</ndc>
    <ndc_label_name>SUNITINIB MALATE 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002210</ndc>
    <ndc_label_name>PAZOPANIB HCL 200 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002710</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002720</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 24-26 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002810</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002820</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 49-51 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002910</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82293002920</ndc>
    <ndc_label_name>SACUBITRIL-VALSARTAN 97-103 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347000504</ndc>
    <ndc_label_name>LEVOTHYROXINE 13 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347001004</ndc>
    <ndc_label_name>LEVOTHYROXINE 25 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347001504</ndc>
    <ndc_label_name>LEVOTHYROXINE 50 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347002004</ndc>
    <ndc_label_name>LEVOTHYROXINE 75 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347002504</ndc>
    <ndc_label_name>LEVOTHYROXINE 88 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347003004</ndc>
    <ndc_label_name>LEVOTHYROXINE 100 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347003504</ndc>
    <ndc_label_name>LEVOTHYROXINE 112 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347004004</ndc>
    <ndc_label_name>LEVOTHYROXINE 125 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347004504</ndc>
    <ndc_label_name>LEVOTHYROXINE 137 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347005004</ndc>
    <ndc_label_name>LEVOTHYROXINE 150 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347005504</ndc>
    <ndc_label_name>LEVOTHYROXINE 175 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82347006004</ndc>
    <ndc_label_name>LEVOTHYROXINE 200 MCG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>TESTOSTERONE CYPIONATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>BUPRENORPHINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011608</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011610</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011611</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011613</ndc>
    <ndc_label_name>KETAMINE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011704</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011705</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011707</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011708</ndc>
    <ndc_label_name>MIDAZOLAM POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011803</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011804</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011805</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011807</ndc>
    <ndc_label_name>FENTANYL CITRATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011904</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011905</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393011907</ndc>
    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROMORPHONE HCL POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393012004</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393012005</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393012007</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82393012010</ndc>
    <ndc_label_name>MORPHINE SULFATE POWDER</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461041505</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461041510</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461041630</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461041810</ndc>
    <ndc_label_name>CAPSAICIN 0.03% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461055057</ndc>
    <ndc_label_name>Ziclocin 1.5 %-0.025 % kit, cream and solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461061101</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461061115</ndc>
    <ndc_label_name>LIDOCAINE 5% PATCH</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461065057</ndc>
    <ndc_label_name>Fordagel 4 %-30 %-10 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461071160</ndc>
    <ndc_label_name>NAPROXEN 500 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461071230</ndc>
    <ndc_label_name>MELOXICAM 15 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461071330</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 30 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461071490</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82461071690</ndc>
    <ndc_label_name>CYCLOBENZAPRINE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82461075050</ndc>
    <ndc_label_name>Moxicaine 5 % topical kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000101</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000102</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000103</ndc>
    <ndc_label_name>ACETAMINOPHEN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000201</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000202</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000301</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000302</ndc>
    <ndc_label_name>ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000401</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000402</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000501</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000502</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000601</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000602</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000603</ndc>
    <ndc_label_name>senna 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000804</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000806</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568000808</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001204</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001206</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001208</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001504</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001506</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001508</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001604</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001606</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001608</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001703</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568001704</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568002408</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82568004203</ndc>
    <ndc_label_name>Anlido 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82568004204</ndc>
    <ndc_label_name>Anlido 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568005101</ndc>
    <ndc_label_name>MAGNESIUM CITRATE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82568014109</ndc>
    <ndc_label_name>One Natal RX 27 mg iron-1 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82576006030</ndc>
    <ndc_label_name>Rezdiffra 60 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82576008030</ndc>
    <ndc_label_name>Rezdiffra 80 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82576010030</ndc>
    <ndc_label_name>Rezdiffra 100 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82580001002</ndc>
    <ndc_label_name>neffy 1 mg/spray (0.1 mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82580002002</ndc>
    <ndc_label_name>neffy 2 mg/spray (0.1 mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584000105</ndc>
    <ndc_label_name>BETIMOL 0.25% EYE DROPS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584000205</ndc>
    <ndc_label_name>Betimol 0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584000215</ndc>
    <ndc_label_name>Betimol 0.5 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584000330</ndc>
    <ndc_label_name>Iyuzeh (PF) 0.005 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584000381</ndc>
    <ndc_label_name>Iyuzeh (PF) 0.005 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584030703</ndc>
    <ndc_label_name>AzaSite 1 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584060401</ndc>
    <ndc_label_name>Cosopt (PF) 2 %-0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584060430</ndc>
    <ndc_label_name>Cosopt (PF) 2 %-0.5 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584060510</ndc>
    <ndc_label_name>Cosopt 22.3 mg-6.8 mg/mL eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584060901</ndc>
    <ndc_label_name>Zioptan (PF) 0.0015 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584060930</ndc>
    <ndc_label_name>Zioptan (PF) 0.0015 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584079201</ndc>
    <ndc_label_name>Akten (PF) 3.5 % eye gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82584079225</ndc>
    <ndc_label_name>Akten (PF) 3.5 % eye gel</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82604060000</ndc>
    <ndc_label_name>Omidria 1 %-0.3 % intraocular concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82604060004</ndc>
    <ndc_label_name>Omidria 1 %-0.3 % intraocular concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82604060099</ndc>
    <ndc_label_name>Omidria 1 %-0.3 % intraocular concentrate</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053511</ndc>
    <ndc_label_name>ON CALL PLUS METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053512</ndc>
    <ndc_label_name>ON CALL PLUS METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053516</ndc>
    <ndc_label_name>ON CALL PLUS METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053521</ndc>
    <ndc_label_name>ON CALL PLUS TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053531</ndc>
    <ndc_label_name>ON CALL PLUS CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82607053541</ndc>
    <ndc_label_name>ON CALL PLUS LANCING DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82607053551</ndc>
    <ndc_label_name>ON CALL PLUS 30G LANCET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053815</ndc>
    <ndc_label_name>ON CALL PLUS METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053915</ndc>
    <ndc_label_name>OPTUMRX BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053916</ndc>
    <ndc_label_name>OPTUMRX BLOOD GLUCOSE METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053925</ndc>
    <ndc_label_name>OPTUMRX TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607053932</ndc>
    <ndc_label_name>OPTUMRX GLUCOSE CONTROL SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82607054105</ndc>
    <ndc_label_name>On Call Lancet 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82607054106</ndc>
    <ndc_label_name>On Call Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055611</ndc>
    <ndc_label_name>ON CALL VIVID METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055612</ndc>
    <ndc_label_name>ON CALL VIVID METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055613</ndc>
    <ndc_label_name>ON CALL VIVID METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055614</ndc>
    <ndc_label_name>ON CALL VIVID METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055615</ndc>
    <ndc_label_name>ON CALL VIVID METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055622</ndc>
    <ndc_label_name>ON CALL VIVID TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055625</ndc>
    <ndc_label_name>ON CALL VIVID TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055631</ndc>
    <ndc_label_name>ON CALL VIVID CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055715</ndc>
    <ndc_label_name>On Call Express Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055716</ndc>
    <ndc_label_name>On Call Express Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055729</ndc>
    <ndc_label_name>On Call Express Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055732</ndc>
    <ndc_label_name>On Call Express Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055811</ndc>
    <ndc_label_name>ON CALL VIVID PAL METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055812</ndc>
    <ndc_label_name>ON CALL VIVID PAL METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055813</ndc>
    <ndc_label_name>ON CALL VIVID PAL METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055814</ndc>
    <ndc_label_name>ON CALL VIVID PAL METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607055815</ndc>
    <ndc_label_name>ON CALL VIVID PAL METER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607066026</ndc>
    <ndc_label_name>Flowflex COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607066027</ndc>
    <ndc_label_name>Flowflex COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607066028</ndc>
    <ndc_label_name>Flowflex COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82607066047</ndc>
    <ndc_label_name>Flowflex COVID-19 Antigen Home Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619010101</ndc>
    <ndc_label_name>FENOFIBRATE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619010201</ndc>
    <ndc_label_name>FENOFIBRATE 120 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619010301</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS H.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619010401</ndc>
    <ndc_label_name>ESTROGEN-METHYLTESTOS F.S. TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011103</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011104</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011105</ndc>
    <ndc_label_name>RIZATRIPTAN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011203</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011204</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619011205</ndc>
    <ndc_label_name>RIZATRIPTAN 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619011301</ndc>
    <ndc_label_name>SILODOSIN 4 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619011401</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82619011402</ndc>
    <ndc_label_name>SILODOSIN 8 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619012201</ndc>
    <ndc_label_name>PREGABALIN 25 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619012301</ndc>
    <ndc_label_name>PREGABALIN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619012401</ndc>
    <ndc_label_name>PREGABALIN 75 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619012501</ndc>
    <ndc_label_name>PREGABALIN 100 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82619012601</ndc>
    <ndc_label_name>PREGABALIN 150 MG CAPSULE</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944010210</ndc>
    <ndc_label_name>Lidosync (lidocaine-m.salicylate-menthol) 4 %-2 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82944010301</ndc>
    <ndc_label_name>Lidocore 4 % topical patch</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944010410</ndc>
    <ndc_label_name>Lidosync (lidocaine-menthol) 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944010530</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944020001</ndc>
    <ndc_label_name>Lidosync (lidocaine-menthol) 4 %-1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82944020102</ndc>
    <ndc_label_name>Lidocore 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944030074</ndc>
    <ndc_label_name>Sync Relief Ice 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82944040010</ndc>
    <ndc_label_name>Sync Relief Pro 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82950000116</ndc>
    <ndc_label_name>Ojemda 400 mg/week (100 mg x 4) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82950000120</ndc>
    <ndc_label_name>Ojemda 500 mg/week (100 mg x 5) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82950000124</ndc>
    <ndc_label_name>Ojemda 600 mg/week (100 mg x 6) tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82950001201</ndc>
    <ndc_label_name>Ojemda 25 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82950011210</ndc>
    <ndc_label_name>Ojemda 25 mg/mL oral suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82954010001</ndc>
    <ndc_label_name>RiVive 3 mg/actuation nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82958050101</ndc>
    <ndc_label_name>Encelto 200,000 to 440,000 cell intravitreal implant</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82959011101</ndc>
    <ndc_label_name>Rytelo 188 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82959011201</ndc>
    <ndc_label_name>Rytelo 47 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000130</ndc>
    <ndc_label_name>Viteyes AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000131</ndc>
    <ndc_label_name>Viteyes AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000132</ndc>
    <ndc_label_name>Viteyes AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000133</ndc>
    <ndc_label_name>Viteyes AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000134</ndc>
    <ndc_label_name>Viteyes AREDS 2 Plus Multivit 200 mcg-15 mcg-5 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82966000865</ndc>
    <ndc_label_name>Viteyes AREDS-2 250 mg-90 mg-40 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983040010</ndc>
    <ndc_label_name>TACROLIMUS 0.5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983040110</ndc>
    <ndc_label_name>TACROLIMUS 1 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983040210</ndc>
    <ndc_label_name>TACROLIMUS 5 MG CAPSULE (IR)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82983040301</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82983040310</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82983040330</ndc>
    <ndc_label_name>POTASSIUM CL 20 MEQ PACKET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983041147</ndc>
    <ndc_label_name>POTASSIUM CL 10% (20 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983041247</ndc>
    <ndc_label_name>POTASSIUM CL 20% (40 MEQ/15ML)</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983041747</ndc>
    <ndc_label_name>PHENOBARBITAL 20 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983042347</ndc>
    <ndc_label_name>GABAPENTIN 250 MG/5 ML SOLN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82983042601</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>82983042610</ndc>
    <ndc_label_name>DEHYDRATED ALCOHOL 99% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>82983042731</ndc>
    <ndc_label_name>LACOSAMIDE 10 MG/ML SOLUTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83000011004</ndc>
    <ndc_label_name>Gohibic (EUA) 10 mg/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017010903</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017011903</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017012203</ndc>
    <ndc_label_name>Nano Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017055003</ndc>
    <ndc_label_name>Nano 2nd Gen Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017057403</ndc>
    <ndc_label_name>Nano 2nd Gen Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017074903</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017088003</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017088103</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017088203</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017088303</ndc>
    <ndc_label_name>Nano Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017490603</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017490703</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017490803</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017490901</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017490903</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491001</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491003</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe (half unit) 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491101</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491103</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491201</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017491203</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017673003</ndc>
    <ndc_label_name>INS SYR U-500 0.5 ML 31G 6MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017689503</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017820303</ndc>
    <ndc_label_name>Ultra-Fine Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017827803</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017827903</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017828003</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017828903</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017829003</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017829103</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017841101</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017841103</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017841801</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017841803</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017843101</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017843103</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017843801</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017843803</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017844001</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017844003</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe (half unit) 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017846601</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017846603</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017846801</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017846803</ndc>
    <ndc_label_name>Ultra-Fine Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017941003</ndc>
    <ndc_label_name>INSULIN SYRINGE 1ML 28G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017941203</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 27G 16MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017942003</ndc>
    <ndc_label_name>INSULIN SYRINGE 1ML 28G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017942403</ndc>
    <ndc_label_name>INSULIN SYRINGE 1ML 28G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017946103</ndc>
    <ndc_label_name>INSULIN SYR 0.5 ML 28G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83017946503</ndc>
    <ndc_label_name>INSULIN SYR 0.5 ML 28G 12.7MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83017951503</ndc>
    <ndc_label_name>AutoShield Duo Pen Needle 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83034000301</ndc>
    <ndc_label_name>Ohtuvayre 3 mg/2.5 mL suspension for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83034000360</ndc>
    <ndc_label_name>Ohtuvayre 3 mg/2.5 mL suspension for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035106103</ndc>
    <ndc_label_name>VOTRIZA-AL 1% LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035106203</ndc>
    <ndc_label_name>TM-CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035106305</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035106402</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035106403</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035107009</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035112009</ndc>
    <ndc_label_name>SINTRA-ES 975 MG-232 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035113003</ndc>
    <ndc_label_name>TRUE LIDO 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035113206</ndc>
    <ndc_label_name>TRUE LIDO 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035113301</ndc>
    <ndc_label_name>TRUE LIDO 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035113701</ndc>
    <ndc_label_name>ULTRA LIDO GEL 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035113806</ndc>
    <ndc_label_name>ULTRA LIDO 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035121509</ndc>
    <ndc_label_name>TM-VITE RX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035121609</ndc>
    <ndc_label_name>TM-Daily Vite 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035122009</ndc>
    <ndc_label_name>True Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035126003</ndc>
    <ndc_label_name>TM-TOLNAFTATE 1% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035126004</ndc>
    <ndc_label_name>TM-TOLNAFTATE 1% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035126204</ndc>
    <ndc_label_name>TM-TOLNAFTATE LR 1% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035148009</ndc>
    <ndc_label_name>CIDATRINE-TM 975-232 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035171005</ndc>
    <ndc_label_name>Truelyte Advanced Hydration oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035181006</ndc>
    <ndc_label_name>CALCIUM 500 MG-VIT D3 5 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035181205</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035181406</ndc>
    <ndc_label_name>ULTRA CALC 600MG-VIT D3 10MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182001</ndc>
    <ndc_label_name>TRUE VITAMIN B-12 500 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182005</ndc>
    <ndc_label_name>TRUE VITAMIN B-12 500 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182101</ndc>
    <ndc_label_name>TRUE VITAMIN B-12 1000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182105</ndc>
    <ndc_label_name>TRUE VITAMIN B-12 1000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182201</ndc>
    <ndc_label_name>TRUE MAGNESIUM OXIDE 400 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182205</ndc>
    <ndc_label_name>TRUE MAGNESIUM OXIDE 400 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182301</ndc>
    <ndc_label_name>TRUE MAGNESIUM OXIDE 500 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182401</ndc>
    <ndc_label_name>TRUE FOLIC ACID 667 MCG DFE TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182405</ndc>
    <ndc_label_name>TRUE FOLIC ACID 667 MCG DFE TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182501</ndc>
    <ndc_label_name>TRUE FOLIC ACID 1600MCG DFE TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182505</ndc>
    <ndc_label_name>TRUE FOLIC ACID 1600MCG DFE TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035182601</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182701</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182705</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182801</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182805</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182901</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035182905</ndc>
    <ndc_label_name>TRUE VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183001</ndc>
    <ndc_label_name>TRUE VITAMIN B2 25 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183101</ndc>
    <ndc_label_name>TRUE VITAMIN B2 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183201</ndc>
    <ndc_label_name>TRUE VITAMIN B2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035183301</ndc>
    <ndc_label_name>TRUE VITAMIN B-1 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035183305</ndc>
    <ndc_label_name>TRUE VITAMIN B-1 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183401</ndc>
    <ndc_label_name>TRUE VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183405</ndc>
    <ndc_label_name>TRUE VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035183501</ndc>
    <ndc_label_name>TRUE VITAMIN B-1 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183801</ndc>
    <ndc_label_name>TRUE VITAMIN C 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183901</ndc>
    <ndc_label_name>TRUE VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035183905</ndc>
    <ndc_label_name>TRUE VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184001</ndc>
    <ndc_label_name>TRUE VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184005</ndc>
    <ndc_label_name>TRUE VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184101</ndc>
    <ndc_label_name>TRUE VITAMIN D3 10 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184201</ndc>
    <ndc_label_name>TRUE VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184301</ndc>
    <ndc_label_name>TRUE VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184401</ndc>
    <ndc_label_name>TRUE VITAMIN D3 250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184501</ndc>
    <ndc_label_name>TRUE VITAMIN D3 1,250 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184601</ndc>
    <ndc_label_name>TRUE VITAMIN D3 10 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184701</ndc>
    <ndc_label_name>TRUE VITAMIN D3 25 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184705</ndc>
    <ndc_label_name>TRUE VITAMIN D3 25 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184801</ndc>
    <ndc_label_name>TRUE VITAMIN D3 125 MCG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184805</ndc>
    <ndc_label_name>TRUE VITAMIN D3 125 MCG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035184901</ndc>
    <ndc_label_name>TRUE VITAMIN D3 250 MCG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185001</ndc>
    <ndc_label_name>TRUE VITAMIN D3 1,250 MCG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185101</ndc>
    <ndc_label_name>TRUE VITAMIN E 90 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185201</ndc>
    <ndc_label_name>TRUE VITAMIN E 180 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185301</ndc>
    <ndc_label_name>TRUE VITAMIN E 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185305</ndc>
    <ndc_label_name>TRUE VITAMIN E 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185401</ndc>
    <ndc_label_name>TRUE VITAMIN B3 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185501</ndc>
    <ndc_label_name>TRUE VITAMIN D3 50 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185601</ndc>
    <ndc_label_name>TRUE VITAMIN B3 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185701</ndc>
    <ndc_label_name>TRUE VITAMIN B3 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185801</ndc>
    <ndc_label_name>TRUE FERROUS SULF EC 324 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185805</ndc>
    <ndc_label_name>TRUE FERROUS SULF EC 324 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185806</ndc>
    <ndc_label_name>TRUE FERROUS SULF EC 324 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185901</ndc>
    <ndc_label_name>TRUE VITAMIN D3 50 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035185905</ndc>
    <ndc_label_name>TRUE VITAMIN D3 50 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035193201</ndc>
    <ndc_label_name>TRUE VITAMIN B2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035500205</ndc>
    <ndc_label_name>LINTERA 10% WASH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035620203</ndc>
    <ndc_label_name>SENTRIVA-ES 975-232 MG CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83035620209</ndc>
    <ndc_label_name>SENTRIVA-ES 975-232 MG CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035712003</ndc>
    <ndc_label_name>TETRI-AG 1.9% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035803005</ndc>
    <ndc_label_name>VENTIVA TEARS 0.5% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035803105</ndc>
    <ndc_label_name>VENTIVA TEARS PLUS EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83035812104</ndc>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>SENTIA 0.6% EYE DROP</ndc_label_name>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc>83107002204</ndc>
    <ndc_label_name>Pramosone 1 %-1 % lotion</ndc_label_name>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83107002345</ndc>
    <ndc_label_name>Naftin 2 % topical gel</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83107002360</ndc>
    <ndc_label_name>Naftin 2 % topical gel</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83107002601</ndc>
    <ndc_label_name>MiCort-HC 2.5 % topical cream with perineal applicator</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83107002827</ndc>
    <ndc_label_name>Esbriet 267 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83107002990</ndc>
    <ndc_label_name>Esbriet 801 mg tablet</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83140003528</ndc>
    <ndc_label_name>Effaclar Acne System (3 Step) 5.5 %-2 %-0.5 % topical combo pack</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83140004023</ndc>
    <ndc_label_name>Effaclar (Salicylic Acid) 2 % topical cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83140050075</ndc>
    <ndc_label_name>Effaclar DUO 5.5 % topical solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% LOTN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83148001204</ndc>
    <ndc_label_name>HYDROCORTISONE BUTYR 0.1% LOTN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83148002160</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83148002199</ndc>
    <ndc_label_name>DESOXIMETASONE 0.05% OINTMENT</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83148004350</ndc>
    <ndc_label_name>LIDOCAINE HCL 4% SOLUTION</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83148006415</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83148006430</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
    <otc>False</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83148006460</ndc>
    <ndc_label_name>CLOBETASOL EMOLLIENT 0.05% CRM</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83205000102</ndc>
    <ndc_label_name>Tecelra 2.68x 10exp9 to 10x 10exp9 cell intravenous suspension</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83222020001</ndc>
    <ndc_label_name>Lenmeldy 2 x to 11.8 x 10exp6 cell/mL intravenous suspension</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83226200101</ndc>
    <ndc_label_name>Aurlumyn 100 mcg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83245005306</ndc>
    <ndc_label_name>Arbli 10 mg/mL oral suspension</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257000111</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Bacteriostatic Water for Ogivri injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257000311</ndc>
    <ndc_label_name>Ogivri 420 mg intravenous solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257000412</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Fulphila 6 mg/0.6 mL subcutaneous syringe</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Diluting Medium for Kirsty injection solution</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257000711</ndc>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jobevne 25 mg/mL intravenous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257001111</ndc>
    <ndc_label_name>Semglee (insulin glargine-yfgn) 100 unit/mL subcutaneous solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Semglee (insulin glargine-yfgn) Pen 100 unit/mL (3 mL) subcutaneous</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257001411</ndc>
    <ndc_label_name>INSULIN GLARGINE-YFGN U100 VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83257001531</ndc>
    <ndc_label_name>INSULIN GLARGINE-YFGN U100 PEN</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>INSULIN GLARGINE-YFGN U100 PEN</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ADALIMUMAB-FKJP(CF) 20 MG SYRG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ADALIMUMAB-FKJP(CF) PEN 40 MG</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Yesintek 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83301008101</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83301008102</ndc>
    <ndc_label_name>BUMETANIDE 2.5 MG/10 ML VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83301008201</ndc>
    <ndc_label_name>GANIRELIX ACET 250 MCG/0.5 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000114</ndc>
    <ndc_label_name>QC LANSOPRAZOLE DR 15 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000208</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000216</ndc>
    <ndc_label_name>Laxative PEG 3350 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000330</ndc>
    <ndc_label_name>QC FAMOTIDINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000401</ndc>
    <ndc_label_name>Laxative (sennosides) 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000530</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000627</ndc>
    <ndc_label_name>QC LIDOCAINE HCL 4% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324000704</ndc>
    <ndc_label_name>Cold Therapy (menthol) 4 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000850</ndc>
    <ndc_label_name>QC FAMOTIDINE 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000912</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324000924</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 60 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001114</ndc>
    <ndc_label_name>QC OMEPRAZOLE MAG DR 20 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001142</ndc>
    <ndc_label_name>QC OMEPRAZOLE MAG DR 20 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001204</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001304</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001404</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324001506</ndc>
    <ndc_label_name>Ezz Nite Sleep Aid 50 mg/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001604</ndc>
    <ndc_label_name>Children's Allergy (diphenhydramine) 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001724</ndc>
    <ndc_label_name>Menstrual Complete 500 mg-60 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324001836</ndc>
    <ndc_label_name>Effervescent Pain Relief Antacid 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324001901</ndc>
    <ndc_label_name>Feminine Anti-Itch 20 %-3 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002008</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002012</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002108</ndc>
    <ndc_label_name>Stomach Relief 525 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002208</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002304</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002308</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002404</ndc>
    <ndc_label_name>Adult Tussin Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002504</ndc>
    <ndc_label_name>Tussin DM 5 mg-50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002606</ndc>
    <ndc_label_name>Mucus Relief DM Max 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002716</ndc>
    <ndc_label_name>Travel-Ease (meclizine) 25 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002815</ndc>
    <ndc_label_name>Lubricant Eye (propylene glycol) 0.6 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324002915</ndc>
    <ndc_label_name>Lubricant Eye (PG-PEG 400) 0.4 %-0.3 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324003212</ndc>
    <ndc_label_name>Motion Sickness Relief 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324003330</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324003404</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324003512</ndc>
    <ndc_label_name>Oral Pain Relief (benzocaine-benzalkonium) 20 %-0.1 % mucosal gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324003601</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324003724</ndc>
    <ndc_label_name>Daytime Max Cold-Flu 5 mg-10 mg-325 mg-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324003824</ndc>
    <ndc_label_name>Nite Time Cold-Flu Relief (PE) 6.25 mg-5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324004001</ndc>
    <ndc_label_name>QC BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324004101</ndc>
    <ndc_label_name>QC CLOTRIMAZOLE 1% TOP CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324004701</ndc>
    <ndc_label_name>QC HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324004901</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005001</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005005</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324005306</ndc>
    <ndc_label_name>Calamine Medicated 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005624</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005720</ndc>
    <ndc_label_name>Menstrual Pain Relief 500 mg-25 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005801</ndc>
    <ndc_label_name>QC ASPIRIN EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324005924</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006040</ndc>
    <ndc_label_name>Stomach Relief 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006130</ndc>
    <ndc_label_name>Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006324</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006412</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006424</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006601</ndc>
    <ndc_label_name>QC ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324006824</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007020</ndc>
    <ndc_label_name>Acetaminophen PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007124</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324007224</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324007336</ndc>
    <ndc_label_name>Sinus PE Decongestant 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324007416</ndc>
    <ndc_label_name>Stay Awake 200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007536</ndc>
    <ndc_label_name>QC ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007601</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007801</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324007950</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008001</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008101</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008110</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008250</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008350</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008501</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324008624</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008701</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008801</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324008905</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009036</ndc>
    <ndc_label_name>QC ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009114</ndc>
    <ndc_label_name>Allergy Relief (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324009224</ndc>
    <ndc_label_name>Cold-Flu Multi-Symptom Day-Night 2 mg-5 mg-10 mg-325 mg-200 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324009424</ndc>
    <ndc_label_name>Sinus Headache PE 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009515</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009614</ndc>
    <ndc_label_name>Mucus Relief ER 1,200 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009720</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324009924</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324010050</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324010250</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324010310</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324010420</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324010520</ndc>
    <ndc_label_name>Mucus Relief Cold-Flu-Sore Throat 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324010620</ndc>
    <ndc_label_name>Mucus Relief Sev Congest-Cold 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324010720</ndc>
    <ndc_label_name>Mucus Relief Severe Sinus Congestion 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324010850</ndc>
    <ndc_label_name>QC NAPROXEN SOD 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324010950</ndc>
    <ndc_label_name>QC NAPROXEN SOD 220 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011032</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011124</ndc>
    <ndc_label_name>Cold and Flu Severe 5 mg-10 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011224</ndc>
    <ndc_label_name>Head Congestion-Mucus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011301</ndc>
    <ndc_label_name>Rest Simply Nighttime Sleep 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011424</ndc>
    <ndc_label_name>Cold Head Congestion Severe Daytime 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324011524</ndc>
    <ndc_label_name>Severe Sinus 5 mg-325 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324011824</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324012112</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324012212</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013030</ndc>
    <ndc_label_name>Stomach Relief 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013190</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013301</ndc>
    <ndc_label_name>Infants Gas Relief 40 mg/0.6 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324013404</ndc>
    <ndc_label_name>Cough Relief 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013560</ndc>
    <ndc_label_name>Stool Softener-Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013601</ndc>
    <ndc_label_name>Stool Softener-Stimulant Laxative 8.6 mg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013714</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324013850</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324014406</ndc>
    <ndc_label_name>Mucus Relief Congestion-Cough 2.5 mg-5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324014630</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324014710</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324014824</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324014936</ndc>
    <ndc_label_name>Dual Action Pain Reliever 125 mg-250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324015001</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324015132</ndc>
    <ndc_label_name>Sleep Aid (diphenhydramine) 50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324015415</ndc>
    <ndc_label_name>QC CLOTRIMAZOLE 1% VAG CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324015504</ndc>
    <ndc_label_name>Adult Tussin CF 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324015604</ndc>
    <ndc_label_name>Children's Dibromm Cold and Allergy 1 mg-2.5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324016015</ndc>
    <ndc_label_name>QC MICONAZOLE 7 CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324016104</ndc>
    <ndc_label_name>Children's Pain Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324016650</ndc>
    <ndc_label_name>Pain Relief PM 25 mg-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324017516</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324018914</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324019014</ndc>
    <ndc_label_name>Eye Drops Irritation Relief 0.05 %-0.25 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324019114</ndc>
    <ndc_label_name>Eye Drops Moisturizing Relief 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324019204</ndc>
    <ndc_label_name>Eye Wash (boric acid) eye wash solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324019550</ndc>
    <ndc_label_name>Mucus Relief DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324020501</ndc>
    <ndc_label_name>QC ASPIRIN 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324020648</ndc>
    <ndc_label_name>QC IBUPROFEN 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324020812</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324020924</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324021101</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324021501</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324021704</ndc>
    <ndc_label_name>Anti-Nausea oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324022166</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324022801</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324023753</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324023801</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324024241</ndc>
    <ndc_label_name>Calamine Plus (pramoxine-calamine) 1 %-8 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324024506</ndc>
    <ndc_label_name>Clear Anti-Itch 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324024806</ndc>
    <ndc_label_name>QC CALAMINE LOTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324027401</ndc>
    <ndc_label_name>No Drip Nasal Mist 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324027506</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324027690</ndc>
    <ndc_label_name>Fiber (calcium polycarbophil) 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324028608</ndc>
    <ndc_label_name>T-Plus 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324028616</ndc>
    <ndc_label_name>T-Plus 0.5 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324029245</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324029390</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324029401</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324029615</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324030101</ndc>
    <ndc_label_name>Antifungal (tolnaftate) 1 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324030227</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324030320</ndc>
    <ndc_label_name>Long Acting Cough 15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324030460</ndc>
    <ndc_label_name>Gas Relief (simethicone) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324030501</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83324031101</ndc>
    <ndc_label_name>Medicated Pads 50 % topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324031396</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324031515</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324031615</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324031772</ndc>
    <ndc_label_name>Antacid Ultra Strength 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324031896</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83324034015</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83340010803</ndc>
    <ndc_label_name>PHENYLEPHRINE 1,000MCG/10ML-NS</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83368007530</ndc>
    <ndc_label_name>Ryzumvi 0.75 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060501</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060502</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060511</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060512</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060521</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83372060522</ndc>
    <ndc_label_name>Yimmugo 10 % intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83390010709</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83390010730</ndc>
    <ndc_label_name>CLOMIPHENE CITRATE 50 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83444030110</ndc>
    <ndc_label_name>Unloxcyt 300 mg/5 mL (60 mg/mL) intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83449012530</ndc>
    <ndc_label_name>Entadfi 5 mg-5 mg capsule</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457001210</ndc>
    <ndc_label_name>Ospomyv 60 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010001</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen 40 mg/0.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010101</ndc>
    <ndc_label_name>Hyrimoz(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010201</ndc>
    <ndc_label_name>CDV HYRIMOZ PEN 40 MG/0.8 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010301</ndc>
    <ndc_label_name>CDV HYRIMOZ 40 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010701</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen 80 mg/0.8 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457010801</ndc>
    <ndc_label_name>Hyrimoz(CF) 20 mg/0.2 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457011201</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen Psoriasis Start 80mg/0.8mL(1)-40mg/0.4mL(2) subcut pen</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457011301</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen Crohn-Ulc Colitis Start 80mg/0.8mL subcut pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457012402</ndc>
    <ndc_label_name>Humira(CF) Pen 80 mg/0.8 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457018601</ndc>
    <ndc_label_name>CDV ADALIM-BWWD(CF) 40MG/0.4ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457018701</ndc>
    <ndc_label_name>CDV ADALIMU-BWWD(CF) AI 40 MG</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457020040</ndc>
    <ndc_label_name>Hyrimoz(CF) Pen 40 mg/0.4 mL subcutaneous pen injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457020146</ndc>
    <ndc_label_name>Hyrimoz(CF) 40 mg/0.4 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457020250</ndc>
    <ndc_label_name>CDV HYRIMOZ PEN 40 MG/0.8 ML</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457020356</ndc>
    <ndc_label_name>CDV HYRIMOZ 40 MG/0.8 ML SYR</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457024302</ndc>
    <ndc_label_name>Humira(CF) 40 mg/0.4 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457055402</ndc>
    <ndc_label_name>Humira(CF) Pen 40 mg/0.4 mL subcutaneous kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457061602</ndc>
    <ndc_label_name>Humira(CF) 20 mg/0.2 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83457065101</ndc>
    <ndc_label_name>Pyzchiva 45 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457065196</ndc>
    <ndc_label_name>Pyzchiva Autoinjector 45 mg/0.5 mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83457065201</ndc>
    <ndc_label_name>Pyzchiva 90 mg/mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457065296</ndc>
    <ndc_label_name>Pyzchiva Autoinjector 90 mg/mL subcutaneous auto-injector</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83457081702</ndc>
    <ndc_label_name>Humira(CF) 10 mg/0.1 mL subcutaneous syringe kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83468007001</ndc>
    <ndc_label_name>Cardamyst 70 mg/2 spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83468007002</ndc>
    <ndc_label_name>Cardamyst 70 mg/2 spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83468007003</ndc>
    <ndc_label_name>Cardamyst 70 mg/2 spray nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83474000104</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83474000204</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83474000334</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83489000072</ndc>
    <ndc_label_name>GE100 Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83489000075</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83489000076</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83489000077</ndc>
    <ndc_label_name>GE100 Blood Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83489000078</ndc>
    <ndc_label_name>GE100 Blood Glucose System kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490013001</ndc>
    <ndc_label_name>Proneb Max Compressr-LC Sprint device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490013002</ndc>
    <ndc_label_name>Proneb Max Compressor-LC Plus</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490020760</ndc>
    <ndc_label_name>Hyper-Sal 7 % solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490022028</ndc>
    <ndc_label_name>LC Plus misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490022050</ndc>
    <ndc_label_name>LC Plus Nebulizer-Pediatric Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490022132</ndc>
    <ndc_label_name>Sinustar Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490022137</ndc>
    <ndc_label_name>Reusable Nebulizer Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490022954</ndc>
    <ndc_label_name>LC Plus misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490023001</ndc>
    <ndc_label_name>Pari LC Sprint Nebulizer Set</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490023560</ndc>
    <ndc_label_name>Hyper-Sal 3.5 % solution for nebulization</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490028008</ndc>
    <ndc_label_name>PARI SINUS AEROSOL SYSTEM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490028011</ndc>
    <ndc_label_name>Pari LC Sprint Sinus misc</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490030760</ndc>
    <ndc_label_name>SODIUM CHLORIDE 7% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490031058</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490031062</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490031065</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490031067</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490031071</ndc>
    <ndc_label_name>Vios Aerosol Delivery System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490041058</ndc>
    <ndc_label_name>Proneb Ultra II Filter Assembly</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490041086</ndc>
    <ndc_label_name>Filters Replacement</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044003</ndc>
    <ndc_label_name>Pari Baby Conversion Kit - Size 1</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044004</ndc>
    <ndc_label_name>Pari Baby Conversion Kit - Size 2</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044006</ndc>
    <ndc_label_name>Pari Baby Conversion Kit - Size 3</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044061</ndc>
    <ndc_label_name>Vortex Adult Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044068</ndc>
    <ndc_label_name>Bubbles the Fish Pedi Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044070</ndc>
    <ndc_label_name>Wing Tip Tubing misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044078</ndc>
    <ndc_label_name>Adult Aerosol Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490044079</ndc>
    <ndc_label_name>Adult Aerosol Mask</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490047004</ndc>
    <ndc_label_name>Pari Trek S Portable Pwr Kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490047005</ndc>
    <ndc_label_name>Pari Trek S Combo Pack device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490047006</ndc>
    <ndc_label_name>Pari Trek S Compact Compressor</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490051035</ndc>
    <ndc_label_name>Vortex Holding Chamber</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490051037</ndc>
    <ndc_label_name>VORTEX VHC LADYBUG TODDLER MSK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490051039</ndc>
    <ndc_label_name>VORTEX VHC FROG CHILD MASK</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490067802</ndc>
    <ndc_label_name>Altera Nebulizer System</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490067805</ndc>
    <ndc_label_name>Altera Nebulizer Handset</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490067822</ndc>
    <ndc_label_name>eBase Controller device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83490085007</ndc>
    <ndc_label_name>Proneb Ultra Filter Set</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83521011116</ndc>
    <ndc_label_name>DEXBROMPH-DM-PE 2-15-7.5MG/5ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83556010101</ndc>
    <ndc_label_name>Avastin 1.25 mg/0.05 mL intravitreal syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592000305</ndc>
    <ndc_label_name>WELL VITAMIN B-12 500 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592000505</ndc>
    <ndc_label_name>WELL FOLIC ACID 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592000605</ndc>
    <ndc_label_name>WELL VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001205</ndc>
    <ndc_label_name>WELL VITAMIN B-12 1,000 MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001305</ndc>
    <ndc_label_name>WELL VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001405</ndc>
    <ndc_label_name>WELL FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001505</ndc>
    <ndc_label_name>WELL VITAMIN C 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001605</ndc>
    <ndc_label_name>WELL VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001706</ndc>
    <ndc_label_name>WELL CALCIUM 600MG-D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592001805</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592002105</ndc>
    <ndc_label_name>WELL VITAMIN E 450 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592002905</ndc>
    <ndc_label_name>WELL VITAMIN B2 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592004001</ndc>
    <ndc_label_name>WELL LUBRICANT 0.7% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592004002</ndc>
    <ndc_label_name>WELL LUBRICANT 0.7% EYE DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592004405</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592005005</ndc>
    <ndc_label_name>WELL LYTE ADVANCED HYDRATION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592006005</ndc>
    <ndc_label_name>WELL VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592007005</ndc>
    <ndc_label_name>WELL VITAMIN D3 125 MCG SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592012560</ndc>
    <ndc_label_name>SALYNTRA 6% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592020105</ndc>
    <ndc_label_name>WELL FERROUS SULF EC 324 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592025905</ndc>
    <ndc_label_name>WELL MAGNESIUM OXIDE 400 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592048030</ndc>
    <ndc_label_name>TOLNAFI-AL 1% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592058030</ndc>
    <ndc_label_name>MICONI-AL 2% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83592081090</ndc>
    <ndc_label_name>Folika-BC 1 mg-60 mg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592081404</ndc>
    <ndc_label_name>FRAICHE 5000 1.1 % DENTAL GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592081504</ndc>
    <ndc_label_name>FRAICHE 5000 PREVI 1.1%-3% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592081604</ndc>
    <ndc_label_name>FRAICHE 5000 1.1 %-4.5 % GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83592081804</ndc>
    <ndc_label_name>FRAICHE 5000 KIDS 1.1-4.5% GEL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010099</ndc>
    <ndc_label_name>AMPICILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010199</ndc>
    <ndc_label_name>NAFCILLIN 10 GM BOTTLE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010220</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010241</ndc>
    <ndc_label_name>PENICILLIN GK 5 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010351</ndc>
    <ndc_label_name>PENICILLIN GK 20 MILLION UNIT</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010530</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010541</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 3.375 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010641</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010650</ndc>
    <ndc_label_name>PIPERACIL-TAZOBACT 4.5 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010899</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 15 GM BTL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010920</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634010941</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 1.5 GM VL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634011020</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83634011041</ndc>
    <ndc_label_name>AMPICILLIN-SULBACTAM 3 GM VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83634011120</ndc>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc>83831014950</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83831015022</ndc>
    <ndc_label_name>Lutrate Depot (3 month) 22.5 mg IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83851010001</ndc>
    <ndc_label_name>FLUORESCEIN 1 MG OPHTH STRIP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83851010010</ndc>
    <ndc_label_name>FLUORESCEIN 1 MG OPHTH STRIP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83851010030</ndc>
    <ndc_label_name>FLUORESCEIN 1 MG OPHTH STRIP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83853010101</ndc>
    <ndc_label_name>Aqneursa 1 gram oral granules in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83860002501</ndc>
    <ndc_label_name>Vykat XR 25 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83860007501</ndc>
    <ndc_label_name>Vykat XR 75 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83860015001</ndc>
    <ndc_label_name>Vykat XR 150 mg tablet,extended release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83881000135</ndc>
    <ndc_label_name>LidoPro 4 %-27.5 %-0.0325 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83881040102</ndc>
    <ndc_label_name>LidoPro Patch 4 %-0.1 %-0.5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83881040130</ndc>
    <ndc_label_name>LidoPro Patch 4 %-0.1 %-0.5 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83881040215</ndc>
    <ndc_label_name>LidoPro (lidocaine-menthol) 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83881044515</ndc>
    <ndc_label_name>Lidothol ES 4 %-5 % topical patch</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83926010130</ndc>
    <ndc_label_name>Tecnu Ivy Complete Kit 2 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83926010210</ndc>
    <ndc_label_name>TECNU RASH RELIEF 2% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83926011200</ndc>
    <ndc_label_name>Tecnu topical cleanser</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83926014100</ndc>
    <ndc_label_name>Tecnu topical cleanser</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83926014130</ndc>
    <ndc_label_name>Tecnu topical cleanser</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000101</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000105</ndc>
    <ndc_label_name>HYDROXYCHLOROQUINE 200 MG TAB</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000201</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000210</ndc>
    <ndc_label_name>FUROSEMIDE 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000301</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000310</ndc>
    <ndc_label_name>FUROSEMIDE 40 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000401</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000405</ndc>
    <ndc_label_name>FUROSEMIDE 80 MG TABLET</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000501</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000510</ndc>
    <ndc_label_name>PROPRANOLOL 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000601</ndc>
    <ndc_label_name>PROPRANOLOL 20 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000610</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000701</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000710</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000801</ndc>
    <ndc_label_name>PROPRANOLOL 60 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980000905</ndc>
    <ndc_label_name>PROPRANOLOL 80 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001001</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001005</ndc>
    <ndc_label_name>METOCLOPRAMIDE 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001101</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001105</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001110</ndc>
    <ndc_label_name>METOCLOPRAMIDE 10 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001213</ndc>
    <ndc_label_name>ONDANSETRON ODT 4 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>83980001313</ndc>
    <ndc_label_name>ONDANSETRON ODT 8 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83980003101</ndc>
    <ndc_label_name>ETODOLAC 200 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>83980003201</ndc>
    <ndc_label_name>ETODOLAC 300 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84015092060</ndc>
    <ndc_label_name>Palsonify 20 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84015093060</ndc>
    <ndc_label_name>Palsonify 30 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84044026803</ndc>
    <ndc_label_name>CLEMASZ 2.68 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84044060003</ndc>
    <ndc_label_name>LURBIPR 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84054000560</ndc>
    <ndc_label_name>Zunveyl 5 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84054001060</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84054001560</ndc>
    <ndc_label_name>Zunveyl 15 mg tablet,delayed release</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84093044200</ndc>
    <ndc_label_name>HAV EZ 3% GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84103000701</ndc>
    <ndc_label_name>Zevaskyn 5.5 cm X 7.5 cm topical sheets</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84141002501</ndc>
    <ndc_label_name>Redemplo 25 mg/0.5 mL subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84226010001</ndc>
    <ndc_label_name>Vizz 1.44 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84226010002</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84226010011</ndc>
    <ndc_label_name>Vizz 1.44 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84226010021</ndc>
    <ndc_label_name>Vizz 1.44 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84275050310</ndc>
    <ndc_label_name>SODIUM BICARB 650 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84381011001</ndc>
    <ndc_label_name>Rapiblyk 280 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84383011001</ndc>
    <ndc_label_name>Lentocilin S  1.2 million unit IM suspension</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003190</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003199</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 10 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003290</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003299</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 20 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003390</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003399</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 40 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003490</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003499</ndc>
    <ndc_label_name>PRAVASTATIN SODIUM 80 MG TAB</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386003501</ndc>
    <ndc_label_name>BACLOFEN 5 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84386007060</ndc>
    <ndc_label_name>BRIVARACETAM 50 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84386007260</ndc>
    <ndc_label_name>BRIVARACETAM 100 MG TABLET</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84386007360</ndc>
    <ndc_label_name>PERMETHRIN 5% CREAM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84388000512</ndc>
    <ndc_label_name>Enbumyst 0.5 mg/spray (0.1 mL) nasal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010019</ndc>
    <ndc_label_name>Unna-Z 4" X 10 yard bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010065</ndc>
    <ndc_label_name>Carrington Moist Barrier-Zinc 10 %-78 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010068</ndc>
    <ndc_label_name>Carrington Moisture Barrier Cr 61 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010161</ndc>
    <ndc_label_name>EMS Anti-Embolism Stocking</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010254</ndc>
    <ndc_label_name>EvenCare G2 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010255</ndc>
    <ndc_label_name>EvenCare G2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389010256</ndc>
    <ndc_label_name>EvenCare G2 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84389010292</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84389011138</ndc>
    <ndc_label_name>Petroleum Jelly topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84389011155</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit topical ointment packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389011231</ndc>
    <ndc_label_name>Curad Xeroform Petrolatum Dressing 1" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389011249</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389012178</ndc>
    <ndc_label_name>Octylseal topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389012327</ndc>
    <ndc_label_name>Curad Germ Shield Wound 55 PPM topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84389013551</ndc>
    <ndc_label_name>Remedy Phytoplex Antifungal 2 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389015458</ndc>
    <ndc_label_name>Therahoney 4" X 5" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389017674</ndc>
    <ndc_label_name>EvenCare Mini Glucose Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389017675</ndc>
    <ndc_label_name>EvenCare Mini Monitor System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389083119</ndc>
    <ndc_label_name>EvenCare G3 Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389083120</ndc>
    <ndc_label_name>EvenCare G3 Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389083121</ndc>
    <ndc_label_name>EvenCare G3 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84389096794</ndc>
    <ndc_label_name>Adjustable Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84389101934</ndc>
    <ndc_label_name>RadiaDres Gel 4" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001001</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001201</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001301</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 25 MG/10ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84415001401</ndc>
    <ndc_label_name>GUAIFENESN-DM 100-10MG/5ML CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001501</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001601</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415001701</ndc>
    <ndc_label_name>ALUM-MAG HYDROXIDE-SIMETH CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415002101</ndc>
    <ndc_label_name>SENNA 8.8 MG/5 ML SYRUP CUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415004101</ndc>
    <ndc_label_name>CHILD GLYCERIN 1.2 GM SUPP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84415004102</ndc>
    <ndc_label_name>GLYCERIN 2 GM ADULT SUPPOS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84415004201</ndc>
    <ndc_label_name>SODIUM CHLORIDE 23.4% ORAL SOL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84415004401</ndc>
    <ndc_label_name>BENZOCAINE 20% SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84447001001</ndc>
    <ndc_label_name>ASCORBIC ACID 500 MG/5 ML SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84447001701</ndc>
    <ndc_label_name>SOD CITRATE-CITRIC ACID SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84447010201</ndc>
    <ndc_label_name>GUAIFENESIN-DM 100-10 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84447010316</ndc>
    <ndc_label_name>DIPHENHYDRAMINE 12.5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84460010301</ndc>
    <ndc_label_name>METHYL SALICYLATE 10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84460070130</ndc>
    <ndc_label_name>Valyra 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84460070230</ndc>
    <ndc_label_name>Zenvyra 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84460090230</ndc>
    <ndc_label_name>Vitacore 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84460090330</ndc>
    <ndc_label_name>Florraxyl 20 mg iron-1,670 mcg DFE tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84460090630</ndc>
    <ndc_label_name>Florragut 31 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84511068027</ndc>
    <ndc_label_name>Verifine Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84511068034</ndc>
    <ndc_label_name>Verifine Pen Needle 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84511068072</ndc>
    <ndc_label_name>Verifine Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84511068089</ndc>
    <ndc_label_name>Verifine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000026</ndc>
    <ndc_label_name>Monoject 0.9% Sodium Chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000055</ndc>
    <ndc_label_name>Magellan Safety Needle 23 gauge x 5/8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000056</ndc>
    <ndc_label_name>Magellan Safety Needle 25 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000060</ndc>
    <ndc_label_name>Magellan Safety Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000588</ndc>
    <ndc_label_name>Magellan Safety Syringe 1 mL 23 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521000686</ndc>
    <ndc_label_name>Vaseline White Petroleum topical ointment in packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521001464</ndc>
    <ndc_label_name>Monoject Oral Medication Syringe</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521001669</ndc>
    <ndc_label_name>Dover Latex Foley Catheter 16 Fr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521001703</ndc>
    <ndc_label_name>Dover Foley Catheter 24 Fr</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521002513</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521005872</ndc>
    <ndc_label_name>Curity Gauze 4" X 3 1/2" sponge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521006496</ndc>
    <ndc_label_name>Curity Abdominal Pad 8" X 10" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521006591</ndc>
    <ndc_label_name>Kendall AMD Antimicrobial Foam Dressing 0.5 %-4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014212</ndc>
    <ndc_label_name>Curity Boys Training Pants 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014213</ndc>
    <ndc_label_name>Curity Girls Training Pants 2T-3T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014214</ndc>
    <ndc_label_name>Curity Boys Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014215</ndc>
    <ndc_label_name>Curity Girls Training Pants 3T-4T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014216</ndc>
    <ndc_label_name>Curity Boys Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014217</ndc>
    <ndc_label_name>Curity Girls Training Pants 4T-5T</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014218</ndc>
    <ndc_label_name>Curity Youth Pants Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014219</ndc>
    <ndc_label_name>Curity Youth Pants Large-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014221</ndc>
    <ndc_label_name>Curity Baby Diaper Size 1</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014223</ndc>
    <ndc_label_name>Curity Baby Diaper Size 2</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014224</ndc>
    <ndc_label_name>Curity Baby Diaper Size 3</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014225</ndc>
    <ndc_label_name>Curity Baby Diaper Size 4</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014226</ndc>
    <ndc_label_name>Curity Baby Diaper Size 5</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521014227</ndc>
    <ndc_label_name>Curity Baby Diaper Size 6</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84521015216</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521015702</ndc>
    <ndc_label_name>Dover Texas Male External Catheter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521016367</ndc>
    <ndc_label_name>Monoject 0.9% Sodium Chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051271</ndc>
    <ndc_label_name>Curity Baby Diaper Size 7</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051283</ndc>
    <ndc_label_name>Monoject ENFit Sterile Syringe 1 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051284</ndc>
    <ndc_label_name>Monoject ENFit Sterile Syringe 6 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051285</ndc>
    <ndc_label_name>Monoject ENFit Sterile Syringe 35 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051286</ndc>
    <ndc_label_name>Monoject ENFit Sterile Syringe 60 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051287</ndc>
    <ndc_label_name>Monoject ENFit Sterile Syringe 3 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521051288</ndc>
    <ndc_label_name>Monoject ENFit Syringe 12 mL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054540</ndc>
    <ndc_label_name>Monoject ENFit Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054546</ndc>
    <ndc_label_name>Monoject ENFit Syringe 12 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054548</ndc>
    <ndc_label_name>Monoject ENFit Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054549</ndc>
    <ndc_label_name>Monoject ENFit Syringe 6 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054550</ndc>
    <ndc_label_name>Monoject ENFit Syringe 35 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521054551</ndc>
    <ndc_label_name>Monoject ENFit Syringe 60 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521055137</ndc>
    <ndc_label_name>Monoject ENFit Syringe Cap</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521075017</ndc>
    <ndc_label_name>Monoject 0.9% Sodium Chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84521076708</ndc>
    <ndc_label_name>Monoject 0.9% Sodium Chloride injection syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84527001492</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 1" X 8"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84527001494</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 4" X 4"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84527001495</ndc>
    <ndc_label_name>Xeroform Petrolatum Dressing 5" X 9"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84527001497</ndc>
    <ndc_label_name>Xeroform Non-Occlusive 5" X 9" bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84527001499</ndc>
    <ndc_label_name>Xeroform Non-Occlusive 4" X 3 yard bandage</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84552050025</ndc>
    <ndc_label_name>Gozellix 25 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84552050064</ndc>
    <ndc_label_name>Gozellix 25 mcg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84586000007</ndc>
    <ndc_label_name>Alcis 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84612005501</ndc>
    <ndc_label_name>Wezlana 45 mg/0.5 mL subcutaneous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84612006601</ndc>
    <ndc_label_name>Wezlana 130 mg/26 mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84612007601</ndc>
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  <Drug_Information>
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  <Drug_Information>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>PureVita Folic Acid 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84781088801</ndc>
    <ndc_label_name>PureVita Magnesium Oxide 400 mg (241.3 mg magnesium) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84781089001</ndc>
    <ndc_label_name>PUREVITA ALPHA LIPOIC ACID LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84781091001</ndc>
    <ndc_label_name>PureVita Super B-Complex 400 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84781091130</ndc>
    <ndc_label_name>VITAMIN B COMPLEX SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84826000201</ndc>
    <ndc_label_name>Omlonti 0.002 % eye drops</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84840075050</ndc>
    <ndc_label_name>Prodigy Autocode Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>84840082026</ndc>
    <ndc_label_name>Prodigy Lancets 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84892027501</ndc>
    <ndc_label_name>Yuvezzi 2.75 %-0.1 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84892027502</ndc>
    <ndc_label_name>Yuvezzi 2.75 %-0.1 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84892027530</ndc>
    <ndc_label_name>Yuvezzi 2.75 %-0.1 % eye drops in a dropperette</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>84976000101</ndc>
    <ndc_label_name>Avlayah 150 mg intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84991020801</ndc>
    <ndc_label_name>Olu 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84991020805</ndc>
    <ndc_label_name>Olu 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>84991031601</ndc>
    <ndc_label_name>Aluroderm 0.75 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000001</ndc>
    <ndc_label_name>EasyMax strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000002</ndc>
    <ndc_label_name>EasyMax Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000005</ndc>
    <ndc_label_name>EasyMax V Speaking Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000006</ndc>
    <ndc_label_name>EasyMax NG meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000011</ndc>
    <ndc_label_name>TD Gold Blood Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000012</ndc>
    <ndc_label_name>TD Gold Voice Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000017</ndc>
    <ndc_label_name>TD Gold Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000032</ndc>
    <ndc_label_name>EasyMax NG kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000040</ndc>
    <ndc_label_name>Easymax T1 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000041</ndc>
    <ndc_label_name>Easymax 15 test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000043</ndc>
    <ndc_label_name>TD Gold Level 1 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000044</ndc>
    <ndc_label_name>Td Gold Level 2 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85017000045</ndc>
    <ndc_label_name>TD Gold Level 3 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85043002502</ndc>
    <ndc_label_name>Vabrinty 22.5 mg (3 month) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85043003003</ndc>
    <ndc_label_name>Vabrinty (4 month) 30 mg subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85043004504</ndc>
    <ndc_label_name>Vabrinty 45 mg (6 month) subcutaneous syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85096000142</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85096020101</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85096020130</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85096030101</ndc>
    <ndc_label_name>MENTHOL 5% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85096030130</ndc>
    <ndc_label_name>MENTHOL 5% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85096040101</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85096040130</ndc>
    <ndc_label_name>CAPSAICIN 0.025% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85231010015</ndc>
    <ndc_label_name>LidoGuard 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85231010115</ndc>
    <ndc_label_name>METHYL SALICYLATE 10% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85231020030</ndc>
    <ndc_label_name>LidoGuard 4 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85231020160</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85231020260</ndc>
    <ndc_label_name>CAPSAICIN 0.075% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85304000178</ndc>
    <ndc_label_name>DeVilbiss PulmoNeb LT Compressor-Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85320055107</ndc>
    <ndc_label_name>Mulpleta 3 mg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000003</ndc>
    <ndc_label_name>CareSens Control A and B solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85325000054</ndc>
    <ndc_label_name>CareSens Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000100</ndc>
    <ndc_label_name>CareSens S Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000101</ndc>
    <ndc_label_name>CareSens S Control A and B solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000137</ndc>
    <ndc_label_name>CareSens N Plus BT kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85325000154</ndc>
    <ndc_label_name>CareSoft Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000168</ndc>
    <ndc_label_name>CareSens N Feliz BT Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000169</ndc>
    <ndc_label_name>CareSens N Feliz Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85325000200</ndc>
    <ndc_label_name>CareSens S Fit Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85347000101</ndc>
    <ndc_label_name>Pylarify Truvu 37 MBq to 4,440 MBq/mL intravenous solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85437000460</ndc>
    <ndc_label_name>Ertaczo 2 % topical cream</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85437000860</ndc>
    <ndc_label_name>HALOBETASOL PROP 0.05% LOTION</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85437009306</ndc>
    <ndc_label_name>AURANOFIN 3 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85446036971</ndc>
    <ndc_label_name>Healon Pro 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85446036981</ndc>
    <ndc_label_name>Healon Pro 10 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85446036991</ndc>
    <ndc_label_name>Healon5 Pro 23 mg/mL intraocular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85477010110</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85477011101</ndc>
    <ndc_label_name>KETOPROFEN 50 MG CAPSULE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85477030110</ndc>
    <ndc_label_name>METHYL SALICYLATE 25% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85477030210</ndc>
    <ndc_label_name>LIDOCAINE 4% PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85477030627</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>85477030685</ndc>
    <ndc_label_name>Topicaine (lidocaine HCl) 2 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier/>
    <ndc>85477030785</ndc>
    <ndc_label_name>Topicaine Ultra 2 % topical gel</ndc_label_name>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embriva 13 mg iron-1 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <ndc_label_name>Nova Safety Lancets 28 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85502000003</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier/>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <ndc_label_name>Gutstor 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622010630</ndc>
    <ndc_label_name>Biostora 7.75 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622010830</ndc>
    <ndc_label_name>Symbiara 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622011130</ndc>
    <ndc_label_name>Probionyx 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622011230</ndc>
    <ndc_label_name>Nexiva (probiotic) 15.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622011330</ndc>
    <ndc_label_name>Microwell 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622020030</ndc>
    <ndc_label_name>Matronex 27 mg iron-1,000 mcg tablet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622050015</ndc>
    <ndc_label_name>NeuroCool 4 %-1 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622051085</ndc>
    <ndc_label_name>NeuroSoothe Warm Therapy 3 %-3 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85622051185</ndc>
    <ndc_label_name>NeuroFreeze Cool Therapy 6 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633000401</ndc>
    <ndc_label_name>CLOTRIMAZOLE 1% TOPICAL CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001036</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001060</ndc>
    <ndc_label_name>CALCIUM 600 MG-VIT D3 10MCG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001100</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001101</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001105</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001136</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633001160</ndc>
    <ndc_label_name>FERROUS SULF EC 325 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002000</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002001</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002030</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002036</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002100</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002105</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002130</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002136</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002200</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002201</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002230</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633002236</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003000</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003001</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003002</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003003</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003005</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003025</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003030</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003036</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003065</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003100</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003105</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003136</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003160</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003200</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003205</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003236</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633003260</ndc>
    <ndc_label_name>Oyster Shell Calcium-500  500 mg (as carbonate 1,250 mg) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004000</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004005</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004012</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004030</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004036</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004100</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004101</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004105</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004124</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004130</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85633004136</ndc>
    <ndc_label_name>FOLIC ACID 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85643080302</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG ODT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000000</ndc>
    <ndc_label_name>Eyepromise Zeaxanthin-Lutein 10 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000001</ndc>
    <ndc_label_name>Eyepromise Ez Tears 150 mcg-25 mcg-550 mg capsule</ndc_label_name>
    <otc>True</otc>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000004</ndc>
    <ndc_label_name>EyePromise Vizual Edge Pro 400 mcg-1,580 mg-590 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000007</ndc>
    <ndc_label_name>Eyepromise DVS 120 mg-48 mg-64 mg-160 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000008</ndc>
    <ndc_label_name>EyePromise Macular Health 250 mg-25 mcg-95 mg-37.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000010</ndc>
    <ndc_label_name>Eyepromise Zeaxanthin 10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000016</ndc>
    <ndc_label_name>EyePromise Vizual Edge 10 mg-20 mg chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000020</ndc>
    <ndc_label_name>EyePromise Restore 200 mcg-190 mg-75 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85656000027</ndc>
    <ndc_label_name>Eyepromise Screen Shield Teen 60 mg-2 mg-1.5 mg-2.5 mg-5 mg chew tab</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>EyePromise Macular Health Complete 200 mcg-12.5 mcg-95 mg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85742000403</ndc>
    <ndc_label_name>DEXAMETHASONE 0.5 MG/5 ML ELX</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>NYSTATIN 100,000 UNIT/ML SUSP</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85837000103</ndc>
    <ndc_label_name>SilkTears 0.2 % drops in a dropperette</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>85898029164</ndc>
    <ndc_label_name>Emergen-C Kidz Immune Plus chewable tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Emergen-C Immune Plus 1,000 mg oral effervescent powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Emergen-C Immune Plus 1,000 mg oral effervescent powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85898060115</ndc>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85898060117</ndc>
    <ndc_label_name>Emergen-C Elderberry 133.3 mg-16.7 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>UltraTRAK strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85930001103</ndc>
    <ndc_label_name>UltraTRAK High-Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85930001104</ndc>
    <ndc_label_name>UltraTRAK Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>85930001107</ndc>
    <ndc_label_name>UltraTRAK Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86036001801</ndc>
    <ndc_label_name>TRAMETINIB POWDER</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86067000004</ndc>
    <ndc_label_name>Flavorx Grape Flavor liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86169002005</ndc>
    <ndc_label_name>Burn Jel Plus 2.5 % topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227000000</ndc>
    <ndc_label_name>Sure Comfort Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227001810</ndc>
    <ndc_label_name>Sure Comfort Lancets 18 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227002110</ndc>
    <ndc_label_name>Sure Comfort Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227002310</ndc>
    <ndc_label_name>Sure Comfort Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227003011</ndc>
    <ndc_label_name>Sure Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227004035</ndc>
    <ndc_label_name>Carepoint Precision Luer Lock 3 mL syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227005355</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227005365</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 22 x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 23 x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sure Comfort Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227011155</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Sure Comfort Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227012125</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227012155</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227012175</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227012605</ndc>
    <ndc_label_name>Sure Comfort Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227013025</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227013055</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227013085</ndc>
    <ndc_label_name>Sure Comfort Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018015</ndc>
    <ndc_label_name>Poly Hub Needle 18 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018155</ndc>
    <ndc_label_name>Poly Hub Needle 18 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018525</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018635</ndc>
    <ndc_label_name>PUB INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018745</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018855</ndc>
    <ndc_label_name>PUB INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227018995</ndc>
    <ndc_label_name>PUB INS SYRIN 0.3 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227019015</ndc>
    <ndc_label_name>Carepoint Luer Slip Syringe 1 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227019075</ndc>
    <ndc_label_name>PUB INS SYRINGE 1 ML 30GX1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227021015</ndc>
    <ndc_label_name>Poly Hub Needle 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227021155</ndc>
    <ndc_label_name>Poly Hub Needle 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227022005</ndc>
    <ndc_label_name>Carepoint Precision Needle 20 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227022015</ndc>
    <ndc_label_name>Poly Hub Needle 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227022105</ndc>
    <ndc_label_name>Carepoint Precision Needle 21 gauge x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227022155</ndc>
    <ndc_label_name>Poly Hub Needle 22 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227023015</ndc>
    <ndc_label_name>Poly Hub Needle 23 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227023155</ndc>
    <ndc_label_name>Poly Hub Needle 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227025015</ndc>
    <ndc_label_name>Poly Hub Needle 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227025155</ndc>
    <ndc_label_name>Poly Hub Needle 25 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227025585</ndc>
    <ndc_label_name>Poly Hub Needle 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227027055</ndc>
    <ndc_label_name>Poly Hub Needle 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227027125</ndc>
    <ndc_label_name>Poly Hub Needle 27 gauge x 1 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227028105</ndc>
    <ndc_label_name>Sure Comfort Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227030035</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe 3 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227030055</ndc>
    <ndc_label_name>Poly Hub Needle 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227030105</ndc>
    <ndc_label_name>Sure Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031055</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 20 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031115</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 21 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031155</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 21 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031215</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 22 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031315</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 23 x 1"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031355</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 23 gauge x 1 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031515</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 25 gauge x 1"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227031585</ndc>
    <ndc_label_name>Carepoint Luer Lock Syringe with needle 3 mL 25 x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>86227052205</ndc>
    <ndc_label_name>Sure Comfort Lancing Pen</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227062035</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227062055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227062105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227064035</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227064055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1/2 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227064105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227065035</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227065045</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227065055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227065105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227070035</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227070055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227070105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227071585</ndc>
    <ndc_label_name>CarePoint Luer Slip Syringe-Needle 1 mL 25 gauge x 5/8"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227074015</ndc>
    <ndc_label_name>Sure Comfort Safety Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227074025</ndc>
    <ndc_label_name>Sure Comfort Safety Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227080055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227080105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227082035</ndc>
    <ndc_label_name>Carepoint Safety Luer Lock Syringe with Needle</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227082045</ndc>
    <ndc_label_name>Carepoint Precision Safety 1 mL 23 gauge x 1" syringe</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227090035</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227090055</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe U-100 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227090105</ndc>
    <ndc_label_name>Sure Comfort Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099005</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099015</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099025</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099035</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099045</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099055</ndc>
    <ndc_label_name>HealthWise Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099105</ndc>
    <ndc_label_name>HealthWise Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099115</ndc>
    <ndc_label_name>HealthWise Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227099125</ndc>
    <ndc_label_name>HealthWise Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227921625</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 30GX1/2"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227921635</ndc>
    <ndc_label_name>PUB INSUL SYR 0.3 ML 31GX5/16"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227921645</ndc>
    <ndc_label_name>PUB INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86227921655</ndc>
    <ndc_label_name>PUB INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86790001338</ndc>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86790001362</ndc>
    <ndc_label_name>Benefiber Sugar Free (dextrin) 3 gram/3.8 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86790001383</ndc>
    <ndc_label_name>Benefiber Sugar Free (dextrin) 3 gram/3.8 gram oral powder</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>86790001762</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86790001887</ndc>
    <ndc_label_name>Benefiber Healthy Shape 5 gram/7.4 gram oral powder</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>86790001930</ndc>
    <ndc_label_name>Slow Fe 137 mg (45 mg iron) tablet,extended release</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>86790012170</ndc>
    <ndc_label_name>Benefiber Dual Action 500 million cell-1.5 gram chewable tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Benefiber Dual Action-Theanine 1 billion cell-3 gram-200 mg pwd packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>True</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87279000547</ndc>
    <ndc_label_name>ANTI-NAUSEA GINGER gum</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <ndc_label_name>Gluco Navii Glucose Monitor kit</ndc_label_name>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <ndc_label_name>Azo Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Azo Cranberry Plus Probiotic 250 mg-30 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651024153</ndc>
    <ndc_label_name>Azo Urinary Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87651030152</ndc>
    <ndc_label_name>Azo Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651042067</ndc>
    <ndc_label_name>Azo Cranberry Plus Probiotic 250 mg-30 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076002</ndc>
    <ndc_label_name>Azo Bladder Control 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076005</ndc>
    <ndc_label_name>Azo Bladder Control 300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076009</ndc>
    <ndc_label_name>Azo Cranberry 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076010</ndc>
    <ndc_label_name>Azo Cranberry 250 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076011</ndc>
    <ndc_label_name>AZO Urinary Tract Defense 162 mg-162.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076014</ndc>
    <ndc_label_name>Azo Bladder Control-Weight Management 300 mg-150 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076015</ndc>
    <ndc_label_name>AZO Urinary Tract Defense 162 mg-162.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076016</ndc>
    <ndc_label_name>AZO Complete Feminine Balance 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076018</ndc>
    <ndc_label_name>AZO Complete Feminine Balance 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076021</ndc>
    <ndc_label_name>Azo UTI Test Strip stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076023</ndc>
    <ndc_label_name>Azo Cranberry Plus Vit C 250 mg-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076025</ndc>
    <ndc_label_name>AZO Complete Feminine Balance 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076026</ndc>
    <ndc_label_name>AZO D-Mannose 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076028</ndc>
    <ndc_label_name>AZO Dual Protection 5 billion cell-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076030</ndc>
    <ndc_label_name>Azo Boric Acid 600 mg vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076032</ndc>
    <ndc_label_name>Azo Vaginal Health Probiotic 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076033</ndc>
    <ndc_label_name>Azo Vaginal pH Test Strip vaginal strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076035</ndc>
    <ndc_label_name>Azo Boric Acid 600 mg vaginal suppository</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076043</ndc>
    <ndc_label_name>AZO D-Mannose 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076052</ndc>
    <ndc_label_name>Azo UTI-Vaginal pH Test Kit combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076057</ndc>
    <ndc_label_name>Azo Urinary Health 500 mg-2,000 mg-15 mcg-2 mg oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076058</ndc>
    <ndc_label_name>Azo Pre-Menopause Support 56 mg-40 mg-300 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076059</ndc>
    <ndc_label_name>Azo Menopause Relief Daytime 30 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076060</ndc>
    <ndc_label_name>Azo Menopause Support-Vit D 25 mcg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87651076061</ndc>
    <ndc_label_name>Azo Menopause Night-Melatonin 1 mg-30 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701010406</ndc>
    <ndc_label_name>Artificial Tears (polyvinyl alcohol/povidone) 0.5 %-0.6 % eye drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701010663</ndc>
    <ndc_label_name>Eye Drops (with povidone) 0.05 %-0.1 %-1 %-1 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701011896</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701012689</ndc>
    <ndc_label_name>No Drip 0.05 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701014081</ndc>
    <ndc_label_name>Multipurpose Contact Lens solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701014975</ndc>
    <ndc_label_name>Eye Drops (tetrahydrozoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019002</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019003</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019004</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019006</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019007</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019008</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019012</ndc>
    <ndc_label_name>Ultra Pesticide Free Lice Treatment topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019024</ndc>
    <ndc_label_name>Simpli Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019025</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019026</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019027</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019028</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019029</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019030</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019031</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019032</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019033</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019034</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019035</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019036</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019037</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019038</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019039</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019040</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019044</ndc>
    <ndc_label_name>Best Fiber 3 gram/4 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019045</ndc>
    <ndc_label_name>Children's Melatonin 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019046</ndc>
    <ndc_label_name>GNP SELENIUM 200 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019047</ndc>
    <ndc_label_name>GNP MAGNESIUM GLYCINATE 100 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019048</ndc>
    <ndc_label_name>GNP L-ARGININE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019049</ndc>
    <ndc_label_name>Nerve Health 12 mg-17 mg-24 mcg-300 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019050</ndc>
    <ndc_label_name>Children's Probiotic Digestive-Immune 5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019051</ndc>
    <ndc_label_name>GNP HORSE CHESTNUT EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019052</ndc>
    <ndc_label_name>GNP VITAMIN B-12 5,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019053</ndc>
    <ndc_label_name>GNP MILK THISTLE EXTRACT CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019054</ndc>
    <ndc_label_name>GNP GARLIC EXTRACT EC 400MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019057</ndc>
    <ndc_label_name>Pill Crusher misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019060</ndc>
    <ndc_label_name>GNP PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019061</ndc>
    <ndc_label_name>GNP PEN NEEDLE 31G 5MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019062</ndc>
    <ndc_label_name>GNP PEN NEEDLE 32G 6MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019063</ndc>
    <ndc_label_name>GNP PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019064</ndc>
    <ndc_label_name>GNP PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019065</ndc>
    <ndc_label_name>GNP PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019068</ndc>
    <ndc_label_name>Prebiotic Fiber Digestive 1.7 gram chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019071</ndc>
    <ndc_label_name>GNP APPLE CIDER VINEGAR 300 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019072</ndc>
    <ndc_label_name>GNP CREATINE 1 GRAM GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019073</ndc>
    <ndc_label_name>GLP-1 Daily Support capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701019074</ndc>
    <ndc_label_name>GNP MELATONIN 12 MG QUIK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019075</ndc>
    <ndc_label_name>GNP BEET ROOT 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701019076</ndc>
    <ndc_label_name>GNP BERBERINE HCL 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701024725</ndc>
    <ndc_label_name>Cotton Balls</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701024727</ndc>
    <ndc_label_name>Cotton Balls</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701024748</ndc>
    <ndc_label_name>Cotton Squares misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701025338</ndc>
    <ndc_label_name>Sheer Strips Assorted bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701027262</ndc>
    <ndc_label_name>Pink Bismuth 262 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701028810</ndc>
    <ndc_label_name>Dairy Relief 3,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701030771</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701030773</ndc>
    <ndc_label_name>Migraine Formula 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701034277</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701037366</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701039130</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701039910</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701039967</ndc>
    <ndc_label_name>K-Pec Antidiarrheal (bism sub) 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701039972</ndc>
    <ndc_label_name>GNP INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701039973</ndc>
    <ndc_label_name>GNP INSULIN SYR 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701039989</ndc>
    <ndc_label_name>Natural Fiber Laxative 0.52 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040021</ndc>
    <ndc_label_name>Mucus Relief 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040031</ndc>
    <ndc_label_name>GNP DIGITAL TEMPLE THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040045</ndc>
    <ndc_label_name>Caldyphen Clear 1 %-0.1 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040065</ndc>
    <ndc_label_name>GNP GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040066</ndc>
    <ndc_label_name>GNP BORIC ACID POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040067</ndc>
    <ndc_label_name>GNP CALAMINE SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040068</ndc>
    <ndc_label_name>GNP CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040071</ndc>
    <ndc_label_name>GNP EUCALYPTUS OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040072</ndc>
    <ndc_label_name>GNP GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040073</ndc>
    <ndc_label_name>GNP GENTIAN VIOLET 1% SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040077</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040078</ndc>
    <ndc_label_name>Nutritional Drink oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040085</ndc>
    <ndc_label_name>Nasal Moisturizing 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040090</ndc>
    <ndc_label_name>GNP ISOPROPYL ALCOHOL 99%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040091</ndc>
    <ndc_label_name>GNP CASTOR OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040092</ndc>
    <ndc_label_name>GNP CALAMINE SUSPENSION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040093</ndc>
    <ndc_label_name>Petroleum Jelly, White topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040097</ndc>
    <ndc_label_name>GNP IODIDES TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040102</ndc>
    <ndc_label_name>Chest Congestion-Cough Relief 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040112</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040116</ndc>
    <ndc_label_name>GNP ADHESIVE PADS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040122</ndc>
    <ndc_label_name>GNP ICE BAG 9"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040123</ndc>
    <ndc_label_name>GNP ICE BAG 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040124</ndc>
    <ndc_label_name>GNP ICE BAG 11"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040125</ndc>
    <ndc_label_name>Nasal Aspirator misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040155</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040156</ndc>
    <ndc_label_name>Tussin CF (PE-DM-guaif) 5 mg-10 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040161</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040165</ndc>
    <ndc_label_name>GNP CHEST-SINUS CONGST RLF TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040213</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040214</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040217</ndc>
    <ndc_label_name>Cold and Cough Elixir 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040261</ndc>
    <ndc_label_name>GNP BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040263</ndc>
    <ndc_label_name>GNP BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040272</ndc>
    <ndc_label_name>Natural Fiber Laxative (sugar) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040275</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040306</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040309</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040311</ndc>
    <ndc_label_name>NightTime Sleep Aid (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040316</ndc>
    <ndc_label_name>Pain Relief Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040331</ndc>
    <ndc_label_name>Hot-Cold-Elastic Support Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040332</ndc>
    <ndc_label_name>Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040338</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040346</ndc>
    <ndc_label_name>GNP MICONAZOLE 2% SPRAY POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040389</ndc>
    <ndc_label_name>GNP LORATADINE 5 MG/5 ML SYRUP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040390</ndc>
    <ndc_label_name>GNP IODINE 2% MILD TINCTURE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040392</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040399</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040404</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040406</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040410</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040411</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040412</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040465</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040471</ndc>
    <ndc_label_name>GNP TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040472</ndc>
    <ndc_label_name>GNP TERBINAFINE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040482</ndc>
    <ndc_label_name>Cold Head Congestion Day/Nite 2 mg-5 mg-10 mg-325 mg tablets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040485</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040486</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040490</ndc>
    <ndc_label_name>Cinnamon 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040493</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040503</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040511</ndc>
    <ndc_label_name>Saline Wound Wash 0.9 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040512</ndc>
    <ndc_label_name>Liquid Bandage with Antiseptic 0.75 %-0.2 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040516</ndc>
    <ndc_label_name>GNP LORATADINE 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040532</ndc>
    <ndc_label_name>Complete 10 mg-800 mg-165 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040533</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040534</ndc>
    <ndc_label_name>Cranberry Urinary Tract Health 250 mg-30 mg-3.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040540</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040541</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040542</ndc>
    <ndc_label_name>Truetrack Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040549</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040574</ndc>
    <ndc_label_name>Heatwraps bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040585</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040586</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040587</ndc>
    <ndc_label_name>ClearLax 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040602</ndc>
    <ndc_label_name>Child Mucus Relief Cough 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040608</ndc>
    <ndc_label_name>Antacid Extra Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040623</ndc>
    <ndc_label_name>Urinary Pain Relief 97.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040634</ndc>
    <ndc_label_name>Century Mature 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040635</ndc>
    <ndc_label_name>Century 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040652</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040653</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040660</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040661</ndc>
    <ndc_label_name>Sinus Wash 700 mg-2,300 mg packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040663</ndc>
    <ndc_label_name>GNP VITAMIN A AND D OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040665</ndc>
    <ndc_label_name>GNP CHLD ALL DAY ALLER 1 MG/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040668</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040669</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040670</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040671</ndc>
    <ndc_label_name>GNP GLUCOSE 4 GRAM TABLET CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040694</ndc>
    <ndc_label_name>Probiotic Colon Support 240 mg (3 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040724</ndc>
    <ndc_label_name>GNP ALCOHOL SWAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040725</ndc>
    <ndc_label_name>GNP VITAMIN A 3,000 MCG SOFTGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040726</ndc>
    <ndc_label_name>Norwegian Cod Liver Oil 1,250 unit-135 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040727</ndc>
    <ndc_label_name>GNP B-50 COMPLEX TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040728</ndc>
    <ndc_label_name>B-100 Complex ER 100 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040729</ndc>
    <ndc_label_name>Vitamin B-1 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040730</ndc>
    <ndc_label_name>Vitamin B-6 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040731</ndc>
    <ndc_label_name>GNP VITAMIN B-12 500 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040732</ndc>
    <ndc_label_name>GNP VIT B-12 ER 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040733</ndc>
    <ndc_label_name>GNP FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040734</ndc>
    <ndc_label_name>GNP BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040735</ndc>
    <ndc_label_name>GNP NIACIN 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040736</ndc>
    <ndc_label_name>Niacin Flush Free 400 mg niacin (500 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040737</ndc>
    <ndc_label_name>B-Complex Plus Vitamin C (and calcium) 300 mg-150 mg calcium tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040738</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040739</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040740</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040741</ndc>
    <ndc_label_name>Vitamin C 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040743</ndc>
    <ndc_label_name>Vitamin C 500 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040744</ndc>
    <ndc_label_name>Vitamin C With Rose Hips 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040745</ndc>
    <ndc_label_name>Vitamin C ER 500 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040746</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040747</ndc>
    <ndc_label_name>Vitamin C 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040748</ndc>
    <ndc_label_name>GNP VITAMIN D3 10 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040749</ndc>
    <ndc_label_name>GNP VITAMIN D3 25 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040750</ndc>
    <ndc_label_name>GNP VITAMIN D3 1,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040751</ndc>
    <ndc_label_name>GNP VITAMIN D3 2,000 UNIT TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040752</ndc>
    <ndc_label_name>Vitamin D3 125 mcg (5,000 unit) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040753</ndc>
    <ndc_label_name>GNP VITAMIN E 90 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040754</ndc>
    <ndc_label_name>GNP VITAMIN E 400 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040756</ndc>
    <ndc_label_name>GNP VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040757</ndc>
    <ndc_label_name>GNP VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040758</ndc>
    <ndc_label_name>GNP GLUCOSAMINE 1,000 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040759</ndc>
    <ndc_label_name>GNP GLUCOSAMINE-CHONDR-MSM TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040760</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040761</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 500 mg-416.6 mg-20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040762</ndc>
    <ndc_label_name>Glucosamine-Chondroitin DS 500 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040763</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040764</ndc>
    <ndc_label_name>Glucosamine-Chondroitin 3X 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040765</ndc>
    <ndc_label_name>Glucosamine-Chondroitin-MSM (with antiox) 500 mg-500 mg-66.7 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040766</ndc>
    <ndc_label_name>GNP CALCIUM 500-VIT D3 600 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040767</ndc>
    <ndc_label_name>GNP CALCIUM 500-VIT D3 600 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040768</ndc>
    <ndc_label_name>GNP CALCIUM 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040769</ndc>
    <ndc_label_name>GNP CALCIUM 600 MG-D3 800 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040770</ndc>
    <ndc_label_name>GNP CALCIUM 600 MG-D3 800 UNIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040771</ndc>
    <ndc_label_name>GNP CALCIUM 600-D3-MINERALS TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040772</ndc>
    <ndc_label_name>GNP CALCIUM 600-D3-MIN CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040773</ndc>
    <ndc_label_name>GNP CALCIUM CITRATE-VIT D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040774</ndc>
    <ndc_label_name>GNP CALCIUM CITRATE-VIT D3 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040775</ndc>
    <ndc_label_name>Cal Mag Zinc Plus D3 333 mg-133 unit-133 mg-5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040776</ndc>
    <ndc_label_name>iron ER 159 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040777</ndc>
    <ndc_label_name>iron 325 mg (65 mg iron) tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040778</ndc>
    <ndc_label_name>GNP MAGNESIUM 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040779</ndc>
    <ndc_label_name>GNP POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040780</ndc>
    <ndc_label_name>GNP ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040781</ndc>
    <ndc_label_name>Children's Chewables 300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040782</ndc>
    <ndc_label_name>Children's Chewables Extra C 300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040784</ndc>
    <ndc_label_name>Children's Chewable Complete 9 mg iron-200 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040786</ndc>
    <ndc_label_name>Healthy Eyes 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040787</ndc>
    <ndc_label_name>Healthy Eyes SuperVision 4,296 mcg-226 mg-90 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040788</ndc>
    <ndc_label_name>Mega Multivitamin For Men 200 mcg-175 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040789</ndc>
    <ndc_label_name>Mega Multi for Women 13.5 mg-200 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040790</ndc>
    <ndc_label_name>One Daily Essential tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040791</ndc>
    <ndc_label_name>One Daily Essential tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040792</ndc>
    <ndc_label_name>One Daily Plus Iron 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040794</ndc>
    <ndc_label_name>One Daily 0.4 mg-600 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040795</ndc>
    <ndc_label_name>One Daily Men's 50 Plus Memory Support 400 mcg-600 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040796</ndc>
    <ndc_label_name>One Daily Women's Health 18 mg iron-400 mcg-450 mg Ca tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040797</ndc>
    <ndc_label_name>One Daily Women 50 Plus 400 mcg-120 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040798</ndc>
    <ndc_label_name>One Daily Women's Metabolism 300 mg-18 mg-400 mcg-50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040799</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040808</ndc>
    <ndc_label_name>Acidophilus Probiotic Blend 175 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040809</ndc>
    <ndc_label_name>Diabetic Support Formula 167 mcg-100 mcg-83 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040810</ndc>
    <ndc_label_name>Hair, Skin and Nails Advanced 3.3 mg iron-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040811</ndc>
    <ndc_label_name>GNP L-LYSINE 600 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040812</ndc>
    <ndc_label_name>GNP LUTEIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040813</ndc>
    <ndc_label_name>GNP MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040814</ndc>
    <ndc_label_name>GNP MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040815</ndc>
    <ndc_label_name>GNP CO Q-10 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040816</ndc>
    <ndc_label_name>GNP CO Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040817</ndc>
    <ndc_label_name>GNP CO Q-10 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040818</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040819</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040820</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040821</ndc>
    <ndc_label_name>Fish Oil-Vit D3 300 mg-1,000 mg-1,000 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040822</ndc>
    <ndc_label_name>Fish Oil 360 mg-1,200 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040823</ndc>
    <ndc_label_name>Fish Oil 150 mg-217 mg-840 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040824</ndc>
    <ndc_label_name>Triple Omega 3-6-9 400 mg-400 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040825</ndc>
    <ndc_label_name>GNP FLAXSEED 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040826</ndc>
    <ndc_label_name>GNP RED YEAST RICE 600 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040827</ndc>
    <ndc_label_name>Red Wine Extract 200 mg-60 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040828</ndc>
    <ndc_label_name>Cinnamon 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040829</ndc>
    <ndc_label_name>GNP CRANBERRY 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040830</ndc>
    <ndc_label_name>GNP ECHINACEA COMPLX 125 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040831</ndc>
    <ndc_label_name>GNP EVENING PRIMROSE 500 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040832</ndc>
    <ndc_label_name>GNP GARLIC EXTRACT 400 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040833</ndc>
    <ndc_label_name>GNP GINKGO BILOBA 60 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040834</ndc>
    <ndc_label_name>GNP GINSENG EXTRACT 100 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040835</ndc>
    <ndc_label_name>GNP SAW PALMETTO 80 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040836</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040837</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040842</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040883</ndc>
    <ndc_label_name>Infant Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040884</ndc>
    <ndc_label_name>Infant Pain Reliever 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040885</ndc>
    <ndc_label_name>Tussin 400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040886</ndc>
    <ndc_label_name>Tussin DM 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040890</ndc>
    <ndc_label_name>Instant Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701040895</ndc>
    <ndc_label_name>Dry Mouth mouthwash</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040898</ndc>
    <ndc_label_name>GNP PSEUDOEPHEDRINE ER 120 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040899</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701040932</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041090</ndc>
    <ndc_label_name>Throat Drops 2.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041091</ndc>
    <ndc_label_name>Vitamin C Drops 60 mg lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041092</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 6.5 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041094</ndc>
    <ndc_label_name>Cough Drops (with eucalyptus) 7 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041096</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041108</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041110</ndc>
    <ndc_label_name>Hemorrhoidal(phenyleph-min oil-petrolat)0.25 %-14 %-74.9 % rectal oint</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041111</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041115</ndc>
    <ndc_label_name>Lice Treatment 1 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041143</ndc>
    <ndc_label_name>GNP CAPSAICIN 0.15% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041144</ndc>
    <ndc_label_name>Burn Relief with Aloe 0.5 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041145</ndc>
    <ndc_label_name>Itch Relief 2 %-0.1 % topical spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041153</ndc>
    <ndc_label_name>Vitamin B-12  2,500 mcg sublingual tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041154</ndc>
    <ndc_label_name>GNP VIT D3 10MCG(400 UNIT) CHW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041155</ndc>
    <ndc_label_name>krill oil 300 mg-90 mg-24 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041161</ndc>
    <ndc_label_name>Children's Easy-Melts 80 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041163</ndc>
    <ndc_label_name>Stomach Relief 262 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041164</ndc>
    <ndc_label_name>Best Fiber 3 gram/3.5 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041165</ndc>
    <ndc_label_name>Children's Easy-Melts 80 mg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041166</ndc>
    <ndc_label_name>GNP COTTON BANDG ROLL 4.5"X4YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041167</ndc>
    <ndc_label_name>Flexible Fabric Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041171</ndc>
    <ndc_label_name>GNP ROLLED GAUZE 3" X 2.5 YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041172</ndc>
    <ndc_label_name>GNP VARIETY PACK BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041175</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041184</ndc>
    <ndc_label_name>NightTime Cough 6.25 mg-15 mg/15 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041188</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041191</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041192</ndc>
    <ndc_label_name>Night Time Cold and Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041193</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041202</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (phenylephrine) 5 mg-10 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041203</ndc>
    <ndc_label_name>Nighttime Cold-Flu 6.25 mg-15 mg-325 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041235</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041244</ndc>
    <ndc_label_name>Vitamin C 250 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041248</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041249</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041251</ndc>
    <ndc_label_name>Dairy Relief 9,000 unit chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701041252</ndc>
    <ndc_label_name>Fast Acting Nasal 1 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041253</ndc>
    <ndc_label_name>Antacid Extra Strength (mag carb-Al hyd) 160 mg-105 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041254</ndc>
    <ndc_label_name>Antacid Anti-Gas (calcium carb-simeth) 1,000 mg-60 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041269</ndc>
    <ndc_label_name>GNP VITAMIN D3 25MCG(1000 UNT)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041270</ndc>
    <ndc_label_name>GNP CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041275</ndc>
    <ndc_label_name>GNP ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041281</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041284</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041285</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041289</ndc>
    <ndc_label_name>One Daily Essential 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041327</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041333</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701041772</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042510</ndc>
    <ndc_label_name>GNP GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042511</ndc>
    <ndc_label_name>GNP GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042512</ndc>
    <ndc_label_name>GNP GLYCERIN SUPPOSITORY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042522</ndc>
    <ndc_label_name>GNP FIRST AID KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042534</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042560</ndc>
    <ndc_label_name>Ear Drops (carbamide peroxide) 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042567</ndc>
    <ndc_label_name>GNP NICOTINE 2 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042568</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042581</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042591</ndc>
    <ndc_label_name>Home Lice-Bedbug-Dust Mite Spray 0.5 % spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042595</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042596</ndc>
    <ndc_label_name>GNP OMEPRAZOLE DR 20 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042598</ndc>
    <ndc_label_name>GNP GLUCOSE 3.75 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042599</ndc>
    <ndc_label_name>GNP GLUCOSE 3.75 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042600</ndc>
    <ndc_label_name>GNP GLUCOSE 3.75 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042601</ndc>
    <ndc_label_name>GNP GLUCOSE 3.75 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042602</ndc>
    <ndc_label_name>GNP GLUCOSE 3.75 GRAM TAB CHEW</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042606</ndc>
    <ndc_label_name>GNP STERILE 33G LANCET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042608</ndc>
    <ndc_label_name>GNP INS SYRINGE 1 ML 28G 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042616</ndc>
    <ndc_label_name>GNP INSUL SYR 0.5 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042617</ndc>
    <ndc_label_name>INSULIN SYRINGE 1 ML 31GX5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042623</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042625</ndc>
    <ndc_label_name>True Metrix Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042626</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042628</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042629</ndc>
    <ndc_label_name>Advanced Probiotic 625 mg (10 billion cell) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042631</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042634</ndc>
    <ndc_label_name>GNP MELATONIN 10 MG QUIK DSSLV</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042635</ndc>
    <ndc_label_name>GNP MAGNESIUM OXIDE 400 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042638</ndc>
    <ndc_label_name>GNP VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042639</ndc>
    <ndc_label_name>GNP VITAMIN D3 250 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042640</ndc>
    <ndc_label_name>GNP VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042657</ndc>
    <ndc_label_name>Nausea Relief oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042661</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042676</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042677</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042683</ndc>
    <ndc_label_name>Probiotic Colon Support 1.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042721</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042722</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042724</ndc>
    <ndc_label_name>GNP ETHYL RUBBING ALCOHOL 70%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042732</ndc>
    <ndc_label_name>GNP HYDROGEN PEROXIDE 3% SOLN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042739</ndc>
    <ndc_label_name>True Metrix Air Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042742</ndc>
    <ndc_label_name>GNP FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042743</ndc>
    <ndc_label_name>GNP FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042755</ndc>
    <ndc_label_name>GNP BIOTIN 10,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042766</ndc>
    <ndc_label_name>GNP BIOTIN 2,500 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042767</ndc>
    <ndc_label_name>GNP CALCIUM CIT 200-D3 6.25 TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042775</ndc>
    <ndc_label_name>Healthy Eyes SuperView 2 250 mg-90 mg-10 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042776</ndc>
    <ndc_label_name>Immune Support 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042777</ndc>
    <ndc_label_name>GNP MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042789</ndc>
    <ndc_label_name>GNP NICOTINE 14 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042790</ndc>
    <ndc_label_name>GNP NICOTINE 21 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042791</ndc>
    <ndc_label_name>GNP NICOTINE 7 MG/24HR PATCH</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042807</ndc>
    <ndc_label_name>Wart Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042814</ndc>
    <ndc_label_name>ClearLax 17 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042818</ndc>
    <ndc_label_name>GNP NICOTINE 4 MG MINI LOZENGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042864</ndc>
    <ndc_label_name>GNP EXTRA HOLD BANDAGES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042865</ndc>
    <ndc_label_name>Gauze Pad 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042866</ndc>
    <ndc_label_name>GNP ROLLED GAUZE 2" X 4.1 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042867</ndc>
    <ndc_label_name>GNP CLEAR BANDAGES 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042868</ndc>
    <ndc_label_name>GNP SHEER ADHESIVE PADS 3"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042869</ndc>
    <ndc_label_name>Non-Stick Pad 3" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042870</ndc>
    <ndc_label_name>GNP SHEER BANDAGES 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042871</ndc>
    <ndc_label_name>GNP PLASTIC BANDAGES 3/4" X 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042873</ndc>
    <ndc_label_name>Butterfly Closures 1 3/4" X 3/8" tape</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042874</ndc>
    <ndc_label_name>Flexible Fabric Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042875</ndc>
    <ndc_label_name>Sheer Bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042876</ndc>
    <ndc_label_name>Extra Strength Waterproof 2" X 4" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042877</ndc>
    <ndc_label_name>Clear Waterproof Strips bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042878</ndc>
    <ndc_label_name>Flexible Fabric Bandages 2" X 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042879</ndc>
    <ndc_label_name>GNP MINI FIRST AID KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042883</ndc>
    <ndc_label_name>GNP SELF-ADHER TAPE 2" X 2.3YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042884</ndc>
    <ndc_label_name>GNP WATERPROOF TAPE 1/2"X10YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042885</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042893</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042894</ndc>
    <ndc_label_name>Allergy and Congestion Relief 10 mg-240 mg tablet,extend release 24 hr</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042896</ndc>
    <ndc_label_name>24 Hour Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042897</ndc>
    <ndc_label_name>GNP FLUTICASONE PROP 50 MCG SP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042901</ndc>
    <ndc_label_name>GNP BUDESONIDE 32 MCG SPRAY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042902</ndc>
    <ndc_label_name>Pain Relief (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042903</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042913</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042915</ndc>
    <ndc_label_name>Cranberry-Probiotic (blend)-Vit C 150 million cell-250 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042916</ndc>
    <ndc_label_name>GNP TURMERIC COMPLEX 500 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042917</ndc>
    <ndc_label_name>GNP MINERAL OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042918</ndc>
    <ndc_label_name>GNP KRILL OIL 350 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042947</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042948</ndc>
    <ndc_label_name>Temple Touch Mini Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042949</ndc>
    <ndc_label_name>GNP FOREHEAD INFRARED THRMOMTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042950</ndc>
    <ndc_label_name>Mucus Relief ER 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042952</ndc>
    <ndc_label_name>Triple Antibiotic 3.5 mg-400 unit-5,000 unit/gram topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042959</ndc>
    <ndc_label_name>GNP CHLD LORATADINE 5 MG/5 ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042967</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042968</ndc>
    <ndc_label_name>Women's Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042971</ndc>
    <ndc_label_name>GNP ACETAMINOPHEN 325 MG GELCP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042972</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042973</ndc>
    <ndc_label_name>Antacid-Antigas 400 mg-400 mg-40 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042974</ndc>
    <ndc_label_name>Antacid Regular Strength 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042975</ndc>
    <ndc_label_name>Antacid-Antigas 200 mg-200 mg-20 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042976</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042977</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042978</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042982</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701042984</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042995</ndc>
    <ndc_label_name>GNP AUTOMATIC BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042996</ndc>
    <ndc_label_name>GNP WRIST BLOOD PRESSURE MONTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701042997</ndc>
    <ndc_label_name>GNP DELUXE BLOOD PRESSURE MNTR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043001</ndc>
    <ndc_label_name>Lidocaine Pain Relief 4 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043013</ndc>
    <ndc_label_name>Gas Relief Extra Strength 125 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043014</ndc>
    <ndc_label_name>GNP HEATING PAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043015</ndc>
    <ndc_label_name>GNP HEATING PAD XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043017</ndc>
    <ndc_label_name>Epsom Salt (laxative) 495 mg/5 gram oral granules</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043038</ndc>
    <ndc_label_name>Elastic Back Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043039</ndc>
    <ndc_label_name>Elastic Back Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043040</ndc>
    <ndc_label_name>GNP ELASTIC BANDAGE 2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043041</ndc>
    <ndc_label_name>GNP ELASTIC BANDAGE 3"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043042</ndc>
    <ndc_label_name>GNP ELASTIC BANDAGE 4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043043</ndc>
    <ndc_label_name>GNP ELASTIC BANDAGE 6"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043086</ndc>
    <ndc_label_name>Gentle Laxative (bisacodyl) 5 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043089</ndc>
    <ndc_label_name>GNP SAW PALMETTO 450 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043101</ndc>
    <ndc_label_name>GNP COLLAGEN-VIT C 1,000-10 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043102</ndc>
    <ndc_label_name>Turmeric Joint 250 mg-5 mg-50 mg-200 mg-25mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043107</ndc>
    <ndc_label_name>GNP NAPROXEN SODIUM 220 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043109</ndc>
    <ndc_label_name>Motion Sickness Relief 50 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043113</ndc>
    <ndc_label_name>GNP ESOMEPRAZOLE MAG DR 20 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043120</ndc>
    <ndc_label_name>Mucus DM Max ER 60 mg-1,200 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043122</ndc>
    <ndc_label_name>GNP LATEX GLOVES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043123</ndc>
    <ndc_label_name>Vinyl Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043124</ndc>
    <ndc_label_name>Nitrile Exam Gloves</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043136</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043151</ndc>
    <ndc_label_name>Ear Wax Removal Kit 6.5 % drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043152</ndc>
    <ndc_label_name>Ear Wax Removal Drops 6.5 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043173</ndc>
    <ndc_label_name>Senna Lax 8.6 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043178</ndc>
    <ndc_label_name>Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043180</ndc>
    <ndc_label_name>Stretch Fit Brief Large-XL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043182</ndc>
    <ndc_label_name>Women's Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043184</ndc>
    <ndc_label_name>Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043185</ndc>
    <ndc_label_name>GNP PAD FOR WOMEN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043189</ndc>
    <ndc_label_name>GNP UNDERPADS 30"X36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043208</ndc>
    <ndc_label_name>GNP FENUGREEK 610 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043223</ndc>
    <ndc_label_name>urinary tract infection test for leukocytes strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043233</ndc>
    <ndc_label_name>Therapeutic-M 9 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043235</ndc>
    <ndc_label_name>One Daily Maximum 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043236</ndc>
    <ndc_label_name>Century Women 18 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043237</ndc>
    <ndc_label_name>Century Adult Formula 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043238</ndc>
    <ndc_label_name>Century Adult Formula 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043239</ndc>
    <ndc_label_name>Century Men 8 mg iron-200 mcg-60 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043240</ndc>
    <ndc_label_name>Century Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043241</ndc>
    <ndc_label_name>Century Mature 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043242</ndc>
    <ndc_label_name>Century Mature 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043243</ndc>
    <ndc_label_name>Century Men 50 Plus 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043249</ndc>
    <ndc_label_name>Century 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043259</ndc>
    <ndc_label_name>GNP GLUCOSE 2 GRAM GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043269</ndc>
    <ndc_label_name>Anti-Embolism Stockings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043270</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043271</ndc>
    <ndc_label_name>Century Mature 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043272</ndc>
    <ndc_label_name>GNP COMPRESSION TIGHTS MEDIUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043273</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043274</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043275</ndc>
    <ndc_label_name>GNP COMPRESSION PANTYHOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043276</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043277</ndc>
    <ndc_label_name>Men's Medical Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043278</ndc>
    <ndc_label_name>Men's Medical Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043279</ndc>
    <ndc_label_name>Men's Medical Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043280</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043281</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043283</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043284</ndc>
    <ndc_label_name>Diabetic Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043285</ndc>
    <ndc_label_name>Daily Comfort Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043286</ndc>
    <ndc_label_name>Anti-Embolism Stockings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043288</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043289</ndc>
    <ndc_label_name>GNP COMPRESSION TIGHTS LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043290</ndc>
    <ndc_label_name>GNP COMPRESSION TIGHTS SMALL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043291</ndc>
    <ndc_label_name>Anti-Embolism Stockings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043292</ndc>
    <ndc_label_name>Anti-Embolism Stockings</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043293</ndc>
    <ndc_label_name>Diabetic Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043294</ndc>
    <ndc_label_name>Diabetic Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043295</ndc>
    <ndc_label_name>Diabetic Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043296</ndc>
    <ndc_label_name>Diabetic Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043297</ndc>
    <ndc_label_name>Diabetic Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043298</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043299</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043300</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043301</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043302</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043303</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043304</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043305</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043306</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043307</ndc>
    <ndc_label_name>Men's Medical Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043308</ndc>
    <ndc_label_name>Men's Medical Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043309</ndc>
    <ndc_label_name>Men's Medical Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043310</ndc>
    <ndc_label_name>Men's Medical Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043312</ndc>
    <ndc_label_name>Men's Medical Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043313</ndc>
    <ndc_label_name>Men's Medical Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043314</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043315</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043316</ndc>
    <ndc_label_name>GNP COMPRESSION SUPPT STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043317</ndc>
    <ndc_label_name>GNP COMPRESSION PANTYHOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043318</ndc>
    <ndc_label_name>GNP COMPRESSION PANTYHOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043319</ndc>
    <ndc_label_name>GNP COMPRESSION PANTYHOSE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043320</ndc>
    <ndc_label_name>Daily Comfort Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043321</ndc>
    <ndc_label_name>Daily Comfort Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043322</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043323</ndc>
    <ndc_label_name>GNP COMPRESSION STOCKING</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043336</ndc>
    <ndc_label_name>Sambucus Elderberry 45 mg-3.75 mg-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043345</ndc>
    <ndc_label_name>Childrens Chewables Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043346</ndc>
    <ndc_label_name>Childrens Chewables Multivitamin tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043381</ndc>
    <ndc_label_name>Instant-Reusable Cold-Heat pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043387</ndc>
    <ndc_label_name>GNP ELECTROLYTE POWDER PACKET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043398</ndc>
    <ndc_label_name>One Daily Men's 50 Plus with D3 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043399</ndc>
    <ndc_label_name>One Daily Men's Health 240 mcg-30 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043406</ndc>
    <ndc_label_name>GNP ADHESIVE GAUZE PAD 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043419</ndc>
    <ndc_label_name>ONE DAILY Multivitamin women 18 mg-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043435</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043436</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043437</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043438</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043439</ndc>
    <ndc_label_name>Early Ovulation Test combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043442</ndc>
    <ndc_label_name>Face Mask,Earloop-Style</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043443</ndc>
    <ndc_label_name>Probiotic Digestive Supp(L.rhamn,inuln) 20 billion cell-200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043453</ndc>
    <ndc_label_name>Soothing Sinus Relief 700 mg-2,300 mg packet for irrigation</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043462</ndc>
    <ndc_label_name>GNP VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043463</ndc>
    <ndc_label_name>GNP VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043464</ndc>
    <ndc_label_name>GNP VITAMIN K2 100 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043465</ndc>
    <ndc_label_name>GNP VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043515</ndc>
    <ndc_label_name>GNP VITAMIN B-12 1500MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043516</ndc>
    <ndc_label_name>GNP MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043517</ndc>
    <ndc_label_name>Hair,Skin and Nails (folic acid-biotin) 66.7 mcg-1,666.7 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043518</ndc>
    <ndc_label_name>GNP ASHWAGANDHA 500MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043520</ndc>
    <ndc_label_name>GNP DHEA 25 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043521</ndc>
    <ndc_label_name>GNP APPLE CIDER VINEGAR CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043523</ndc>
    <ndc_label_name>GNP ALPHA LIPOIC ACID 200MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043524</ndc>
    <ndc_label_name>Mind and Memory 100 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043525</ndc>
    <ndc_label_name>GNP ICE BAG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701043526</ndc>
    <ndc_label_name>Hot-Cold Gel Bead Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043595</ndc>
    <ndc_label_name>GNP NASAL SPRAY 0.05%</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701043612</ndc>
    <ndc_label_name>Ultra Strength Antacid 400 mg (calcium carb 1,000 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701044416</ndc>
    <ndc_label_name>Antacid Extra-Strength 300 mg (as calcium carb 750 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701045401</ndc>
    <ndc_label_name>Clotrimazole-3 2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048567</ndc>
    <ndc_label_name>Sheer Strip Extra Large bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048569</ndc>
    <ndc_label_name>Bandages</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048570</ndc>
    <ndc_label_name>Cotton Swabs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048571</ndc>
    <ndc_label_name>Cotton Balls</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048612</ndc>
    <ndc_label_name>Stretch Gauze Bandage 2" X 4.1 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701048615</ndc>
    <ndc_label_name>Plastic Strips 3/4 " bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701052620</ndc>
    <ndc_label_name>Lancing System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701053380</ndc>
    <ndc_label_name>GNP LICE TREATMENT SHAMPOO</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701053929</ndc>
    <ndc_label_name>GNP ASPIRIN EC 81 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701054970</ndc>
    <ndc_label_name>GNP HYDROCORT ACETATE 1% CR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701054973</ndc>
    <ndc_label_name>GNP HYDROCORTISONE 1% OINTMENT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701055205</ndc>
    <ndc_label_name>Saline Nasal Mist 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701055284</ndc>
    <ndc_label_name>Anti-Itch (diphenhydramine) with Zinc 2 %-0.1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701055286</ndc>
    <ndc_label_name>Caldyphen 1 %-8 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701055291</ndc>
    <ndc_label_name>Therapeutic Blue topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701055389</ndc>
    <ndc_label_name>GNP BACITRACIN ZN 500 UNIT/GM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701055397</ndc>
    <ndc_label_name>GNP HYDROCORTISONE 0.5% CRM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701055564</ndc>
    <ndc_label_name>Cold and Hot (m.salicylate-menthol) 29 %-7.6 % topical ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701056580</ndc>
    <ndc_label_name>GNP THERMOMETER PROBE COVER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701056584</ndc>
    <ndc_label_name>GNP BASAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701056586</ndc>
    <ndc_label_name>Forehead Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701060105</ndc>
    <ndc_label_name>GNP SUPHEDRIN 30 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701060152</ndc>
    <ndc_label_name>Milk of Magnesia 400 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701064394</ndc>
    <ndc_label_name>GNP ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701064932</ndc>
    <ndc_label_name>Pain Reliever Extra Strength (acetaminophen) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701064954</ndc>
    <ndc_label_name>Diphedryl 12.5 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701065354</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 0.3 mL 30</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701070344</ndc>
    <ndc_label_name>Gas Relief 80 (simethicone) 80 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701070558</ndc>
    <ndc_label_name>Fiber-Tabs 625 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701070994</ndc>
    <ndc_label_name>Fiber Therapy (methylcellulose) 500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701072289</ndc>
    <ndc_label_name>Pink Bismuth 262 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701073831</ndc>
    <ndc_label_name>GNP OVULATION PREDICTOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701074702</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701074725</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe (half unit) 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701074728</ndc>
    <ndc_label_name>Ultra Comfort Insulin Syringe 1/2 mL 29</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701074940</ndc>
    <ndc_label_name>Tussin Cough (DM only) 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701075605</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701079215</ndc>
    <ndc_label_name>GNP ASPIRIN 81 MG CHEWABLE TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701079251</ndc>
    <ndc_label_name>Miconazole-7  2 % vaginal cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701080042</ndc>
    <ndc_label_name>Athlete's Foot (clotrimazole) 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701082463</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701082470</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701083714</ndc>
    <ndc_label_name>Allergy (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701083799</ndc>
    <ndc_label_name>Natural Fiber Laxative (aspartame) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701084242</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701085027</ndc>
    <ndc_label_name>Sterile Pads 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701088827</ndc>
    <ndc_label_name>Foaming Antacid 95 mg-358 mg/15 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701088843</ndc>
    <ndc_label_name>Suphedrin 15 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701088848</ndc>
    <ndc_label_name>Stool Softener 50 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701088853</ndc>
    <ndc_label_name>Stool Softener 60 mg/15 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701089435</ndc>
    <ndc_label_name>GNP TOLNAFTATE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701089897</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701089898</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701089900</ndc>
    <ndc_label_name>Nasal Spray (oxymetazoline) 0.05 %</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701090003</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701090058</ndc>
    <ndc_label_name>Pain Reliever (acetaminophen) 325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701090080</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701090081</ndc>
    <ndc_label_name>Antacid 200 mg (as calcium carbonate 500 mg) chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701090588</ndc>
    <ndc_label_name>GNP ELECTROLYTE SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701090904</ndc>
    <ndc_label_name>Nasal Strips Medium-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701091090</ndc>
    <ndc_label_name>Nasal Decongestant (pseudoephedrine) 30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701091676</ndc>
    <ndc_label_name>GNP IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701092131</ndc>
    <ndc_label_name>Miconazole-3  200 mg-2 % (9 gram) vaginal kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701092172</ndc>
    <ndc_label_name>Sore Throat (phenol) 1.4 % aerosol spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701093206</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701094584</ndc>
    <ndc_label_name>Triple Antibiotic Plus 3.5 mg-500 unit-10,000 unit/gram top ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>87701095173</ndc>
    <ndc_label_name>Ibuprofen Cold-Sinus (with pseudoephedrine) 30 mg-200 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701095927</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701096346</ndc>
    <ndc_label_name>Tussin DM 10 mg-100 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701098111</ndc>
    <ndc_label_name>GNP HYDROCORTISONE 1% CREAM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701098159</ndc>
    <ndc_label_name>Children's Pain and Fever Relief 160 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>87701099096</ndc>
    <ndc_label_name>12 Hour Nasal Decongestant (PSE) 120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88151000009</ndc>
    <ndc_label_name>Saljet Saline Rinse 0.9 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88151000010</ndc>
    <ndc_label_name>Saljet Saline Rinse 0.9 % topical solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277010140</ndc>
    <ndc_label_name>Remedy Phytoplex Moisturizer topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277017674</ndc>
    <ndc_label_name>EvenCare Mini Glucose Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277035844</ndc>
    <ndc_label_name>PEN NEEDLE 12MM 29G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277035845</ndc>
    <ndc_label_name>PEN NEEDLE 5MM 31G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277035846</ndc>
    <ndc_label_name>PEN NEEDLE 31G 8MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277035847</ndc>
    <ndc_label_name>PEN NEEDLE 4MM 32G</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88277036125</ndc>
    <ndc_label_name>Push Button Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277040917</ndc>
    <ndc_label_name>Evencare ProView Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277040918</ndc>
    <ndc_label_name>Evencare ProView Control-L2,L3 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277067568</ndc>
    <ndc_label_name>Harmony Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88277067569</ndc>
    <ndc_label_name>Harmony Control L1,L3 solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88395001250</ndc>
    <ndc_label_name>Baby's Super Daily D3 10 mcg/drop (400 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395001270</ndc>
    <ndc_label_name>Super Daily D3 25 mcg/drop (1,000 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88395001280</ndc>
    <ndc_label_name>Super Daily D3 50 mcg/drop (2,000 unit/drop) oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88395001421</ndc>
    <ndc_label_name>VITAMIN D3 250 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88395001451</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395001540</ndc>
    <ndc_label_name>Fish Oil 1,600 mg-500 mg-800 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395001550</ndc>
    <ndc_label_name>Super DHA Gems 500 mg-100 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395001552</ndc>
    <ndc_label_name>Super DHA Gems 500 mg-100 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395002381</ndc>
    <ndc_label_name>VITAMIN B6 100 MG/2.5 ML LIQ</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88395002434</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88395014110</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000008</ndc>
    <ndc_label_name>Dual Action Freeze Away Wart Remover 17 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>88853000039</ndc>
    <ndc_label_name>Odor-X Athlete's Foot 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000057</ndc>
    <ndc_label_name>Ingrown Toenail Gel Kit 1 % topical kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000061</ndc>
    <ndc_label_name>Freeze Away Max Wart Remover topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000113</ndc>
    <ndc_label_name>Duragel Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000118</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000296</ndc>
    <ndc_label_name>Freeze Away Wart Remover topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88853000346</ndc>
    <ndc_label_name>Freeze Away Skin Tag Remover topical device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88856000030</ndc>
    <ndc_label_name>K-Pax Immune Support 2.25 mg iron-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88856000045</ndc>
    <ndc_label_name>K-PAX 20 gram-400 mcg oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88856000055</ndc>
    <ndc_label_name>K-Pax Immune Booster 24 gram-240 kcal/65 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88856000060</ndc>
    <ndc_label_name>K-Pax Immune Support 2.25 mg iron-100 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88867041368</ndc>
    <ndc_label_name>SYNOJOYNT 1% 20 MG/2 ML SYRING</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88901000024</ndc>
    <ndc_label_name>Midnite for Menopause 1.5 mg-15 mg-22 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>88937000102</ndc>
    <ndc_label_name>OMNIFLEX DIAPHRAGM 65MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89105200001</ndc>
    <ndc_label_name>ChoiceDM Clarus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89105200002</ndc>
    <ndc_label_name>Choice DM Clarus Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89105200008</ndc>
    <ndc_label_name>ChoiceDM Clarus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89109010801</ndc>
    <ndc_label_name>MuGard mucosal solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89115005001</ndc>
    <ndc_label_name>Quintet Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89115005102</ndc>
    <ndc_label_name>Quintet Glucose Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89115005202</ndc>
    <ndc_label_name>BLOOD GLUCOSE CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89115005501</ndc>
    <ndc_label_name>Quintet AC meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89115005902</ndc>
    <ndc_label_name>Quintet AC strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89116000050</ndc>
    <ndc_label_name>Microcyn 0.003 %-0.004 %-0.023 % topical spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89116000075</ndc>
    <ndc_label_name>Microcyn HydroGel 0.008 %-0.002 %-3 % topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122049601</ndc>
    <ndc_label_name>Hymovis 24 mg/3 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122049663</ndc>
    <ndc_label_name>Hymovis 24 mg/3 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122072412</ndc>
    <ndc_label_name>Hyalgan 10 mg/mL intra-articular solution</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122072420</ndc>
    <ndc_label_name>Hyalgan 10 mg/mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122075001</ndc>
    <ndc_label_name>Hymovis ONE 32 mg/4 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89122087901</ndc>
    <ndc_label_name>Triluron 10 mg/mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126100101</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126100201</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126100301</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126103525</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126114010</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89126133525</ndc>
    <ndc_label_name>Topi-Click device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89128000101</ndc>
    <ndc_label_name>2Tek Glucose/Blood Pressure kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89128000201</ndc>
    <ndc_label_name>2Tek Control (High-Normal) solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89128010001</ndc>
    <ndc_label_name>Neutek 2Tek Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89128015001</ndc>
    <ndc_label_name>Neutek 2Tek Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89130202001</ndc>
    <ndc_label_name>Durolane 60 mg/3 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89130311101</ndc>
    <ndc_label_name>Gelsyn-3  16.8 mg/2 mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89130444401</ndc>
    <ndc_label_name>Supartz FX 10 mg/mL intra-articular syringe</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134000000</ndc>
    <ndc_label_name>Maxicomfort Safety Pen Needle 29 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134000001</ndc>
    <ndc_label_name>Maxicomfort Safety Pen Needle 29 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134050202</ndc>
    <ndc_label_name>Maxi-Comfort Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134050302</ndc>
    <ndc_label_name>Maxi-Comfort Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134052602</ndc>
    <ndc_label_name>Maxicomfort Insulin Syringe 1/2 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134052702</ndc>
    <ndc_label_name>Maxicomfort Insulin Syringe 1 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134052802</ndc>
    <ndc_label_name>Ultra-Thin II Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134052902</ndc>
    <ndc_label_name>Ultra-Thin II Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134061802</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134062002</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134062202</ndc>
    <ndc_label_name>Ultra-Thin II Insulin Pen Needles 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134062501</ndc>
    <ndc_label_name>Maxicomfort Safety Pen Needle 29 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134062601</ndc>
    <ndc_label_name>Maxicomfort Safety Pen Needle 29 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134063002</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Pen NDL 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134063102</ndc>
    <ndc_label_name>Mini Ultra-Thin II 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134072202</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>89134072602</ndc>
    <ndc_label_name>Ultra-Thin II Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>89134072802</ndc>
    <ndc_label_name>Ultra Thin II Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134074002</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134074202</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134074402</ndc>
    <ndc_label_name>Ultra-Thin II (Short) Insulin syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>89134075802</ndc>
    <ndc_label_name>Mini Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134310401</ndc>
    <ndc_label_name>Maxicomfort II Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89134320801</ndc>
    <ndc_label_name>Ultra Thin Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137020001</ndc>
    <ndc_label_name>Reveal Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137020002</ndc>
    <ndc_label_name>Reveal Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137021007</ndc>
    <ndc_label_name>Reveal Ovulation Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137021020</ndc>
    <ndc_label_name>Reveal Ovulation Predictor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137022007</ndc>
    <ndc_label_name>Reveal Get Pregnant Quick combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137030005</ndc>
    <ndc_label_name>Reveal Colon Disease Test pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137040003</ndc>
    <ndc_label_name>Reveal UTI Test Strip stick</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137050000</ndc>
    <ndc_label_name>Reveal Blood Glucose Meter kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89137050050</ndc>
    <ndc_label_name>Reveal Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89141045602</ndc>
    <ndc_label_name>Gelclair mucosal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89141045603</ndc>
    <ndc_label_name>Gelclair mucosal gel packet</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89145010050</ndc>
    <ndc_label_name>GenStrip Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89145020050</ndc>
    <ndc_label_name>GenStrip Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152000401</ndc>
    <ndc_label_name>T:SLIM X2 BASAL-IQ INSULIN PMP</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152038605</ndc>
    <ndc_label_name>T:SLIM X2 3 ML CARTRIDGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152118005</ndc>
    <ndc_label_name>T:SLIM X2 3 ML CARTRIDGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152139005</ndc>
    <ndc_label_name>T:FLEX 4.8 ML CARTRIDGE</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152168005</ndc>
    <ndc_label_name>AUTOSOFT XC INFUSN SET 23" 6MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152168105</ndc>
    <ndc_label_name>AUTOSOFT XC INFUSN SET 23" 9MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89152168205</ndc>
    <ndc_label_name>AUTOSOFT XC INFUSN SET 23" 6MM</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
    <ndc>89158500400</ndc>
    <ndc_label_name>CareFine Pen Needle 32 gauge x 5/32"</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89158500500</ndc>
    <ndc_label_name>CareFine Pen Needle 32 gauge x 3/16"</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>CareFine Pen Needle 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89158500800</ndc>
    <ndc_label_name>CareFine Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89167024850</ndc>
    <ndc_label_name>UniStrip1 Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89167036210</ndc>
    <ndc_label_name>UniStrip Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269000101</ndc>
    <ndc_label_name>Coromega 2,000 mg-650 mg-12 mg/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269000106</ndc>
    <ndc_label_name>Coromega 2,000 mg-650 mg-12 mg/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045202</ndc>
    <ndc_label_name>Coromega 2,000 mg-650 mg-12 mg/2.5 gram oral packet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045206</ndc>
    <ndc_label_name>Coromega 2,000 mg-650 mg-12 mg/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045222</ndc>
    <ndc_label_name>Coromega 650 mg-1,000 unit/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045226</ndc>
    <ndc_label_name>Coromega 650 mg-1,000 unit/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045242</ndc>
    <ndc_label_name>Coromega 284 mg-850 mg/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89269045426</ndc>
    <ndc_label_name>Coromega 2,000 mg-650 mg-12 mg/2.5 gram oral packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>89411012201</ndc>
    <ndc_label_name>Vanquish 227 mg-194 mg-33 mg tablet</ndc_label_name>
    <otc>True</otc>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>89411012208</ndc>
    <ndc_label_name>Vanquish 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>89411012301</ndc>
    <ndc_label_name>Fergon 225 mg (27 mg iron) tablet</ndc_label_name>
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  </Drug_Information>
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    <drug_tier>1</drug_tier>
    <ndc>89411029101</ndc>
    <ndc_label_name>Nu-Iron 150 mg iron capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>1</drug_tier>
    <ndc>89411035116</ndc>
    <ndc_label_name>Eldertonic 3.6 mg-0.75 mg/15 mL oral liquid</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>CharcoCaps 260 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>ACTIVATED CHARCOAL 260 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lipo-Flavonoid Plus 200 mg-100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Urinozinc Prostate Classic 160 mg-12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Urinozinc Prostate Classic 160 mg-12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Urinozinc Prostate Formula Plus 100 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89411065025</ndc>
    <ndc_label_name>Urinozinc Prostate Classic 320 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>89411065030</ndc>
    <ndc_label_name>Urinozinc Prostate Classic 320 mg-25 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Prelief 65 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Prelief 65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Prelief 65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cystex Max UTI Pain Relief 99.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Cystex Menopause Support 500 mg-25 mg/scoop oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Lipo-Flavonoid 500 mg tablet</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zanfel topical cleanser</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
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  </Drug_Information>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>INOSITOL 600 MG POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011001030</ndc>
    <ndc_label_name>D-RIBOSE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011002001</ndc>
    <ndc_label_name>L-CARNITINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>L-Carnitine (tartrate) 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011002014</ndc>
    <ndc_label_name>L-Carnitine 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jarro-Dophilus Plus FOS 3.4 billion cell-210 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003004</ndc>
    <ndc_label_name>SACCHAROMYCES BOULARDII-MOS CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003005</ndc>
    <ndc_label_name>Fem Dophilus 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003011</ndc>
    <ndc_label_name>Jarro-Dophilus 3.4 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jarro-Dophilus Plus FOS 3.4 billion cell-210 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jarro-Dophilus Baby 3 billion cell-600 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Infant Probiotic 1 billion cell/0.5 mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jarro-Dophilus EPS 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Yum-Yum Dophilus 500 million cell-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003023</ndc>
    <ndc_label_name>BETA GLUCAN 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Jarro-Dophilus EPS 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003025</ndc>
    <ndc_label_name>Prebiotic Inulin-FOS 3 gram/3.8 gram (scoop) oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003026</ndc>
    <ndc_label_name>Jarro-Dophilus Ultra 50 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003028</ndc>
    <ndc_label_name>Ideal Bowel Support 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003029</ndc>
    <ndc_label_name>SACCHAROMYCES BOULARDII-MOS CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003030</ndc>
    <ndc_label_name>Fem Dophilus 5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003032</ndc>
    <ndc_label_name>Jarro-Dophilus Plus FOS 3.4 billion cell-210 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003033</ndc>
    <ndc_label_name>Jarro-Dophilus Allergen Free 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003040</ndc>
    <ndc_label_name>Jarro-Dophilus EPS 25 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003041</ndc>
    <ndc_label_name>Fem Dophilus 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003042</ndc>
    <ndc_label_name>Fem Dophilus 1 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003043</ndc>
    <ndc_label_name>Jarro-Dophilus EPS 25 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003048</ndc>
    <ndc_label_name>Yum-Yum Dophilus 2.5 billion cell-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003051</ndc>
    <ndc_label_name>Jarro-Dophilus Women 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003052</ndc>
    <ndc_label_name>Jarro-Dophilus Women 10 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003054</ndc>
    <ndc_label_name>Jarro-Dophilus Women 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003055</ndc>
    <ndc_label_name>Jarro-Dophilus Women 10 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003058</ndc>
    <ndc_label_name>Jarro-Dophilus Baby Probiotic 3 billion cell-600 mg/gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003065</ndc>
    <ndc_label_name>Probiotic Yeast Support 5.02 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003066</ndc>
    <ndc_label_name>Jarro-Dophilus Digest Sure 5 billion cell-188 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003069</ndc>
    <ndc_label_name>Jarro-Dophilus Kids 500 million cell-50 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003071</ndc>
    <ndc_label_name>Jarro-Dophilus EPS 50 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003075</ndc>
    <ndc_label_name>Jarro-Dophilus Prenatal 6 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003077</ndc>
    <ndc_label_name>Jarro-Dophilus Gut Calm 8 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003707</ndc>
    <ndc_label_name>Jarro-Dophilus EPS 5 billion cell capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003710</ndc>
    <ndc_label_name>PROBIOTIC-PREBIOTIC GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003711</ndc>
    <ndc_label_name>Probiotic-Immune 1 billion cell-45 mg-25 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003715</ndc>
    <ndc_label_name>Probiotic Duo 1.5 billion cell chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003716</ndc>
    <ndc_label_name>PROBIOTIC-PREBIOTIC GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011003717</ndc>
    <ndc_label_name>Probiotic-Immune 1 billion cell-45 mg-25 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004001</ndc>
    <ndc_label_name>BoneUp (calcium ascorbate) 166.6 mg-4.15 mcg-83.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004002</ndc>
    <ndc_label_name>Vegetarian BoneUp 166.6 mg-4.15 mcg-83.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004003</ndc>
    <ndc_label_name>BoneUp (calcium ascorbate) 166.6 mg-4.15 mcg-83.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004005</ndc>
    <ndc_label_name>Ultra BoneUp 200 mg-8.3 mcg-83.3 mg-8.3 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004805</ndc>
    <ndc_label_name>BoneUp (calcium ascorbate) 166.6 mg-4.15 mcg-83.3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011004806</ndc>
    <ndc_label_name>BoneUp 333 mg-8.3 mcg-116.7 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>90011006003</ndc>
    <ndc_label_name>CO Q-10 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011006012</ndc>
    <ndc_label_name>Q-absorb 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>90011006016</ndc>
    <ndc_label_name>CO Q-10 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Q-absorb 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011006019</ndc>
    <ndc_label_name>QH-absorb 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QH-absorb 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QH-absorb 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QH-absorb 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011006027</ndc>
    <ndc_label_name>QH-absorb Plus PQQ 100 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QH-absorb Plus PQQ 100 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>QH-absorb 200 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>N-A-C Sustain 600 mg tablet, extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>EVENING PRIMROSE 1,300 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>BORAGE 1,200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>90011012015</ndc>
    <ndc_label_name>VITAMIN C-BIOFLAVONOIDS TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>CarotenAll 600 mcg-500 mcg-10 mg-10 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011012025</ndc>
    <ndc_label_name>LUTEIN-ZEAXANTHIN 20-4 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Famil-E 41 mg-250 mg-38 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>PQQ 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>PQQ 20 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>LUTEIN-ZEAXANTHIN 20-4 MG SFGL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Zinc Balance 15 mg-1 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
    <ndc>90011013219</ndc>
    <ndc_label_name>Calming Day 350 mg-250 mg/7.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011013221</ndc>
    <ndc_label_name>Soothing Night 3 mg-350 mg-250 mg/8.3 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014003</ndc>
    <ndc_label_name>MILK THISTLE 150 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014004</ndc>
    <ndc_label_name>TURMERIC CURCUMIN 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014016</ndc>
    <ndc_label_name>QUERCETIN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014028</ndc>
    <ndc_label_name>BILBERRY-GRAPE 80-200 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014029</ndc>
    <ndc_label_name>MILK THISTLE 150 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014052</ndc>
    <ndc_label_name>QUERCETIN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014076</ndc>
    <ndc_label_name>TURMERIC CURCUMIN 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014081</ndc>
    <ndc_label_name>RESVERATROL 100-100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014084</ndc>
    <ndc_label_name>RESVERATROL 100-100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014085</ndc>
    <ndc_label_name>Citrus Bergamot 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014086</ndc>
    <ndc_label_name>CURCUMIN PHYTOSOME 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014090</ndc>
    <ndc_label_name>BITTER MELON EXTRACT 750 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014093</ndc>
    <ndc_label_name>CURCUMIN PHYTOSOME 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014096</ndc>
    <ndc_label_name>Citrus Bergamot 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011014099</ndc>
    <ndc_label_name>ELDERBERRY EXTRACT 350 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015001</ndc>
    <ndc_label_name>L-TYROSINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015004</ndc>
    <ndc_label_name>L-LYSINE 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015012</ndc>
    <ndc_label_name>L-Glutamine 750 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015020</ndc>
    <ndc_label_name>TAURINE 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015033</ndc>
    <ndc_label_name>L-Glutamine 1,000 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015035</ndc>
    <ndc_label_name>L-GLUTAMINE POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015036</ndc>
    <ndc_label_name>ARGININE 1,000 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015039</ndc>
    <ndc_label_name>GLUTATHIONE REDUCED 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015043</ndc>
    <ndc_label_name>5-HTP 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015044</ndc>
    <ndc_label_name>5-HTP 50 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015050</ndc>
    <ndc_label_name>THEANINE 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015051</ndc>
    <ndc_label_name>N-ACETYL TYROSINE 350-5 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015052</ndc>
    <ndc_label_name>L-Carnosine 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015056</ndc>
    <ndc_label_name>L-TRYPTOPHAN 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015057</ndc>
    <ndc_label_name>THEANINE 200 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015061</ndc>
    <ndc_label_name>7-KETO DHEA 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015062</ndc>
    <ndc_label_name>ACETYL L-CARNITINE 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015065</ndc>
    <ndc_label_name>7-KETO DHEA 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015066</ndc>
    <ndc_label_name>GLUTATHIONE REDUCED 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015069</ndc>
    <ndc_label_name>S-ACETYL L-GLUTATHIONE 100 MG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011015091</ndc>
    <ndc_label_name>GLUTATHIONE REDUCED 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016005</ndc>
    <ndc_label_name>PS100 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016006</ndc>
    <ndc_label_name>PS100 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016020</ndc>
    <ndc_label_name>PS100 100 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016027</ndc>
    <ndc_label_name>KRILL OIL 600 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016047</ndc>
    <ndc_label_name>COCONUT OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016056</ndc>
    <ndc_label_name>MCT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016059</ndc>
    <ndc_label_name>PS100 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011016060</ndc>
    <ndc_label_name>ORGANIC MCT OIL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011017007</ndc>
    <ndc_label_name>GREEN TEA 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018001</ndc>
    <ndc_label_name>METHYL B-12 1,000 MCG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018004</ndc>
    <ndc_label_name>METHYL B-12 5,000 MCG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>90011018005</ndc>
    <ndc_label_name>BIOTIN 5,000 MCG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018006</ndc>
    <ndc_label_name>PANTETHINE 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018010</ndc>
    <ndc_label_name>PANTOTHENIC ACID 500 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018014</ndc>
    <ndc_label_name>CITICOLINE 250 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018015</ndc>
    <ndc_label_name>METHYL B-12 500 MCG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018016</ndc>
    <ndc_label_name>METHYL B-12 2,500 MCG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018018</ndc>
    <ndc_label_name>METHYL B12-METHYL FOLATE-P5P</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018019</ndc>
    <ndc_label_name>METHYL B-12 AND FOLATE CHEW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011018028</ndc>
    <ndc_label_name>METHYL B-12 5,000 MCG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011019002</ndc>
    <ndc_label_name>N-ACETYL GLUCOSAMINE 700 MG CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011019011</ndc>
    <ndc_label_name>MSM 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011019013</ndc>
    <ndc_label_name>MSM 1,000 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Alpha Lipoic Sustain-Biotin 300 mg-330 mcg tablet, extended release</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Glucose Optimizer 50 mg tablet</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>Prostate Optimizer 6.6 mg-100 mg-200 mg-5 mcg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
    <ndc>90011029018</ndc>
    <ndc_label_name>HYALURONIC ACID 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90011029024</ndc>
    <ndc_label_name>HYALURONIC ACID 60 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>VITAMIN D3 62.5 MCG SOFTGEL</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>MK-7 90 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>VITAMIN D3 125 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHYLFOLATE 680 MCG DFE CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MK-7 90 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>METHYLFOLATE 1,700 MCG DFE CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MK-7 180 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>MK-7 90 mcg capsule</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90017057820</ndc>
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    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90019029607</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90019029608</ndc>
    <ndc_label_name>ProVate Pelvic Organ Support 67 mm vaginal</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90019029609</ndc>
    <ndc_label_name>ProVate Pelvic Organ Support 73 mm vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90019029610</ndc>
    <ndc_label_name>ProVate Pelvic Organ Support 79 mm vaginal</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90019029611</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>ProVate Pelvic Organ Support 91 mm vaginal</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90096014160</ndc>
    <ndc_label_name>TROSPIUM CHLORIDE 20 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>90096016101</ndc>
    <ndc_label_name>NAPROXEN DR 500 MG TABLET</ndc_label_name>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>90166001334</ndc>
    <ndc_label_name>LANCETS 33G</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90166005015</ndc>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90166005655</ndc>
    <ndc_label_name>INSULIN SYRIN 0.5 ML 30GX5/16"</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90166010205</ndc>
    <ndc_label_name>Easy Glide Luer Lock Syringe 10 mL</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Alcohol Pads</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>E-Z PULL &amp; CLICK LANCING DEV</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90166012122</ndc>
    <ndc_label_name>Pen Needle 29 gauge x 1/2"</ndc_label_name>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90166012505</ndc>
    <ndc_label_name>Easy Glide Luer Slip TB Syringe 1 mL</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Inject Ease Lancets 28 gauge</ndc_label_name>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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    <drug_tier>0</drug_tier>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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  <Drug_Information>
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    <ndc_label_name>Cotton Snap Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891009425</ndc>
    <ndc_label_name>Cotton Snap Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891010425</ndc>
    <ndc_label_name>Cotton Snap Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891011118</ndc>
    <ndc_label_name>Prevail Brief Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891011425</ndc>
    <ndc_label_name>Cotton Snap Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891013100</ndc>
    <ndc_label_name>SUPER ABSORBENT UNDERPAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891013150</ndc>
    <ndc_label_name>FLUFF UNDERPAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891013155</ndc>
    <ndc_label_name>PREVAIL FLUFF UNDERPAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891016113</ndc>
    <ndc_label_name>Pant Liners, Large Plus pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891016115</ndc>
    <ndc_label_name>Pant Liners, Large pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891016117</ndc>
    <ndc_label_name>Prevail Pant Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019001</ndc>
    <ndc_label_name>Prevail Curve pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019003</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019004</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019005</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019006</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019007</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891019008</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020010</ndc>
    <ndc_label_name>FQ SUPER-ABS UNDERPAD LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020018</ndc>
    <ndc_label_name>FQ PREVAIL UNDERPAD LARGE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020176</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020177</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020178</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020198</ndc>
    <ndc_label_name>Sleep Overs Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020205</ndc>
    <ndc_label_name>Wonderpants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020206</ndc>
    <ndc_label_name>Wonderpants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020207</ndc>
    <ndc_label_name>Wonderpants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020266</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020267</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020268</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020269</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020270</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020271</ndc>
    <ndc_label_name>CutiePants Training Pants</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891020390</ndc>
    <ndc_label_name>Cuties Baby Diapers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024614</ndc>
    <ndc_label_name>Nu-Fit Brief Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024615</ndc>
    <ndc_label_name>Nu-Fit Brief Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024616</ndc>
    <ndc_label_name>Breezers Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024617</ndc>
    <ndc_label_name>Breezers Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024618</ndc>
    <ndc_label_name>Per-Fit Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024619</ndc>
    <ndc_label_name>Per-Fit Briefs</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024624</ndc>
    <ndc_label_name>Prevail Brief Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024625</ndc>
    <ndc_label_name>Prevail Brief Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024633</ndc>
    <ndc_label_name>Nufit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024634</ndc>
    <ndc_label_name>Nufit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024635</ndc>
    <ndc_label_name>Nufit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024645</ndc>
    <ndc_label_name>Prevail Boxers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024646</ndc>
    <ndc_label_name>Prevail Boxers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024647</ndc>
    <ndc_label_name>Procare Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024648</ndc>
    <ndc_label_name>Procare Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024649</ndc>
    <ndc_label_name>Procare Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024659</ndc>
    <ndc_label_name>Procare Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024660</ndc>
    <ndc_label_name>Procare Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024661</ndc>
    <ndc_label_name>Procare Adult Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024662</ndc>
    <ndc_label_name>Prevail Breezers 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024663</ndc>
    <ndc_label_name>Prevail Breezers 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024664</ndc>
    <ndc_label_name>Prevail Breezers 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024665</ndc>
    <ndc_label_name>Prevail Per-Fit 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024666</ndc>
    <ndc_label_name>Prevail Per-Fit 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024667</ndc>
    <ndc_label_name>Prevail Per-Fit 360</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024808</ndc>
    <ndc_label_name>Nufit Brief - Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891024823</ndc>
    <ndc_label_name>Procare Bariatric Brief</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891025800</ndc>
    <ndc_label_name>Per-Fit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891025801</ndc>
    <ndc_label_name>Per-Fit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891025802</ndc>
    <ndc_label_name>Per-Fit Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891025808</ndc>
    <ndc_label_name>Perfit Brief - Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891025810</ndc>
    <ndc_label_name>Prevail Per-Fit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891026415</ndc>
    <ndc_label_name>Prevail Brief Extra Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891026810</ndc>
    <ndc_label_name>Prevail Breezers</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891030030</ndc>
    <ndc_label_name>Undergarment misc</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050000</ndc>
    <ndc_label_name>Prevail Extra Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050001</ndc>
    <ndc_label_name>Protective Underwear Small-Med</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050002</ndc>
    <ndc_label_name>Prevail Extra Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050003</ndc>
    <ndc_label_name>Protective Underwear Ex-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050025</ndc>
    <ndc_label_name>Prevail Brief Bariatric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050026</ndc>
    <ndc_label_name>Prevail Brief Small</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050027</ndc>
    <ndc_label_name>Prevail Brief Youth</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050028</ndc>
    <ndc_label_name>Prevail Brief Bariatric</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050031</ndc>
    <ndc_label_name>Prevail Super Plus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050112</ndc>
    <ndc_label_name>Prevail Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050113</ndc>
    <ndc_label_name>Prevail Protective Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050114</ndc>
    <ndc_label_name>Prevail Adjustable Underwear Small-Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050115</ndc>
    <ndc_label_name>Prevail Adjustable Underwear Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891050116</ndc>
    <ndc_label_name>Prevail Extra Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060011</ndc>
    <ndc_label_name>Prevail PM Brief Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060012</ndc>
    <ndc_label_name>Prevail PM Brief Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060016</ndc>
    <ndc_label_name>Prevail Bladder Control Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060020</ndc>
    <ndc_label_name>Bladder Control Pad Long</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060069</ndc>
    <ndc_label_name>Prevail Panty Liner pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060073</ndc>
    <ndc_label_name>Prevail Guards For Men pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060076</ndc>
    <ndc_label_name>Prevail Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060077</ndc>
    <ndc_label_name>Prevail Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060078</ndc>
    <ndc_label_name>Prevail Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891060079</ndc>
    <ndc_label_name>Prevail Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891070608</ndc>
    <ndc_label_name>AIR PERMEABLE UNDERPAD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891070612</ndc>
    <ndc_label_name>Air Permeable Underpad 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891070614</ndc>
    <ndc_label_name>Total Care Underpads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891080000</ndc>
    <ndc_label_name>Prevail Male Guard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891090024</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891090025</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891090026</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891090027</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891090028</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094552</ndc>
    <ndc_label_name>Prevail Purseready</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094553</ndc>
    <ndc_label_name>Prevail Purseready</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094578</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094579</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094580</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094605</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094606</ndc>
    <ndc_label_name>Prevail Underwear</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094607</ndc>
    <ndc_label_name>Prevail Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90891094951</ndc>
    <ndc_label_name>Prevail Underpads 23" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90962069332</ndc>
    <ndc_label_name>LPS Neutral Flavor 15 gram-105 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90962069532</ndc>
    <ndc_label_name>LPS 15-30  15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>90962069732</ndc>
    <ndc_label_name>LPS Critical Care 17 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91124000201</ndc>
    <ndc_label_name>Dentiva lozenges,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91124000231</ndc>
    <ndc_label_name>Salese lozenges,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91124000233</ndc>
    <ndc_label_name>Salese lozenges,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91124000236</ndc>
    <ndc_label_name>Salese lozenges,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000103</ndc>
    <ndc_label_name>Comfort-Heal Heating Pad</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000106</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000107</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000108</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000109</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000115</ndc>
    <ndc_label_name>Easy Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000116</ndc>
    <ndc_label_name>Easy Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000117</ndc>
    <ndc_label_name>Easy Mini Eject Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000118</ndc>
    <ndc_label_name>Easy Step Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000119</ndc>
    <ndc_label_name>Easy Step strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000120</ndc>
    <ndc_label_name>Easy Step Normal Control Soln solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000122</ndc>
    <ndc_label_name>Easy Step Low Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000123</ndc>
    <ndc_label_name>Easy Step High Control Solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000124</ndc>
    <ndc_label_name>Ultra Support</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000127</ndc>
    <ndc_label_name>Tempa Check Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000128</ndc>
    <ndc_label_name>Alcohol Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000129</ndc>
    <ndc_label_name>Easy Comfort Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000141</ndc>
    <ndc_label_name>Easy Trak Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000142</ndc>
    <ndc_label_name>Easy Trak Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000145</ndc>
    <ndc_label_name>Easy Trak High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000146</ndc>
    <ndc_label_name>Easy Trak Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000147</ndc>
    <ndc_label_name>Easy Talk Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000148</ndc>
    <ndc_label_name>Easy Talk Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000149</ndc>
    <ndc_label_name>Easy Talk Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000152</ndc>
    <ndc_label_name>Easy Talk High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000153</ndc>
    <ndc_label_name>Comfort Shield Underpad 30" X 36"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000154</ndc>
    <ndc_label_name>Oral Temp Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000159</ndc>
    <ndc_label_name>True Support Wrist Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000160</ndc>
    <ndc_label_name>EasyAir Compressor Nebulizer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000161</ndc>
    <ndc_label_name>Knee Support Brace</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000163</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000164</ndc>
    <ndc_label_name>Easy Plus II Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000165</ndc>
    <ndc_label_name>Easy Plus II Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000167</ndc>
    <ndc_label_name>Easy Plus II Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000168</ndc>
    <ndc_label_name>Easy Plus II High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000170</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000171</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000172</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000173</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000174</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>91237000176</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000177</ndc>
    <ndc_label_name>Easy Comfort Pen Needles 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000178</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000182</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000185</ndc>
    <ndc_label_name>LifestyleComfort Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000188</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000189</ndc>
    <ndc_label_name>Easy Comfort Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000192</ndc>
    <ndc_label_name>LifestyleComfort Socks X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000193</ndc>
    <ndc_label_name>LifestyleComfort Socks Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91237000194</ndc>
    <ndc_label_name>LifestyleComfort Socks Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91241045330</ndc>
    <ndc_label_name>Vista Meibo Eyelid Cleansing topical pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91241045335</ndc>
    <ndc_label_name>Vista Meibo Eyelid Cleansing foam</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91241045440</ndc>
    <ndc_label_name>Vista Advanced Carotenoid 25 mg-220 mg-5 mg-1 mg-3 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91241045445</ndc>
    <ndc_label_name>Vista Advanced Dry Eye 250 mg-667 mg-12.5 mg-12.5mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91241045450</ndc>
    <ndc_label_name>Vista Advanced AREDS2 250 mg-137.5 mg-12.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91530019054</ndc>
    <ndc_label_name>VUEBLU 0.5% VIAL</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91603060000</ndc>
    <ndc_label_name>Garlipure 600 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91717023833</ndc>
    <ndc_label_name>Immulife oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91835042563</ndc>
    <ndc_label_name>UreaAide 15 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000135</ndc>
    <ndc_label_name>HEATING PAD MOIST-DRY HEAT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000140</ndc>
    <ndc_label_name>Diatrue Plus Blood Glucose Meter System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000141</ndc>
    <ndc_label_name>Diatrue Control Solution Normal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000142</ndc>
    <ndc_label_name>Diatrue Plus Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000143</ndc>
    <ndc_label_name>Diatrue Control Solution Low</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>91984000144</ndc>
    <ndc_label_name>Diatrue Control Solution High</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>92253001544</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>92253001547</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>92253001551</ndc>
    <ndc_label_name>T.E.D. Anti-Embolism Stocking</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Drug_Information>
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    <drug_tier>1</drug_tier>
    <ndc>93489000646</ndc>
    <ndc_label_name>Push Button Safety Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93489009921</ndc>
    <ndc_label_name>SAFETY SYRINGE 0.5 ML 30G 1/2"</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764001154</ndc>
    <ndc_label_name>Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060056</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060062</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060155</ndc>
    <ndc_label_name>Quick Response BP Monitor-Large Cuff kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060157</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR-MEDIUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060158</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060293</ndc>
    <ndc_label_name>Talking Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060332</ndc>
    <ndc_label_name>Wireless Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060334</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060336</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060416</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060417</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060418</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060419</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060420</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060421</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060422</ndc>
    <ndc_label_name>AND-Life-Source Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060439</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR-SMALL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060449</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060450</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060451</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060452</ndc>
    <ndc_label_name>PRECISION CHECK BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93764060453</ndc>
    <ndc_label_name>PRECISION CHECK PRO BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>93815070043</ndc>
    <ndc_label_name>Medisense Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815070550</ndc>
    <ndc_label_name>Medisense combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815070551</ndc>
    <ndc_label_name>Medisense combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815070552</ndc>
    <ndc_label_name>Medisense Mid Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815070745</ndc>
    <ndc_label_name>Precision Xtra B-Ketone strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071041</ndc>
    <ndc_label_name>Optium EZ strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071042</ndc>
    <ndc_label_name>Optium EZ strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071143</ndc>
    <ndc_label_name>Freestyle InsuLinx meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071502</ndc>
    <ndc_label_name>Precision Xtra Ketone-Glucose Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071577</ndc>
    <ndc_label_name>FreeStyle Precision Neo Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815071579</ndc>
    <ndc_label_name>FreeStyle Precision Neo Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815075175</ndc>
    <ndc_label_name>FreeStyle Precision Neo Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080063</ndc>
    <ndc_label_name>Precision PCX Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080116</ndc>
    <ndc_label_name>Precision Point Of Care Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080138</ndc>
    <ndc_label_name>Medisense Glucose Ketone combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080139</ndc>
    <ndc_label_name>Medisense Glucose Ketone combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080312</ndc>
    <ndc_label_name>Glucose Ketone Control Soln solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815080339</ndc>
    <ndc_label_name>Precision PCX Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>93815097137</ndc>
    <ndc_label_name>Ultra TLC Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>93815097138</ndc>
    <ndc_label_name>Ultra TLC Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815097401</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815097432</ndc>
    <ndc_label_name>Medisense Controls 1-Hi 1-Lo combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815098335</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815098336</ndc>
    <ndc_label_name>Precision Q-I-D Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>93815098681</ndc>
    <ndc_label_name>MEDISENSE THIN LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>93815098682</ndc>
    <ndc_label_name>Lancets,Thin 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815098757</ndc>
    <ndc_label_name>Precision PCX Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815098814</ndc>
    <ndc_label_name>Precision Xtra Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815098929</ndc>
    <ndc_label_name>Precision meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099121</ndc>
    <ndc_label_name>Precision Glucose/Ketone Contr combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099134</ndc>
    <ndc_label_name>Optium Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099135</ndc>
    <ndc_label_name>Optium Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099565</ndc>
    <ndc_label_name>Precision PCX Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099694</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099695</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099728</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099837</ndc>
    <ndc_label_name>Precision Xtra Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099838</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099877</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815099878</ndc>
    <ndc_label_name>Precision Xtra Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>93815974116</ndc>
    <ndc_label_name>Precision Glucose Control Soln combo pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000200</ndc>
    <ndc_label_name>Embrace TALK Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000201</ndc>
    <ndc_label_name>Embrace Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000202</ndc>
    <ndc_label_name>Embrace Blood Glucose System strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000203</ndc>
    <ndc_label_name>Embrace Pen Needle 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94030000204</ndc>
    <ndc_label_name>Embrace Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000205</ndc>
    <ndc_label_name>Embrace Pen Needle 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000206</ndc>
    <ndc_label_name>Embrace Glucose Control High solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000207</ndc>
    <ndc_label_name>Embrace Glucose Control Low solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000210</ndc>
    <ndc_label_name>Embrace Pen Needle 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000211</ndc>
    <ndc_label_name>Embrace Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000212</ndc>
    <ndc_label_name>Embrace Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000213</ndc>
    <ndc_label_name>Embrace Pen Needle 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000217</ndc>
    <ndc_label_name>Embrace Wave Plus Blood Glucose Meter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000221</ndc>
    <ndc_label_name>Embrace Wave Blood Glucose Test Strip</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000223</ndc>
    <ndc_label_name>Embrace Wave Control-Low (L1) solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000224</ndc>
    <ndc_label_name>Embrace Wave Control-High (L2) solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000233</ndc>
    <ndc_label_name>Embrace Blood Glucose System strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000234</ndc>
    <ndc_label_name>Embrace EVO Level 1 solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000235</ndc>
    <ndc_label_name>Embrace EVO test strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000236</ndc>
    <ndc_label_name>Embrace EVO Glucose Monitor</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000239</ndc>
    <ndc_label_name>Embrace PRO Blood Glucose Meter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000240</ndc>
    <ndc_label_name>Embrace PRO test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000241</ndc>
    <ndc_label_name>Embrace PRO solution</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000242</ndc>
    <ndc_label_name>Embrace EVO Blood Glucose Kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000244</ndc>
    <ndc_label_name>Embrace Wave Plus Blood Glucose Meter</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000250</ndc>
    <ndc_label_name>Embrace Wave Blood Glucose Test Strip</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94030000251</ndc>
    <ndc_label_name>Embrace Safety Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000252</ndc>
    <ndc_label_name>Embrace Pen Needle 30 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94030000266</ndc>
    <ndc_label_name>Embrace Safety Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94030000268</ndc>
    <ndc_label_name>Embrace Lancing Device with Ejector</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000269</ndc>
    <ndc_label_name>Embrace TALK Blood Glucose Monitoring System kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000279</ndc>
    <ndc_label_name>Embrace PRO Blood Glucose Meter</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace PRO test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000281</ndc>
    <ndc_label_name>Embrace TALK Glucose Monitor</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000282</ndc>
    <ndc_label_name>Embrace TALK Blood Glucose Monitoring System kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000283</ndc>
    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000286</ndc>
    <ndc_label_name>Embrace TALK Control-High (L2) solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace TALK Control-Low (L1) solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000291</ndc>
    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace TALK test strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94030000298</ndc>
    <ndc_label_name>Embrace PRO Blood Glucose Meter</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Embrace PRO test strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Advocate Lancet 30 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Advocate Lancet 30 gauge</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000114</ndc>
    <ndc_label_name>Advocate Heating Pad</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000135</ndc>
    <ndc_label_name>Advocate Pain Relief 10 % topical liquid</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94046000138</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Advocate Redi-Code Plus strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Advocate Blood Pressure Monitor kit</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Advocate Redi-Code Plus</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Advocate Redi-Code Plus strips</ndc_label_name>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Advocate Redi-Code Plus Ctrl Low solution</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000160</ndc>
    <ndc_label_name>Advocate Redi-Code+ Ctrl High solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000162</ndc>
    <ndc_label_name>Advocate Syringes 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000164</ndc>
    <ndc_label_name>Advocate Syringes 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000166</ndc>
    <ndc_label_name>Advocate Syringes 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000168</ndc>
    <ndc_label_name>Advocate Syringes 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000170</ndc>
    <ndc_label_name>Advocate Syringes 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000172</ndc>
    <ndc_label_name>Advocate Syringes 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000173</ndc>
    <ndc_label_name>Advocate Pen Needle 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000174</ndc>
    <ndc_label_name>Advocate Pen Needle 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000187</ndc>
    <ndc_label_name>Advocate Redi-Code Plus strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94046000188</ndc>
    <ndc_label_name>Advocate Redi-Code Plus</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94046000189</ndc>
    <ndc_label_name>Advocate Lancet 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94046000190</ndc>
    <ndc_label_name>Advocate Lancet 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94046000191</ndc>
    <ndc_label_name>Advocate Lancet 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>94046000192</ndc>
    <ndc_label_name>Advocate Lancet 26 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001162</ndc>
    <ndc_label_name>PROSOURCE PROTEIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001169</ndc>
    <ndc_label_name>PROSOURCE PROTEIN POWDER PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001180</ndc>
    <ndc_label_name>RenaMent 10 gram-210 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001220</ndc>
    <ndc_label_name>ArgiMent AT 10 gram-7 gram/42.75 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001333</ndc>
    <ndc_label_name>ProSource TF free 15 gram-90 kcal/45 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001446</ndc>
    <ndc_label_name>ProSource TF 20 gram-80 kcal/60 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001454</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001476</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001525</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001535</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001545</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001555</ndc>
    <ndc_label_name>ProSource Zac 18 gram-80 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001651</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001661</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001671</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001770</ndc>
    <ndc_label_name>UtyMax 500 mg/5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688001854</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688006866</ndc>
    <ndc_label_name>ProSource Xtracal 14 gram-230 kcal/45 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688008470</ndc>
    <ndc_label_name>Banatrol Plus oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688008490</ndc>
    <ndc_label_name>HyFiber with FOS 12 gram/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688008501</ndc>
    <ndc_label_name>Hyfiber for Kids 6 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688008801</ndc>
    <ndc_label_name>Banatrol TF 5 gram-45 kcal/60 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011162</ndc>
    <ndc_label_name>PROSOURCE PROTEIN POWDER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011169</ndc>
    <ndc_label_name>PROSOURCE PROTEIN POWDER PACK</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011180</ndc>
    <ndc_label_name>RenaMent 10 gram-210 kcal oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011220</ndc>
    <ndc_label_name>ArgiMent AT 10 gram-7 gram/42.75 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011333</ndc>
    <ndc_label_name>ProSource TF free 15 gram-90 kcal/45 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011432</ndc>
    <ndc_label_name>ProSource 10 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011444</ndc>
    <ndc_label_name>ProSource TF 11 gram-40 kcal/45 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011446</ndc>
    <ndc_label_name>ProSource TF 20 gram-80 kcal/60 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011454</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011476</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011525</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011535</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011545</ndc>
    <ndc_label_name>ProSource No Carb 15 gram-60 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011555</ndc>
    <ndc_label_name>ProSource Zac 18 gram-80 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011651</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011661</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011671</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011681</ndc>
    <ndc_label_name>Gelatein 20 gram-90 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011691</ndc>
    <ndc_label_name>Gelatein 20 gram-80 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011692</ndc>
    <ndc_label_name>Gelatein 20 gram-80 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011693</ndc>
    <ndc_label_name>Gelatein 20 gram-80 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011701</ndc>
    <ndc_label_name>Gelatein Plus 20 gram-160 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011703</ndc>
    <ndc_label_name>Gelatein Plus 20 gram-160 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011705</ndc>
    <ndc_label_name>Gelatein Plus 20 gram-160 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011715</ndc>
    <ndc_label_name>Gelatein MCT 20 gram-260 kcal/118 mL oral jelly</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011770</ndc>
    <ndc_label_name>UtyMax 500 mg/5 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688011854</ndc>
    <ndc_label_name>ProSource Plus 15 gram-100 kcal/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688016866</ndc>
    <ndc_label_name>ProSource Xtracal 14 gram-230 kcal/45 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688018470</ndc>
    <ndc_label_name>Banatrol Plus oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688018485</ndc>
    <ndc_label_name>HyFiber with FOS 6 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688018490</ndc>
    <ndc_label_name>HyFiber with FOS 12 gram/30 mL oral liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688018501</ndc>
    <ndc_label_name>Hyfiber for Kids 6 gram/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94688018801</ndc>
    <ndc_label_name>Banatrol TF 5 gram-45 kcal/60 mL tube feed liquid in packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731000501</ndc>
    <ndc_label_name>Cutar 7.5 % topical emulsion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731000601</ndc>
    <ndc_label_name>Cutemol Emollient topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731000602</ndc>
    <ndc_label_name>Cutemol Emollient topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731001101</ndc>
    <ndc_label_name>Tarsum Professional 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731001102</ndc>
    <ndc_label_name>Tarsum Professional 2 % shampoo</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731002201</ndc>
    <ndc_label_name>Rezamid 2 %-5 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94731002801</ndc>
    <ndc_label_name>Liquimat 4 % lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>94922028421</ndc>
    <ndc_label_name>Miaderm lotion</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95138000212</ndc>
    <ndc_label_name>Celebrate B-12 Quick-Melt 1,000 mcg-200 mcg disintegrating tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95160000278</ndc>
    <ndc_label_name>Nano-Check COVID-19 Ag Test kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95160000286</ndc>
    <ndc_label_name>Nano-Check COVID-19 Ag Test kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95526000200</ndc>
    <ndc_label_name>Wound Be Gone topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95526000201</ndc>
    <ndc_label_name>Wound Be Gone topical gel</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95863000100</ndc>
    <ndc_label_name>Conception kit</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882010030</ndc>
    <ndc_label_name>Thermacare HeatWrap Joint bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882099001</ndc>
    <ndc_label_name>ThermaCare HeatWrap Back-Hip S-M bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882099004</ndc>
    <ndc_label_name>ThermaCare HeatWrap Menstrual bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882099005</ndc>
    <ndc_label_name>ThermaCare HeatWrap Muscle bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882099006</ndc>
    <ndc_label_name>ThermaCare HeatWrap Neck-Wrist-Shoulder bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95882099008</ndc>
    <ndc_label_name>ThermaCare HeatWrap Back-Hip L-XL bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893018912</ndc>
    <ndc_label_name>EB-P1 DR 0.4 mg-15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893022498</ndc>
    <ndc_label_name>EB-P2 DR 125 mcg (5,000 unit)-15 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893023352</ndc>
    <ndc_label_name>EB-N3 DR 1.3 mg-70 mg-6 mg-4 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893023836</ndc>
    <ndc_label_name>EB-L1 10 mg-50 mg-500 mg-0.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893047983</ndc>
    <ndc_label_name>EB-S4 400 mg-83.3 mcg-166.7 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893068718</ndc>
    <ndc_label_name>EB-C3 DR 1.7 mg-6 mg-2 mg-600 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893070416</ndc>
    <ndc_label_name>VEGAN OMEGA-3 275 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893082350</ndc>
    <ndc_label_name>EB-N5 DR 35 mg-3 mg-2 mg-62.5 mcg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893089582</ndc>
    <ndc_label_name>EB-N6 DR 35 mg-3 mg-2 mg-300 mg-150 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>95893093584</ndc>
    <ndc_label_name>EB-A7 DR 200 mg-13.33 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96095000203</ndc>
    <ndc_label_name>Digestive Probiotic 10 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96095000211</ndc>
    <ndc_label_name>Probiotic 20 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011169</ndc>
    <ndc_label_name>New Generation bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011304</ndc>
    <ndc_label_name>Oral Dropper</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295011389</ndc>
    <ndc_label_name>GLYCERIN 99.5% LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295011419</ndc>
    <ndc_label_name>Acid Reducer (famotidine) 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011490</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN-MSM TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011491</ndc>
    <ndc_label_name>Glucosamine-Chondroitin Complex 750 mg-625 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011794</ndc>
    <ndc_label_name>ALOE VERA GEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295011807</ndc>
    <ndc_label_name>PulmoNeb LT Compressor Nebul</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012085</ndc>
    <ndc_label_name>Instant Cold Pack pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012086</ndc>
    <ndc_label_name>Reusable Hot-Cold Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012087</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012088</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012089</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 3/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012090</ndc>
    <ndc_label_name>Unifine Pentips Plus 31 gauge x 5/16" needle</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012323</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012500</ndc>
    <ndc_label_name>CALCIUM 600-D3-MINERALS CHW TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012520</ndc>
    <ndc_label_name>CALCIUM 500-VIT D3 600 CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012564</ndc>
    <ndc_label_name>VITAMIN D3 10,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012701</ndc>
    <ndc_label_name>BIOTIN 10,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012704</ndc>
    <ndc_label_name>GLUCOSAMINE COMPLEX-VIT D3 CPT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012706</ndc>
    <ndc_label_name>Immune Support 250 mg-12.5 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012745</ndc>
    <ndc_label_name>Allergy Relief (fluticasone) 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012751</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012752</ndc>
    <ndc_label_name>Ready-To-Use Enema 19 gram-7 gram/118 mL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012753</ndc>
    <ndc_label_name>Ready-To-Use Enema (mineral oil)</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012768</ndc>
    <ndc_label_name>ALCOHOL 70% SWABS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012772</ndc>
    <ndc_label_name>Cranberry Plus Vitamin C 140 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012775</ndc>
    <ndc_label_name>ACIDOPHILUS-PECTIN CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012781</ndc>
    <ndc_label_name>VITAMIN B-12 3,000 MCG TAB SL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012782</ndc>
    <ndc_label_name>Therapeutic-M 19 mg iron-400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012824</ndc>
    <ndc_label_name>CALCIUM CIT 200-VIT D3 250 TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012826</ndc>
    <ndc_label_name>Child Multivitamin Plus Iron 18 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012827</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012829</ndc>
    <ndc_label_name>IRON 27 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012831</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012833</ndc>
    <ndc_label_name>Prenatal 28 mg iron-800 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012836</ndc>
    <ndc_label_name>Adults Multivitamin 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012838</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012839</ndc>
    <ndc_label_name>VITAMIN C 1,000 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012840</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012841</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012842</ndc>
    <ndc_label_name>VITAMIN C 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012843</ndc>
    <ndc_label_name>VITAMIN C 250 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012845</ndc>
    <ndc_label_name>VITAMIN D3 400 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012847</ndc>
    <ndc_label_name>VITAMIN D3 2,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012848</ndc>
    <ndc_label_name>VITAMIN D3 1,000 UNIT TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012849</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012853</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE EC 70 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012864</ndc>
    <ndc_label_name>Children's Multivitamin chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012914</ndc>
    <ndc_label_name>BLOOD GLUCOSE MONITORING SYST</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012915</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012916</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012917</ndc>
    <ndc_label_name>Blood Glucose Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012918</ndc>
    <ndc_label_name>GLUCOSE CONTROL SOLUTION</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012921</ndc>
    <ndc_label_name>ALL-IN-ONE NEBULIZER SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012925</ndc>
    <ndc_label_name>Children's Allergy Relief (loratadine) 5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012927</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012930</ndc>
    <ndc_label_name>WRIST BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012931</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012933</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012941</ndc>
    <ndc_label_name>Sinus Relief (phenylephrine) 1 % nasal spray</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012949</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012950</ndc>
    <ndc_label_name>Nasal Decongestant (phenylephrine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012958</ndc>
    <ndc_label_name>Menstrual Relief (with pamabrom-pyrilamine) 500 mg-25 mg-15 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012960</ndc>
    <ndc_label_name>Headache Relief (ASA-acetaminophn-caffeine) 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012961</ndc>
    <ndc_label_name>BUFFERED ASPIRIN 325 MG TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012962</ndc>
    <ndc_label_name>Back and Body Pain Reliever 500 mg-32.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012964</ndc>
    <ndc_label_name>Allergy Relief (diphenhydramine) 25 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012985</ndc>
    <ndc_label_name>Pain Relief (trolamine salicylate) 10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012989</ndc>
    <ndc_label_name>Allergy Relief (chlorpheniramine) 4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012996</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295012997</ndc>
    <ndc_label_name>Allergy Relief D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295012998</ndc>
    <ndc_label_name>Sinus Pain-Pressure (PE) 5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013003</ndc>
    <ndc_label_name>Day Multi-Symptom Flu-Severe Cold 10 mg-20 mg-500 mg oral powder packt</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013013</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013014</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013015</ndc>
    <ndc_label_name>Nighttime Cold-Flu Relief 6.25 mg-15 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013021</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013024</ndc>
    <ndc_label_name>Ibuprofen PM 200 mg-38 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013027</ndc>
    <ndc_label_name>Adult Aspirin Regimen 81 mg tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013028</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013029</ndc>
    <ndc_label_name>Tension Headache 500 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013030</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013035</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013039</ndc>
    <ndc_label_name>Children's Cold and Cough (PE) 1 mg-2.5 mg-5 mg/5 mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013041</ndc>
    <ndc_label_name>Daytime Cold and Flu Relief (PE) 5 mg-10 mg-325 mg/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013046</ndc>
    <ndc_label_name>Children's Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013053</ndc>
    <ndc_label_name>Nasal Allergy 55 mcg spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013062</ndc>
    <ndc_label_name>Muscle Rub Ultra-Strength 4 %-30 %-10 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013066</ndc>
    <ndc_label_name>Allergy Multi-Symptom 2 mg-5 mg-325 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013071</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013073</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013074</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013075</ndc>
    <ndc_label_name>Allergy Relief (loratadine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013077</ndc>
    <ndc_label_name>Children's All Day Allergy (cetirizine) 1 mg/mL oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013083</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013084</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013085</ndc>
    <ndc_label_name>Acid Reducer (omeprazole) 20 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013098</ndc>
    <ndc_label_name>Daily Probiotic (S. boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013111</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013112</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013113</ndc>
    <ndc_label_name>All Day Pain Relief 220 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013114</ndc>
    <ndc_label_name>Ibuprofen Jr Strength 100 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013117</ndc>
    <ndc_label_name>Urinary Pain Relief 95 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013132</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013133</ndc>
    <ndc_label_name>Migraine Relief 250 mg-250 mg-65 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013134</ndc>
    <ndc_label_name>8 Hour Pain Reliever 650 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013159</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013160</ndc>
    <ndc_label_name>Saline Nasal 0.65 % spray aerosol</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013163</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013165</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013168</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013171</ndc>
    <ndc_label_name>Cough Drops 5.4 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013172</ndc>
    <ndc_label_name>Cough Drops 5.8 mg</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013175</ndc>
    <ndc_label_name>Children's Ibuprofen 100 mg/5 mL oral suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013180</ndc>
    <ndc_label_name>Mucus Relief DM Cough 20 mg-400 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013203</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013204</ndc>
    <ndc_label_name>IBUPROFEN 200 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013205</ndc>
    <ndc_label_name>Infant's Ibuprofen 50 mg/1.25 mL oral drops,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013207</ndc>
    <ndc_label_name>Tussin Mucus-Chest Congestion 100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013211</ndc>
    <ndc_label_name>Cough DM ER 30 mg/5 mL oral suspension,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013217</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013220</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013221</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013223</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013225</ndc>
    <ndc_label_name>Children's Acetaminophen 160 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013237</ndc>
    <ndc_label_name>Tussin CF Max Severe M-S Cold 10 mg-20 mg-650 mg/20 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013274</ndc>
    <ndc_label_name>Athlete's Foot 2 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013275</ndc>
    <ndc_label_name>Athlete's Foot (tolnaftate) 1 % topical spray powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013276</ndc>
    <ndc_label_name>Antifungal (miconazole) 2 % topical powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013277</ndc>
    <ndc_label_name>Cough-Cold Relief HBP 4 mg-30 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013296</ndc>
    <ndc_label_name>Corn Remover 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013302</ndc>
    <ndc_label_name>Corn-Callus Remover 17 % topical liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013303</ndc>
    <ndc_label_name>Callus Removers 40 % topical patch</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013372</ndc>
    <ndc_label_name>Tioconazole-1 6.5 % vaginal ointment</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013375</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013376</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013377</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013378</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013379</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013380</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013381</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013382</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013383</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013384</ndc>
    <ndc_label_name>NICOTINE 4 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013391</ndc>
    <ndc_label_name>Early Result Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013407</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013408</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013409</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013410</ndc>
    <ndc_label_name>Allergy Relief (fexofenadine) 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013411</ndc>
    <ndc_label_name>24HR Allergy Relief 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013412</ndc>
    <ndc_label_name>24HR Allergy Relief 5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013423</ndc>
    <ndc_label_name>Elbow Compression Sleeve</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013455</ndc>
    <ndc_label_name>Stool Softener 100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013466</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013467</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013468</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013470</ndc>
    <ndc_label_name>ACETAMINOPHEN 500 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013478</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013479</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013480</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013481</ndc>
    <ndc_label_name>All Day Allergy (cetirizine) 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013485</ndc>
    <ndc_label_name>Tussin DM Cough and Chest 5 mg-100 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013506</ndc>
    <ndc_label_name>Antiseptic Skin Cleanser (chlorhexidine) 4 % liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013507</ndc>
    <ndc_label_name>Minerin Creme topical</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013532</ndc>
    <ndc_label_name>Daily Fiber 0.4 gram capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013533</ndc>
    <ndc_label_name>Daily Fiber (psyllium-aspartame) 3 gram oral powder packet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013555</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013556</ndc>
    <ndc_label_name>ASPIRIN 81 MG CHEWABLE TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013558</ndc>
    <ndc_label_name>Anti-Diarrheal (loperamide) 1 mg/7.5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013564</ndc>
    <ndc_label_name>CAL-MAG-ZINC 334-134-5 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013565</ndc>
    <ndc_label_name>FOLIC ACID 400 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013566</ndc>
    <ndc_label_name>MAGNESIUM 250 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013567</ndc>
    <ndc_label_name>RED YEAST RICE 600 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013568</ndc>
    <ndc_label_name>Slow Release Iron 142 mg (45 mg iron) tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013569</ndc>
    <ndc_label_name>CALCIUM CIT 315 MG-VIT D3 5MCG</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013570</ndc>
    <ndc_label_name>CALCIUM 500MG-VIT D3 10MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013571</ndc>
    <ndc_label_name>IRON 65 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013572</ndc>
    <ndc_label_name>MELATONIN 5 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013573</ndc>
    <ndc_label_name>MAGNESIUM OXIDE 400 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013574</ndc>
    <ndc_label_name>Eye Health Plus Lutein 300 mcg-200 mg-27 mg-2 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013576</ndc>
    <ndc_label_name>Adults 50 Plus 0.4 mg-300 mcg-250 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013577</ndc>
    <ndc_label_name>Adults Multivitamin 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013579</ndc>
    <ndc_label_name>VITAMIN B-12 TR 1,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013580</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013582</ndc>
    <ndc_label_name>One Daily Women's 18 mg iron-400 mcg-25 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013583</ndc>
    <ndc_label_name>L-LYSINE HCL 500 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013587</ndc>
    <ndc_label_name>VITAMIN B-12 1,000 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013590</ndc>
    <ndc_label_name>MELATONIN 12 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013596</ndc>
    <ndc_label_name>Hair,Skin and Nails (folic acid-biotin) 100 mcg-1,500 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013597</ndc>
    <ndc_label_name>CALCIUM 600 MG-D3 20 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013598</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDR-VIT D3 CPLT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013599</ndc>
    <ndc_label_name>VITAMIN B-12 TR 2,000 MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013600</ndc>
    <ndc_label_name>Gas Relief-Prevention 600 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013638</ndc>
    <ndc_label_name>Clear Fiber 3 gram/4 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013640</ndc>
    <ndc_label_name>Daily Fiber (psyllium-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013643</ndc>
    <ndc_label_name>CHARCOAL 260 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013656</ndc>
    <ndc_label_name>Fiber (with aspartame) 3 gram/5.8 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013718</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013721</ndc>
    <ndc_label_name>CALCIUM 500MG-VIT D3 15MCG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013722</ndc>
    <ndc_label_name>GLUCOSAMINE SULF 1,000 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013723</ndc>
    <ndc_label_name>MELATONIN 3 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013726</ndc>
    <ndc_label_name>THERMOMETER PROBE COVERS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013727</ndc>
    <ndc_label_name>DIGITAL EAR THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013728</ndc>
    <ndc_label_name>Digital Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013729</ndc>
    <ndc_label_name>DIGITAL THERMOMETER TEMPLE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013730</ndc>
    <ndc_label_name>NO CONTACT DIGITAL THERMOMETER</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013735</ndc>
    <ndc_label_name>Cognitive Health 500 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013815</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013816</ndc>
    <ndc_label_name>Pediatric Electrolyte oral solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013817</ndc>
    <ndc_label_name>MAGNESIUM CHLORIDE 64 MG TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013818</ndc>
    <ndc_label_name>Daily Fiber (psyllium-sucrose) 3 gram/7 gram oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013820</ndc>
    <ndc_label_name>MELATONIN 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013835</ndc>
    <ndc_label_name>One Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013836</ndc>
    <ndc_label_name>One Daily Multivitamin 400 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013857</ndc>
    <ndc_label_name>VITAMIN E 450 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013858</ndc>
    <ndc_label_name>CHROMIUM PICO 200 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013867</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013868</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013870</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013873</ndc>
    <ndc_label_name>PEN NEEDLE 29G 12MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013874</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013875</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013876</ndc>
    <ndc_label_name>PEN NEEDLE 31G X 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013877</ndc>
    <ndc_label_name>PEN NEEDLE 32G X 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013878</ndc>
    <ndc_label_name>PEN NEEDLE 33G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013883</ndc>
    <ndc_label_name>VITAMIN B-6 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013884</ndc>
    <ndc_label_name>SUPER B COMPLEX-VIT C CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013890</ndc>
    <ndc_label_name>ACIDOPHILUS PROBIO 500M CFU CP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013892</ndc>
    <ndc_label_name>VITAMIN B-1 100 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013904</ndc>
    <ndc_label_name>GLUCOSAMINE-CHONDROITIN-MSM TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013917</ndc>
    <ndc_label_name>MELATONIN 10 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013918</ndc>
    <ndc_label_name>CO Q-10 200 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013922</ndc>
    <ndc_label_name>Healthy Eyes Lutein-Zeaxanthin 60 mg-13.5 mg-15 mg-2 mg-6 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013923</ndc>
    <ndc_label_name>POTASSIUM 99 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013927</ndc>
    <ndc_label_name>FLAXSEED OIL 1,000 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013930</ndc>
    <ndc_label_name>Reusable Hot-Cold Wrap pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013931</ndc>
    <ndc_label_name>Reusable Hot-Cold Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013938</ndc>
    <ndc_label_name>Triple Omega 3-6-9 400 mg-400 mg-400 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295013967</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013968</ndc>
    <ndc_label_name>Adult Multivitamin Gummies 200 mcg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013969</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013987</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013988</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295013991</ndc>
    <ndc_label_name>LUTEIN 20 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014021</ndc>
    <ndc_label_name>Hot-Cold Gel Bead Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014022</ndc>
    <ndc_label_name>Hot-Cold Gel Bead Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014023</ndc>
    <ndc_label_name>Hot-Cold Gel Bead Compress pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014036</ndc>
    <ndc_label_name>VITAMIN D3 125 MCG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014037</ndc>
    <ndc_label_name>Cranberry Urinary Tract Health 250 mg-30 mg-3.5 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014038</ndc>
    <ndc_label_name>NAC 600 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014062</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014063</ndc>
    <ndc_label_name>INFANT VITAMIN A-C-D DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014064</ndc>
    <ndc_label_name>INFANT VITAMIN D 10 MCG/ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014065</ndc>
    <ndc_label_name>INFANT IRON 15 MG/ML DROP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014066</ndc>
    <ndc_label_name>Infant-Toddler Multivitamin 250 mcg-50 mg-10 mcg-5 mg/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014067</ndc>
    <ndc_label_name>Infant-Toddler Multivitamin-Iron 11 mg iron/mL oral drops</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014069</ndc>
    <ndc_label_name>Probiotic Digestive Support (Lacto,Bifido) 1.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014071</ndc>
    <ndc_label_name>Digestive Probiotic 2 billion cell sprinkle capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014072</ndc>
    <ndc_label_name>Probiotic Digestive Support (4-strain) 11 billion cell-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014077</ndc>
    <ndc_label_name>ZINC 50 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014078</ndc>
    <ndc_label_name>Probitoic Digestive Support (6 strain) 10 billion cell-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014084</ndc>
    <ndc_label_name>Multivitamin Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014085</ndc>
    <ndc_label_name>Multivitamin Women 50 Plus 8 mg iron-400 mcg-50 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014086</ndc>
    <ndc_label_name>WOMEN'S 50 PLUS ADVANCED MV TB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014087</ndc>
    <ndc_label_name>ONE DAILY MEN'S MULTIVITAMIN</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014088</ndc>
    <ndc_label_name>Men's 50 Plus Multivitamin 400 mcg-20 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014090</ndc>
    <ndc_label_name>Men 50 Plus Multivitamin 300 mcg-60 mcg-600 mcg-300 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014114</ndc>
    <ndc_label_name>NO HURT TAPE 3" X 2.2 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014118</ndc>
    <ndc_label_name>Cloth Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014119</ndc>
    <ndc_label_name>Paper Tape 1" X 10 yard</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014120</ndc>
    <ndc_label_name>GAUZE BANDAGE ROLL 4.5"X2.5YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014123</ndc>
    <ndc_label_name>ROLLED GAUZE 2" X 2YD</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014124</ndc>
    <ndc_label_name>WATERPROOF TAPE 1/2" X 10YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014125</ndc>
    <ndc_label_name>WATERPROOF TAPE 1" X 5 YDS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014126</ndc>
    <ndc_label_name>GAUZE PADS 4"X4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014127</ndc>
    <ndc_label_name>Gauze Pad 3" X 3" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014128</ndc>
    <ndc_label_name>Gauze Pad 2" X 2" bandage</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014138</ndc>
    <ndc_label_name>CRANBERRY 500 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014139</ndc>
    <ndc_label_name>MAGNESIUM 200 MG CHEW TAB</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014140</ndc>
    <ndc_label_name>MELATONIN 10 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014141</ndc>
    <ndc_label_name>MELATONIN 5 MG QUICK DISSOLVE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014148</ndc>
    <ndc_label_name>MELATONIN 3 MG/4 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014149</ndc>
    <ndc_label_name>MELATONIN 5 MG/20 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014150</ndc>
    <ndc_label_name>Early Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014151</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014152</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014153</ndc>
    <ndc_label_name>Early Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014154</ndc>
    <ndc_label_name>One Step Pregnancy Test kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014157</ndc>
    <ndc_label_name>Children's Multivitamin Gummy chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014158</ndc>
    <ndc_label_name>VITAMIN D3 25 MCG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014159</ndc>
    <ndc_label_name>MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014160</ndc>
    <ndc_label_name>MELATONIN 5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014173</ndc>
    <ndc_label_name>Vision Health 250 mg-90 mg-40 mg-2 mg-5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014175</ndc>
    <ndc_label_name>VITAMIN D3 50 MCG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014178</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014179</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014204</ndc>
    <ndc_label_name>True Metrix Glucose Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014208</ndc>
    <ndc_label_name>GLUCOSE 2 GRAM GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014209</ndc>
    <ndc_label_name>Digestive Support 100 mg-21.5 mg capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014210</ndc>
    <ndc_label_name>Bowel Support-Irritable Bowel capsule,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014212</ndc>
    <ndc_label_name>Fish Oil 300 mg-1,000 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014214</ndc>
    <ndc_label_name>CO Q-10 100 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014299</ndc>
    <ndc_label_name>PEN NEEDLE 32G 4MM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014431</ndc>
    <ndc_label_name>BLOOD PRESSURE MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014438</ndc>
    <ndc_label_name>ASHWAGANDHA 300 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014465</ndc>
    <ndc_label_name>Vapor Inhaler (menthol) nasal</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014466</ndc>
    <ndc_label_name>One Daily Womens 50 Plus 0.4 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014467</ndc>
    <ndc_label_name>Multivitamin Men's 50 Plus 400 mcg-370 mcg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014471</ndc>
    <ndc_label_name>Dairy Digestive 9,000 unit tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014480</ndc>
    <ndc_label_name>Daily Digestive Probiotic 500 million cell-15 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014481</ndc>
    <ndc_label_name>Daily Probiotic (L. rhamnosus-B. lactis) 3 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014485</ndc>
    <ndc_label_name>FIRST AID KIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier/>
    <ndc>96295014518</ndc>
    <ndc_label_name>COQ-10 100 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>True</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014520</ndc>
    <ndc_label_name>MELATONIN 2.5 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014522</ndc>
    <ndc_label_name>VITAMIN C 125 MG GUMMY</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96295014529</ndc>
    <ndc_label_name>Daily Probiotic (S. boulardii) 250 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96295014547</ndc>
    <ndc_label_name>VITAMIN E 180 MG SOFTGEL</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619010284</ndc>
    <ndc_label_name>Aller-Flo 50 mcg/actuation nasal spray,suspension</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96619010286</ndc>
    <ndc_label_name>AllerClear D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619011299</ndc>
    <ndc_label_name>LaxaClear 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96619011339</ndc>
    <ndc_label_name>AllerClear D-24hr 10 mg-240 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619019719</ndc>
    <ndc_label_name>NAPROXEN SODIUM 220 MG CAPLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619031167</ndc>
    <ndc_label_name>Aller-Tec 10 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619035540</ndc>
    <ndc_label_name>IBUPROFEN 200 MG TABLET</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619036365</ndc>
    <ndc_label_name>Hydrocortisone Plus 1 % topical cream</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619038867</ndc>
    <ndc_label_name>NICOTINE 2 MG CHEWING GUM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96619038870</ndc>
    <ndc_label_name>ESOMEPRAZOLE MAG DR 20 MG CAP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619043921</ndc>
    <ndc_label_name>Acid Controller 20 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619054741</ndc>
    <ndc_label_name>LaxaClear 17 gram/dose oral powder</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619063250</ndc>
    <ndc_label_name>Quit 4 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619063251</ndc>
    <ndc_label_name>Quit 2 mg buccal lozenge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96619069977</ndc>
    <ndc_label_name>AllerClear D-12hr 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619073246</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619092165</ndc>
    <ndc_label_name>LANSOPRAZOLE DR 15 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>True</prior_authorization>
    <quantity_limit>True</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619092166</ndc>
    <ndc_label_name>Quit 4 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619092169</ndc>
    <ndc_label_name>Quit 2 mg gum</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>96619098776</ndc>
    <ndc_label_name>Aller-Fex 180 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96619098794</ndc>
    <ndc_label_name>AllerClear D-12hr 5 mg-120 mg tablet,extended release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96852064321</ndc>
    <ndc_label_name>Aquoral mucosal spray</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96974000001</ndc>
    <ndc_label_name>A/G Pro 50 mg-12.5 mg-16.7 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96974000002</ndc>
    <ndc_label_name>Mg-Plus-Protein 133 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96974000003</ndc>
    <ndc_label_name>Mg-Plus-Protein 133 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96974000005</ndc>
    <ndc_label_name>COENZYME Q10 10 MG CAPSULE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>96974000013</ndc>
    <ndc_label_name>Theramill Forte 67 mcg-12.5 mg-12.5 mg-17 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97029011883</ndc>
    <ndc_label_name>TheraBreath Dry Mouth lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97029047100</ndc>
    <ndc_label_name>TheraBreath lozenges</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>97344000935</ndc>
    <ndc_label_name>Adjustable Lancing Device</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644061209</ndc>
    <ndc_label_name>PeptideVite 2 mg-4 mg-800 mcg DFE-2.4 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644064752</ndc>
    <ndc_label_name>The Everyday Liver Vitamin 200 mcg DFE capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644075773</ndc>
    <ndc_label_name>SkinVite 300 mcg-7.5 billion cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644088460</ndc>
    <ndc_label_name>WoundVite 2.5 mg iron-5 million cell capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644091429</ndc>
    <ndc_label_name>PodiVite 250 mcg-12.5 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>97644095624</ndc>
    <ndc_label_name>NeuraZenx 500 mcg DFE-2.5 mg-50 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000200</ndc>
    <ndc_label_name>Child's Cough 6 gram-38 mg-9 mg-1.7 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000218</ndc>
    <ndc_label_name>Child's Cough 6 gram-38 mg-9 mg-1.7 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000239</ndc>
    <ndc_label_name>Baby Cough 4 gram-45 mg-9 mg/3 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98115000250</ndc>
    <ndc_label_name>Children's Sleep (melatonin) 1 mg chewable tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000254</ndc>
    <ndc_label_name>Children's Cough-Mucus 6 gram-38 mg-38 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000266</ndc>
    <ndc_label_name>Baby Cough 4 gram-45 mg-9 mg/3 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000267</ndc>
    <ndc_label_name>Baby Cough-Mucus 4 gram-21 mg/3 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000278</ndc>
    <ndc_label_name>Children's Cough-Mucus 6 gram-38 mg-38 mg/5 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98115000372</ndc>
    <ndc_label_name>Baby Cough-Mucus 4 gram-21 mg/3 mL oral syrup</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000101</ndc>
    <ndc_label_name>Omega Essentials 1,150 mg-1,000 unit/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000103</ndc>
    <ndc_label_name>Omega Essentials Basic 1,400 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000104</ndc>
    <ndc_label_name>Macular Benefits 550 mg-2.5 mg-50 mcg oral pack</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000112</ndc>
    <ndc_label_name>OMEGA-3 GUMMY CHEWABLES</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000123</ndc>
    <ndc_label_name>Eye Omega Advantage 550 mg-250 unit-2.5 mg-0.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000128</ndc>
    <ndc_label_name>Numaqula Omega-3 700 mg-8.3 mcg-3.3 mg-0.7 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000130</ndc>
    <ndc_label_name>Numaqula Vitamin 333 mcg-3 mg-0.67 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000142</ndc>
    <ndc_label_name>Dry Eye Omega Benefits 560 mg-1,680mg-1,000 unit/5mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000146</ndc>
    <ndc_label_name>Eye Omega Benefits For Kids 1,000 mg (250 mg-750 mg)/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000149</ndc>
    <ndc_label_name>Cardio Omega Benefits 667 mg (280 mg-280 mg-107 mg) capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000150</ndc>
    <ndc_label_name>Omega-V Benefits 1,220 mg-330 mg-670 mg/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000163</ndc>
    <ndc_label_name>De3 Dry Eye Omega Benefits 800 mg-186.67 mg-8.33 mcg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000165</ndc>
    <ndc_label_name>Dry Eye Omega Benefits 667 mg-250 unit capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000175</ndc>
    <ndc_label_name>Macular Vitamin 500 mcg-5 mg-1 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000197</ndc>
    <ndc_label_name>Synogesic 250 mg-3.75 mcg-212.5 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98152000199</ndc>
    <ndc_label_name>Nuretin 500 mg-100 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98254000216</ndc>
    <ndc_label_name>Irofol (iron polysaccharide) 100 mg iron/5 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98254000237</ndc>
    <ndc_label_name>Maxpro-18 18 gram-72 kcal/30 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98254000244</ndc>
    <ndc_label_name>VITAMIN C 500 MG/5 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98254000245</ndc>
    <ndc_label_name>VITAMIN C 500 MG/5 ML LIQUID</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98254000246</ndc>
    <ndc_label_name>Cenvite 9 mg iron/15 mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000100</ndc>
    <ndc_label_name>SIMPLE DIAGNSTIC LANCET DEVICE</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000102</ndc>
    <ndc_label_name>Clever Choice Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000103</ndc>
    <ndc_label_name>Clever Choice Level 2 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000104</ndc>
    <ndc_label_name>PHARMACIST CHOICE 30G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000105</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000106</ndc>
    <ndc_label_name>Ultra Thin Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000107</ndc>
    <ndc_label_name>Clever Chek Blood Glucose</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000108</ndc>
    <ndc_label_name>Clever Choice Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000109</ndc>
    <ndc_label_name>Clever Choice Level 3 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000110</ndc>
    <ndc_label_name>Clever Choice Level 1 Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000111</ndc>
    <ndc_label_name>Clever Choice Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000112</ndc>
    <ndc_label_name>Clever Chek Blood Glucose Syst kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000115</ndc>
    <ndc_label_name>Clever Chek Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000116</ndc>
    <ndc_label_name>Clever Chek Blood Glucose Syst kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000118</ndc>
    <ndc_label_name>Clever Choice Voice Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000120</ndc>
    <ndc_label_name>Clever Choice Voice Plus Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000121</ndc>
    <ndc_label_name>Clever Choice Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000125</ndc>
    <ndc_label_name>PHARMACIST CHOICE 30G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000126</ndc>
    <ndc_label_name>Ultra Thin Lancets</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000127</ndc>
    <ndc_label_name>Clever Chek Lancets 30 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000128</ndc>
    <ndc_label_name>Clever Choice Pro Blood Glucose Monitor strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000129</ndc>
    <ndc_label_name>Clever Choice Pro Blood Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000130</ndc>
    <ndc_label_name>Clever Chek Blood Pressure kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000131</ndc>
    <ndc_label_name>Clever Choice Mini Blood Glucose Monitor</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000132</ndc>
    <ndc_label_name>Pharmacist Choice Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000133</ndc>
    <ndc_label_name>Pharmacist Choice Glucose Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000138</ndc>
    <ndc_label_name>Clever Choice Holding Chamber-Large Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000139</ndc>
    <ndc_label_name>Clever Choice Holding Chamber-Medium Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000142</ndc>
    <ndc_label_name>Clever Choice Wrist BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000143</ndc>
    <ndc_label_name>Clever Choice Holding Chamber-Small Mask</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000144</ndc>
    <ndc_label_name>Clever Choice Nebulizer</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000145</ndc>
    <ndc_label_name>Clever Choice Whisper Aire Pediatric device</ndc_label_name>
    <otc>False</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000146</ndc>
    <ndc_label_name>Clever Choice Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302000160</ndc>
    <ndc_label_name>Ultra Thin Lancets 31 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000170</ndc>
    <ndc_label_name>Clever Choice Micro Test Strip</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000180</ndc>
    <ndc_label_name>Clever Choice Micro</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000186</ndc>
    <ndc_label_name>Clever Choice Duo Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000187</ndc>
    <ndc_label_name>Clever Choice Breast Pump</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000190</ndc>
    <ndc_label_name>Clever Choice Talk Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000191</ndc>
    <ndc_label_name>Clever Choice Talk Test strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000192</ndc>
    <ndc_label_name>Pharmacist Choice Blood Glucose System</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000198</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000199</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302000200</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302001407</ndc>
    <ndc_label_name>PHARMACIST CHOICE 33G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001418</ndc>
    <ndc_label_name>Clever Choice Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001430</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001431</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001432</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001433</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001434</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302001435</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013919</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013920</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.3 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013930</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.5 mL 31 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013931</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.3 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013932</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.5 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013933</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 30 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013934</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.3 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013935</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.5 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013936</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 30 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013937</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.5 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013938</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013939</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1/2 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013940</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 28 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013941</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.3 mL 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302013942</ndc>
    <ndc_label_name>Clever Choice Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014002</ndc>
    <ndc_label_name>PHARM CHOICE D3 400 UNIT/ML</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014003</ndc>
    <ndc_label_name>PHARMACIST CHOICE PED TRI-VIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014004</ndc>
    <ndc_label_name>PHARMACIST CHOICE PED POLY-VIT</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014005</ndc>
    <ndc_label_name>PHARM CHOICE POLY-VIT-IRON DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014006</ndc>
    <ndc_label_name>PHARM CHC PED IRON 15MG/ML DRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014007</ndc>
    <ndc_label_name>Clever Choice Comfort Protect Adult Diaper Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014008</ndc>
    <ndc_label_name>Clever Choice Comfort Protect Adult Diaper Medium</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014009</ndc>
    <ndc_label_name>Clever Choice Comfort Protect Adult Diaper X-Large</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014011</ndc>
    <ndc_label_name>Clever Choice Wrist BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014012</ndc>
    <ndc_label_name>Clever Choice Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014020</ndc>
    <ndc_label_name>Comfort EZ Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014023</ndc>
    <ndc_label_name>Comfort EZ Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014025</ndc>
    <ndc_label_name>Clever Choice Wrist BP Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014043</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 27 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014044</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 0.3 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014045</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1/2 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014046</ndc>
    <ndc_label_name>Comfort EZ Insulin Syringe 1 mL 31 gauge x 15/64"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014059</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014069</ndc>
    <ndc_label_name>Clever Choice Blood Pressure Cuff</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014071</ndc>
    <ndc_label_name>PHARMACIST CHOICE 33G LANCETS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014172</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014173</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014174</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014175</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014176</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014177</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 33 gauge x 3/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014178</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 33 gauge x 1/4"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014179</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 33 gauge x 5/16"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014188</ndc>
    <ndc_label_name>Clever Choice Infrared Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014200</ndc>
    <ndc_label_name>Comfort EZ Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014201</ndc>
    <ndc_label_name>Comfort EZ Lancets 28 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014202</ndc>
    <ndc_label_name>Comfort EZ Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014203</ndc>
    <ndc_label_name>Comfort EZ Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014204</ndc>
    <ndc_label_name>Comfort EZ Lancets 23 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302014205</ndc>
    <ndc_label_name>Comfort EZ Lancets 21 gauge</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014807</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 33 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014808</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 29 gauge x 1/2"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014812</ndc>
    <ndc_label_name>Clever Choice Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302014813</ndc>
    <ndc_label_name>Clever Choice Blood Pressure Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302015216</ndc>
    <ndc_label_name>Clever Choice Digital60 Thermometer</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
    <ndc>98302015226</ndc>
    <ndc_label_name>Alcohol Prep Pads</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302104059</ndc>
    <ndc_label_name>Comfort EZ Pen Needles 32 gauge x 5/32"</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98302139142</ndc>
    <ndc_label_name>Clever Choice Test Strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
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    <ndc_label_name>Peptamen Junior Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716060210</ndc>
    <ndc_label_name>Peptamen Junior Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716066360</ndc>
    <ndc_label_name>Peptamen AF 0.0756 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716066370</ndc>
    <ndc_label_name>Peptamen AF 0.0756 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716066380</ndc>
    <ndc_label_name>Peptamen AF 0.0756 gram-1.2 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716067350</ndc>
    <ndc_label_name>Peptamen Junior 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716067370</ndc>
    <ndc_label_name>Nutren Junior 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716067390</ndc>
    <ndc_label_name>Nutren Junior Fiber 0.03 gram-1 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98716070482</ndc>
    <ndc_label_name>Peptamen Junior 1.5 0.046 gram-1.5 kcal/mL oral liquid</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011055</ndc>
    <ndc_label_name>Hematron-AF 150 mg-1,700 mcg DFE-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011056</ndc>
    <ndc_label_name>Hematron-AF 150 mg-1,020 mcg DFE-500 mg tablet</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011058</ndc>
    <ndc_label_name>Obstetrix EC 29 mg iron-1,700 mcg DFE tablet,delayed release</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011069</ndc>
    <ndc_label_name>Obstetrix DHA Prenatal Duo 29 mg iron-1,700 mcg DFE tablet, capsule DR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011073</ndc>
    <ndc_label_name>Obstetrix One 38 mg-1,700 mcg DFE-225 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98826011074</ndc>
    <ndc_label_name>Obstetrix One 38 mg-1,700 mcg DFE-225 mg capsule</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000200</ndc>
    <ndc_label_name>FORA D10 BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000201</ndc>
    <ndc_label_name>Fora V10-V12-D10-D20 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000204</ndc>
    <ndc_label_name>Fora High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000205</ndc>
    <ndc_label_name>Fora Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000206</ndc>
    <ndc_label_name>Fora Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000217</ndc>
    <ndc_label_name>FORA V20 BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000218</ndc>
    <ndc_label_name>FORA V20 GLUCOSE TEST STRIPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000226</ndc>
    <ndc_label_name>FORA V12 BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000227</ndc>
    <ndc_label_name>FORA V12 GLUCOSE TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000229</ndc>
    <ndc_label_name>Fora G30A</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000231</ndc>
    <ndc_label_name>FORA G30-PREMIUM V10 TEST STRP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000233</ndc>
    <ndc_label_name>Fora G20 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000234</ndc>
    <ndc_label_name>Fora G20 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FORA V10 BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fora V10 strips</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FORA D15 GLUCOSE-BP MONITOR</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000238</ndc>
    <ndc_label_name>FORA D15G GLUCOSE TEST STRIPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000240</ndc>
    <ndc_label_name>Foracare GDH Low Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Foracare GDH Normal Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Foracare GDH High Control solution</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000244</ndc>
    <ndc_label_name>FORA D20 BLOOD GLUCOSE SYSTEM</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000245</ndc>
    <ndc_label_name>FORA D20 GLUCOSE TEST STRIPS</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>Fora Lancing Device</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000259</ndc>
    <ndc_label_name>FORA V30A BLOOD GLUCOSE SYSTEM</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000260</ndc>
    <ndc_label_name>FORA V30A GLUCOSE TEST STRIP</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>1</drug_tier>
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    <ndc_label_name>ForaCare Lancets 30 gauge</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>98939000275</ndc>
    <ndc_label_name>Fora P20v Blood Press Monitor kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>Fora P20 kit</ndc_label_name>
    <otc>True</otc>
    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <ndc_label_name>FreeStyle System Kit</ndc_label_name>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
    <ndc>99073011004</ndc>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
  </Drug_Information>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <step_therapy>False</step_therapy>
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    <drug_tier>1</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <step_therapy>False</step_therapy>
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    <drug_tier>0</drug_tier>
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    <prior_authorization>False</prior_authorization>
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    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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    <quantity_limit>False</quantity_limit>
    <step_therapy>False</step_therapy>
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  <Drug_Information>
    <drug_tier>0</drug_tier>
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  <Profile_Information>
    <formulary_name>Humana Healthy Horizons in Virginia</formulary_name>
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</root>